for uninsured services - Saskatchewan Medical Association

SECTION X:DIAGNOSTIC RADIOLOGYFeeAnae663X Portacath, infusaport, hemocath, Hick-Broviac $374.00 10 Lfor chemotherapy or long-term T.P.N. (PORT)- insertion (composite fee)COMPUTED TOMOGRAPHYHead700X no contrast $82.00701X with contrast $109.00702X with and without contrast $138.00Neck - skull base to thoracic inlet703X no contrast $109.00704X with contrast $123.00705X with and without contrast $138.00Thorax706X no contrast $123.00707X with contrast $138.00708X with and without contrast $164.00Abdomen709X no contrast $123.00710X with contrast $139.00711X with and without contrast $164.00Pelvis712X no contrast $123.00713X with contrast $139.00714X with and without contrast $164.00Spine - cervical, thoracic, or lumbar715X no contrast $116.00716X with contrast $130.00717X with and without contrast $144.00Extremity - arm or leg718X no contrast $109.00719X with contrast $123.00720X with and without contrast $139.00MAGNETIC RESONANCE IMAGING800X Head - Multislice SE $123.00801X Repeat another plane or sequence to max to 3 $54.60Neck (area below the brain and above the chest)802X Multislice SE $123.00803X Repeat another plane or sequence to max to 3 $54.60SMA FEE GUIDE - X8 - April 1, 2012