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 |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $244 | $245 | $247 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $202 | $203 | $204 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $35 | $42 | $55 |
| Tympanostomy tube insertion CPT 69436 • ENT | $154 | $175 | $206 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $41 | $581 | $860 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,016 | $1,016 | $1,016 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $33 | $35 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $94 | $128 | $145 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $155 | $210 | $249 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $41 | $63 | $88 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $63 | $78 | $108 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $56 | $91 | $108 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $41 | $155 | $246 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $41 | $159 | $265 |
| Initial treatment first degree burn CPT 16000 • Emergency | $72 | $72 | $72 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $22 | $22 |
| Emergency department visit low severity CPT 99282 • Emergency | $42 | $58 | $66 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $54 | $59 | $66 |
| Emergency department visit high severity CPT 99284 • Emergency | $101 | $115 | $132 |
| Emergency department visit highest severity CPT 99285 • Emergency | $168 | $179 | $184 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $41 | $138 | $215 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $106 | $107 | $108 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $152 | $152 | $152 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $41 | $116 | $235 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $41 | $134 | $364 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $41 | $135 | $189 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $41 | $301 | $1,065 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $41 | $100 | $194 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $231 | $231 | $231 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $224 | $266 | $287 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $41 | $134 | $319 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $41 | $145 | $353 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $41 | $171 | $360 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $452 | $482 | $525 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $155 | $281 | $345 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $392 | $392 | $392 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $69 | $120 | $171 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $41 | $222 | $387 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $41 | $256 | $463 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $41 | $177 | $413 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $41 | $197 | $464 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $41 | $286 | $434 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $597 | $597 | $597 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $268 | $371 | $537 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $329 | $425 | $473 |
| Esophageal motility study CPT 91010 • Gastroenterology | $65 | $149 | $191 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $81 | $326 | $507 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $56 | $56 | $56 |
| Auto-added CPT 00102 • General | $50 | $50 | $50 |
| Auto-added CPT 00104 • General | $50 | $50 | $50 |