LIANNA BALLENTINE· SOUTHERN PINES, NC

Physician group

1776 OLD MORGANTON RD, SOUTHERN PINES, NC 28387

Procedures offered

953 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$182	$214	$246
Adenoidectomy primary under age 12 CPT 42830 • ENT	$150	$177	$204
Removal impacted cerumen unilateral CPT 69210 • ENT	$34	$34	$34
Tympanostomy tube insertion CPT 69436 • ENT	$113	$138	$151
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$634	$634	$634
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$748	$921	$1,008
Comprehensive audiometry evaluation CPT 92557 • ENT	$27	$31	$35
Incision and drainage abscess simple CPT 10060 • Emergency	$87	$99	$112
Incision and drainage abscess complicated CPT 10061 • Emergency	$151	$151	$151
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$65	$65	$65
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$44	$44	$44
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$41	$71	$100
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$110	$175	$240
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$195	$237	$258
Initial treatment first degree burn CPT 16000 • Emergency	$20	$27	$34
Emergency department visit self-limited problem CPT 99281 • Emergency	$16	$43	$69
Emergency department visit low severity CPT 99282 • Emergency	$31	$31	$31
Emergency department visit moderate severity CPT 99283 • Emergency	$46	$58	$70
Emergency department visit high severity CPT 99284 • Emergency	$85	$91	$95
Emergency department visit highest severity CPT 99285 • Emergency	$124	$152	$180
Critical care first 30-74 minutes CPT 99291 • Emergency	$199	$208	$217
Critical care each additional 30 minutes CPT 99292 • Emergency	$80	$90	$95
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$112	$130	$148
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$202	$265	$297
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$101	$287	$381
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$17	$54	$129
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$784	$950	$1,116
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$143	$322	$501
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$170	$197	$223
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$165	$199	$217
ERCP diagnostic CPT 43260 • Gastroenterology	$235	$272	$309
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$260	$315	$343
ERCP with removal of stones CPT 43264 • Gastroenterology	$265	$265	$265
ERCP with stent placement CPT 43274 • Gastroenterology	$338	$338	$338
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$114	$114	$114
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$289	$289	$289
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$41	$41	$41
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$135	$135	$135
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$146	$146	$146
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$304	$374	$444
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$342	$415	$488
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$320	$320	$320
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$440	$529	$618
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$2,094	$2,317	$2,539
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$242	$293	$319
Esophageal motility study CPT 91010 • Gastroenterology	$96	$155	$213
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$346	$346	$346
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$41	$41	$41
Auto-added CPT 00102 • General	$42	$44	$45
Auto-added CPT 00104 • General	$42	$44	$45