PLATTE VALLEY ORAL & MAXILLOFACIAL SURGERY LLC· SCOTTSBLUFF, NC

Provider

416 VALLEY VIEW DRIVE, SCOTTSBLUFF, NC 69361

Procedures offered

947 total

Procedure	Min	Avg	Max
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$52	$52	$52
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$78	$78	$78
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$122	$122	$122
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$171	$209	$247
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$60	$60	$60
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$349	$349	$349
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$24	$24	$24
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$303	$1,004	$1,706
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$44	$44	$44
Radiation physics consultation CPT 77336 • Radiation Therapy	$57	$70	$82
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,016	$1,218	$1,421
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$861	$861	$861
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$138	$138	$138
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$185	$185	$185
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$137	$137	$137
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$76	$76	$76
Proton beam treatment simple CPT 77520 • Radiation Therapy	$169	$397	$625
Proton beam treatment complex CPT 77523 • Radiation Therapy	$723	$723	$723
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$91	$91	$91
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$99	$99	$99
Sleep study unattended CPT 95800 • Sleep Medicine	$118	$118	$118
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$34	$34	$34
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$42	$123	$203
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$87	$335	$582
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$90	$90	$90
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$82	$82	$82
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$726	$726	$726
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$320	$354	$389
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,086	$1,086	$1,086
Laparoscopic radical nephrectomy CPT 50545 • Urology	$977	$977	$977
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$535	$535	$535
Complex uroflowmetry CPT 51741 • Urology	$4	$4	$4
Post-void residual urine measurement CPT 51798 • Urology	$7	$7	$7
Cystourethroscopy diagnostic CPT 52000 • Urology	$151	$151	$151
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$179	$179	$179
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$210	$210	$210
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$154	$154	$154
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$327	$327	$327
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$286	$286	$286
TURP transurethral resection of prostate CPT 52601 • Urology	$532	$532	$532
Laser vaporization of prostate CPT 52648 • Urology	$1,208	$1,208	$1,208
Circumcision CPT 54150 • Urology	$111	$111	$111
Orchiectomy simple CPT 54520 • Urology	$237	$237	$237
Orchiectomy radical inguinal CPT 54530 • Urology	$370	$370	$370
Vasectomy CPT 55250 • Urology	$167	$214	$261
Radical prostatectomy retropubic CPT 55840 • Urology	$854	$986	$1,118
Laparoscopic radical prostatectomy CPT 55866 • Urology	$1,053	$1,053	$1,053