COUNTY OF MONTGOMERY· TROY, NC
Provider
217 S MAIN ST, TROY, NC 27371
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $3 | $4 | $5 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $14 | $19 | $23 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $69 | $70 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $103 | $104 | $106 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $152 | $155 | $157 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $35 | $105 | $175 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $76 | $251 | $426 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $473 | $778 | $1,084 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $30 | $47 | $64 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $382 | $845 | $1,309 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $59 | $87 | $115 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $5 | $24 | $43 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,113 | $1,210 | $1,307 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $5 | $742 | $1,479 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $352 | $352 | $352 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $353 | $353 | $353 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $5 | $120 | $234 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $5 | $115 | $226 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $170 | $175 | $179 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $93 | $93 | $94 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $773 | $847 | $922 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $831 | $949 | $1,067 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $124 | $134 | $144 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $135 | $593 | $1,050 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $49 | $104 | $159 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $49 | $66 | $82 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $92 | $241 | $390 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $118 | $145 | $171 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $537 | $606 | $676 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $119 | $119 | $119 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $143 | $143 | $143 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $315 | $315 | $315 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,439 | $1,571 | $1,703 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,297 | $1,424 | $1,550 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $633 | $706 | $778 |
| Complex uroflowmetry CPT 51741 • Urology | $12 | $18 | $23 |
| Post-void residual urine measurement CPT 51798 • Urology | $18 | $19 | $20 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $139 | $168 | $196 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $238 | $263 | $287 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $279 | $308 | $336 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $204 | $224 | $244 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $451 | $464 | $476 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $410 | $452 | $493 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $812 | $872 | $932 |
| Laser vaporization of prostate CPT 52648 • Urology | $1,852 | $2,637 | $3,422 |
| Circumcision CPT 54150 • Urology | $133 | $144 | $154 |
| Orchiectomy simple CPT 54520 • Urology | $315 | $343 | $371 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $488 | $555 | $622 |
| Vasectomy CPT 55250 • Urology | $254 | $317 | $380 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $134 | $134 | $134 |