for uninsured services - Saskatchewan Medical Association

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SECTION Z:NUCLEAR MEDICINETechnicalTechnical Professional andComponent Component Professional511Z Receptor-site imaging - limited area $243.00 $115.00 $358.00Miscellaneous continued514Z Infection imaging (labelled antibiotics, etc.), $253.00 $116.00 $369.00limited area515Z multiple areas or whole body $401.00 $162.00 $563.00516Z Imaging amyloid, etc. limited area $253.00 $116.00 $369.00517Z multiple areas or whole body $401.00 $162.00 $563.00520Z Breast milk assay $161.10 $45.90 $207.00Radionuclide Therapy600Z 32P therapy polycythaemia - per administration $242.70 $80.30 $323.00602Z 131Iodine ablative therapy - per administration $120.70 $80.30 $201.00604Z Metastatic disease - palliative - 99Sr etc. $120.70 $80.30 $201.00606Z Malignant ascites or plural effusion $203.00 $143.00 $346.00per administration608Z Radioimmunotherapy $203.00 $143.00 $346.00per administrationTomography700Z Liver and spleen SPECT $493.00 $354.00 $847.00702Z Hepatic blood pool SPECT $492.00 $370.00 $862.00704Z Bone SPECT $493.00 $354.00 $847.00706Z Joint SPECT $493.00 $354.00 $847.00708Z Gated Cardiac Wall Motion (Blood Pool) SPECT $492.00 $370.00 $862.00710Z Myocardial Perfusion SPECT $493.00 $354.00 $847.00rest711Z stress $493.00 $354.00 $847.00712Z ventricular wall motion/thickening $117.00 $117.00713Z ventricular volumes/ejection fraction $117.00 $117.00714Z Myocardial viability SPECT $492.00 $370.00 $862.00716Z Brain SPECT $493.00 $354.00 $847.00718Z Regional Cerebral Perfusion SPECT $492.00 $387.00 $879.00719Z with acetozolamide etc. $493.00 $345.00 $838.00720Z Cerebral Receptor-site SPECT $492.00 $387.00 $879.00722Z CSF Flow SPECT $493.00 $354.00 $847.00724Z Renal SPECT $493.00 $354.00 $847.00726Z Inflammation SPECT $493.00 $354.00 $847.00728Z Bone Marrow SPECT $493.00 $354.00 $847.00730Z Lymph node SPECT $493.00 $354.00 $847.00732Z Tumor SPECT $493.00 $354.00 $847.00Position Emission Tomography800Z Whole body (planar) $829.00 $267.00 $1,096.00801Z Whole body PET $957.00 $267.00 $1,224.00802Z Partial body PET $828.00 $212.00 $1,040.00803Z Attenuation correction $135.00 $135.00804Z Specific uptake valves $38.20 $38.20805Z Volume rendering $66.30 $66.30SMA FEE GUIDE - Z4 - October 1, 2011
Hand Surgery AppendixFeeAnaeCodeNervesDecompressionDecompression of entrapment syndrome158K -- median nerve $526.00 42 L159K -- others $549.00 42 L169K Transposition of ulnar nerve $755.00 42 LRepair165K Digital nerve suture $376.00 42 L163K Nerve suture (other than digital ) $751.10 42 L164K Nerve suture with special techniques to $886.00 42 Lovercome gap368K Secondary or delayed nerve repair -- one $209.70 42 Lmonth post injury, add468K Fascicular instead of epineural nerve $535.00 42 Mrepair, addNerve grafting procedures168K -- single cable . $978.00 42 L268K -- multiple cables $1,421.00 42 L162K Exploration of peripheral nerve injury, $713.70 42 Lor neurolysisExcisions - Peripheral Nerve Lesions157K Removal of tumor -- major peripheral $673.00 42 Lnerve (e.g. median or ulna)161K Neuroma excision $585.00 42 LTendonsRepair or suture -- flexor tendon696M -- single unless otherwise listed $585.00 42 L697M -- each additional $334.00 * 42 LRepair or suture -- extensor tendon690M -- single hand or foot -- distal to wrist or ankle $459.00 * 42 L-- each additional tendon691M -- foot $251.00 * 42 L692M -- hand $292.00 * 42 L693M -- single -- forearm or leg $209.00 * 42 L-- each additional tendon694M -- leg $53.50 * 42 L695M -- forearm $125.00 * 42 LRepair680M Tendon sheath reconstruction -- insertion of $590.60 42 Lsilastic rod681M -- each additional $357.40 42 L780M Repair boutonniere deformity $393.80 42 LSMA FEE GUIDE - 1 - October 1, 2011
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SMA Fee Guide (for uninsured servic
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INTRODUCTION / PREAMBLEAn understan
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INTRODUCTION / PREAMBLE8. Classific
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INTRODUCTION / PREAMBLERequests fro
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INTRODUCTION / PREAMBLEa) Keep Pati
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SECTION B:GENERAL PRACTICEFeeHospit
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SECTION B:GENERAL PRACTICEEmergency
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SECTION C:PAEDIATRICSProceduresAddi
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SECTION D:INTERNAL MEDICINEVisits F
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SECTION D:INTERNAL MEDICINEFee141D
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SECTION D:INTERNAL MEDICINEFeeEvoke
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SECTION D:INTERNAL MEDICINEFee284D
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SECTION E:PSYCHIATRYFee62E Examinat
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SECTION E:PSYCHIATRYPsychotherapyPs
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SECTION F:DERMATOLOGYVisitsFee5F In
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SECTION G:MEDICAL GENETICS^FeeCouns
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SECTION H:ANAESTHESIAANAESTHESIA CA
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SECTION H:ANAESTHESIA- Hysterosocpi
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SECTION H:ANAESTHESIAFee132H Lumbar
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SECTION H:ANAESTHESIALess Intensive
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SECTION I:CARDIOLOGYFee105I Full el
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SECTION K:NEUROSURGERYVisits Fee An
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SECTION K:NEUROSURGERYFeeAnae211K T
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SECTION K:NEUROSURGERYFeeAnaeFusion
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SECTION K:NEUROSURGERYFeeAnae645K P
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SECTION MORTHOPAEDIC SURGERYClassif
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SECTION N:PLASTIC SURGERYVisits Fee
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SECTION N:PLASTIC SURGERYFeeAnae261
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SECTION N:PLASTIC SURGERYFeeAnae344
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SECTION N:PLASTIC SURGERYFeeAnaeEsc
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