ASHLEY SELF· FAYETTEVILLE, NC

Physician group

1601 OWEN DR, FAYETTEVILLE, NC 28304

Procedures offered

953 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$13	$16	$17
Immunization admin each additional component CPT 90461 • Preventive Care	$8	$18	$29
Immunization admin injection single CPT 90471 • Preventive Care	$10	$12	$13
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$11	$12
HPV vaccine 9-valent CPT 90651 • Preventive Care	$371	$371	$371
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$230	$261	$292
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$102	$103	$104
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$20	$23	$25
MMR vaccine CPT 90707 • Preventive Care	$100	$104	$109
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$39	$48	$56
Varicella vaccine CPT 90716 • Preventive Care	$192	$193	$195
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$117	$117	$117
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$216	$217	$219
Preventive visit new patient infant CPT 99381 • Preventive Care	$112	$134	$178
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$117	$190	$263
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$122	$198	$274
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$113	$163	$238
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$133	$143	$154
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$349	$349	$349
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$167	$211	$255
Preventive visit established patient infant CPT 99391 • Preventive Care	$226	$226	$226
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$78	$115	$178
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$162	$162	$162
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$178	$178	$178
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$99	$119	$140
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$128	$161	$194
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$9	$109	$209
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$35	$49	$64
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$145	$145	$145
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$112	$492	$871
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$120	$388	$656
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$154	$201	$295
Annual wellness visit initial HCPCS G0438 • Preventive Care	$109	$250	$392
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$85	$130	$175
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$294	$388	$481
Bronchoscopy with brushing CPT 31623 • Pulmonology	$345	$345	$345
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$120	$311	$502
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$323	$323	$323
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$844	$844	$844
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$458	$458	$458
Ventilation assist and management initiation CPT 94002 • Pulmonology	$176	$183	$190
Spirometry CPT 94010 • Pulmonology	$17	$42	$54
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$27	$56	$85
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$67	$92	$116
Respiratory flow volume loop CPT 94375 • Pulmonology	$23	$50	$77
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$87	$183	$293
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$34	$34	$34
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$30	$31	$32
Plethysmography lung volumes CPT 94726 • Pulmonology	$79	$93	$100
Gas dilution lung volumes CPT 94727 • Pulmonology	$44	$73	$94