COVENANT EYE CARE, PA· GASTONIA, NC
Physician group
2555 COURT DRIVE, SUITE 150, GASTONIA, NC 28054
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $275 | $277 | $279 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $222 | $223 | $225 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $38 | $46 | $54 |
| Tympanostomy tube insertion CPT 69436 • ENT | $155 | $171 | $191 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $930 | $948 | $967 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,037 | $1,099 | $1,151 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $44 | $46 | $47 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $88 | $110 | $121 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $155 | $180 | $207 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $89 | $114 | $162 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $110 | $140 | $172 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $109 | $117 | $137 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $172 | $232 | $258 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $181 | $237 | $278 |
| Initial treatment first degree burn CPT 16000 • Emergency | $52 | $62 | $74 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $18 | $18 | $19 |
| Emergency department visit low severity CPT 99282 • Emergency | $34 | $57 | $78 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $56 | $81 | $104 |
| Emergency department visit high severity CPT 99284 • Emergency | $102 | $131 | $156 |
| Emergency department visit highest severity CPT 99285 • Emergency | $152 | $175 | $195 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $234 | $255 | $271 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $101 | $108 | $119 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $161 | $162 | $163 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $154 | $240 | $296 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $182 | $300 | $378 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $213 | $299 | $384 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $185 | $491 | $1,100 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $232 | $234 | $236 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $228 | $301 | $340 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $220 | $289 | $326 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $315 | $353 | $375 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $349 | $423 | $463 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $547 | $552 | $556 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $612 | $617 | $622 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $178 | $179 | $181 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $201 | $315 | $429 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $143 | $143 | $143 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $90 | $274 | $437 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $434 | $474 | $519 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $443 | $472 | $505 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $504 | $509 | $513 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $328 | $372 | $453 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $289 | $512 | $735 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $420 | $514 | $607 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $324 | $380 | $436 |
| Esophageal motility study CPT 91010 • Gastroenterology | $128 | $165 | $202 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $79 | $195 | $425 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $73 | $96 | $119 |
| Auto-added CPT 00102 • General | $30 | $32 | $37 |
| Auto-added CPT 00104 • General | $30 | $32 | $37 |