ADVANCE COMMUNITY HEALTH, INC· RALEIGH, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)Obstetrics & GynecologyClinic/Center, Multi-Specialty
1011 ROCK QUARRY RD, RALEIGH, NC 27610
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Immunization admin each additional component CPT 90461 • Preventive Care | $9 | $10 | $11 |
| Immunization admin injection single CPT 90471 • Preventive Care | $8 | $12 | $22 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $11 | $15 | $16 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $250 | $281 | $312 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $245 | $245 | $245 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $42 | $61 | $97 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $19 | $20 | $21 |
| MMR vaccine CPT 90707 • Preventive Care | $35 | $58 | $92 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $40 | $44 | $47 |
| Varicella vaccine CPT 90716 • Preventive Care | $50 | $91 | $182 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $25 | $64 | $133 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $176 | $190 | $205 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $55 | $75 | $107 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $55 | $83 | $136 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $60 | $87 | $140 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $70 | $92 | $150 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $96 | $104 | $110 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $117 | $127 | $144 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $78 | $106 | $162 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $45 | $67 | $97 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $50 | $72 | $107 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $50 | $68 | $103 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $60 | $86 | $138 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $105 | $113 | $124 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $95 | $116 | $140 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $66 | $96 | $150 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $39 | $39 | $39 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $171 | $171 | $171 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $183 | $195 | $207 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $184 | $212 | $240 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $160 | $160 | $160 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $164 | $175 | $186 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $111 | $129 | $146 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $130 | $130 | $130 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $65 | $164 | $263 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $131 | $132 | $133 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $152 | $244 | $336 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $180 | $268 | $357 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,072 | $1,072 | $1,072 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $90 | $90 | $90 |
| Spirometry CPT 94010 • Pulmonology | $8 | $15 | $21 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $13 | $25 | $38 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $57 | $57 | $57 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $34 | $36 | $38 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $68 | $68 | $68 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $7 | $21 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $15 | $16 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $40 | $52 | $64 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $12 | $12 | $12 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $27 | $46 |