DON JABLONSKI DO PA· ETOWAH, NC

Provider

2 ETOWAH SCHOOL ROAD, ETOWAH, NC 28729

Procedures offered

930 total

ProcedureMinAvgMax
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$968$1,045$1,121
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$152$459$767
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$166$489$813
Sleep study unattended
CPT 95800 • Sleep Medicine
$69$100$131
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$52$63$74
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$338$494$649
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$197$346$495
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$212$312$413
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$153$153$153
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$1,219$1,219$1,219
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$498$498$498
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,452$1,546$1,640
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,301$1,414$1,526
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$556$580$605
Complex uroflowmetry
CPT 51741 • Urology
$13$42$70
Post-void residual urine measurement
CPT 51798 • Urology
$9$13$17
Cystourethroscopy diagnostic
CPT 52000 • Urology
$127$182$237
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$290$290$290
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$279$309$340
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$204$225$246
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$179$288$398
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$380$439$498
TURP transurethral resection of prostate
CPT 52601 • Urology
$710$756$802
Laser vaporization of prostate
CPT 52648 • Urology
$733$1,167$1,600
Circumcision
CPT 54150 • Urology
$116$131$145
Orchiectomy simple
CPT 54520 • Urology
$320$344$369
Orchiectomy radical inguinal
CPT 54530 • Urology
$495$541$587
Vasectomy
CPT 55250 • Urology
$250$289$328
Radical prostatectomy retropubic
CPT 55840 • Urology
$1,139$1,303$1,467
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$1,404$1,677$1,950