DAVID PELLEI· CHARLOTTE, NC

Imaging center

1701 EAST BLVD, CHARLOTTE, NC 28203

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$7	$12	$18
Immunization admin injection single CPT 90471 • Preventive Care	$10	$15	$25
Immunization admin injection each additional CPT 90472 • Preventive Care	$15	$15	$16
HPV vaccine 9-valent CPT 90651 • Preventive Care	$336	$365	$395
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$242	$257	$272
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$110	$117	$123
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$20	$22	$24
MMR vaccine CPT 90707 • Preventive Care	$103	$108	$117
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$42	$51	$59
Varicella vaccine CPT 90716 • Preventive Care	$206	$218	$230
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$140	$140	$141
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$220	$251	$282
Preventive visit new patient infant CPT 99381 • Preventive Care	$94	$111	$139
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$143	$147	$150
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$100	$124	$149
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$112	$135	$167
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$112	$137	$162
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$106	$122	$138
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$204	$204	$205
Preventive visit established patient infant CPT 99391 • Preventive Care	$89	$98	$106
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$69	$84	$95
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$95	$106	$117
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$78	$104	$130
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$80	$106	$131
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$145	$151	$156
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$91	$113	$125
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$34	$41	$49
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$170	$170	$170
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$522	$522	$522
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$522	$522	$522
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$130	$160	$207
Annual wellness visit initial HCPCS G0438 • Preventive Care	$207	$224	$242
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$129	$145	$162
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$211	$263	$312
Bronchoscopy with brushing CPT 31623 • Pulmonology	$488	$488	$488
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$152	$183	$215
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$250	$350	$449
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$199	$238	$278
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,316	$1,454	$1,593
Ventilation assist and management initiation CPT 94002 • Pulmonology	$117	$117	$117
Spirometry CPT 94010 • Pulmonology	$32	$35	$37
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$58	$66	$73
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$36	$57	$77
Respiratory flow volume loop CPT 94375 • Pulmonology	$27	$27	$27
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$93	$93	$93
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$16	$17	$17
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$17	$17	$17
Plethysmography lung volumes CPT 94726 • Pulmonology	$13	$54	$81
Gas dilution lung volumes CPT 94727 • Pulmonology	$19	$19	$19
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$74	$77	$80