INDEPENDENCE HEALTH PA· SMITHFIELD, NC

Physician group

515 BARBOUR RD, SMITHFIELD, NC 27577

Procedures offered

932 total

Procedure	Min	Avg	Max
Adenoidectomy primary under age 12 CPT 42830 • ENT	$41	$135	$203
Removal impacted cerumen unilateral CPT 69210 • ENT	$26	$32	$41
Tympanostomy tube insertion CPT 69436 • ENT	$41	$92	$156
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$41	$254	$677
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$803	$954	$1,004
Comprehensive audiometry evaluation CPT 92557 • ENT	$40	$41	$44
Incision and drainage abscess simple CPT 10060 • Emergency	$41	$71	$102
Incision and drainage abscess complicated CPT 10061 • Emergency	$41	$113	$159
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$41	$54	$79
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$41	$77	$121
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$41	$77	$108
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$41	$111	$249
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$41	$185	$251
Initial treatment first degree burn CPT 16000 • Emergency	$41	$50	$62
Emergency department visit self-limited problem CPT 99281 • Emergency	$17	$50	$66
Emergency department visit low severity CPT 99282 • Emergency	$32	$55	$66
Emergency department visit moderate severity CPT 99283 • Emergency	$51	$63	$69
Emergency department visit high severity CPT 99284 • Emergency	$95	$109	$132
Emergency department visit highest severity CPT 99285 • Emergency	$142	$170	$184
Critical care first 30-74 minutes CPT 99291 • Emergency	$41	$152	$238
Critical care each additional 30 minutes CPT 99292 • Emergency	$41	$83	$105
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$118	$128	$132
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$41	$123	$297
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$41	$176	$343
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$41	$70	$158
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$41	$114	$164
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$41	$139	$205
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$242	$242	$242
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$41	$151	$286
ERCP diagnostic CPT 43260 • Gastroenterology	$41	$242	$327
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$41	$205	$402
ERCP with removal of stones CPT 43264 • Gastroenterology	$41	$309	$482
ERCP with stent placement CPT 43274 • Gastroenterology	$449	$450	$452
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$41	$72	$130
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$191	$315	$435
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$41	$194	$316
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$41	$155	$378
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$41	$126	$231
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$41	$98	$213
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$41	$346	$572
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$209	$513	$665
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$264	$446	$538
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$321	$435	$473
Esophageal motility study CPT 91010 • Gastroenterology	$41	$117	$195
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$89	$314	$520
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$116	$232	$318
Auto-added CPT 00160 • General	$41	$43	$45
Auto-added CPT 00170 • General	$41	$43	$45
Auto-added CPT 00320 • General	$41	$41	$41
Auto-added CPT 10120 • General	$41	$70	$128