LIANNA BALLENTINE· SOUTHERN PINES, NC

Physician group

1776 OLD MORGANTON RD, SOUTHERN PINES, NC 28387

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$34	$34	$34
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$5	$16	$24
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$47	$49	$52
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$78	$78	$78
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$111	$117	$122
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$171	$176	$179
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$55	$176	$296
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$163	$239	$315
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$48	$48	$48
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,214	$1,289	$1,364
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$47	$47	$47
Radiation physics consultation CPT 77336 • Radiation Therapy	$53	$55	$57
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$738	$966	$1,421
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$673	$767	$861
IMRT delivery simple CPT 77385 • Radiation Therapy	$258	$258	$258
IMRT delivery complex CPT 77386 • Radiation Therapy	$259	$259	$259
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$120	$129	$138
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$42	$113	$185
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$126	$132	$137
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$76	$76	$76
Proton beam treatment simple CPT 77520 • Radiation Therapy	$580	$595	$625
Proton beam treatment complex CPT 77523 • Radiation Therapy	$675	$699	$723
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$91	$106	$122
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$685	$826	$968
Sleep study unattended CPT 95800 • Sleep Medicine	$30	$92	$155
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$30	$35	$40
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$81	$246	$404
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$435	$512	$589
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$454	$454	$454
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$82	$103	$124
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$115	$542	$968
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$320	$407	$451
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,086	$1,086	$1,086
Laparoscopic radical nephrectomy CPT 50545 • Urology	$977	$1,144	$1,312
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$415	$415	$415
Complex uroflowmetry CPT 51741 • Urology	$8	$9	$10
Post-void residual urine measurement CPT 51798 • Urology	$7	$9	$10
Cystourethroscopy diagnostic CPT 52000 • Urology	$151	$151	$151
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$179	$209	$240
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$210	$245	$281
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$154	$154	$154
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$327	$327	$327
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$286	$334	$383
TURP transurethral resection of prostate CPT 52601 • Urology	$532	$625	$718
Laser vaporization of prostate CPT 52648 • Urology	$1,208	$1,208	$1,208
Circumcision CPT 54150 • Urology	$111	$111	$111
Orchiectomy simple CPT 54520 • Urology	$237	$282	$327
Orchiectomy radical inguinal CPT 54530 • Urology	$370	$438	$507
Vasectomy CPT 55250 • Urology	$165	$253	$341