for uninsured services - Saskatchewan Medical Association

SECTION X:DIAGNOSTIC RADIOLOGYFee663X Portacath, infusaport, hemocath, Hick-Broviac $312.00 10 Lfor chemotherapy or long-term T.P.N. (PORT)- insertion (composite fee)COMPUTED TOMOGRAPHYHead700X no contrast $88.00701X with contrast $117.00702X with and without contrast $148.00Neck - skull base to thoracic inlet703X no contrast $117.00704X with contrast $133.00705X with and without contrast $148.00Thorax706X no contrast $133.00707X with contrast $148.00708X with and without contrast $176.00Abdomen709X no contrast $133.00710X with contrast $149.00711X with and without contrast $176.00Pelvis712X no contrast $133.00713X with contrast $149.00714X with and without contrast $176.00Spine - cervical, thoracic, or lumbar715X no contrast $125.00716X with contrast $139.00717X with and without contrast $155.00Extremity - arm or leg718X no contrast $117.00719X with contrast $133.00720X with and without contrast $149.00MAGNETIC RESONANCE IMAGING800X Head - Multislice SE $133.00801X Repeat another plane or sequence to max to 3 $58.60Neck (area below the brain and above the chest)802X Multislice SE $133.00803X Repeat another plane or sequence to max to 3 $58.60SMA FEE GUIDE - X8 - October 1, 2011