MT. AIRY OPERATING COMPANY LLC· MOUNT AIRY, NC

Provider

542 ALLRED MILL RD, MOUNT AIRY, NC 27030

Procedures offered

769 total

Procedure	Min	Avg	Max
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$133	$133	$133
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$239	$239	$239
Preventive visit new patient infant CPT 99381 • Preventive Care	$127	$127	$128
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$138	$138	$138
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$137	$137	$137
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$149	$149	$149
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$149	$149	$149
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$191	$191	$191
Preventive visit established patient infant CPT 99391 • Preventive Care	$77	$77	$77
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$60	$60	$60
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$92	$92	$92
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$142	$142	$142
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$116	$138	$160
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$35	$35	$35
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$133	$133	$133
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$181	$281	$380
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$141	$141	$142
Annual wellness visit initial HCPCS G0438 • Preventive Care	$154	$154	$154
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$104	$104	$104
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$287	$287	$288
Bronchoscopy with brushing CPT 31623 • Pulmonology	$309	$309	$309
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$38	$38	$38
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$309	$309	$309
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$865	$865	$865
Ventilation assist and management initiation CPT 94002 • Pulmonology	$90	$90	$90
Spirometry CPT 94010 • Pulmonology	$36	$36	$37
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$63	$63	$63
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$61	$61	$61
Respiratory flow volume loop CPT 94375 • Pulmonology	$28	$28	$28
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$168	$168	$168
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$16	$16	$16
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$16	$16	$16
Plethysmography lung volumes CPT 94726 • Pulmonology	$44	$50	$56
Gas dilution lung volumes CPT 94727 • Pulmonology	$44	$44	$44
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$50	$50	$50
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$21	$21	$21
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$70	$70	$70
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$157	$157	$157
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$192	$192	$192
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$568	$568	$568
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$56	$56	$56
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$2,120	$2,120	$2,120
Radiation physics consultation CPT 77336 • Radiation Therapy	$53	$53	$54
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,426	$1,426	$1,427
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,629	$1,629	$1,629
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$261	$261	$261
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$238	$238	$238
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$106	$106	$106
Proton beam treatment simple CPT 77520 • Radiation Therapy	$274	$634	$994
Proton beam treatment complex CPT 77523 • Radiation Therapy	$3,215	$3,215	$3,215