JESSICA HICKS· STATESVILLE, NC
Physician group
632 SPRINGDALE RD, STATESVILLE, NC 28677
Procedures offered
954 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $249 | $249 | $249 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $203 | $203 | $203 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $47 | $47 | $47 |
| Tympanostomy tube insertion CPT 69436 • ENT | $155 | $163 | $171 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $30 | $404 | $779 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,027 | $1,085 | $1,143 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $33 | $38 | $43 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $111 | $111 | $111 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $166 | $173 | $179 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $40 | $40 | $40 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $109 | $109 | $109 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $51 | $90 | $130 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $246 | $259 | $279 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $229 | $265 | $300 |
| Initial treatment first degree burn CPT 16000 • Emergency | $33 | $52 | $79 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $9 | $14 | $20 |
| Emergency department visit low severity CPT 99282 • Emergency | $44 | $44 | $44 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $63 | $63 | $63 |
| Emergency department visit high severity CPT 99284 • Emergency | $14 | $75 | $106 |
| Emergency department visit highest severity CPT 99285 • Emergency | $177 | $181 | $184 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $206 | $243 | $280 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $42 | $68 | $120 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $137 | $168 | $198 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $280 | $346 | $400 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $375 | $451 | $512 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $333 | $455 | $516 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $1,121 | $1,223 | $1,325 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $401 | $508 | $615 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $207 | $243 | $300 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $200 | $258 | $291 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $309 | $345 | $416 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $372 | $427 | $461 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $348 | $348 | $348 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $410 | $410 | $410 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $140 | $156 | $172 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $152 | $266 | $379 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $146 | $146 | $146 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $158 | $158 | $158 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $178 | $178 | $178 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $435 | $527 | $597 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $423 | $516 | $609 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $394 | $394 | $394 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $267 | $390 | $512 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $231 | $231 | $231 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $319 | $389 | $428 |
| Esophageal motility study CPT 91010 • Gastroenterology | $206 | $228 | $250 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $326 | $385 | $444 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $435 | $435 | $435 |
| Auto-added CPT 00102 • General | $47 | $50 | $52 |
| Auto-added CPT 00104 • General | $40 | $43 | $45 |