DALLIN JOHANSEN· DURHAM, NC

Imaging center

2301 ERWIN RD, DURHAM, NC 27705

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$24	$32	$39
Immunization admin injection single CPT 90471 • Preventive Care	$14	$41	$58
Immunization admin injection each additional CPT 90472 • Preventive Care	$15	$19	$24
HPV vaccine 9-valent CPT 90651 • Preventive Care	$329	$391	$454
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$272	$292	$312
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$102	$122	$142
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$25	$26	$27
MMR vaccine CPT 90707 • Preventive Care	$109	$120	$131
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$46	$53	$60
Varicella vaccine CPT 90716 • Preventive Care	$217	$241	$265
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$132	$143	$153
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$244	$270	$297
Preventive visit new patient infant CPT 99381 • Preventive Care	$111	$182	$308
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$137	$229	$322
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$237	$252	$267
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$143	$193	$292
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$121	$243	$364
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$164	$168	$173
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$143	$299	$456
Preventive visit established patient infant CPT 99391 • Preventive Care	$95	$193	$290
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$111	$116	$126
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$111	$123	$135
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$127	$138	$149
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$119	$136	$152
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$125	$186	$247
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$150	$154	$163
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$36	$73	$110
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$68	$112	$157
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$405	$679	$954
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$477	$528	$578
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$129	$299	$469
Annual wellness visit initial HCPCS G0438 • Preventive Care	$468	$480	$492
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$333	$350	$368
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$375	$537	$700
Bronchoscopy with brushing CPT 31623 • Pulmonology	$345	$558	$772
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$417	$567	$718
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$980	$992	$1,004
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$481	$755	$1,028
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$338	$1,918	$3,499
Ventilation assist and management initiation CPT 94002 • Pulmonology	$113	$183	$253
Spirometry CPT 94010 • Pulmonology	$77	$77	$78
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$110	$125	$140
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$84	$131	$178
Respiratory flow volume loop CPT 94375 • Pulmonology	$20	$30	$40
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$86	$261	$437
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$18	$27	$35
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$50	$51	$51
Plethysmography lung volumes CPT 94726 • Pulmonology	$15	$86	$158
Gas dilution lung volumes CPT 94727 • Pulmonology	$90	$108	$126
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$136	$140	$143