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for uninsured services - Saskatchewan Medical Association

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SECTION Z:NUCLEAR MEDICINESMA FEE GUIDE - Z3 - April 1, 2012TechnicalTechnical Professional andComponent Component Professional330Z Supervision - stress <strong>for</strong> myocardial perfusion $226.00 $226.00exercise331Z pharmacologic $226.00 $226.00Respiratory System350Z Pulmonary perfusion study $362.00 $157.00 $519.00352Z Pulmonary ventilation-multiple projections-aerosol $362.00 $157.00 $519.00353Z Pulmonary ventilation - all phases - gas $390.00 $164.00 $554.00354Z Pulmonary ventilation - technegas $362.00 $157.00 $519.00355Z Combined pulmonary ventilation and perfusion study $477.00 $253.00 $730.00356Z Pulmonary clearance $362.00 $157.00 $519.00357Z Quantitiative analysis - pulmonary function $46.30 $46.30Central Nervous System400Z Brain imaging $354.00 $157.00 $511.00401Z Brain imaging with vascular flow $472.00 $185.00 $657.00402Z Regional cerebral blood flow $477.00 $185.00 $662.00403Z Regional cerebral metabolism $477.00 $185.00 $662.00404Z Cerebral receptor-site imaging $477.00 $185.00 $662.00405Z Cisternography $457.00 $164.00 $621.00408Z Shunt patency study $198.50 $85.50 $284.00409Z CSF leakage (imaging and sample counting) $347.00 $164.00 $511.00420Z Dacrocystography $301.00 $138.00 $439.00Genitourinary450Z Renal imaging $150.50 $85.50 $236.00single image451Z serial images $362.00 $157.00 $519.00452Z Renal imaging with vascular flow $212.00 $113.00 $325.00single static image453Z serial static images $362.00 $185.00 $547.00455Z Renal function study (computer based) $403.00 $226.00 $629.00single radionuclide456Z dual radionuclide $477.00 $253.00 $730.00457Z Renal clearance (computer based) $347.00 $164.00 $511.00458Z Renal - Captopril challenge $403.00 $226.00 $629.00459Z Renal - diuretic $403.00 $226.00 $629.00460Z Residual urine study . $150.50 $85.50 $236.00462Z Ureteral reflux study $211.50 $85.50 $297.00464Z Testricular imaging $246.00 $113.00 $359.00470Z GFR $150.50 $85.50 $236.00471Z ERPF $136.00 $76.00 $212.00480Z Hysterosalpingography $362.00 $164.00 $526.00Miscellaneous500Z Tumor localization (67Ga etc.) $246.00 $113.00 $359.00limited area501Z multiple areas or whole body $390.00 $157.00 $547.00502Z Tumor localization (Immunoscintigraphy) $477.00 $185.00 $662.00multiple areas or whole body503Z Tumor localization (other receptors) $477.00 $185.00 $662.00multiple areas or whole body505Z Inflammation localization (67Ga/Ig etc) $246.00 $113.00 $359.00limited area506Z multiple areas or whole body $390.00 $157.00 $547.00507Z Inflammation localization (WBC) $246.00 $113.00 $359.00limited area508Z multiple areas or whole body $390.00 $157.00 $547.00509Z Inflammation imaging (labelled antibodies, etc.) $477.00 $185.00 $662.00multiple areas or whole body510Z Receptor-site imaging-multiple areas or whole body $477.00 $185.00 $662.00

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