WAKE FOREST HEALTH NETWORK LLC· HIGH POINT, NC

Physician group

4515 PREMIER DRIVE, HIGH POINT, NC 27265

Procedures offered

962 total

Procedure	Min	Avg	Max
Spirometry CPT 94010 • Pulmonology	$21	$59	$73
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$38	$95	$125
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$114	$121	$125
Respiratory flow volume loop CPT 94375 • Pulmonology	$34	$39	$45
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$136	$253	$336
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$7	$39	$57
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$14	$40	$57
Plethysmography lung volumes CPT 94726 • Pulmonology	$24	$85	$121
Gas dilution lung volumes CPT 94727 • Pulmonology	$55	$76	$97
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$46	$83	$111
Pulse oximetry single measurement CPT 94760 • Pulmonology	$3	$5	$6
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$45	$45	$45
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$151	$151	$151
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$227	$245	$269
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$158	$297	$351
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$35	$333	$560
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$76	$353	$1,057
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$212	$988	$1,616
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$31	$114	$155
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,721	$3,545	$4,504
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$57	$165	$271
Radiation physics consultation CPT 77336 • Radiation Therapy	$79	$112	$145
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$3,908	$3,908	$3,908
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$2,421	$2,421	$2,421
IMRT delivery simple CPT 77385 • Radiation Therapy	$726	$726	$726
IMRT delivery complex CPT 77386 • Radiation Therapy	$728	$728	$728
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$267	$379	$492
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$382	$424	$467
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$183	$342	$441
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$138	$184	$216
Proton beam treatment simple CPT 77520 • Radiation Therapy	$1,617	$1,617	$1,617
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,740	$1,740	$1,740
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$221	$1,459	$2,079
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$2,029	$2,029	$2,029
Sleep study unattended CPT 95800 • Sleep Medicine	$102	$172	$366
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$84	$84	$84
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$117	$818	$1,151
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$106	$803	$1,428
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$110	$1,013	$1,393
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$202	$202	$202
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$149	$195	$242
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$62	$83	$105
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,490	$2,914	$3,574
Laparoscopic radical nephrectomy CPT 50545 • Urology	$2,869	$2,938	$3,074
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$616	$956	$1,296
Complex uroflowmetry CPT 51741 • Urology	$3	$43	$119
Post-void residual urine measurement CPT 51798 • Urology	$13	$33	$41
Cystourethroscopy diagnostic CPT 52000 • Urology	$44	$226	$341
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$528	$540	$564
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$619	$634	$662