COUNTY OF CLEVELAND NORTH CAROLINA· SHELBY, NC
Provider
200 S POST RD, SHELBY, NC 28152
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Immunization admin each additional component CPT 90461 • Preventive Care | $7 | $9 | $12 |
| Immunization admin injection single CPT 90471 • Preventive Care | $10 | $15 | $31 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $10 | $12 | $16 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $150 | $269 | $395 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $197 | $240 | $272 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $84 | $97 | $123 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $19 | $21 | $24 |
| MMR vaccine CPT 90707 • Preventive Care | $72 | $92 | $117 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $29 | $41 | $59 |
| Varicella vaccine CPT 90716 • Preventive Care | $124 | $167 | $230 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $113 | $128 | $141 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $187 | $207 | $282 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $53 | $78 | $101 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $90 | $104 | $111 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $83 | $98 | $119 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $69 | $103 | $131 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $99 | $116 | $129 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $115 | $138 | $148 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $92 | $92 | $92 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $46 | $88 | $127 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $74 | $80 | $104 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $74 | $89 | $104 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $81 | $111 | $188 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $82 | $108 | $124 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $90 | $122 | $162 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $77 | $99 | $120 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $32 | $32 | $32 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $143 | $143 | $143 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $207 | $318 | $430 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $231 | $236 | $240 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $88 | $88 | $88 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $163 | $174 | $186 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $109 | $117 | $121 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $352 | $352 | $352 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $65 | $226 | $387 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $131 | $245 | $359 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $152 | $268 | $383 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $180 | $317 | $455 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,089 | $1,089 | $1,089 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $79 | $79 | $79 |
| Spirometry CPT 94010 • Pulmonology | $7 | $18 | $25 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $14 | $26 | $37 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $52 | $52 | $52 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $19 | $29 | $36 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $70 | $70 | $70 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $6 | $8 | $11 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $12 | $14 | $15 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $54 | $54 | $54 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $37 | $39 | $43 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $45 | $47 | $50 |