THOMAS GASTON· STATESVILLE, NC
Physician group
557 BROOKDALE DR, STATESVILLE, NC 28677
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 | $25 | $25 | $25 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $54 | $74 | $95 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $145 | $145 | $145 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $127 | $176 | $225 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $194 | $278 | $363 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $63 | $333 | $604 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $347 | $347 | $347 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $25 | $35 | $45 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $318 | $1,122 | $1,927 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $46 | $68 | $89 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $68 | $94 | $120 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $2,675 | $2,675 | $2,675 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,341 | $1,341 | $1,341 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $478 | $478 | $478 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $480 | $480 | $480 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $234 | $234 | $234 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $310 | $310 | $310 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $144 | $200 | $256 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $145 | $145 | $145 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $1,232 | $1,232 | $1,232 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $1,446 | $1,446 | $1,446 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $978 | $978 | $978 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $905 | $905 | $905 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $97 | $103 | $109 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $57 | $57 | $57 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $56 | $56 | $56 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $116 | $116 | $116 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $120 | $369 | $617 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $54 | $54 | $54 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $374 | $374 | $374 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $192 | $248 | $303 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,474 | $1,474 | $1,474 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,319 | $1,319 | $1,319 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $741 | $741 | $741 |
| Complex uroflowmetry CPT 51741 • Urology | $8 | $11 | $14 |
| Post-void residual urine measurement CPT 51798 • Urology | $10 | $11 | $11 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $193 | $216 | $239 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $241 | $241 | $241 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $250 | $267 | $283 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $207 | $207 | $207 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $136 | $144 | $153 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $384 | $384 | $384 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $639 | $681 | $723 |
| Laser vaporization of prostate CPT 52648 • Urology | $690 | $690 | $690 |
| Circumcision CPT 54150 • Urology | $76 | $86 | $95 |
| Orchiectomy simple CPT 54520 • Urology | $329 | $329 | $329 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $509 | $509 | $509 |
| Vasectomy CPT 55250 • Urology | $289 | $313 | $336 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $241 | $241 | $241 |