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for uninsured services - Saskatchewan Medical Association

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SECTION A.4:<br />

GENERAL SERVICES<br />

Fee<br />

Specified Forms<br />

752A SSCN prioritization <strong>for</strong>m completion and $19.20 *<br />

submission to SSCN<br />

753A Physician completion and submission of an $25.70 *<br />

application filed with the court under the<br />

Mandatory Testing and Disclosure (Bodily<br />

Substances) Act - by report<br />

909A Initiating protocol <strong>for</strong> the discontinuance of life-support $50.60 *<br />

systems following certification of brain death<br />

100A Collection of blood from donor <strong>for</strong> transfusion $27.80 *<br />

101A Phlebotomy <strong>for</strong> therapeutic reason $27.80 *<br />

e.g. polycythemia<br />

107A Insertion of IV by physician where a nurse or $26.20 *<br />

health care worker is unavailable or unable<br />

to start the IV - if procedure is longer than 15<br />

minutes, bill as 918A with explanation<br />

108A Venipuncture - peripheral or central (jugular) $36.20 *<br />

<strong>for</strong> blood collection or phlebotomy by physician<br />

where a nurse or health care worker is<br />

unavailable or unable to per<strong>for</strong>m the task<br />

Injections -- medication extra<br />

110A -- intramuscular or subcutaneous - (included in visit) $26.20 *<br />

111A -- direct intravenous injection of medication (Not <strong>for</strong> $24.40 *<br />

injection into IV tubing nor <strong>for</strong> initiation if IV)<br />

112A -- arterial puncture $27.80 *<br />

113A Hyposensitization injections -- each -- included $13.90 *<br />

in visit maximum 3 units per session -- up to 9<br />

units per session <strong>for</strong> venom desensitization<br />

114A IVP/IVC injection when per<strong>for</strong>med in the $24.40 *<br />

absence of a radiologist<br />

115A Aspiration and/or injection of ganglion $47.80 *<br />

116A Implantation of Norplant capsules $73.60 *<br />

<strong>for</strong> contraception<br />

117A Removal of Norplant capsules $100.00 *<br />

118A Pessary -- Initial fitting or review $33.40 *<br />

Bladder catheterization<br />

120A -- urethral $13.90 *<br />

121A -- other than urethral $19.30 *<br />

122A Peritoneal lavage $169.00 *<br />

123A Insertion of I.U.D. $66.80 *<br />

125A Paracentesis or diagnostic tap -- thorax $120.00 *<br />

or abdomen<br />

126A Pericardial aspiration - by any method $152.00 *<br />

(17 years of age and older)<br />

130A Pericardial aspiration - by any method $257.00 *<br />

(under 17 years of age)<br />

127A Lumbar puncture $101.00 *<br />

128A Gastric lavage $38.50 *<br />

129A Percutaneous manipulations of gallstone(s) $412.00 *<br />

131A Submission of Papanicolau smear (females only) $26.70 *<br />

132A Relief of faecal impaction -- under $147.70 *<br />

general anaesthetic<br />

SMA FEE GUIDE<br />

- A18 -<br />

June 1, 2011

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