DALLIN JOHANSEN· DURHAM, NC

Imaging center

2301 ERWIN RD, DURHAM, NC 27705

Procedures offered

952 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$310	$517	$724
Adenoidectomy primary under age 12 CPT 42830 • ENT	$250	$427	$604
Removal impacted cerumen unilateral CPT 69210 • ENT	$35	$87	$139
Tympanostomy tube insertion CPT 69436 • ENT	$188	$277	$451
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$1,028	$1,754	$2,480
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,274	$2,116	$2,958
Comprehensive audiometry evaluation CPT 92557 • ENT	$40	$72	$103
Incision and drainage abscess simple CPT 10060 • Emergency	$148	$254	$359
Incision and drainage abscess complicated CPT 10061 • Emergency	$131	$346	$562
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$116	$152	$188
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$35	$55	$74
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$227	$283	$340
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$709	$725	$742
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$329	$564	$799
Initial treatment first degree burn CPT 16000 • Emergency	$56	$91	$125
Emergency department visit self-limited problem CPT 99281 • Emergency	$31	$49	$66
Emergency department visit low severity CPT 99282 • Emergency	$43	$49	$55
Emergency department visit moderate severity CPT 99283 • Emergency	$120	$149	$177
Emergency department visit high severity CPT 99284 • Emergency	$120	$227	$334
Emergency department visit highest severity CPT 99285 • Emergency	$221	$279	$336
Critical care first 30-74 minutes CPT 99291 • Emergency	$339	$552	$765
Critical care each additional 30 minutes CPT 99292 • Emergency	$136	$216	$296
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$186	$309	$431
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$254	$684	$989
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$168	$504	$1,060
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$359	$414	$523
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$1,335	$2,178	$3,021
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$570	$980	$1,389
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$639	$664	$690
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$410	$613	$809
ERCP diagnostic CPT 43260 • Gastroenterology	$400	$642	$883
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$753	$928	$1,055
ERCP with removal of stones CPT 43264 • Gastroenterology	$996	$1,035	$1,074
ERCP with stent placement CPT 43274 • Gastroenterology	$601	$933	$1,264
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$443	$453	$463
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$470	$543	$616
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$68	$68	$68
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$363	$456	$548
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$35	$191	$347
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$1,244	$1,271	$1,298
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$1,367	$1,522	$1,677
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$555	$562	$570
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$749	$1,229	$1,710
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$739	$2,235	$3,731
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$910	$1,049	$1,189
Esophageal motility study CPT 91010 • Gastroenterology	$257	$441	$626
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$117	$702	$1,287
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$73	$607	$1,141
Auto-added CPT 00102 • General	$64	$64	$64
Auto-added CPT 00104 • General	$77	$77	$77