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
Tonsillectomy primary under age 12 CPT 42826 • ENT	$247	$247	$247
Adenoidectomy primary under age 12 CPT 42830 • ENT	$204	$204	$204
Removal impacted cerumen unilateral CPT 69210 • ENT	$33	$40	$52
Tympanostomy tube insertion CPT 69436 • ENT	$154	$154	$154
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$860	$860	$860
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,016	$1,016	$1,016
Comprehensive audiometry evaluation CPT 92557 • ENT	$27	$29	$32
Incision and drainage abscess simple CPT 10060 • Emergency	$90	$106	$118
Incision and drainage abscess complicated CPT 10061 • Emergency	$205	$205	$205
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$45	$45	$45
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$59	$59	$59
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$108	$108	$108
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$111	$124	$149
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$265	$265	$265
Initial treatment first degree burn CPT 16000 • Emergency	$72	$72	$72
Emergency department visit self-limited problem CPT 99281 • Emergency	$22	$22	$22
Emergency department visit low severity CPT 99282 • Emergency	$42	$42	$42
Emergency department visit moderate severity CPT 99283 • Emergency	$63	$63	$63
Emergency department visit high severity CPT 99284 • Emergency	$116	$116	$116
Emergency department visit highest severity CPT 99285 • Emergency	$168	$168	$168
Critical care first 30-74 minutes CPT 99291 • Emergency	$198	$206	$215
Critical care each additional 30 minutes CPT 99292 • Emergency	$99	$109	$120
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$152	$152	$152
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$102	$159	$274
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$115	$279	$364
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$362	$362	$362
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$127	$135	$152
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$194	$376	$467
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$231	$231	$231
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$224	$224	$224
ERCP diagnostic CPT 43260 • Gastroenterology	$319	$319	$319
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$353	$353	$353
ERCP with removal of stones CPT 43264 • Gastroenterology	$138	$212	$360
ERCP with stent placement CPT 43274 • Gastroenterology	$350	$386	$458
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$155	$155	$155
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$170	$170	$170
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$46	$108	$171
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$143	$160	$183
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$154	$246	$416
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$83	$122	$199
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$464	$464	$464
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$194	$219	$252
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$597	$597	$597
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$2,842	$2,842	$2,842
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$275	$293	$329
Esophageal motility study CPT 91010 • Gastroenterology	$131	$131	$131
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$81	$81	$81
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$56	$56	$56
Auto-added CPT 00102 • General	$50	$50	$50
Auto-added CPT 00104 • General	$49	$53	$59