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for uninsured services - Saskatchewan Medical Association

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SECTION P:OBSTETRICS/GYNAECOLOGYFeeAnaeTherapeutic abortion (includes incomplete andmissed abortion)50P -- first trimester $387.30 * 42 L250P -- second trimester $528.60 42 L350P -- D&C <strong>for</strong> incomplete or missed abortion $387.30 * 42 L51P Intrauterine foetal transfusion $608.80 1052P Repair of fourth degree tear following $380.90 42 Ldelivery54P Repair of 3rd degree tear following $190.50 10 Ldelivery or secondary repair ofepisiotomyNote: Repair of episiotomy is included in thedelivery fee.53P Replacement of inverted uterus $380.90 42 L55P Insertion of intrauterine pressure $57.20 * Dcatheter56P Application of scalp electrodes <strong>for</strong> internal $59.30foetal EKG monitoring258P Transvaginal fetal scalp blood sampling $124.00 * D(payable twice per pregnancy)Amniotic tap -- trans-abdominal57P -- second trimester $167.00 * D58P -- third trimester $121.00 * D59P Fetoscopy -- including fetal blood sample, $319.90 Dcell harvest or amniocentesisNon stress test -- in office (if equipmentowned by physician)260P -- First foetus $71.80 D261P -- Second and subsequent, per foetus add $54.00 DProceduresAdditional payments <strong>for</strong> diagnostic serviceexcluding ECG's, 0, 10 or 42 day operativeprocedures per<strong>for</strong>med on patients under one (1) yearof age are automatically calculated and paid asexplained in Section A, pages A34 and A35.Gynaecology30P Vaginal sperm examination $79.20 * DIn vitro sperm penetration test330P -- technical component $53.50 * D331P -- professional component $53.50 * D338P Sperm washing prior to insemination $79.20 * 0(per<strong>for</strong>med in physician's own office)31P Tubal insufflation or hysterosalpingogram or $105.90 * D Lsonohysterogram -- Rubins (bilateral)32P Pelvic examination under anaesthesia $130.00 * D L(when only procedure done)33P Culdocentesis (when only procedure done) $64.20 * D L34P Culdoscopy or laparoscopy $387.30 D M(laparoscopy not paid with laparoscopicsurgery unless it precedes the surgery as adiagnostic procedure) -- with or without biopsySMA FEE GUIDE - P4 - April 1, 2012

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