A SAFE PLACE EMPOWERMENT NETWORK· GASTONIA, NC
Provider
260 W MAIN AVE STE A, GASTONIA, NC 28052
Procedures offered
707 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $97 | $104 | $112 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $99 | $99 | $99 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $115 | $119 | $123 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $99 | $108 | $116 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $38 | $38 | $38 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $184 | $184 | $184 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $235 | $287 | $338 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $195 | $195 | $195 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $136 | $136 | $136 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $130 | $147 | $163 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $103 | $115 | $127 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $276 | $276 | $276 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $30 | $30 | $30 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $30 | $30 | $30 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $30 | $84 | $139 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,278 | $1,278 | $1,278 |
| Spirometry CPT 94010 • Pulmonology | $19 | $25 | $30 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $30 | $31 | $32 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $30 | $30 | $30 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $6 | $6 | $6 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $17 | $23 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $11 | $31 | $52 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $41 | $41 | $41 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $46 | $46 | $46 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $20 | $21 | $22 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $165 | $165 | $165 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $257 | $257 | $257 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $63 | $63 | $63 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,897 | $1,897 | $1,897 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $24 | $24 | $24 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $78 | $78 | $78 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,139 | $1,139 | $1,139 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $964 | $964 | $964 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $186 | $186 | $186 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $104 | $104 | $104 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $166 | $166 | $166 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $968 | $968 | $968 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $768 | $768 | $768 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $813 | $813 | $813 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $124 | $124 | $124 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $75 | $75 | $75 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $424 | $424 | $424 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $606 | $606 | $606 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $154 | $154 | $154 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $82 | $82 | $82 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $31 | $204 | $377 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $30 | $267 | $504 |
| Complex uroflowmetry CPT 51741 • Urology | $6 | $7 | $8 |
| Post-void residual urine measurement CPT 51798 • Urology | $11 | $11 | $11 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $193 | $193 | $193 |