for uninsured services - Saskatchewan Medical Association

SECTION W:DIAGNOSTIC ULTRASOUNDMultiple Procedures -- are paid at 100% of the listed units for each procedure.TechnicalTechnical Interpretation andHead and Neck Component Component Interpretation11W Echoencephalography (midline $59.00 $45.00 $104.00and ventricular size)12W Thyroid sonography $97.40 $53.50 $150.9013W With 7.5 or 10 mhz. transducer $125.50 $53.50 $179.0016W Biometry for measuring axial length $54.60 $40.00 $94.60- unilateral(second eye not billable if done forcomparison purposes)17W Ophthalmic sonography for diagnostic $52.00 $37.00 $89.00examination of the posterior segment- unilateral(second eye not billable if done forcomparison purposes)14W Transfontanel neonatal brain sonography $107.70 $59.30 $167.00Chest20W Echocardiography, M-mode $124.20 $77.00 $201.2021W ultrasonically guided $92.40 $75.60 $168.00-- pericardiocentesis, or-- thoracocentesis22W Sonography for pleural effusion $77.20 $27.80 $105.0023W Sonography for breast mass $91.00 $56.00 $147.00(per breast)Abdomen30W Sonography for kidneys, liver, $179.00 $101.00 $280.00pancreas, gall bladder, spleen,aorta, and related structures31W Renal sonography -- independent $106.80 $74.20 $181.00study only32W Ultrasonically guided biopsy or $96.40 $54.50 $150.90cyst aspirationObstetrics and Gynaecology40W Obstetrical scan -- complete $167.60 $98.40 $266.00(includes pregnancy diagnosis,foetal age determination andplacenta localization)47W --for twins (not to be billed before 16 weeks) $163.50 $98.50 $262.0048W --for triplets or greater (not to be billed $242.00 $162.00 $404.00before 16 weeks)41W Obstetrical scan -- limited $87.80 $51.20 $139.0042W Sonography for I.U.C.D. $97.40 $59.90 $157.30localizationSMA FEE GUIDE - W1 - April 1, 2012