COUNTY OF CLEVELAND NORTH CAROLINA· SHELBY, NC

Provider

200 S POST RD, SHELBY, NC 28152

Procedures offered

553 total

Procedure	Min	Avg	Max
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$91	$101	$112
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$114	$119	$124
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$94	$117	$140
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$102	$102	$102
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$32	$32	$32
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$207	$207	$207
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$240	$240	$240
Annual wellness visit initial HCPCS G0438 • Preventive Care	$186	$186	$186
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$121	$121	$121
Bronchoscopy with brushing CPT 31623 • Pulmonology	$65	$65	$65
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$131	$131	$131
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$152	$152	$152
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$180	$180	$180
Spirometry CPT 94010 • Pulmonology	$23	$23	$23
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$27	$27	$27
Respiratory flow volume loop CPT 94375 • Pulmonology	$36	$36	$36
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$6	$6	$6
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$15	$15	$15
Plethysmography lung volumes CPT 94726 • Pulmonology	$54	$54	$54
Gas dilution lung volumes CPT 94727 • Pulmonology	$37	$37	$37
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$46	$46	$46
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$54	$54	$54
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$127	$127	$127
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$28	$28	$28
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$63	$63	$63
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$212	$212	$212
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$25	$25	$25
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$318	$318	$318
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$46	$46	$46
Radiation physics consultation CPT 77336 • Radiation Therapy	$68	$68	$68
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,113	$1,113	$1,113
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$267	$267	$267
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$382	$382	$382
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$144	$144	$144
Sleep study unattended CPT 95800 • Sleep Medicine	$109	$109	$109
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$106	$106	$106
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$617	$617	$617
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$149	$149	$149
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$303	$303	$303
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,490	$1,490	$1,490
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$616	$616	$616
Complex uroflowmetry CPT 51741 • Urology	$6	$6	$6
Post-void residual urine measurement CPT 51798 • Urology	$9	$9	$9
Cystourethroscopy diagnostic CPT 52000 • Urology	$193	$193	$193
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$250	$250	$250
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$225	$225	$225
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$136	$136	$136
TURP transurethral resection of prostate CPT 52601 • Urology	$639	$639	$639
Circumcision CPT 54150 • Urology	$76	$76	$76
Orchiectomy simple CPT 54520 • Urology	$166	$166	$166