APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS· ASHEVILLE, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)Clinic/Center, Multi-Specialty
225 PATTON AVE STE 200, ASHEVILLE, NC 28801
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Immunization admin each additional component CPT 90461 • Preventive Care | $6 | $8 | $11 |
| Immunization admin injection single CPT 90471 • Preventive Care | $12 | $14 | $20 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $11 | $12 | $15 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $312 | $323 | $336 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $231 | $236 | $245 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $97 | $102 | $111 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $19 | $20 | $21 |
| MMR vaccine CPT 90707 • Preventive Care | $91 | $98 | $112 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $34 | $40 | $47 |
| Varicella vaccine CPT 90716 • Preventive Care | $182 | $190 | $196 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $111 | $126 | $133 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $176 | $199 | $220 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $101 | $115 | $128 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $96 | $104 | $113 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $94 | $118 | $139 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $119 | $142 | $158 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $109 | $135 | $153 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $138 | $155 | $177 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $137 | $145 | $162 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $97 | $105 | $115 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $82 | $108 | $123 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $88 | $107 | $122 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $100 | $111 | $134 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $92 | $113 | $137 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $115 | $134 | $147 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $116 | $136 | $158 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $33 | $35 | $39 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $55 | $55 | $55 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $189 | $268 | $360 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $128 | $240 | $360 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $131 | $140 | $160 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $130 | $169 | $196 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $103 | $129 | $153 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $236 | $278 | $299 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $131 | $259 | $323 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $41 | $196 | $300 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $41 | $233 | $336 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $139 | $278 | $377 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $868 | $936 | $1,072 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $90 | $90 | $90 |
| Spirometry CPT 94010 • Pulmonology | $7 | $17 | $31 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $13 | $32 | $41 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $41 | $53 | $60 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $32 | $37 | $41 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $86 | $138 | $164 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $6 | $11 | $17 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $16 | $17 | $17 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $11 | $26 | $52 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $11 | $22 | $42 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $46 | $50 | $55 |