COUNTY OF MONTGOMERY· TROY, NC
Provider
217 S MAIN ST, TROY, NC 27371
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $246 | $262 | $279 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $203 | $214 | $225 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $37 | $43 | $49 |
| Tympanostomy tube insertion CPT 69436 • ENT | $157 | $170 | $184 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $857 | $893 | $930 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,010 | $1,059 | $1,107 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $33 | $40 | $47 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $89 | $93 | $97 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $164 | $171 | $177 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $47 | $104 | $162 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $105 | $138 | $172 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $58 | $86 | $115 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $149 | $185 | $220 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $164 | $172 | $181 |
| Initial treatment first degree burn CPT 16000 • Emergency | $65 | $71 | $77 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $19 | $19 | $20 |
| Emergency department visit low severity CPT 99282 • Emergency | $36 | $38 | $39 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $58 | $58 | $58 |
| Emergency department visit high severity CPT 99284 • Emergency | $107 | $109 | $111 |
| Emergency department visit highest severity CPT 99285 • Emergency | $160 | $161 | $163 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $210 | $228 | $246 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $110 | $113 | $115 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $118 | $141 | $163 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $156 | $221 | $285 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $185 | $257 | $330 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $193 | $205 | $217 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $168 | $178 | $188 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $210 | $223 | $236 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $310 | $325 | $340 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $293 | $310 | $326 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $334 | $355 | $375 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $412 | $438 | $463 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $495 | $525 | $556 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $450 | $536 | $622 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $160 | $170 | $181 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $384 | $410 | $436 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $134 | $134 | $134 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $209 | $323 | $437 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $281 | $366 | $451 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $237 | $371 | $505 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $448 | $480 | $513 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $334 | $421 | $508 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $644 | $695 | $747 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $420 | $482 | $544 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $321 | $321 | $321 |
| Esophageal motility study CPT 91010 • Gastroenterology | $139 | $158 | $176 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $80 | $275 | $470 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $129 | $223 | $317 |
| Auto-added CPT 00102 • General | $45 | $45 | $45 |
| Auto-added CPT 00104 • General | $40 | $40 | $40 |