for uninsured services - Saskatchewan Medical Association

SECTION W:DIAGNOSTIC ULTRASOUNDTechnicalTechnical Interpretation andComponent Component Interpretation43W Sonography for pelvic mass $145.60 $78.40 $224.00diagnosis45W Transvaginal ultrasound study add to 40W or 43W $68.20 $36.80 $105.00149W Nuchal translucency screening -- first trimester $80.00 $50.00 $130.00(in an approved facility, only physicians designatedby the SMA Tariff Committee as eligible ) -- oneper pregnancy150W - each additional foetus $60.00 $37.50 $97.5049W Transvaginal ultrasound study as an $135.20 $72.80 $208.00independent procedure -- initial(Serial studies for infertility are uninsuredand not billable. Follicle tracking forinsured services is payable as 49W for thefirst exam and 449W for subsequentexams within 22 days).449W Transvaginal ultrasound follicle tracking $80.00 $47.00 $127.00follow-up study -- subsequent examwithin 22 days44W Ultrasonically guided $97.40 $59.90 $157.30amniocentesis46W Biophysical profile of fetus (not to be billed $147.70 $103.80 $251.50before 28 weeks) max of 1 per day446W Biophysical profile per additional multiple $93.80 $60.20 $154.00fetus (not to be billed before 28 weeks)Doppler Studies50W Flow studies including arterial $122.80 $55.20 $178.00or venous or foetal monitoringor shunt assessment, etc.max of 1 per day54W peripheral venous (per limb) $214.50 $81.50 $296.0051W - each additional foetus $89.40 $40.60 $130.00Miscellaneous60W Transrectal ultrasonography of $122.00 $77.00 $199.00prostate62W Ultrasonography of testicles $97.30 $56.70 $154.0070W Localized soft tissues, popliteal $109.40 $61.60 $171.00fossa or hypertrophic pyloricstenosis71W Rotator cuff or congenital $148.80 $73.20 $222.00dislocation of hip72W Ultrasonography of parotid glands $81.30 $56.70 $138.00or similarSMA FEE GUIDE - W2 - April 1, 2012