JESSICA HICKS· STATESVILLE, NC

Physician group

632 SPRINGDALE RD, STATESVILLE, NC 28677

Procedures offered

954 total

Procedure	Min	Avg	Max
Gas dilution lung volumes CPT 94727 • Pulmonology	$32	$45	$52
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$38	$38	$38
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$27	$30	$31
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$62	$73	$83
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$94	$94	$94
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$161	$180	$199
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$216	$240	$257
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$72	$289	$507
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$232	$257	$281
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$32	$32	$32
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$926	$1,210	$1,464
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$58	$58	$58
Radiation physics consultation CPT 77336 • Radiation Therapy	$65	$75	$96
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$891	$1,114	$1,236
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$864	$990	$1,115
IMRT delivery simple CPT 77385 • Radiation Therapy	$293	$293	$293
IMRT delivery complex CPT 77386 • Radiation Therapy	$309	$309	$309
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$191	$191	$191
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$210	$236	$261
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$167	$167	$167
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$109	$109	$109
Proton beam treatment simple CPT 77520 • Radiation Therapy	$700	$822	$973
Proton beam treatment complex CPT 77523 • Radiation Therapy	$932	$1,447	$1,963
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$769	$786	$804
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$132	$710	$1,070
Sleep study unattended CPT 95800 • Sleep Medicine	$40	$85	$131
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$74	$76	$78
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$49	$285	$404
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$395	$609	$890
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$129	$177	$224
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$87	$111	$134
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$76	$568	$1,060
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$35	$445	$781
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,358	$1,391	$1,424
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,190	$1,441	$1,693
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$721	$721	$721
Complex uroflowmetry CPT 51741 • Urology	$6	$6	$6
Post-void residual urine measurement CPT 51798 • Urology	$11	$11	$12
Cystourethroscopy diagnostic CPT 52000 • Urology	$187	$187	$187
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$234	$272	$310
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$256	$309	$363
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$201	$201	$201
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$406	$580	$754
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$373	$434	$494
TURP transurethral resection of prostate CPT 52601 • Urology	$629	$629	$629
Laser vaporization of prostate CPT 52648 • Urology	$1,496	$1,496	$1,496
Circumcision CPT 54150 • Urology	$159	$159	$159
Orchiectomy simple CPT 54520 • Urology	$286	$286	$286
Orchiectomy radical inguinal CPT 54530 • Urology	$447	$447	$447