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
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$25	$25	$25
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$53	$59	$70
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$82	$94	$106
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$127	$140	$166
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$28	$31	$37
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$63	$203	$483
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$170	$196	$221
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$25	$35	$49
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$318	$349	$411
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$46	$52	$64
Radiation physics consultation CPT 77336 • Radiation Therapy	$68	$71	$77
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,928	$1,928	$1,928
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,169	$1,169	$1,169
IMRT delivery simple CPT 77385 • Radiation Therapy	$350	$350	$350
IMRT delivery complex CPT 77386 • Radiation Therapy	$351	$351	$351
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$187	$187	$187
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$251	$251	$251
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$144	$158	$187
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$104	$104	$104
Proton beam treatment simple CPT 77520 • Radiation Therapy	$848	$848	$848
Proton beam treatment complex CPT 77523 • Radiation Therapy	$982	$982	$982
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$751	$751	$751
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$929	$929	$929
Sleep study unattended CPT 95800 • Sleep Medicine	$109	$126	$160
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$46	$46	$46
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$58	$58	$58
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$118	$118	$118
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$616	$617	$617
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$55	$55	$55
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$645	$645	$645
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$213	$273	$303
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,474	$1,474	$1,474
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,325	$1,325	$1,325
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$726	$726	$726
Complex uroflowmetry CPT 51741 • Urology	$6	$9	$14
Post-void residual urine measurement CPT 51798 • Urology	$9	$10	$10
Cystourethroscopy diagnostic CPT 52000 • Urology	$70	$156	$205
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$243	$243	$243
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$250	$262	$285
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$183	$196	$208
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$136	$238	$444
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$340	$364	$388
TURP transurethral resection of prostate CPT 52601 • Urology	$639	$667	$722
Laser vaporization of prostate CPT 52648 • Urology	$1,640	$1,640	$1,640
Circumcision CPT 54150 • Urology	$76	$101	$151
Orchiectomy simple CPT 54520 • Urology	$322	$322	$322
Orchiectomy radical inguinal CPT 54530 • Urology	$502	$502	$502
Vasectomy CPT 55250 • Urology	$289	$311	$354
Prostate biopsy needle or punch CPT 55700 • Urology	$209	$226	$243