WILKES REGIONAL MEDICAL CENTER· NORTH WILKESBORO, NC
HospitalCMS 3/5
1370 WEST D ST, NORTH WILKESBORO, NC 28659
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $187 | $593 | $1,666 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $46 | $124 | $199 |
| Special stain group II CPT 88313 • Pathology | $43 | $83 | $118 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $37 | $58 | $81 |
| Frozen section pathology each additional CPT 88332 • Pathology | $13 | $42 | $89 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $61 | $119 | $172 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $72 | $138 | $200 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $75 | $89 | $115 |
| Microdissection manual CPT 88381 • Pathology | $74 | $128 | $279 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $4 | $8 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $9 | $13 | $17 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $11 | $16 | $20 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $11 | $16 | $21 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $10 | $16 | $24 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $26 | $37 | $50 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $28 | $40 | $58 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $23 | $35 | $50 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $24 | $34 | $45 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $10 | $17 | $23 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $110 | $128 | $167 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $110 | $128 | $167 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $49 | $101 | $123 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $57 | $71 | $80 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $26 | $43 | $66 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $29 | $41 | $56 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $18 | $29 | $39 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $19 | $31 | $39 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $31 | $53 | $84 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $19 | $33 | $48 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $27 | $36 | $58 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $11 | $16 | $28 |
| Immunization admin injection single CPT 90471 • Preventive Care | $26 | $34 | $58 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $10 | $19 | $28 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $336 | $429 | $585 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $260 | $322 | $450 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $118 | $138 | $182 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $29 | $44 |
| MMR vaccine CPT 90707 • Preventive Care | $109 | $132 | $175 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $49 | $60 | $69 |
| Varicella vaccine CPT 90716 • Preventive Care | $221 | $282 | $429 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $119 | $162 | $233 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $220 | $286 | $383 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $88 | $157 | $255 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $93 | $152 | $266 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $97 | $170 | $276 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $115 | $179 | $308 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $110 | $187 | $300 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $133 | $218 | $346 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $147 | $223 | $375 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $80 | $128 | $229 |