GASTON FAMILY HEALTH SERVICES, INC.· BELMONT, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)
210 SCHOOL ST, BELMONT, NC 28012
Procedures offered
947 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $30 | $149 | $269 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $469 | $469 | $469 |
| Excision chalazion single CPT 67800 • Ophthalmology | $98 | $121 | $144 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $615 | $615 | $615 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $117 | $117 | $117 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $42 | $42 | $42 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $130 | $130 | $130 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $51 | $69 | $86 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $99 | $111 | $122 |
| Visual field examination CPT 92083 • Ophthalmology | $54 | $54 | $54 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $20 | $30 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $26 | $28 | $30 |
| Fundus photography CPT 92250 • Ophthalmology | $15 | $17 | $19 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $56 | $56 | $56 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $27 | $28 | $29 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $72 | $88 | $103 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,372 | $1,372 | $1,372 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,278 | $1,278 | $1,278 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,801 | $1,891 | $1,980 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,658 | $1,658 | $1,658 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,301 | $1,439 | $1,576 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $442 | $471 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $390 | $390 | $390 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $30 | $130 | $231 |
| Total hip replacement CPT 27130 • Orthopedics | $1,054 | $1,054 | $1,054 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,845 | $1,845 | $1,845 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $30 | $695 | $1,361 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $180 | $567 | $954 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $953 | $953 | $953 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $30 | $651 | $1,272 |
| Total knee replacement CPT 27447 • Orthopedics | $30 | $788 | $1,547 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $30 | $339 | $648 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $30 | $195 | $360 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $30 | $505 | $981 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $30 | $109 | $188 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $30 | $429 | $828 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $432 | $432 | $432 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $606 | $606 | $606 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $30 | $293 | $555 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $30 | $408 | $787 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $30 | $406 | $781 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,217 | $1,217 | $1,217 |
| Carpal tunnel release CPT 64721 • Orthopedics | $30 | $258 | $486 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $30 | $79 | $128 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $258 | $294 | $330 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $194 | $194 | $194 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $111 | $183 | $255 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $30 | $1,044 | $2,058 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $41 | $51 | $61 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $38 | $44 | $49 |