INDRANI ACOSTA· WINSTON SALEM, NC
Physician group
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $447 | $534 | $621 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $370 | $442 | $515 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $82 | $82 | $82 |
| Tympanostomy tube insertion CPT 69436 • ENT | $45 | $270 | $387 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $1,411 | $1,411 | $1,411 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $45 | $1,490 | $2,583 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $91 | $91 | $92 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $290 | $296 | $302 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $144 | $324 | $503 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $36 | $73 | $110 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $177 | $177 | $177 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $45 | $69 | $93 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $45 | $226 | $446 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $45 | $246 | $649 |
| Initial treatment first degree burn CPT 16000 • Emergency | $45 | $61 | $76 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $49 | $50 | $50 |
| Emergency department visit low severity CPT 99282 • Emergency | $74 | $86 | $98 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $106 | $136 | $166 |
| Emergency department visit high severity CPT 99284 • Emergency | $125 | $160 | $195 |
| Emergency department visit highest severity CPT 99285 • Emergency | $293 | $351 | $408 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $375 | $506 | $636 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $45 | $155 | $264 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $376 | $376 | $376 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $45 | $103 | $220 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $45 | $113 | $248 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $45 | $249 | $657 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $45 | $1,311 | $2,577 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $45 | $400 | $756 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $212 | $270 | $385 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $45 | $154 | $372 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $45 | $312 | $579 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $45 | $324 | $881 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $45 | $471 | $897 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $422 | $782 | $1,143 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $123 | $202 | $281 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $45 | $234 | $423 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $100 | $100 | $100 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $528 | $528 | $528 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $45 | $400 | $755 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $45 | $528 | $1,010 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $45 | $590 | $1,134 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $367 | $717 | $1,067 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $45 | $506 | $966 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $5,158 | $5,158 | $5,158 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $304 | $450 | $597 |
| Esophageal motility study CPT 91010 • Gastroenterology | $45 | $79 | $113 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $66 | $102 | $137 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $94 | $193 | $293 |
| Auto-added CPT 00102 • General | $56 | $239 | $422 |
| Auto-added CPT 00104 • General | $56 | $179 | $302 |