FANOUS CLINIC MEDICAL GROUP PC· CHARLOTTE, NC

Physician group

10926 S TRYON ST STE D, CHARLOTTE, NC 28273

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$9	$37	$55
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$20	$24	$25
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$71	$71	$71
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$108	$108	$108
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$165	$167	$169
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$37	$147	$257
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$393	$393	$393
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$473	$473	$473
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$31	$42	$63
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$421	$1,084	$1,747
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$24	$43	$63
Radiation physics consultation CPT 77336 • Radiation Therapy	$75	$76	$78
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,058	$1,379	$2,341
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$1,009	$1,143
IMRT delivery simple CPT 77385 • Radiation Therapy	$343	$343	$343
IMRT delivery complex CPT 77386 • Radiation Therapy	$344	$344	$344
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$172	$178	$183
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$245	$245	$245
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$186	$188	$190
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$104	$105	$105
Proton beam treatment simple CPT 77520 • Radiation Therapy	$166	$480	$794
Proton beam treatment complex CPT 77523 • Radiation Therapy	$854	$911	$968
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$127	$447	$768
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$114	$446	$777
Sleep study unattended CPT 95800 • Sleep Medicine	$117	$126	$131
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$34	$67	$86
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$336	$338	$339
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$122	$308	$495
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$516	$562	$609
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$87	$137	$154
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$82	$581	$1,219
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$31	$360	$498
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,493	$1,493	$1,493
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,343	$1,343	$1,343
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$30	$421	$728
Complex uroflowmetry CPT 51741 • Urology	$6	$8	$9
Post-void residual urine measurement CPT 51798 • Urology	$10	$10	$11
Cystourethroscopy diagnostic CPT 52000 • Urology	$81	$170	$237
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$246	$246	$246
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$289	$289	$289
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$30	$120	$211
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$30	$249	$440
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$393	$393	$393
TURP transurethral resection of prostate CPT 52601 • Urology	$639	$685	$730
Laser vaporization of prostate CPT 52648 • Urology	$30	$829	$1,627
Circumcision CPT 54150 • Urology	$30	$109	$151
Orchiectomy simple CPT 54520 • Urology	$325	$325	$325
Orchiectomy radical inguinal CPT 54530 • Urology	$506	$506	$506
Vasectomy CPT 55250 • Urology	$328	$342	$360