CUONG TAN DOAN· STATESVILLE, NC

Physician groupFamily Medicine

557 BROOKDALE DR, STATESVILLE, NC 28677

Procedures offered

950 total

Procedure	Min	Avg	Max
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$62	$74	$85
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$94	$127	$183
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$140	$166	$192
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$37	$74	$132
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$282	$374	$439
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$200	$269	$337
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$27	$32	$37
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$411	$1,072	$1,747
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$141	$146	$151
Radiation physics consultation CPT 77336 • Radiation Therapy	$72	$93	$129
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,009	$1,177	$1,700
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$1,289	$1,801
IMRT delivery simple CPT 77385 • Radiation Therapy	$373	$373	$373
IMRT delivery complex CPT 77386 • Radiation Therapy	$373	$373	$373
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$134	$204	$273
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$101	$128	$155
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$163	$180	$197
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$84	$110	$141
Proton beam treatment simple CPT 77520 • Radiation Therapy	$79	$803	$1,497
Proton beam treatment complex CPT 77523 • Radiation Therapy	$89	$934	$1,746
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$899	$983	$1,068
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$173	$565	$956
Sleep study unattended CPT 95800 • Sleep Medicine	$96	$150	$204
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$40	$50	$74
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$68	$141	$339
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$211	$416	$563
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$543	$664	$784
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$129	$149	$161
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$121	$618	$1,219
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$73	$397	$499
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,313	$1,753	$2,194
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,190	$1,347	$1,505
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$493	$662	$830
Complex uroflowmetry CPT 51741 • Urology	$5	$32	$69
Post-void residual urine measurement CPT 51798 • Urology	$17	$17	$18
Cystourethroscopy diagnostic CPT 52000 • Urology	$109	$222	$321
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$220	$296	$371
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$259	$347	$436
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$187	$215	$243
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$30	$342	$543
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$380	$476	$573
TURP transurethral resection of prostate CPT 52601 • Urology	$728	$977	$1,225
Laser vaporization of prostate CPT 52648 • Urology	$601	$2,276	$3,950
Circumcision CPT 54150 • Urology	$88	$166	$284
Orchiectomy simple CPT 54520 • Urology	$287	$387	$488
Orchiectomy radical inguinal CPT 54530 • Urology	$484	$649	$815
Vasectomy CPT 55250 • Urology	$22	$318	$487
Prostate biopsy needle or punch CPT 55700 • Urology	$217	$217	$217
Radical prostatectomy retropubic CPT 55840 • Urology	$1,139	$1,324	$1,834
Laparoscopic radical prostatectomy CPT 55866 • Urology	$1,539	$1,706	$1,873