CUONG TAN DOAN· STATESVILLE, NC

Physician groupFamily Medicine

557 BROOKDALE DR, STATESVILLE, NC 28677

Procedures offered

950 total

ProcedureMinAvgMax
Tonsillectomy primary under age 12
CPT 42826 • ENT
$210$296$381
Adenoidectomy primary under age 12
CPT 42830 • ENT
$171$229$288
Removal impacted cerumen unilateral
CPT 69210 • ENT
$27$48$70
Tympanostomy tube insertion
CPT 69436 • ENT
$137$158$185
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$714$1,004$1,294
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$847$1,104$1,427
Comprehensive audiometry evaluation
CPT 92557 • ENT
$25$35$45
Incision and drainage abscess simple
CPT 10060 • Emergency
$86$118$145
Incision and drainage abscess complicated
CPT 10061 • Emergency
$148$204$285
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$91$117$140
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$93$126$174
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$109$140$215
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$119$247$344
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$207$283$371
Initial treatment first degree burn
CPT 16000 • Emergency
$38$63$95
Emergency department visit self-limited problem
CPT 99281 • Emergency
$17$18$18
Emergency department visit low severity
CPT 99282 • Emergency
$34$56$78
Emergency department visit moderate severity
CPT 99283 • Emergency
$54$87$104
Emergency department visit high severity
CPT 99284 • Emergency
$100$143$185
Emergency department visit highest severity
CPT 99285 • Emergency
$150$202$268
Critical care first 30-74 minutes
CPT 99291 • Emergency
$229$267$297
Critical care each additional 30 minutes
CPT 99292 • Emergency
$30$108$188
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$125$192$258
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$120$266$322
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$240$333$378
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$167$388$618
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$144$496$1,100
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$181$485$789
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$228$279$353
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$220$266$325
ERCP diagnostic
CPT 43260 • Gastroenterology
$289$363$486
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$349$388$459
ERCP with removal of stones
CPT 43264 • Gastroenterology
$428$490$552
ERCP with stent placement
CPT 43274 • Gastroenterology
$476$619$762
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$283$399$514
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$30$200$417
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$90$329$554
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$30$341$500
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$388$497$713
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$392$526$660
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$248$395$453
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$221$296$371
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$473$554$636
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$324$357$409
Esophageal motility study
CPT 91010 • Gastroenterology
$177$181$185
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$123$237$351
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$71$79$87
Auto-added
CPT 00102 • General
$30$30$30
Auto-added
CPT 00104 • General
$30$30$30
Auto-added
CPT 00120 • General
$30$30$30