for uninsured services - Saskatchewan Medical Association

SECTION X:DIAGNOSTIC RADIOLOGYSpecialist inRadiologyAnae625X Percutaneous cholangiography $260.00 D L626X Percutaneous renal cystography . $97.00 D627X --with alcohol obliteration of renal cyst $156.00 0628X Dacryocystography each $104.00 D629X Portogram through umbilical vein $82.20 D630X Bronchial Brushing $128.00 D631X Pelvic Venography $67.20 D L632X Tube positioning for small bowel study $56.50 D L639X Epidurography $119.00 D640X Lumbar Epidural Venography $162.00 D641X Utereal stent placement via nephrostomy tract $265.00 0 LProcedures under fluoroscopic, C.T. or UltrasonicGuidance642X Percutaneous intrathoracic biopsy $235.00 D L643X Percutaneous intra-abdominal biopsy $235.00 D L644X Percutaneous intra-abdominal drainage $352.00 0 L645X Percutaneous biliary drainage $550.00 0 L646X Change of drainage tube in relation to procedures $121.00 0644X, 645X, 647X, 650X, and 651X647X Percutaneous nephrostomy with nephrogram $600.00 0 L648X Manipulation of peritoneal dialysis catheter $112.00 0649X Transjugular liver biopsy $460.00 0650X Percutaneous gastrotomy $335.00 0 L651X Percutaneous jejunostomy $375.00 0 L652X Percutaneous insertion of Vena Cava filter $310.00 0653X Fallopian tube cannulation and dilatation --with $252.00 10 Lselective salpingography, unilateral or bilateral….654X Removal of intravascular foreign body --composite $450.00 0fee655X Transjugular portosystemic shunts (TIPS) $1,080.00 0--composite fee656X Non-palpable breast lesion --needle localization each $130.00 D L657X Stereotactic mammographic guided breast biopsy each $60.00 D L658X Mammographic or ultrasound guided breast biopsy $290.00 D659X Fluoroscopic control of clinical procedures done $18.00 0by another physician per 1/4 hour or major partthereof --technical component660X --professional component $42.00 0661X Percutaneous insertion of Pleural catheter for $175.00 0 Lclosed chest drainage (includes 659X and 660X) each662X Percutaneous intravenous central catheter (PICC) $422.00 0 Lincludes placement, removal, venography andultrasound - composite feeSMA FEE GUIDE - X7 - April 1, 2012