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 |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $247 | $247 | $247 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $30 | $117 | $204 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $33 | $38 | $46 |
| Tympanostomy tube insertion CPT 69436 • ENT | $149 | $166 | $206 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $30 | $589 | $877 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,015 | $1,026 | $1,037 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $32 | $33 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $30 | $93 | $121 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $30 | $149 | $207 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $30 | $55 | $91 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $108 | $109 | $110 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $107 | $108 | $109 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $150 | $222 | $258 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $121 | $202 | $277 |
| Initial treatment first degree burn CPT 16000 • Emergency | $30 | $40 | $46 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $22 | $22 |
| Emergency department visit low severity CPT 99282 • Emergency | $42 | $60 | $78 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $65 | $86 | $104 |
| Emergency department visit high severity CPT 99284 • Emergency | $113 | $132 | $156 |
| Emergency department visit highest severity CPT 99285 • Emergency | $172 | $184 | $195 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $30 | $209 | $274 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $30 | $77 | $110 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $151 | $152 | $153 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $144 | $261 | $296 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $30 | $206 | $378 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $177 | $315 | $384 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $118 | $457 | $1,100 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $113 | $287 | $462 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $228 | $231 | $233 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $206 | $216 | $227 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $30 | $215 | $323 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $30 | $194 | $358 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $30 | $201 | $365 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $452 | $480 | $525 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $296 | $296 | $296 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $30 | $210 | $389 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $30 | $52 | $69 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $143 | $243 | $338 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $167 | $338 | $434 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $30 | $199 | $443 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $219 | $340 | $461 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $30 | $307 | $453 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $212 | $212 | $212 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $53 | $1,422 | $2,791 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $324 | $329 | $333 |
| Esophageal motility study CPT 91010 • Gastroenterology | $30 | $79 | $128 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $463 | $464 | $465 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $420 | $420 | $420 |
| Auto-added CPT 00102 • General | $30 | $40 | $70 |
| Auto-added CPT 00104 • General | $30 | $40 | $70 |