METROLINA VASCULAR ACCESS CARE LLC· CHARLOTTE, NC

Ambulatory surgery center

3158 FREEDOM DR., CHARLOTTE, NC 28208

Procedures offered

953 total

Procedure	Min	Avg	Max
Plethysmography lung volumes CPT 94726 • Pulmonology	$17	$61	$128
Gas dilution lung volumes CPT 94727 • Pulmonology	$39	$55	$102
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$13	$67	$131
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$3	$4
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$23	$31	$46
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$56	$83	$136
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$85	$145	$205
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$134	$222	$320
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$65	$113	$197
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$65	$311	$781
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$290	$464	$917
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$28	$60	$124
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$332	$1,240	$3,584
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$67	$100	$166
Radiation physics consultation CPT 77336 • Radiation Therapy	$59	$96	$184
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$806	$1,575	$3,113
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$733	$1,517	$3,086
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$130	$307	$627
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$50	$215	$595
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$151	$282	$359
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$84	$143	$262
Proton beam treatment simple CPT 77520 • Radiation Therapy	$361	$1,095	$2,062
Proton beam treatment complex CPT 77523 • Radiation Therapy	$737	$1,343	$2,227
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$846	$1,038	$1,422
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$896	$1,100	$1,509
Sleep study unattended CPT 95800 • Sleep Medicine	$57	$110	$145
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$84	$86	$89
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$373	$537	$864
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$310	$610	$1,034
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$172	$312	$572
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$97	$172	$323
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$1,143	$1,270	$1,525
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$461	$603	$886
Laparoscopic partial nephrectomy CPT 50543 • Urology	$955	$1,986	$2,863
Laparoscopic radical nephrectomy CPT 50545 • Urology	$475	$1,054	$1,833
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$828	$1,730	$2,627
Complex uroflowmetry CPT 51741 • Urology	$10	$25	$79
Post-void residual urine measurement CPT 51798 • Urology	$8	$27	$79
Cystourethroscopy diagnostic CPT 52000 • Urology	$115	$375	$955
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$342	$1,055	$1,924
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$394	$1,109	$1,924
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$692	$909	$1,115
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$215	$932	$1,924
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$1,180	$1,690	$2,930
TURP transurethral resection of prostate CPT 52601 • Urology	$1,015	$1,541	$2,930
Laser vaporization of prostate CPT 52648 • Urology	$955	$2,131	$3,119
Circumcision CPT 54150 • Urology	$137	$583	$1,115
Orchiectomy simple CPT 54520 • Urology	$955	$1,217	$1,924
Orchiectomy radical inguinal CPT 54530 • Urology	$970	$1,390	$1,958
Vasectomy CPT 55250 • Urology	$435	$823	$1,115