KRISTINE BOOTHE· MC LEANSVILLE, NC

Physician group

5460 SMILEY WYRICK RD, MC LEANSVILLE, NC 27301

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$76	$76	$76
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$20	$23	$25
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$48	$70	$92
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$72	$78	$84
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$113	$165	$218
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$186	$226	$306
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$64	$64	$64
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$291	$307	$324
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$31	$58	$85
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$325	$790	$1,255
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$79	$99	$119
Radiation physics consultation CPT 77336 • Radiation Therapy	$56	$58	$61
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,058	$1,551	$2,537
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$702	$1,120	$1,538
IMRT delivery simple CPT 77385 • Radiation Therapy	$276	$276	$276
IMRT delivery complex CPT 77386 • Radiation Therapy	$462	$462	$462
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$246	$246	$246
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$228	$279	$330
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$245	$245	$245
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$82	$93	$104
Proton beam treatment simple CPT 77520 • Radiation Therapy	$416	$788	$1,116
Proton beam treatment complex CPT 77523 • Radiation Therapy	$775	$775	$775
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$205	$205	$205
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$106	$445	$784
Sleep study unattended CPT 95800 • Sleep Medicine	$34	$64	$95
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$32	$33	$34
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$96	$250	$327
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$476	$728	$981
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$593	$593	$593
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$82	$97	$111
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$135	$552	$968
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$27	$203	$528
Laparoscopic partial nephrectomy CPT 50543 • Urology	$2,451	$2,451	$2,451
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,290	$1,747	$2,204
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$699	$699	$699
Complex uroflowmetry CPT 51741 • Urology	$14	$14	$14
Post-void residual urine measurement CPT 51798 • Urology	$11	$14	$17
Cystourethroscopy diagnostic CPT 52000 • Urology	$63	$63	$63
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$234	$236	$238
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$225	$251	$277
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$201	$201	$201
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$738	$738	$738
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$306	$343	$380
TURP transurethral resection of prostate CPT 52601 • Urology	$695	$701	$707
Laser vaporization of prostate CPT 52648 • Urology	$540	$540	$540
Circumcision CPT 54150 • Urology	$95	$120	$145
Orchiectomy simple CPT 54520 • Urology	$310	$310	$310
Orchiectomy radical inguinal CPT 54530 • Urology	$470	$652	$834
Vasectomy CPT 55250 • Urology	$212	$293	$373