MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA· SANFORD, NC
Ambulatory surgery center
110 DENNIS DR, SANFORD, NC 27330
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Immunization admin each additional component CPT 90461 • Preventive Care | $12 | $15 | $18 |
| Immunization admin injection single CPT 90471 • Preventive Care | $18 | $27 | $35 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $9 | $13 | $18 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $369 | $373 | $378 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $254 | $275 | $297 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $115 | $116 | $117 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $5 | $15 | $26 |
| MMR vaccine CPT 90707 • Preventive Care | $107 | $109 | $111 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $55 | $56 | $57 |
| Varicella vaccine CPT 90716 • Preventive Care | $215 | $218 | $221 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $131 | $133 | $135 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $241 | $245 | $248 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $5 | $58 | $112 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $5 | $85 | $164 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $95 | $133 | $171 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $104 | $126 | $149 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $5 | $74 | $143 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $121 | $147 | $173 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $97 | $141 | $186 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $5 | $73 | $142 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $56 | $104 | $151 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $5 | $78 | $151 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $85 | $106 | $126 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $5 | $87 | $169 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $5 | $93 | $180 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $105 | $150 | $194 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $54 | $54 | $54 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $214 | $214 | $214 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $349 | $349 | $349 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $615 | $615 | $615 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $235 | $235 | $235 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $242 | $242 | $242 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $161 | $161 | $161 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $240 | $303 | $366 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $403 | $462 | $522 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $171 | $207 | $243 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $281 | $340 | $399 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $222 | $410 | $597 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $306 | $346 | $385 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $86 | $112 | $138 |
| Spirometry CPT 94010 • Pulmonology | $8 | $10 | $13 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $15 | $40 | $66 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $28 | $57 | $86 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $20 | $27 | $34 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $69 | $152 | $234 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $12 | $19 | $25 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $13 | $18 | $24 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $18 | $38 | $58 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $32 | $37 | $41 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $58 | $60 | $63 |