for uninsured services - Saskatchewan Medical Association

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SECTION R: UROLOGICAL SURGERY Fee Anae 155R Renal cyst -- excision of -- single or multiple $1,077.00 42 M -- one kidney Nephrostomy tube 156R -- routine change $42.40 * 0 L 157R -- emergency reinsertion $91.70 0 L Ureteral stent 258R -- placement -- unilateral $281.00 10 L 259R -- replacement $281.00 10 L 659R -- removal $209.00 0 L Scrotum and Contents 160R Open testicular biopsy $212.00 0 L 161R Epididymectomy -- unilateral $655.00 42 L Hydrocele or epididymal cyst 162R -- aspirate $54.30 * 0 L 163R -- surgical repair $453.00 * 42 L Varicocele 164R -- repair $534.00 * 42 L 165R -- with exploration of inguinal canal $534.00 * 42 L Orchidectomy 166R -- unilateral $276.00 * 42 L 167R -- bilateral $534.00 * 42 L 168R Retroperitoneal exploration for testicle $805.00 42 M 169R Orchidopexy -- unilateral. Includes $962.00 42 L simple herniotomy. Herniorrhaphy paid in addition 170R Orchidolysis $74.10 * 42 L 171R Torsion -- testis or appendix testis with $877.00 * 42 L fixation of contralateral testis 180R Orchidectomy with excision at internal $534.00 42 L ring -- unilateral 190R Vasectomy -- unilateral or bilateral $433.00 * 42 L 191R Re-anastamosis of vas deferens with $2,005.00 intraluminal splinting plus Anae. fee of $810.00 192R Epididymo-vasostomy -- unilateral $902.00 42 L 193R Insertion of testicular prosthesis, $877.00 * 42 L independent procedure 194R Vasogram - unilateral or bilateral $97.50 * D L -- in conjuction with open scrotal procedure, add 195R -- independent procedure unilateral $91.70 * D L or bilateral SMA FEE GUIDE - R6 - June 1, 2011
SECTION R: UROLOGICAL SURGERY Fee Anae Intra-abdominal 202R Exploration and biopsy of pelvic lymph nodes $1,077.00 42 M 203R Pelvic lymphadenectomy $1,612.00 42 M Percutaneous Nephrolithotripsy 251R Dilatation of nephrostomy tract, add $212.00 0 252R Nephroscopy through nephrostomy tract, add $272.00 D 253R Removal of calculi by basket, ultrasonic $645.00 42 M disintegration or electrohydraulic lithotripsy -- small -- single 254R -- multiple $1,077.00 42 M 255R -- large -- (greater than 2 cm) $1,506.00 42 M 256R Extracorporal Shockwave Lithotripsy (ESWL) $1,002.60 42 M --unilateral Renal Homotransplantation All services are billed in the name of the recipient by the surgeons and internists and include all services to a living donor and the recipient on day of transplant and for 42 days thereafter except: (a) a consultation by a physician other than the Urological or Vascular surgeons, or Internists; (b) anaesthetic services. Donor nephrectomy -- living donor or cadaver 300R One surgeon $2,505.00 42 M 301R Two surgeons -- first $1,077.00 42 M 311R -- second $979.00 42 M 302R Renal perfusion by other than a member $266.00 0 of the transplant team Renal implantation 303R -- Urological surgeon $877.00 42 M 304R -- Vascular surgeon $1,844.00 42 H 340R Intra-operative biopsy of donor $85.80 D kidney -- add 305R -- Internist services -- total $5,347.00 42 (includes 306R and 307R) 306R Internist services in donor kidney $341.00 0 procurement in other than the transplant center 307R Internist services in the provision of $5,407.00 42 renal implant and follow-up services Fee Anae SMA FEE GUIDE - R7 - June 1, 2011
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SMA Fee Guide (for uninsured servic
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TABLE OF CONTENTS Introduction/Prea
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INTRODUCTION / PREAMBLE 4. Third pa
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INTRODUCTION / PREAMBLE Surgical Fe
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INTRODUCTION / PREAMBLE It is expec
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SECTION A1: UNINSURED SERVICES The
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SECTION A1: UNINSURED SERVICES 516A
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SECTION A1: UNINSURED SERVICES Prov
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SECTION A1: UNINSURED SERVICES 572A
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SECTION A2: THIRD PARTY SERVICES AT
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SECTION A.3 THIRD PARTY SERVICES PA
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SECTION A.4: GENERAL SERVICES The p
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SECTION A.4: GENERAL SERVICES Fee 1
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SECTION A.4: GENERAL SERVICES Fee C
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SECTION A.4: GENERAL SERVICES Fee T
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SECTION A.4: GENERAL SERVICES cardi
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SECTION A.4: GENERAL SERVICES On oc
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SECTION A.4: 893A 894A 895A GENERAL
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SECTION A.4: GENERAL SERVICES -- On
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SECTION A.4: Only one physician may
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SECTION B: GENERAL PRACTICE General
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SECTION B: GENERAL PRACTICE Fee 43B
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SECTION B: GENERAL PRACTICE Fee 67B
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SECTION C: PAEDIATRICS Procedures A
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SECTION D: INTERNAL MEDICINE Visits
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SECTION D: INTERNAL MEDICINE Fee 14
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SECTION D: INTERNAL MEDICINE Fee Ev
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SECTION D: INTERNAL MEDICINE Fee 28
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SECTION E: PSYCHIATRY Fee 62E Exami
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SECTION E: PSYCHIATRY Psychotherapy
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SECTION F: DERMATOLOGY Visits Fee 5
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SECTION F: DERMATOLOGY Fee Intrales
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SECTION G: MEDICAL GENETICS^ Fee Co
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SECTION H: ANAESTHESIA "Standby" fo
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SECTION H: ANAESTHESIA ANAESTHESIA
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SECTION H: ANAESTHESIA - Hysterosoc
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SECTION H: ANAESTHESIA Fee 132H Lum
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SECTION H: ANAESTHESIA 3. Other phy
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SECTION H: ANAESTHESIA Payment is i
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SECTION J: SURGICAL ASSISTANCE 1. C
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SECTION J: SURGICAL ASSISTANCE Surg
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SECTION K: NEUROSURGERY Fee 15K Fol
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SECTION K: NEUROSURGERY Fee Anae De
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SECTION K: NEUROSURGERY Fee Anae Th
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SECTION K: NEUROSURGERY Fee 610K Th
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SECTION L: GENERAL SURGERY Visits W
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SECTION L: GENERAL SURGERY Fee Anae
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Page 109 and 110: SECTION L: GENERAL SURGERY Fee Anae
Page 117 and 118: SECTION L: GENERAL SURGERY PEG tube
Page 119 and 120: SECTION M: ORTHOPAEDIC SURGERY SECT
Page 121 and 122: SECTION M: ORTHOPAEDIC SURGERY Fee
Page 123 and 124: SECTION M: ORTHOPAEDIC SURGERY 2. U
Page 135 and 136: SECTION N: PLASTIC SURGERY Visits F
Page 137 and 138: SECTION N: PLASTIC SURGERY 5. Abdom
Page 139 and 140: SECTION N: PLASTIC SURGERY Fee Anae
Page 145 and 146: SECTION P: OBSTETRICS/GYNAECOLOGY V
Page 147 and 148: SECTION P: OBSTETRICS/GYNAECOLOGY F
Page 153 and 154: SECTION Q: NEUROLOGY Visits Fee 3Q
Page 155 and 156: SECTION R: UROLOGICAL SURGERY Visit
Page 157 and 158: SECTION R: UROLOGICAL SURGERY Fee A
Page 159: SECTION R: UROLOGICAL SURGERY Prost
Page 163 and 164: SECTION S: OPHTHALMOLOGY Visits Fee
Page 165 and 166: SECTION S: OPHTHALMOLOGY Fee Anae F
Page 167 and 168: SECTION S: OPHTHALMOLOGY Fee Anae E
Page 169 and 170: SECTION S: OPHTHALMOLOGY Fee Anae 2
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Page 175 and 176: SECTION T: OTOLARYNGOLOGY Fee 430T
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Page 181 and 182: SECTION V: LABORATORY MEDICINE Fee
Page 183 and 184: SECTION V: LABORATORY MEDICINE Spec
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Page 187 and 188: SECTION W: DIAGNOSTIC ULTRASOUND Mu
Page 189 and 190: SECTION X: DIAGNOSTIC RADIOLOGY Fee
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Page 207 and 208: SECTION Y: THERAPEUTIC RADIOLOGY Th
Page 209 and 210: SECTION Z: NUCLEAR MEDICINE Technic
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SECTION Z: NUCLEAR MEDICINE Technic
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for uninsured services - Saskatchewan Medical Association

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