for uninsured services - Saskatchewan Medical Association
for uninsured services - Saskatchewan Medical Association
for uninsured services - Saskatchewan Medical Association
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SECTION Z:<br />
NUCLEAR MEDICINE<br />
Technical<br />
Technical Professional and<br />
Component Component Professional<br />
330Z Supervision - stress <strong>for</strong> myocardial perfusion $243.00 $243.00<br />
exercise<br />
331Z pharmacologic $243.00 $243.00<br />
Respiratory System<br />
350Z Pulmonary perfusion study $389.00 $168.00 $557.00<br />
352Z Pulmonary ventilation-multiple projections-aerosol $389.00 $168.00 $557.00<br />
353Z Pulmonary ventilation - all phases - gas $419.00 $176.00 $595.00<br />
354Z Pulmonary ventilation - technegas $389.00 $168.00 $557.00<br />
355Z Combined pulmonary ventilation and perfusion study $512.00 $272.00 $784.00<br />
356Z Pulmonary clearance $389.00 $168.00 $557.00<br />
357Z Quantitiative analysis - pulmonary function $49.70 $49.70<br />
Central Nervous System<br />
400Z Brain imaging $381.00 $168.00 $549.00<br />
401Z Brain imaging with vascular flow $507.00 $198.00 $705.00<br />
402Z Regional cerebral blood flow $513.00 $198.00 $711.00<br />
403Z Regional cerebral metabolism $513.00 $198.00 $711.00<br />
404Z Cerebral receptor-site imaging $513.00 $198.00 $711.00<br />
405Z Cisternography $491.00 $176.00 $667.00<br />
408Z Shunt patency study $213.20 $91.80 $305.00<br />
409Z CSF leakage (imaging and sample counting) $373.00 $176.00 $549.00<br />
420Z Dacrocystography $323.00 $148.00 $471.00<br />
Genitourinary<br />
450Z Renal imaging $161.20 $91.80 $253.00<br />
single image<br />
451Z serial images $389.00 $168.00 $557.00<br />
452Z Renal imaging with vascular flow $228.00 $121.00 $349.00<br />
single static image<br />
453Z serial static images $389.00 $198.00 $587.00<br />
455Z Renal function study (computer based) $432.00 $243.00 $675.00<br />
single radionuclide<br />
456Z dual radionuclide $512.00 $272.00 $784.00<br />
457Z Renal clearance (computer based) $373.00 $176.00 $549.00<br />
458Z Renal - Captopril challenge $432.00 $243.00 $675.00<br />
459Z Renal - diuretic $432.00 $243.00 $675.00<br />
460Z Residual urine study . $161.20 $91.80 $253.00<br />
462Z Ureteral reflux study $227.20 $91.80 $319.00<br />
464Z Testricular imaging $264.00 $121.00 $385.00<br />
470Z GFR $161.20 $91.80 $253.00<br />
471Z ERPF $146.30 $81.70 $228.00<br />
480Z Hysterosalpingography $389.00 $176.00 $565.00<br />
Miscellaneous<br />
500Z Tumor localization (67Ga etc.) $264.00 $121.00 $385.00<br />
limited area<br />
501Z multiple areas or whole body $419.00 $168.00 $587.00<br />
502Z Tumor localization (Immunoscintigraphy) $513.00 $198.00 $711.00<br />
multiple areas or whole body<br />
503Z Tumor localization (other receptors) $513.00 $198.00 $711.00<br />
multiple areas or whole body<br />
505Z Inflammation localization (67Ga/Ig etc) $264.00 $121.00 $385.00<br />
limited area<br />
506Z multiple areas or whole body $419.00 $168.00 $587.00<br />
507Z Inflammation localization (WBC) $264.00 $121.00 $385.00<br />
limited area<br />
508Z multiple areas or whole body $419.00 $168.00 $587.00<br />
509Z Inflammation imaging (labelled antibodies, etc.) $513.00 $198.00 $711.00<br />
multiple areas or whole body<br />
510Z Receptor-site imaging-multiple areas or whole body $513.00 $198.00 $711.00<br />
SMA FEE GUIDE - Z3 - June 1, 2011
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