ANDREA KOCZANSKI· FAYETTEVILLE, NC

Physician group

5780 RAMSEY ST, FAYETTEVILLE, NC 28311

Procedures offered

506 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$11	$11	$11
Immunization admin injection single CPT 90471 • Preventive Care	$20	$20	$20
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$230	$230	$230
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$133	$133	$133
Preventive visit new patient infant CPT 99381 • Preventive Care	$75	$75	$75
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$89	$89	$89
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$104	$104	$104
Preventive visit established patient infant CPT 99391 • Preventive Care	$43	$43	$43
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$70	$70	$70
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$50	$50	$50
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$58	$58	$58
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$96	$96	$96
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$303	$303	$303
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$110	$110	$110
Annual wellness visit initial HCPCS G0438 • Preventive Care	$137	$137	$137
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$90	$90	$90
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$247	$247	$247
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$247	$247	$247
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$40	$40	$40
Ventilation assist and management initiation CPT 94002 • Pulmonology	$76	$76	$76
Spirometry CPT 94010 • Pulmonology	$40	$40	$40
Respiratory flow volume loop CPT 94375 • Pulmonology	$17	$17	$17
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$11	$11	$11
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$11	$11	$11
Plethysmography lung volumes CPT 94726 • Pulmonology	$45	$45	$45
Gas dilution lung volumes CPT 94727 • Pulmonology	$35	$35	$35
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$44	$44	$44
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$18	$18	$18
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$71	$71	$71
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$178	$178	$178
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$308	$308	$308
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$145	$145	$145
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$21	$21	$21
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$926	$1,062	$1,198
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$80	$80	$80
Radiation physics consultation CPT 77336 • Radiation Therapy	$51	$51	$51
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$733	$733	$734
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$717	$717	$717
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$121	$121	$121
Proton beam treatment simple CPT 77520 • Radiation Therapy	$110	$110	$110
Proton beam treatment complex CPT 77523 • Radiation Therapy	$638	$638	$638
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$867	$867	$867
Sleep study unattended CPT 95800 • Sleep Medicine	$122	$122	$122
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$81	$81	$81
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$334	$334	$334
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$464	$534	$604
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$149	$149	$149
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$112	$112	$112
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$1,054	$1,054	$1,054
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$429	$429	$430