DANIEL LACKEY· WINSTON SALEM, NC

Physician group

1287 CREEKSHIRE WAY, WINSTON SALEM, NC 27103

Procedures offered

952 total

Procedure	Min	Avg	Max
Pulse oximetry single measurement CPT 94760 • Pulmonology	$3	$3	$3
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$29	$29	$29
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$54	$64	$74
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$112	$112	$112
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$127	$150	$174
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$194	$219	$245
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$63	$286	$508
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$498	$498	$498
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$34	$42	$49
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$318	$375	$433
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$46	$57	$67
Radiation physics consultation CPT 77336 • Radiation Therapy	$68	$75	$81
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$2,030	$2,030	$2,030
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,231	$1,231	$1,231
IMRT delivery simple CPT 77385 • Radiation Therapy	$368	$368	$368
IMRT delivery complex CPT 77386 • Radiation Therapy	$370	$370	$370
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$197	$197	$197
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$264	$264	$264
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$144	$170	$196
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$109	$109	$109
Proton beam treatment simple CPT 77520 • Radiation Therapy	$893	$893	$893
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,033	$1,033	$1,033
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$869	$869	$869
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$921	$921	$921
Sleep study unattended CPT 95800 • Sleep Medicine	$27	$83	$139
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$100	$100	$100
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$398	$398	$398
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$137	$137	$137
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$142	$379	$617
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$82	$82	$82
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$968	$968	$968
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$303	$311	$320
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,862	$1,862	$1,862
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,674	$1,674	$1,674
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$917	$917	$917
Complex uroflowmetry CPT 51741 • Urology	$6	$12	$18
Post-void residual urine measurement CPT 51798 • Urology	$9	$11	$13
Cystourethroscopy diagnostic CPT 52000 • Urology	$101	$147	$193
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$307	$307	$307
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$250	$305	$360
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$263	$263	$263
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$136	$348	$561
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$490	$490	$490
TURP transurethral resection of prostate CPT 52601 • Urology	$639	$775	$912
Laser vaporization of prostate CPT 52648 • Urology	$2,071	$2,071	$2,071
Circumcision CPT 54150 • Urology	$76	$133	$191
Orchiectomy simple CPT 54520 • Urology	$407	$407	$407
Orchiectomy radical inguinal CPT 54530 • Urology	$634	$634	$634
Vasectomy CPT 55250 • Urology	$284	$286	$289
Prostate biopsy needle or punch CPT 55700 • Urology	$163	$163	$163