COUNTY OF IREDELL· STATESVILLE, NC
Lab
318 TURNERSBURG HWY, STATESVILLE, NC 28625
Procedures offered
876 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $79 | $152 | $188 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $97 | $177 | $218 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $106 | $193 | $236 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $77 | $107 | $142 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $74 | $106 | $151 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $61 | $121 | $151 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $94 | $128 | $165 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $70 | $136 | $169 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $103 | $155 | $180 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $99 | $151 | $194 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $131 | $142 | $163 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $163 | $163 | $163 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $127 | $127 | $127 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $295 | $423 | $487 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $319 | $450 | $516 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $240 | $342 | $486 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $172 | $406 | $523 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $309 | $427 | $590 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $245 | $245 | $245 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $118 | $131 |
| Spirometry CPT 94010 • Pulmonology | $24 | $40 | $48 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $41 | $68 | $82 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $57 | $73 | $82 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $21 | $32 | $53 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $156 | $201 | $223 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $13 | $21 | $24 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $20 | $23 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $56 | $66 | $72 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $31 | $48 | $57 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $46 | $60 | $73 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $4 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $22 | $29 | $33 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $73 | $73 | $73 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $110 | $110 | $110 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $164 | $164 | $164 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $140 | $140 | $140 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $80 | $80 | $80 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $352 | $352 | $352 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $36 | $36 | $36 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,709 | $1,709 | $1,709 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $64 | $64 | $64 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $52 | $52 | $52 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,332 | $1,332 | $1,332 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,452 | $1,452 | $1,452 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $215 | $215 | $215 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $204 | $204 | $204 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $197 | $197 | $197 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $100 | $100 | $100 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $880 | $880 | $880 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $1,018 | $1,018 | $1,018 |