LAKE BREEZE ENT & ALLERGY PC· MOORESVILLE, NC

Physician group

149 PLANTATION RIDGE DR, MOORESVILLE, NC 28117

Procedures offered

923 total

Procedure	Min	Avg	Max
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$101	$112	$122
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$85	$105	$131
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$180	$259	$338
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$169	$169	$169
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$163	$163	$163
Annual wellness visit initial HCPCS G0438 • Preventive Care	$163	$163	$163
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$127	$127	$127
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$243	$295	$347
Bronchoscopy with brushing CPT 31623 • Pulmonology	$381	$381	$381
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$161	$206	$252
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$187	$187	$187
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$172	$190	$209
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$296	$296	$296
Ventilation assist and management initiation CPT 94002 • Pulmonology	$89	$90	$91
Spirometry CPT 94010 • Pulmonology	$26	$30	$35
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$45	$45	$45
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$29	$29	$29
Respiratory flow volume loop CPT 94375 • Pulmonology	$30	$34	$38
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$30	$95	$161
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$14	$22	$30
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$15	$15	$15
Plethysmography lung volumes CPT 94726 • Pulmonology	$15	$33	$52
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$29	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$10	$10	$10
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$13	$22	$28
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$72	$72	$72
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$105	$107	$109
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$162	$162	$162
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$51	$102	$153
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$79	$259	$439
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$926	$926	$926
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$47	$47	$47
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$406	$1,077	$1,747
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$59	$117	$175
Radiation physics consultation CPT 77336 • Radiation Therapy	$78	$81	$84
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,058	$1,086	$1,168
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$1,194	$1,653
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$156	$156	$156
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$180	$180	$180
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$188	$188	$188
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$97	$101	$104
Proton beam treatment simple CPT 77520 • Radiation Therapy	$831	$901	$971
Proton beam treatment complex CPT 77523 • Radiation Therapy	$968	$1,046	$1,125
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$662	$851	$1,041
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$1,273	$1,273	$1,273
Sleep study unattended CPT 95800 • Sleep Medicine	$131	$166	$237
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$74	$87	$113
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$339	$409	$550
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$175	$355	$495