DARE COUNTY ADMINISTRATIVE OFFICES· MANTEO, NC
Provider
109 EXETER ST, MANTEO, NC 27954
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $47 | $51 | $55 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $2 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $23 | $24 | $25 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $71 | $74 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $108 | $111 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $162 | $164 | $165 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $36 | $202 | $257 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $408 | $423 | $439 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $218 | $377 | $457 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $30 | $55 | $64 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,335 | $1,671 | $1,853 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $24 | $72 | $119 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $74 | $76 | $78 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,118 | $1,298 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $964 | $1,043 | $1,280 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $322 | $322 | $322 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $323 | $323 | $323 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $172 | $179 | $186 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $30 | $107 | $261 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $182 | $185 | $186 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $100 | $103 | $104 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $784 | $819 | $831 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $844 | $927 | $968 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $767 | $836 | $972 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $139 | $644 | $813 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $34 | $95 | $131 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $34 | $55 | $75 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $59 | $214 | $339 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $471 | $487 | $495 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $103 | $248 | $516 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $101 | $140 | $154 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $121 | $701 | $1,219 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $45 | $354 | $498 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $30 | $986 | $1,475 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $30 | $463 | $1,330 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $30 | $254 | $702 |
| Complex uroflowmetry CPT 51741 • Urology | $5 | $13 | $30 |
| Post-void residual urine measurement CPT 51798 • Urology | $9 | $12 | $18 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $30 | $102 | $197 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $238 | $240 | $245 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $30 | $116 | $287 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $30 | $148 | $209 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $30 | $175 | $465 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $30 | $150 | $390 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $30 | $299 | $838 |
| Laser vaporization of prostate CPT 52648 • Urology | $30 | $603 | $1,748 |
| Circumcision CPT 54150 • Urology | $30 | $76 | $149 |
| Orchiectomy simple CPT 54520 • Urology | $30 | $176 | $321 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $30 | $186 | $499 |
| Vasectomy CPT 55250 • Urology | $30 | $185 | $370 |