EMILY POLHAMUS· SCOTLAND NECK, NC

Physician group

919 JR HIGH SCHOOL RD, SCOTLAND NECK, NC 27874

Procedures offered

962 total

Procedure	Min	Avg	Max
Spirometry CPT 94010 • Pulmonology	$7	$21	$30
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$11	$24	$37
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$48	$48	$48
Respiratory flow volume loop CPT 94375 • Pulmonology	$12	$12	$12
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$57	$57	$57
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$6	$10	$14
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$14	$19	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$11	$27	$44
Gas dilution lung volumes CPT 94727 • Pulmonology	$25	$31	$37
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$46	$46	$46
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$20	$21	$21
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$59	$59	$59
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$89	$89	$89
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$139	$139	$139
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$227	$227	$227
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$407	$407	$407
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$186	$186	$186
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$54	$54	$54
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,213	$1,213	$1,213
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$54	$54	$54
Radiation physics consultation CPT 77336 • Radiation Therapy	$65	$65	$65
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,624	$1,624	$1,624
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$985	$985	$985
IMRT delivery simple CPT 77385 • Radiation Therapy	$295	$295	$295
IMRT delivery complex CPT 77386 • Radiation Therapy	$296	$296	$296
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$158	$158	$158
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$211	$211	$211
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$157	$157	$157
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$87	$87	$87
Proton beam treatment simple CPT 77520 • Radiation Therapy	$714	$714	$714
Proton beam treatment complex CPT 77523 • Radiation Therapy	$827	$827	$827
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$632	$632	$632
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$782	$782	$782
Sleep study unattended CPT 95800 • Sleep Medicine	$124	$129	$135
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$34	$34	$34
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$290	$290	$290
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$397	$397	$397
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$103	$103	$103
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$68	$68	$68
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$66	$74	$82
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$31	$149	$267
Laparoscopic partial nephrectomy CPT 50543 • Urology	$18	$630	$1,241
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,116	$1,265	$1,414
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$474	$635	$926
Complex uroflowmetry CPT 51741 • Urology	$6	$13	$21
Post-void residual urine measurement CPT 51798 • Urology	$8	$13	$20
Cystourethroscopy diagnostic CPT 52000 • Urology	$127	$164	$193
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$204	$233	$262
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$240	$274	$307