NICAYLA POLANCO· FAYETTEVILLE, NC

Physician group

1991 FORDHAM DR, FAYETTEVILLE, NC 28304

Procedures offered

947 total

Procedure	Min	Avg	Max
Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology	$42	$276	$404
Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology	$71	$455	$710
Excision chalazion single CPT 67800 • Ophthalmology	$123	$133	$151
Blepharoptosis repair levator resection CPT 67901 • Ophthalmology	$42	$227	$570
Lacrimal punctum closure by plug CPT 68761 • Ophthalmology	$18	$81	$144
Eye exam new patient intermediate CPT 92002 • Ophthalmology	$36	$59	$82
Eye exam new patient comprehensive CPT 92004 • Ophthalmology	$11	$104	$147
Eye exam established patient intermediate CPT 92012 • Ophthalmology	$33	$68	$88
Eye exam established patient comprehensive CPT 92014 • Ophthalmology	$30	$74	$115
Visual field examination CPT 92083 • Ophthalmology	$23	$45	$62
Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology	$14	$24	$39
Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology	$26	$45	$79
Fundus photography CPT 92250 • Ophthalmology	$20	$35	$44
Arthrocentesis aspiration small joint CPT 20600 • Orthopedics	$35	$42	$49
Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics	$7	$22	$37
Arthrocentesis aspiration major joint CPT 20610 • Orthopedics	$42	$56	$65
Cervical spine fusion anterior approach CPT 22551 • Orthopedics	$265	$1,410	$1,851
Lumbar spine fusion posterior approach CPT 22612 • Orthopedics	$1,267	$1,507	$1,689
Lumbar spine fusion combined approach CPT 22633 • Orthopedics	$397	$1,109	$1,822
Total shoulder replacement CPT 23472 • Orthopedics	$42	$844	$1,438
Reverse total shoulder replacement CPT 23473 • Orthopedics	$168	$886	$1,605
Lateral epicondylitis open treatment CPT 24357 • Orthopedics	$306	$359	$411
Closed treatment distal radial fracture CPT 25600 • Orthopedics	$42	$143	$323
Tendon sheath incision trigger finger CPT 26055 • Orthopedics	$57	$293	$529
Total hip replacement CPT 27130 • Orthopedics	$981	$1,241	$1,401
Hip replacement conversion to total CPT 27132 • Orthopedics	$865	$1,262	$1,659
Open treatment femoral fracture CPT 27236 • Orthopedics	$247	$888	$1,236
Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics	$42	$738	$1,216
Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics	$42	$843	$1,272
Partial knee replacement medial or lateral CPT 27446 • Orthopedics	$898	$1,081	$1,197
Total knee replacement CPT 27447 • Orthopedics	$42	$928	$1,400
Open treatment tibial shaft fracture CPT 27756 • Orthopedics	$88	$414	$588
Closed treatment distal fibula fracture CPT 27786 • Orthopedics	$42	$170	$307
Bunionectomy with osteotomy CPT 28296 • Orthopedics	$42	$552	$895
Arthroscopy shoulder decompression CPT 29826 • Orthopedics	$42	$102	$174
Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics	$42	$727	$1,080
Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics	$87	$406	$579
Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics	$419	$503	$558
Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics	$362	$523	$683
Arthroscopy knee ACL repair CPT 29888 • Orthopedics	$204	$587	$970
Discectomy lumbar single level CPT 63030 • Orthopedics	$831	$1,001	$1,186
Laminectomy lumbar single level CPT 63047 • Orthopedics	$1,015	$1,150	$1,353
Carpal tunnel release CPT 64721 • Orthopedics	$377	$460	$535
Sacroiliac joint injection CPT 27096 • Pain Management	$42	$92	$158
Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management	$29	$180	$260
Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management	$90	$118	$146
Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management	$23	$165	$282
Spinal cord stimulator electrode implantation CPT 63650 • Pain Management	$71	$1,147	$1,832
Peripheral nerve block injection CPT 64450 • Pain Management	$42	$69	$91
Plantar common digital nerve injection CPT 64455 • Pain Management	$40	$47	$53