DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC· FAYETTEVILLE, NC

Urgent care

3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$5	$8	$13
Immunization admin injection single CPT 90471 • Preventive Care	$10	$12	$16
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$11	$13
HPV vaccine 9-valent CPT 90651 • Preventive Care	$251	$291	$371
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$197	$229	$292
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$84	$94	$115
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$10	$18	$25
MMR vaccine CPT 90707 • Preventive Care	$80	$94	$109
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$38	$44	$56
Varicella vaccine CPT 90716 • Preventive Care	$157	$186	$217
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$113	$124	$132
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$151	$213	$245
Preventive visit new patient infant CPT 99381 • Preventive Care	$75	$89	$101
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$90	$103	$112
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$94	$102	$117
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$99	$118	$133
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$109	$120	$129
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$115	$127	$148
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$126	$126	$126
Preventive visit established patient infant CPT 99391 • Preventive Care	$69	$83	$90
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$75	$87	$104
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$75	$100	$135
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$83	$94	$112
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$86	$102	$116
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$94	$125	$190
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$99	$126	$190
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$32	$34	$39
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$171	$171	$171
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$183	$183	$183
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$323	$323	$323
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$123	$123	$123
Annual wellness visit initial HCPCS G0438 • Preventive Care	$164	$164	$164
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$111	$121	$127
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$236	$236	$236
Bronchoscopy with brushing CPT 31623 • Pulmonology	$110	$186	$263
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$56	$151	$245
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$336	$336	$336
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$146	$251	$357
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$219	$219	$219
Ventilation assist and management initiation CPT 94002 • Pulmonology	$90	$90	$90
Spirometry CPT 94010 • Pulmonology	$19	$23	$26
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$27	$36	$45
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$28	$28	$28
Respiratory flow volume loop CPT 94375 • Pulmonology	$23	$31	$36
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$68	$68	$68
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$6	$10	$17
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$15	$15	$16
Plethysmography lung volumes CPT 94726 • Pulmonology	$40	$50	$54
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$29	$37
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$46	$47	$50