VALLEYGATE DENTAL SURGERY CENTER OF FAYETTEVILLE, LLC· FAYETTEVILLE, NC

Ambulatory surgery center

2038 LITHO PLACE, FAYETTEVILLE, NC 28304

Procedures offered

317 total

Procedure	Min	Avg	Max
Office visit new patient straightforward CPT 99202 • Office Visits	$96	$96	$96
Office visit new patient low complexity CPT 99203 • Office Visits	$148	$148	$148
Office visit new patient moderate complexity CPT 99204 • Office Visits	$260	$260	$260
Office visit new patient high complexity CPT 99205 • Office Visits	$329	$329	$329
Office visit established patient straightforward CPT 99212 • Office Visits	$105	$105	$105
Office visit established patient low complexity CPT 99213 • Office Visits	$120	$120	$120
Office visit established patient moderate complexity CPT 99214 • Office Visits	$171	$171	$171
Office visit established patient high complexity CPT 99215 • Office Visits	$344	$344	$344
Blepharoplasty upper eyelid CPT 15823 • Ophthalmology	$865	$894	$922
Foreign body removal external eye corneal CPT 65210 • Ophthalmology	$26	$26	$26
Corneal transplant endothelial CPT 65756 • Ophthalmology	$1,968	$1,968	$1,968
Trabeculoplasty laser surgery CPT 65855 • Ophthalmology	$123	$127	$131
Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology	$940	$1,040	$1,141
Iridotomy laser surgery CPT 66761 • Ophthalmology	$139	$154	$170
Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology	$964	$1,052	$1,141
Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology	$964	$1,052	$1,141
Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology	$55	$55	$55
Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology	$1,655	$1,811	$1,968
Retinal photocoagulation treatment CPT 67210 • Ophthalmology	$200	$228	$256
Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology	$162	$190	$218
Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology	$964	$964	$964
Excision chalazion single CPT 67800 • Ophthalmology	$71	$71	$71
Blepharoptosis repair levator resection CPT 67901 • Ophthalmology	$964	$964	$964
Lacrimal punctum closure by plug CPT 68761 • Ophthalmology	$66	$76	$85
Arthrocentesis aspiration small joint CPT 20600 • Orthopedics	$27	$27	$27
Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics	$23	$25	$27
Arthrocentesis aspiration major joint CPT 20610 • Orthopedics	$32	$72	$112
Cervical spine fusion anterior approach CPT 22551 • Orthopedics	$3,560	$3,560	$3,560
Lumbar spine fusion posterior approach CPT 22612 • Orthopedics	$13,190	$13,190	$13,190
Lumbar spine fusion combined approach CPT 22633 • Orthopedics	$7,662	$7,662	$7,662
Total shoulder replacement CPT 23472 • Orthopedics	$13,644	$13,644	$13,644
Lateral epicondylitis open treatment CPT 24357 • Orthopedics	$1,484	$1,484	$1,484
Closed treatment distal radial fracture CPT 25600 • Orthopedics	$61	$91	$121
Tendon sheath incision trigger finger CPT 26055 • Orthopedics	$694	$741	$788
Total hip replacement CPT 27130 • Orthopedics	$8,879	$8,879	$8,879
Hip replacement conversion to total CPT 27132 • Orthopedics	$7,350	$7,350	$7,350
Partial knee replacement medial or lateral CPT 27446 • Orthopedics	$3,028	$5,781	$8,534
Total knee replacement CPT 27447 • Orthopedics	$3,581	$6,139	$8,697
Open treatment tibial shaft fracture CPT 27756 • Orthopedics	$4,566	$4,566	$4,566
Closed treatment distal fibula fracture CPT 27786 • Orthopedics	$121	$121	$121
Bunionectomy with osteotomy CPT 28296 • Orthopedics	$1,484	$1,484	$1,484
Arthroscopy shoulder decompression CPT 29826 • Orthopedics	$1,201	$1,201	$1,201
Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics	$2,303	$2,801	$3,299
Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics	$1,484	$1,484	$1,484
Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics	$1,484	$1,484	$1,484
Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics	$1,201	$1,343	$1,484
Arthroscopy knee ACL repair CPT 29888 • Orthopedics	$3,585	$3,585	$3,585
Discectomy lumbar single level CPT 63030 • Orthopedics	$3,299	$3,299	$3,299
Laminectomy lumbar single level CPT 63047 • Orthopedics	$3,299	$3,299	$3,299
Carpal tunnel release CPT 64721 • Orthopedics	$762	$816	$869