CAROLINA LOW VISION REHABILITATION· PFAFFTOWN, NC

Provider

5634 STONEMAN PL, PFAFFTOWN, NC 27040

Procedures offered

222 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$10	$10	$10
Immunization admin injection single CPT 90471 • Preventive Care	$10	$10	$10
Preventive visit new patient infant CPT 99381 • Preventive Care	$90	$90	$90
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$118	$118	$118
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$110	$110	$110
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$337	$337	$337
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$168	$168	$168
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$249	$249	$249
Spirometry CPT 94010 • Pulmonology	$32	$32	$32
Plethysmography lung volumes CPT 94726 • Pulmonology	$55	$55	$55
Gas dilution lung volumes CPT 94727 • Pulmonology	$53	$53	$53
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$31	$31	$31
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$283	$283	$283
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,930	$1,930	$1,930
Radiation physics consultation CPT 77336 • Radiation Therapy	$90	$90	$90
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,164	$1,164	$1,164
Proton beam treatment simple CPT 77520 • Radiation Therapy	$917	$917	$917
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$504	$504	$504
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$733	$733	$733
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$425	$425	$425
Vasectomy CPT 55250 • Urology	$390	$390	$390
Radical prostatectomy retropubic CPT 55840 • Urology	$1,354	$1,354	$1,354