ENDOSCOPY CENTER -PINEVILLE LLC· CHARLOTTE, NC
Ambulatory surgery center
10520 PARK RD, CHARLOTTE, NC 28210
Procedures offered
306 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,340 | $1,357 | $1,390 |
| Carpal tunnel release CPT 64721 • Orthopedics | $850 | $1,140 | $1,809 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $106 | $1,284 | $5,262 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $328 | $381 | $528 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $328 | $491 | $935 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $350 | $425 | $727 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $904 | $2,810 | $9,946 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $89 | $293 | $350 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $28 | $237 | $350 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $350 | $350 | $350 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $106 | $287 | $350 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $350 | $350 | $350 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $106 | $289 | $350 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $106 | $258 | $350 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $350 | $579 | $997 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $106 | $284 | $350 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $106 | $284 | $352 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $111 | $111 | $111 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $291 | $338 | $350 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $328 | $682 | $957 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $350 | $753 | $957 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $721 | $997 | $1,550 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $721 | $979 | $1,550 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $721 | $858 | $904 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $721 | $966 | $1,550 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $328 | $1,137 | $3,150 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $850 | $1,342 | $3,150 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $139 | $139 | $139 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $152 | $152 | $152 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $198 | $343 | $488 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $65 | $65 | $65 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,434 | $1,434 | $1,434 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $34 | $86 | $139 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $58 | $167 | $276 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $97 | $187 | $276 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $608 | $645 | $682 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $893 | $1,115 | $1,338 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $328 | $1,176 | $1,811 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $285 | $314 | $328 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $328 | $1,648 | $2,436 |
| Complex uroflowmetry CPT 51741 • Urology | $106 | $106 | $106 |
| Post-void residual urine measurement CPT 51798 • Urology | $27 | $66 | $106 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $328 | $435 | $618 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $850 | $1,589 | $3,238 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $850 | $1,487 | $3,238 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $328 | $1,038 | $1,878 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $328 | $1,245 | $3,238 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $1,145 | $2,106 | $4,933 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $1,145 | $1,594 | $2,887 |
| Laser vaporization of prostate CPT 52648 • Urology | $1,200 | $2,031 | $4,933 |