DAVID PELLEI· CHARLOTTE, NC

Imaging center

1701 EAST BLVD, CHARLOTTE, NC 28203

Procedures offered

952 total

Procedure	Min	Avg	Max
Pulse oximetry single measurement CPT 94760 • Pulmonology	$3	$3	$3
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$27	$27	$27
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$103	$232	$360
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$156	$258	$360
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$232	$296	$360
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$50	$257	$360
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$113	$236	$360
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$329	$344	$360
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$115	$238	$360
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$360	$432	$576
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$171	$265	$360
Radiation physics consultation CPT 77336 • Radiation Therapy	$157	$292	$360
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$360	$754	$1,543
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$360	$1,273	$2,186
IMRT delivery simple CPT 77385 • Radiation Therapy	$292	$292	$292
IMRT delivery complex CPT 77386 • Radiation Therapy	$293	$293	$293
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$110	$235	$360
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$123	$241	$360
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$239	$299	$360
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$136	$248	$360
Proton beam treatment simple CPT 77520 • Radiation Therapy	$113	$278	$360
Proton beam treatment complex CPT 77523 • Radiation Therapy	$127	$243	$360
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$197	$197	$197
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$216	$216	$216
Sleep study unattended CPT 95800 • Sleep Medicine	$90	$90	$90
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$79	$79	$79
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$72	$218	$443
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$130	$626	$1,099
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$545	$735	$925
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$143	$143	$143
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$785	$1,131	$1,478
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$304	$364	$483
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,844	$1,900	$1,956
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,653	$1,737	$1,820
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$722	$772	$823
Complex uroflowmetry CPT 51741 • Urology	$7	$56	$105
Post-void residual urine measurement CPT 51798 • Urology	$13	$16	$20
Cystourethroscopy diagnostic CPT 52000 • Urology	$211	$246	$281
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$345	$345	$345
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$405	$405	$405
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$293	$293	$293
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$176	$314	$452
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$594	$594	$594
TURP transurethral resection of prostate CPT 52601 • Urology	$903	$930	$956
Laser vaporization of prostate CPT 52648 • Urology	$875	$875	$875
Circumcision CPT 54150 • Urology	$111	$218	$324
Orchiectomy simple CPT 54520 • Urology	$440	$440	$440
Orchiectomy radical inguinal CPT 54530 • Urology	$700	$700	$700
Vasectomy CPT 55250 • Urology	$258	$482	$770
Prostate biopsy needle or punch CPT 55700 • Urology	$248	$248	$248