CAROLINA MOUNTAIN GASTROENTEROLOGY ENDOSCOPY CENTER· HENDERSONVILLE, NC
Ambulatory surgery center
1032 FLEMING STREET, HENDERSONVILLE, NC 28791
Procedures offered
315 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $400 | $939 | $2,235 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $100 | $525 | $1,201 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $400 | $2,003 | $4,970 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $400 | $687 | $1,260 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $400 | $939 | $2,235 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $400 | $1,011 | $1,982 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $400 | $1,582 | $3,585 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $400 | $914 | $1,941 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $400 | $1,928 | $4,970 |
| Carpal tunnel release CPT 64721 • Orthopedics | $550 | $931 | $1,309 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $100 | $1,216 | $4,499 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $400 | $464 | $540 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $400 | $447 | $540 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $400 | $502 | $540 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $550 | $2,559 | $7,197 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $64 | $351 | $540 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $24 | $247 | $540 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $400 | $539 | $677 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $100 | $360 | $540 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $400 | $539 | $677 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $100 | $393 | $540 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $100 | $393 | $540 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $540 | $795 | $1,309 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $100 | $395 | $540 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $100 | $300 | $400 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $111 | $111 | $111 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $211 | $423 | $540 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $400 | $499 | $693 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $400 | $549 | $693 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $400 | $531 | $625 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $550 | $709 | $1,121 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $550 | $575 | $625 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $550 | $709 | $1,121 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $400 | $910 | $2,279 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $550 | $1,092 | $2,279 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $101 | $101 | $101 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $152 | $215 | $278 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $198 | $276 | $353 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $47 | $47 | $47 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $90 | $90 | $90 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $34 | $67 | $101 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $58 | $129 | $200 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $97 | $149 | $200 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $440 | $561 | $682 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $893 | $930 | $968 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $400 | $914 | $1,941 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $318 | $373 | $400 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $400 | $1,271 | $2,343 |
| Complex uroflowmetry CPT 51741 • Urology | $100 | $100 | $100 |
| Post-void residual urine measurement CPT 51798 • Urology | $23 | $61 | $100 |