FAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA· TROY, NC

Provider

507 N MAIN ST, TROY, NC 27371

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$11	$11	$11
Immunization admin injection single CPT 90471 • Preventive Care	$10	$11	$14
Immunization admin injection each additional CPT 90472 • Preventive Care	$14	$14	$14
HPV vaccine 9-valent CPT 90651 • Preventive Care	$395	$395	$395
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$272	$272	$272
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$123	$123	$123
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$24	$24	$24
MMR vaccine CPT 90707 • Preventive Care	$117	$117	$117
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$59	$59	$59
Varicella vaccine CPT 90716 • Preventive Care	$230	$230	$230
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$141	$141	$141
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$282	$282	$282
Preventive visit new patient infant CPT 99381 • Preventive Care	$89	$89	$89
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$64	$64	$64
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$94	$94	$94
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$102	$102	$102
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$72	$72	$72
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$88	$88	$88
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$131	$131	$131
Preventive visit established patient infant CPT 99391 • Preventive Care	$48	$48	$48
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$56	$56	$56
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$75	$75	$75
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$83	$83	$83
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$84	$104	$114
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$93	$113	$123
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$99	$100	$102
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$32	$32	$32
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$106	$106	$106
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$326	$326	$326
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$179	$179	$179
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$83	$83	$83
Annual wellness visit initial HCPCS G0438 • Preventive Care	$154	$154	$154
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$103	$119	$127
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$132	$132	$132
Bronchoscopy with brushing CPT 31623 • Pulmonology	$134	$134	$134
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$283	$283	$283
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$301	$301	$301
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$354	$354	$354
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$221	$221	$221
Ventilation assist and management initiation CPT 94002 • Pulmonology	$74	$74	$74
Spirometry CPT 94010 • Pulmonology	$8	$8	$8
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$31	$32
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$49	$49	$49
Respiratory flow volume loop CPT 94375 • Pulmonology	$14	$14	$14
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$121	$121	$121
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$10	$10	$10
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$11	$11	$11
Plethysmography lung volumes CPT 94726 • Pulmonology	$38	$38	$38
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$23	$39
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$50	$54	$56