CAMILLE ROBERTS· WINSTON SALEM, NC

Physician group

175 KIMEL PARK DR, WINSTON SALEM, NC 27103

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	$26	$26	$26
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$71	$84	$96
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$108	$126	$145
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$160	$160	$160
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$157	$180	$215
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$373	$373	$373
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$225	$225	$225
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$42	$70	$106
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,662	$1,662	$1,662
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$83	$178	$241
Radiation physics consultation CPT 77336 • Radiation Therapy	$135	$141	$144
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,329	$1,329	$1,329
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,882	$1,882	$1,882
IMRT delivery simple CPT 77385 • Radiation Therapy	$655	$655	$655
IMRT delivery complex CPT 77386 • Radiation Therapy	$657	$657	$657
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$95	$95	$95
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$106	$106	$106
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$163	$203	$222
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$94	$94	$94
Proton beam treatment simple CPT 77520 • Radiation Therapy	$69	$69	$69
Proton beam treatment complex CPT 77523 • Radiation Therapy	$81	$81	$81
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$151	$151	$151
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$1,549	$1,549	$1,549
Sleep study unattended CPT 95800 • Sleep Medicine	$71	$71	$71
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$65	$65	$65
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$105	$105	$105
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$804	$804	$804
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$882	$882	$882
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$143	$143	$143
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$185	$185	$185
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$911	$911	$911
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,471	$2,544	$3,617
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,365	$2,303	$3,241
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$547	$1,178	$1,808
Complex uroflowmetry CPT 51741 • Urology	$13	$17	$20
Post-void residual urine measurement CPT 51798 • Urology	$18	$22	$25
Cystourethroscopy diagnostic CPT 52000 • Urology	$235	$413	$592
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$258	$426	$594
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$303	$499	$695
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$219	$364	$509
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$375	$379	$383
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$444	$695	$946
TURP transurethral resection of prostate CPT 52601 • Urology	$721	$1,245	$1,770
Laser vaporization of prostate CPT 52648 • Urology	$661	$2,323	$3,985
Circumcision CPT 54150 • Urology	$237	$245	$254
Orchiectomy simple CPT 54520 • Urology	$310	$553	$797
Orchiectomy radical inguinal CPT 54530 • Urology	$489	$862	$1,235
Vasectomy CPT 55250 • Urology	$615	$716	$818
Prostate biopsy needle or punch CPT 55700 • Urology	$238	$238	$238