DURHAM VA MEDICAL CENTER· DURHAM, NC

HospitalCMS 4/5

508 FULTON ST, DURHAM, NC 27705

Procedures offered

942 total

ProcedureMinAvgMax
Zoster vaccine recombinant adjuvanted
CPT 90750 • Preventive Care
$154$286$653
Genetic counseling 30 minutes
CPT 96040 • Preventive Care
$146$146$146
Preventive visit new patient infant
CPT 99381 • Preventive Care
$66$190$267
Preventive visit new patient age 1-4
CPT 99382 • Preventive Care
$111$207$289
Preventive visit new patient age 5-11
CPT 99383 • Preventive Care
$174$218$320
Preventive visit new patient age 12-17
CPT 99384 • Preventive Care
$125$240$358
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$125$237$348
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$125$272$400
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$236$312$434
Preventive visit established patient infant
CPT 99391 • Preventive Care
$105$176$265
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$114$183$240
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$58$173$239
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$117$199$261
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$125$203$267
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$125$217$283
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$105$243$359
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$0$61$132
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$73$251$652
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$268$544$1,178
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$268$527$1,180
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$131$291$552
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$182$328$552
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$104$228$432
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$296$521$880
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$185$431$895
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$251$448$829
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$323$561$1,146
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$116$718$1,215
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$423$1,932$4,286
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$82$188$253
Spirometry
CPT 94010 • Pulmonology
$11$40$89
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$31$79$126
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$60$105$197
Respiratory flow volume loop
CPT 94375 • Pulmonology
$24$54$123
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$80$201$497
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$12$33$89
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$19$40$89
Plethysmography lung volumes
CPT 94726 • Pulmonology
$18$77$176
Gas dilution lung volumes
CPT 94727 • Pulmonology
$18$67$141
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$9$89$190
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$0$3$7
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$20$45$72
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$104$154$207
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$129$215$312
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$237$347$488
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$100$433$812
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$157$556$1,381
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$187$706$1,406
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$63$109$192
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$942$3,096$5,476