for uninsured services - Saskatchewan Medical Association

SECTION L:GENERAL SURGERYFee505L -- with brush cystology -- add $58.20 * D-- with Biliary or pancreatic duct balloon dilatations506L -- 1st add $117.00 * D507L -- 2nd add $58.20 * D-- with stenting (any type of stent) -- stent insertion508L -- 1st add $117.00 * D509L -- 2nd add $58.20 * D510L -- stent removal -- one or more add $58.20 * D511L -- stent removal and replacement -- add $117.00 * D512L -- with Brachytherapy catheter placement -- add $108.00 * D513L -- with nasobilary tube placement -- add $116.00 * DAnae520L Bronchoscopy -- (unilateral or bilateral with or $242.00 * D Lwithout biopsy) -- base521L -- with fluroscopy -- add $119.00 * D522L -- with tracheobronchial toilet -- add $121.00 * D523L -- with removal of benign tumor -- add $108.00 * D524L -- with endobronchial malignant tumor $510.00 * Ddebulking -- add525L -- with tracheo esophageal fistula creation -- add $110.00 * D526L -- with removal of foreign body (rigid or $362.00 * Dflexscope) -- add515L Endobronchial Ultrasound Base-includes bronchoscopy-516L may be added $510.00 D516L Transbronchial needle aspiration-add maximum of 3 lesions or stations $102.00 D452L Video Capsule Endoscopy -- 15 minute units -- maximum of 10 units $103.00 DDouble Balloon Endoscopies527L Antegrade Double Balloon Enteroscopy $520.00 D L528L Retrograde Double Balloon Enteroscopy $656.00 D L529L Double Balloon Colonoscopy $574.00 D L530L Double Balloon Endoscopic Retrograde Cholangiopancreatography $656.00 D LSMA FEE GUIDE - L18 - April 1, 2012