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 |
|---|---|---|---|
| Sacroiliac joint injection CPT 27096 • Pain Management | $2,727 | $2,727 | $2,727 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $274 | $312 | $349 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $449 | $449 | $449 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $349 | $349 | $349 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $43 | $43 | $43 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $15 | $18 | $21 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $449 | $449 | $449 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $156 | $156 | $156 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $516 | $516 | $516 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $182 | $182 | $182 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $43 | $43 | $43 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $35 | $35 | $35 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $14 | $14 | $14 |
| Immunization admin injection single CPT 90471 • Preventive Care | $35 | $35 | $35 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $24 | $24 | $24 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $209 | $209 | $209 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $111 | $111 | $111 |
| MMR vaccine CPT 90707 • Preventive Care | $72 | $72 | $72 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $34 | $34 | $34 |
| Varicella vaccine CPT 90716 • Preventive Care | $124 | $124 | $124 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $113 | $113 | $113 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $189 | $189 | $189 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $196 | $196 | $196 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $205 | $205 | $205 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $211 | $211 | $211 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $204 | $204 | $204 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $237 | $237 | $237 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $280 | $280 | $280 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $155 | $155 | $155 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $165 | $165 | $165 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $154 | $154 | $154 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $168 | $168 | $168 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $185 | $185 | $185 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $184 | $184 | $184 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $140 | $140 | $140 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $336 | $398 | $460 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $336 | $398 | $460 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $744 | $744 | $744 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $422 | $583 | $744 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $744 | $744 | $744 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $422 | $583 | $744 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $422 | $968 | $1,513 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,513 | $1,513 | $1,513 |
| Spirometry CPT 94010 • Pulmonology | $46 | $46 | $46 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $75 | $75 | $75 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $10 | $10 | $10 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $67 | $67 | $67 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $152 | $168 | $185 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $198 | $216 | $234 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $60 | $60 | $60 |