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
Tonsillectomy primary under age 12 CPT 42826 • ENT	$216	$216	$216
Adenoidectomy primary under age 12 CPT 42830 • ENT	$173	$173	$173
Removal impacted cerumen unilateral CPT 69210 • ENT	$42	$42	$42
Tympanostomy tube insertion CPT 69436 • ENT	$143	$143	$143
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$706	$706	$706
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$844	$844	$844
Comprehensive audiometry evaluation CPT 92557 • ENT	$40	$40	$40
Incision and drainage abscess simple CPT 10060 • Emergency	$72	$72	$72
Incision and drainage abscess complicated CPT 10061 • Emergency	$145	$145	$145
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$85	$85	$85
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$131	$131	$131
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$131	$131	$131
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$149	$149	$149
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$192	$192	$192
Initial treatment first degree burn CPT 16000 • Emergency	$59	$59	$59
Emergency department visit self-limited problem CPT 99281 • Emergency	$15	$15	$15
Emergency department visit low severity CPT 99282 • Emergency	$24	$24	$24
Emergency department visit moderate severity CPT 99283 • Emergency	$54	$54	$54
Emergency department visit high severity CPT 99284 • Emergency	$84	$84	$84
Emergency department visit highest severity CPT 99285 • Emergency	$132	$132	$132
Critical care first 30-74 minutes CPT 99291 • Emergency	$222	$222	$222
Critical care each additional 30 minutes CPT 99292 • Emergency	$99	$99	$99
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$118	$118	$118
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$118	$118	$118
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$282	$282	$282
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$164	$164	$164
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$142	$142	$142
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$179	$179	$179
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$265	$265	$265
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$247	$247	$247
ERCP diagnostic CPT 43260 • Gastroenterology	$284	$284	$284
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$351	$351	$351
ERCP with removal of stones CPT 43264 • Gastroenterology	$422	$422	$422
ERCP with stent placement CPT 43274 • Gastroenterology	$448	$448	$448
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$262	$262	$262
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$321	$321	$321
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$50	$50	$50
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$326	$326	$326
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$385	$385	$385
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$201	$201	$201
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$226	$226	$226
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$435	$435	$435
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$555	$555	$555
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$460	$460	$460
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$319	$319	$319
Esophageal motility study CPT 91010 • Gastroenterology	$126	$126	$126
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$73	$73	$73
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$59	$59	$59
Auto-added CPT 00102 • General	$39	$39	$39
Auto-added CPT 00104 • General	$39	$39	$39