DOMINIQUEA EDMISTON· STATESVILLE, NC

Physician group

806 PHILLIPS LN, STATESVILLE, NC 28625

Procedures offered

947 total

Procedure	Min	Avg	Max
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$47	$47	$47
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$56	$56	$56
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$88	$88	$88
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$178	$178	$178
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$80	$80	$80
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$162	$162	$162
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$35	$35	$35
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,437	$1,437	$1,437
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$59	$59	$59
Radiation physics consultation CPT 77336 • Radiation Therapy	$42	$42	$42
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$734	$734	$734
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$718	$718	$718
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$37	$37	$37
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$114	$114	$114
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$25	$25	$25
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$105	$105	$105
Proton beam treatment simple CPT 77520 • Radiation Therapy	$274	$274	$274
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,248	$1,248	$1,248
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$938	$938	$938
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$128	$128	$128
Sleep study unattended CPT 95800 • Sleep Medicine	$48	$48	$48
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$94	$94	$94
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$381	$381	$381
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$121	$121	$121
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$291	$291	$291
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$81	$81	$81
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$880	$880	$880
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$377	$377	$377
Laparoscopic partial nephrectomy CPT 50543 • Urology	$267	$267	$267
Laparoscopic radical nephrectomy CPT 50545 • Urology	$188	$188	$188
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$578	$578	$578
Complex uroflowmetry CPT 51741 • Urology	$14	$14	$14
Post-void residual urine measurement CPT 51798 • Urology	$9	$9	$9
Cystourethroscopy diagnostic CPT 52000 • Urology	$142	$142	$142
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$30	$30	$30
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$202	$202	$202
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$39	$39	$39
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$164	$164	$164
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$182	$182	$182
TURP transurethral resection of prostate CPT 52601 • Urology	$499	$499	$499
Laser vaporization of prostate CPT 52648 • Urology	$315	$315	$315
Circumcision CPT 54150 • Urology	$30	$72	$113
Orchiectomy simple CPT 54520 • Urology	$30	$30	$30
Orchiectomy radical inguinal CPT 54530 • Urology	$261	$261	$261
Vasectomy CPT 55250 • Urology	$237	$237	$237
Radical prostatectomy retropubic CPT 55840 • Urology	$45	$45	$45
Laparoscopic radical prostatectomy CPT 55866 • Urology	$628	$628	$628