DARE COUNTY ADMINISTRATIVE OFFICES· MANTEO, NC

Provider

109 EXETER ST, MANTEO, NC 27954

Procedures offered

953 total

ProcedureMinAvgMax
Tonsillectomy primary under age 12
CPT 42826 • ENT
$30$103$249
Adenoidectomy primary under age 12
CPT 42830 • ENT
$30$162$206
Removal impacted cerumen unilateral
CPT 69210 • ENT
$30$36$46
Tympanostomy tube insertion
CPT 69436 • ENT
$30$124$158
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$30$309$867
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$30$531$1,037
Comprehensive audiometry evaluation
CPT 92557 • ENT
$32$35$36
Incision and drainage abscess simple
CPT 10060 • Emergency
$30$51$113
Incision and drainage abscess complicated
CPT 10061 • Emergency
$30$86$199
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$30$48$85
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$30$67$104
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$105$108$109
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$30$171$258
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$30$84$247
Initial treatment first degree burn
CPT 16000 • Emergency
$30$42$67
Emergency department visit self-limited problem
CPT 99281 • Emergency
$21$62$76
Emergency department visit low severity
CPT 99282 • Emergency
$41$53$76
Emergency department visit moderate severity
CPT 99283 • Emergency
$61$70$78
Emergency department visit high severity
CPT 99284 • Emergency
$116$140$153
Emergency department visit highest severity
CPT 99285 • Emergency
$171$185$191
Critical care first 30-74 minutes
CPT 99291 • Emergency
$30$77$219
Critical care each additional 30 minutes
CPT 99292 • Emergency
$30$60$120
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$150$151$153
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$30$121$296
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$30$117$380
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$30$299$399
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$30$360$1,019
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$30$88$203
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$227$232$240
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$30$81$234
ERCP diagnostic
CPT 43260 • Gastroenterology
$30$130$331
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$30$114$367
ERCP with removal of stones
CPT 43264 • Gastroenterology
$30$145$374
ERCP with stent placement
CPT 43274 • Gastroenterology
$452$459$473
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$30$184$338
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$30$163$426
Flexible sigmoidoscopy diagnostic
CPT 45330 • Gastroenterology
$30$95$159
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$30$197$364
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$30$240$450
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$30$74$208
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$30$184$493
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$30$178$473
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$30$229$626
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$53$1,886$3,103
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$324$328$340
Esophageal motility study
CPT 91010 • Gastroenterology
$30$48$102
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$454$461$465
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$367$396$410
Auto-added
CPT 00102 • General
$30$35$50
Auto-added
CPT 00104 • General
$30$35$50