CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA· CHARLOTTE, NC
Ambulatory surgery center
300 BILLINGSLEY ROAD, SUITE 200B, CHARLOTTE, NC 28211
Procedures offered
956 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $22 | $41 | $56 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $27 | $46 | $55 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $29 | $48 | $58 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $35 | $60 | $83 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $36 | $60 | $72 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $19 | $29 | $38 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $7 | $13 | $17 |
| Immunization admin injection single CPT 90471 • Preventive Care | $18 | $26 | $34 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $12 | $19 | $24 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $316 | $344 | $371 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $197 | $351 | $457 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $99 | $108 | $115 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $19 | $31 | $40 |
| MMR vaccine CPT 90707 • Preventive Care | $80 | $94 | $109 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $50 | $61 | $68 |
| Varicella vaccine CPT 90716 • Preventive Care | $184 | $200 | $217 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $132 | $185 | $236 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $190 | $217 | $244 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $101 | $129 | $141 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $97 | $124 | $147 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $119 | $143 | $153 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $113 | $145 | $173 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $160 | $164 | $168 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $139 | $167 | $194 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $200 | $207 | $210 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $90 | $116 | $127 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $91 | $107 | $136 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $91 | $105 | $135 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $90 | $122 | $148 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $113 | $131 | $151 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $122 | $138 | $154 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $102 | $142 | $173 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $32 | $40 | $48 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $187 | $437 | $750 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $184 | $6,004 | $28,516 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $296 | $6,148 | $28,516 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $206 | $206 | $206 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $206 | $206 | $206 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $121 | $141 | $161 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $519 | $3,861 | $19,682 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $519 | $6,268 | $28,516 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $519 | $5,365 | $28,516 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $519 | $5,349 | $28,516 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $519 | $5,520 | $28,516 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $57 | $777 | $2,027 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $113 | $142 | $157 |
| Spirometry CPT 94010 • Pulmonology | $23 | $35 | $45 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $32 | $49 | $65 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $77 | $95 | $103 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $18 | $45 | $65 |