INDRANI ACOSTA· WINSTON SALEM, NC

Physician group

3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$7	$48	$89
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$3	$4
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$19	$27	$44
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$95	$95	$95
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$71	$120	$170
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$265	$265	$265
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$36	$200	$365
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$52	$91	$130
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$145	$249	$354
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$61	$61	$61
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$659	$1,701	$3,520
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$194	$194	$194
Radiation physics consultation CPT 77336 • Radiation Therapy	$51	$85	$118
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$733	$1,068	$1,738
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$717	$1,151	$1,585
IMRT delivery simple CPT 77385 • Radiation Therapy	$655	$655	$655
IMRT delivery complex CPT 77386 • Radiation Therapy	$657	$657	$657
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$121	$236	$350
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$45	$192	$340
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$124	$243	$362
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$141	$141	$141
Proton beam treatment simple CPT 77520 • Radiation Therapy	$110	$581	$1,052
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,406	$1,406	$1,406
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$306	$557	$809
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$736	$1,011	$1,285
Sleep study unattended CPT 95800 • Sleep Medicine	$47	$59	$71
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$36	$72	$109
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$101	$269	$381
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$554	$791	$1,028
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$465	$816	$1,166
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$84	$85	$86
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$753	$856	$959
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$34	$206	$292
Laparoscopic partial nephrectomy CPT 50543 • Urology	$2,456	$2,456	$2,456
Laparoscopic radical nephrectomy CPT 50545 • Urology	$2,210	$2,725	$3,241
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$507	$953	$1,400
Complex uroflowmetry CPT 51741 • Urology	$6	$20	$34
Post-void residual urine measurement CPT 51798 • Urology	$24	$24	$25
Cystourethroscopy diagnostic CPT 52000 • Urology	$73	$223	$373
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$440	$517	$594
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$517	$606	$695
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$189	$283	$378
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$139	$429	$719
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$946	$957	$968
TURP transurethral resection of prostate CPT 52601 • Urology	$1,770	$1,784	$1,798
Laser vaporization of prostate CPT 52648 • Urology	$1,573	$2,789	$4,005
Circumcision CPT 54150 • Urology	$136	$192	$248
Orchiectomy simple CPT 54520 • Urology	$291	$545	$800
Orchiectomy radical inguinal CPT 54530 • Urology	$910	$1,072	$1,235
Vasectomy CPT 55250 • Urology	$30	$293	$556