WILMINGTON ASC LLC· WILMINGTON, NC

Ambulatory surgery center

2421 SILVER STREAM LN, WILMINGTON, NC 28401

Procedures offered

949 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$12	$16	$23
Immunization admin injection single CPT 90471 • Preventive Care	$18	$30	$45
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$22	$32
HPV vaccine 9-valent CPT 90651 • Preventive Care	$209	$323	$391
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$254	$280	$307
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$88	$108	$121
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$5	$16	$27
MMR vaccine CPT 90707 • Preventive Care	$101	$108	$115
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$34	$49	$59
Varicella vaccine CPT 90716 • Preventive Care	$215	$222	$228
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$131	$135	$139
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$151	$216	$256
Preventive visit new patient infant CPT 99381 • Preventive Care	$5	$108	$163
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$5	$110	$170
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$78	$135	$165
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$5	$116	$182
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$5	$112	$177
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$147	$176	$223
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$160	$191	$222
Preventive visit established patient infant CPT 99391 • Preventive Care	$5	$74	$125
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$5	$77	$123
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$5	$101	$156
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$102	$139	$158
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$78	$120	$163
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$114	$139	$173
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$107	$138	$183
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$59	$59	$59
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$117	$117	$117
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$314	$528	$716
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$554	$635	$717
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$228	$274	$321
Annual wellness visit initial HCPCS G0438 • Preventive Care	$227	$227	$227
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$178	$178	$178
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$370	$453	$521
Bronchoscopy with brushing CPT 31623 • Pulmonology	$277	$460	$697
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$378	$457	$536
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$403	$611	$732
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$474	$651	$782
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,092	$1,859	$2,625
Ventilation assist and management initiation CPT 94002 • Pulmonology	$90	$144	$199
Spirometry CPT 94010 • Pulmonology	$9	$44	$67
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$39	$50	$60
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$60	$96	$131
Respiratory flow volume loop CPT 94375 • Pulmonology	$17	$49	$82
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$71	$125	$180
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$12	$14	$19
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$13	$23	$36
Plethysmography lung volumes CPT 94726 • Pulmonology	$47	$85	$115
Gas dilution lung volumes CPT 94727 • Pulmonology	$48	$58	$67
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$61	$79	$100