NICAYLA POLANCO· FAYETTEVILLE, NC

Physician group

1991 FORDHAM DR, FAYETTEVILLE, NC 28304

Procedures offered

947 total

Procedure	Min	Avg	Max
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$47	$71	$94
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$108	$125	$142
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$169	$194	$207
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$37	$248	$354
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$333	$363	$393
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$226	$375	$625
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$32	$36	$40
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$421	$1,151	$2,523
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$63	$124	$194
Radiation physics consultation CPT 77336 • Radiation Therapy	$75	$95	$105
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,571	$1,828	$2,341
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,143	$1,569	$1,781
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$52	$117	$183
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$181	$262	$361
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$190	$211	$232
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$64	$84	$105
Proton beam treatment simple CPT 77520 • Radiation Therapy	$794	$1,439	$1,956
Proton beam treatment complex CPT 77523 • Radiation Therapy	$854	$1,463	$1,963
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$811	$828	$860
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$119	$406	$962
Sleep study unattended CPT 95800 • Sleep Medicine	$55	$121	$159
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$45	$68	$79
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$50	$164	$382
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$122	$436	$631
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$476	$566	$609
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$87	$120	$215
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$82	$914	$1,337
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$31	$356	$568
Laparoscopic partial nephrectomy CPT 50543 • Urology	$42	$934	$1,493
Laparoscopic radical nephrectomy CPT 50545 • Urology	$326	$1,100	$1,630
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$42	$353	$728
Complex uroflowmetry CPT 51741 • Urology	$5	$18	$42
Post-void residual urine measurement CPT 51798 • Urology	$10	$14	$23
Cystourethroscopy diagnostic CPT 52000 • Urology	$31	$117	$204
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$30	$236	$369
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$176	$272	$351
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$42	$101	$211
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$38	$161	$440
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$72	$314	$477
TURP transurethral resection of prostate CPT 52601 • Urology	$639	$857	$1,029
Laser vaporization of prostate CPT 52648 • Urology	$42	$570	$1,627
Circumcision CPT 54150 • Urology	$42	$78	$151
Orchiectomy simple CPT 54520 • Urology	$42	$219	$325
Orchiectomy radical inguinal CPT 54530 • Urology	$42	$381	$595
Vasectomy CPT 55250 • Urology	$42	$200	$360
Radical prostatectomy retropubic CPT 55840 • Urology	$42	$497	$1,173
Laparoscopic radical prostatectomy CPT 55866 • Urology	$828	$1,244	$1,655