PLATTE VALLEY ORAL & MAXILLOFACIAL SURGERY LLC· SCOTTSBLUFF, NC
Provider
416 VALLEY VIEW DRIVE, SCOTTSBLUFF, NC 69361
Procedures offered
946 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $182 | $182 | $182 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $150 | $150 | $150 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $34 | $34 | $34 |
| Tympanostomy tube insertion CPT 69436 • ENT | $113 | $135 | $156 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $634 | $634 | $634 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $748 | $882 | $1,015 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $23 | $23 | $23 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $87 | $87 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $132 | $132 | $132 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $65 | $65 | $65 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $80 | $80 | $80 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $41 | $41 | $41 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $110 | $177 | $244 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $195 | $229 | $263 |
| Initial treatment first degree burn CPT 16000 • Emergency | $53 | $64 | $75 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $16 | $16 | $16 |
| Emergency department visit low severity CPT 99282 • Emergency | $31 | $31 | $31 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $46 | $46 | $46 |
| Emergency department visit high severity CPT 99284 • Emergency | $85 | $95 | $105 |
| Emergency department visit highest severity CPT 99285 • Emergency | $124 | $124 | $124 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $199 | $199 | $199 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $88 | $96 | $105 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $112 | $112 | $112 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $202 | $231 | $261 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $101 | $219 | $338 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $129 | $238 | $347 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $784 | $784 | $784 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $343 | $343 | $343 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $170 | $191 | $211 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $165 | $185 | $206 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $235 | $264 | $293 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $260 | $292 | $324 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $265 | $265 | $265 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $338 | $338 | $338 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $114 | $114 | $114 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $126 | $126 | $126 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $41 | $41 | $41 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $238 | $238 | $238 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $306 | $306 | $306 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $146 | $273 | $400 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $342 | $342 | $342 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $320 | $320 | $320 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $440 | $440 | $440 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $2,094 | $2,094 | $2,094 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $242 | $272 | $302 |
| Esophageal motility study CPT 91010 • Gastroenterology | $96 | $96 | $96 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $286 | $286 | $286 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $315 | $315 | $315 |
| Auto-added CPT 00102 • General | $45 | $45 | $45 |
| Auto-added CPT 00104 • General | $45 | $45 | $45 |