MOSES CONE MEDICAL SERVICES INC.· GREENSBORO, NC

Ambulatory surgery center

520 N ELAM AVE, GREENSBORO, NC 27403

Procedures offered

950 total

ProcedureMinAvgMax
Immunization admin injection each additional
CPT 90472 • Preventive Care
$10$21$37
HPV vaccine 9-valent
CPT 90651 • Preventive Care
$209$328$395
Pneumococcal conjugate vaccine 13-valent
CPT 90670 • Preventive Care
$217$252$272
Rotavirus vaccine pentavalent
CPT 90680 • Preventive Care
$88$100$123
Influenza vaccine quadrivalent preservative free
CPT 90686 • Preventive Care
$5$20$27
MMR vaccine
CPT 90707 • Preventive Care
$47$88$117
Tdap vaccine age 7 years or older
CPT 90715 • Preventive Care
$40$70$98
Varicella vaccine
CPT 90716 • Preventive Care
$24$153$230
Pneumococcal vaccine adult
CPT 90732 • Preventive Care
$13$135$328
Zoster vaccine recombinant adjuvanted
CPT 90750 • Preventive Care
$19$171$254
Preventive visit new patient infant
CPT 99381 • Preventive Care
$86$162$269
Preventive visit new patient age 1-4
CPT 99382 • Preventive Care
$111$178$282
Preventive visit new patient age 5-11
CPT 99383 • Preventive Care
$5$158$294
Preventive visit new patient age 12-17
CPT 99384 • Preventive Care
$5$174$333
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$117$211$321
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$5$173$374
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$164$281$405
Preventive visit established patient infant
CPT 99391 • Preventive Care
$80$126$243
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$5$102$259
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$83$136$258
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$5$115$284
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$5$120$290
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$96$182$310
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$5$159$333
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$8$32$38
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$162$592$2,223
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$77$639$2,223
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$148$744$2,223
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$141$156$163
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$142$165$219
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$112$126$154
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$118$1,306$4,121
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$1,121$1,781$4,121
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$119$1,319$4,121
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$145$1,411$4,121
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$118$1,555$4,121
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$295$3,203$8,789
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$91$103$137
Spirometry
CPT 94010 • Pulmonology
$9$22$42
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$37$64$90
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$29$47$59
Respiratory flow volume loop
CPT 94375 • Pulmonology
$25$34$39
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$30$115$159
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$8$13$19
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$15$17$19
Plethysmography lung volumes
CPT 94726 • Pulmonology
$10$38$52
Gas dilution lung volumes
CPT 94727 • Pulmonology
$8$39$49
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$8$41$69
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$2$3$5
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$5$23$37