DON JABLONSKI DO PA· ETOWAH, NC
Provider
2 ETOWAH SCHOOL ROAD, ETOWAH, NC 28729
Procedures offered
933 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $249 | $262 | $289 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $206 | $214 | $230 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $39 | $42 | $46 |
| Tympanostomy tube insertion CPT 69436 • ENT | $16 | $129 | $191 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $877 | $899 | $942 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,037 | $1,060 | $1,127 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $36 | $40 | $49 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $96 | $113 | $121 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $178 | $188 | $207 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $91 | $116 | $165 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $110 | $119 | $128 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $54 | $75 | $118 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $199 | $243 | $258 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $179 | $253 | $278 |
| Initial treatment first degree burn CPT 16000 • Emergency | $44 | $61 | $74 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $18 | $49 | $65 |
| Emergency department visit low severity CPT 99282 • Emergency | $29 | $50 | $65 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $66 | $80 | $87 |
| Emergency department visit high severity CPT 99284 • Emergency | $102 | $119 | $136 |
| Emergency department visit highest severity CPT 99285 • Emergency | $161 | $196 | $213 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $271 | $271 | $271 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $106 | $116 | $121 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $150 | $152 | $157 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $296 | $305 | $332 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $187 | $330 | $378 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $219 | $342 | $384 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $189 | $796 | $1,100 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $239 | $412 | $498 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $227 | $269 | $353 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $220 | $248 | $330 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $314 | $336 | $379 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $349 | $379 | $468 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $355 | $424 | $562 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $452 | $525 | $599 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $184 | $249 | $313 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $204 | $307 | $411 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $180 | $252 | $338 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $284 | $384 | $434 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $195 | $338 | $443 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $488 | $495 | $510 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $248 | $427 | $581 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $294 | $507 | $614 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $263 | $1,056 | $2,502 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $324 | $324 | $324 |
| Esophageal motility study CPT 91010 • Gastroenterology | $220 | $222 | $225 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $464 | $475 | $486 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $135 | $272 | $410 |
| Auto-added CPT 00102 • General | $30 | $30 | $30 |
| Auto-added CPT 00104 • General | $30 | $30 | $30 |
| Auto-added CPT 00120 • General | $30 | $30 | $30 |