NICAYLA POLANCO· FAYETTEVILLE, NC
Physician group
1991 FORDHAM DR, FAYETTEVILLE, NC 28304
Procedures offered
947 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $59 | $199 | $292 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $121 | $189 | $241 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $39 | $46 | $56 |
| Tympanostomy tube insertion CPT 69436 • ENT | $22 | $133 | $206 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $42 | $355 | $859 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $146 | $712 | $1,015 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $32 | $33 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $30 | $88 | $121 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $42 | $145 | $205 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $88 | $108 | $151 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $9 | $55 | $111 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $30 | $77 | $107 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $42 | $163 | $244 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $30 | $112 | $264 |
| Initial treatment first degree burn CPT 16000 • Emergency | $30 | $50 | $72 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $44 | $63 |
| Emergency department visit low severity CPT 99282 • Emergency | $31 | $37 | $43 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $46 | $63 | $77 |
| Emergency department visit high severity CPT 99284 • Emergency | $113 | $125 | $143 |
| Emergency department visit highest severity CPT 99285 • Emergency | $172 | $213 | $266 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $168 | $211 | $274 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $42 | $82 | $122 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $153 | $170 | $179 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $53 | $206 | $355 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $34 | $232 | $453 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $21 | $224 | $475 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $28 | $606 | $1,229 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $47 | $297 | $568 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $233 | $256 | $278 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $202 | $233 | $269 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $42 | $185 | $323 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $42 | $274 | $422 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $86 | $219 | $365 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $109 | $366 | $525 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $42 | $176 | $296 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $42 | $178 | $389 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $7 | $81 | $169 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $42 | $138 | $322 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $267 | $320 | $414 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $24 | $113 | $201 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $42 | $269 | $587 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $42 | $223 | $420 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $254 | $531 | $748 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $32 | $1,412 | $2,791 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $40 | $256 | $395 |
| Esophageal motility study CPT 91010 • Gastroenterology | $23 | $102 | $155 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $72 | $293 | $427 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $40 | $202 | $363 |
| Auto-added CPT 00102 • General | $42 | $51 | $70 |
| Auto-added CPT 00104 • General | $42 | $51 | $70 |