DANIELLE SAMELSON· CHARLOTTE, NC

Physician group

229 N POPLAR ST APT 10, CHARLOTTE, NC 28202

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$43	$48	$52
Pulse oximetry single measurement CPT 94760 • Pulmonology	$1	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$4	$17	$28
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$10	$33	$55
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$78	$81	$84
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$55	$93	$131
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$89	$136	$184
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$53	$135	$289
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$162	$237	$374
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$21	$32	$48
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$272	$930	$1,382
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$39	$61	$92
Radiation physics consultation CPT 77336 • Radiation Therapy	$51	$56	$61
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$734	$1,037	$1,522
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$718	$807	$923
IMRT delivery simple CPT 77385 • Radiation Therapy	$276	$276	$276
IMRT delivery complex CPT 77386 • Radiation Therapy	$277	$277	$277
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$24	$86	$148
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$93	$145	$198
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$68	$117	$147
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$15	$58	$82
Proton beam treatment simple CPT 77520 • Radiation Therapy	$110	$390	$670
Proton beam treatment complex CPT 77523 • Radiation Therapy	$639	$732	$781
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$434	$717	$1,125
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$106	$516	$926
Sleep study unattended CPT 95800 • Sleep Medicine	$127	$147	$172
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$36	$42	$46
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$271	$400	$496
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$121	$360	$587
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$139	$255	$487
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$68	$100	$119
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$85	$494	$791
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$27	$203	$332
Laparoscopic partial nephrectomy CPT 50543 • Urology	$44	$468	$1,164
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,046	$1,064	$1,082
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$44	$399	$581
Complex uroflowmetry CPT 51741 • Urology	$4	$27	$50
Post-void residual urine measurement CPT 51798 • Urology	$7	$7	$8
Cystourethroscopy diagnostic CPT 52000 • Urology	$44	$112	$229
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$192	$202	$212
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$128	$176	$225
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$165	$216	$243
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$36	$188	$351
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$306	$341	$375
TURP transurethral resection of prostate CPT 52601 • Urology	$44	$307	$570
Laser vaporization of prostate CPT 52648 • Urology	$44	$546	$1,294
Circumcision CPT 54150 • Urology	$28	$52	$77
Orchiectomy simple CPT 54520 • Urology	$71	$163	$254
Orchiectomy radical inguinal CPT 54530 • Urology	$83	$239	$396
Vasectomy CPT 55250 • Urology	$38	$158	$279