for uninsured services - Saskatchewan Medical Association

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SECTION V: LABORATORY MEDICINE Specialist in Pathology 224V Prealbumin $27.20 225V Pregnancy test/HCG in serum $38.40 227V Sweat chloride analysis (does not include specimen $27.10 collection 418V Trypsin $49.90 229V Xylose $36.20 Chemistry - Allergy 235V IgE $114.00 236V Food mix screen $114.00 237V Inhalant screen IgE $114.00 238V For each additional specific allergen ordered with $15.90 total IgE or a screen, add 239V For each allergen, if ordered individually - some common $114.00 allergens are: dog dander, dust, milk, yellow hornet, honney bee, peanut Haematology - Routine 422V CBC 8 parameters + histograms, three or five part diff $20.90 423V CBC 8 parameters or less (Hb, Hct, RBC, WCB, MCV, $12.50 MCH, MCHC + platlets) Miscellaneous 251V B12 $18.20 253V Cell count and diff CSF $88.00 434V Erythrocyte sedimentation rate $16.70 464V Estimate - platelet/WBC $12.50 254V RBC folate $45.30 180V Iron, TIBC and % saturation $21.20 255V Manual differential $46.10 257V Manual hemoglobin $46.10 476V Manual WBC $26.10 259V Monotest $26.10 260V Morphology $12.50 470V Reticulocyte count $37.90 494V Blood parasites (malarial & others) $92.20 261V Bone marrow - assist, stain, differential, iron $386.00 262V Bone marrow - for each additional 500 cells counted, add $83.20 263V Bone marrow - for each additional slide stained $83.20 265V Buffy coat preparation $67.00 481V Cell count and diff $75.50 266V Cytospin $29.40 267V Eosinophil smear (sputum) $33.60 268V Eosinophil smear (urines) $62.80 550V Esterase, iron, peroxidase, sudan black, TRAP $84.00 274V Fluid crystals $26.10 497V Heinz bodies (direct) $62.80 346V Hemoglobin pigments (qual) $50.30 275V Hemolysate preparation $71.50 276V Iron stain hematology $20.90 277V Luik, Alk phos score $152.00 278V Hemosiderin - urine $26.10 Haematology - Coagulation 279V PT/NR & aPTT $18.90 280V Prothrombin time/INR $16.70 281V aPTT $16.70 282V DDIMER - automated $154.00 283V Factor assays (each) $110.00 506V Fibrinogen $16.70 Haematology - Flow Cytometry 284V CD4/CD8 $613.00 285V CD34-Peripheral bld $451.00 287V CD34-apheresis $601.00 SMA FEE GUIDE - V5 - June 1, 2011
SECTION V: LABORATORY MEDICINE Specialist in Pathology Transfusion Medicine 560V ABO & RH typing (group & type) $71.60 563V Antibody screen $64.50 289V Antibody panel $107.00 290V Each additional panel $107.00 291V Antigen typing $64.50 600V Direct antiglobulin test (coombs & fractionation) $78.80 559V Cross match (group & type, antibody screen & 2 units $157.00 of packed cells) 293V Each additional unit of packed cells $28.60 295V HLA typing (ABC/DR typing) $1,997.00 Microbiology - Routine 297V Blood C & S for bacteria &/or yeast - automated $73.00 690V Blood C & S for bacteria &/or yeast - manual $131.00 299V Cervix C & S $72.60 300V CSF C & S $112.00 301V Dermatophyte culture $256.00 305V Direct Gram Stain Only $55.40 306V Effluent Culture $98.00 307V Enviromental Culture $54.80 309V Fluids C & S $142.00 311V Fungal C & S $256.00 312V Lower Respiratory CBS with Gram Stain $101.00 724V Microscopic Exam for Fungus $38.40 313V Miscellaneous C & S $154.00 314V MRSA Culture $88.50 731V Parasite examination - pinworm paddle $38.40 725V Parasite examination - skin scrapings $77.00 317V Parasite examination - stool - full O & P workup $167.00 318V Parasite examination - stool - giardia/crytosporidium screen $38.40 319V Parasite examination - trichomonas $38.40 729V Parasite examination - urine $81.20 321V Pneurnocystis examination $202.00 322V Stool for C & S $86.80 323V Stool for C. difficile toxin $46.90 324V Streptozyme screen $29.70 325V Throat C & S $46.90 326V Ureaplasma urealyticum testing $53.40 327V Urethra C & S $72.60 329V Urine C & S $42.80 331V Vaginal or vaginal/rectal swab for group B strep $55.90 333V Vaginal swab for bacterial vaginosis examination $55.40 334V VRE screen $56.30 335V Wound culture - deep site $142.00 337V Wound culture - surface site $116.00 Microbiology - TB 344V Bronchial washing TB culture $355.00 345V CSF TB culture $338.00 347V Fluid TB culture $388.00 351V Gastric washing TB culture $273.00 352V PCR for M. tuberculosis $396.00 242V PCR for mycobacteria species $396.00 722V Smear only $157.00 354V Sputum TB culture $388.00 355V Stool TB smear $157.00 356V Miscellaneous TB culture $338.00 357V Tissue TB culture $388.00 358V Urine TB culture $307.00 Microbiology - Virology 359V CMV antigenemia $693.00 360V CMV IgG $109.00 361V EBV serology (EBNA, VCA IgM, VCA IgG) - if ordered individually $97.20 SMA FEE GUIDE - V6 - 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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SECTION L: GENERAL SURGERY PEG tube
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SECTION M: ORTHOPAEDIC SURGERY SECT
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SECTION M: ORTHOPAEDIC SURGERY Fee
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SECTION M: ORTHOPAEDIC SURGERY 2. U
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Page 133 and 134: SECTION M: ORTHOPAEDIC SURGERY Fee
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 and 160: SECTION R: UROLOGICAL SURGERY Prost
Page 161 and 162: SECTION R: UROLOGICAL SURGERY Fee A
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
Page 177 and 178: SECTION T: OTOLARYNGOLOGY Fee Anae
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Page 181 and 182: SECTION V: LABORATORY MEDICINE Fee
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Page 187 and 188: SECTION W: DIAGNOSTIC ULTRASOUND Mu
Page 189 and 190: SECTION X: DIAGNOSTIC RADIOLOGY Fee
Page 191 and 192: SECTION X: DIAGNOSTIC RADIOLOGY Tec
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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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