ASHLEY SELF· FAYETTEVILLE, NC

Physician group

1601 OWEN DR, FAYETTEVILLE, NC 28304

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$109	$109	$109
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$4	$7
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$24	$42	$53
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$69	$108	$147
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$222	$222	$222
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$165	$256	$347
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$83	$207	$271
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$171	$321	$470
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$222	$595	$968
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$31	$82	$132
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$418	$1,030	$1,801
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$127	$127	$127
Radiation physics consultation CPT 77336 • Radiation Therapy	$75	$105	$166
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,093	$2,374	$4,924
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,073	$1,997	$2,921
IMRT delivery simple CPT 77385 • Radiation Therapy	$696	$696	$696
IMRT delivery complex CPT 77386 • Radiation Therapy	$865	$865	$865
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$372	$372	$372
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$243	$396	$550
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$425	$425	$425
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$104	$160	$216
Proton beam treatment simple CPT 77520 • Radiation Therapy	$817	$1,089	$1,624
Proton beam treatment complex CPT 77523 • Radiation Therapy	$2,463	$2,463	$2,463
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$262	$262	$262
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$285	$1,044	$1,803
Sleep study unattended CPT 95800 • Sleep Medicine	$308	$354	$400
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$47	$127	$208
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$139	$560	$771
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$286	$710	$1,134
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$241	$610	$978
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$124	$124	$124
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$105	$546	$986
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$271	$338	$382
Laparoscopic partial nephrectomy CPT 50543 • Urology	$3,052	$3,052	$3,052
Laparoscopic radical nephrectomy CPT 50545 • Urology	$3,108	$3,108	$3,108
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$619	$965	$1,312
Complex uroflowmetry CPT 51741 • Urology	$14	$15	$16
Post-void residual urine measurement CPT 51798 • Urology	$12	$26	$41
Cystourethroscopy diagnostic CPT 52000 • Urology	$292	$292	$292
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$503	$503	$503
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$591	$591	$591
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$490	$490	$490
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$40	$561	$1,082
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$804	$804	$804
TURP transurethral resection of prostate CPT 52601 • Urology	$1,958	$1,958	$1,958
Laser vaporization of prostate CPT 52648 • Urology	$3,313	$3,313	$3,313
Circumcision CPT 54150 • Urology	$349	$349	$349
Orchiectomy simple CPT 54520 • Urology	$750	$750	$750
Orchiectomy radical inguinal CPT 54530 • Urology	$1,034	$1,034	$1,034
Vasectomy CPT 55250 • Urology	$461	$463	$464