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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
SECTION Z:NUCLEAR MEDICINETechnicalTechnical Professional andComponent Component Professional511Z Receptor-site imaging - limited area $226.00 $107.00 $333.00Miscellaneous continued514Z Infection imaging (labelled antibiotics, etc.), $235.00 $108.00 $343.00limited area515Z multiple areas or whole body $374.00 $150.00 $524.00516Z Imaging amyloid, etc. limited area $235.00 $108.00 $343.00517Z multiple areas or whole body $374.00 $150.00 $524.00520Z Breast milk assay $150.30 $42.70 $193.00Radionuclide Therapy600Z 32P therapy polycythaemia - per administration $226.20 $74.80 $301.00602Z 131Iodine ablative therapy - per administration $112.20 $74.80 $187.00604Z Metastatic disease - palliative - 99Sr etc. $112.20 $74.80 $187.00606Z Malignant ascites or plural effusion $190.00 $133.00 $323.00per administration608Z Radioimmunotherapy $190.00 $133.00 $323.00per administrationTomography700Z Liver and spleen SPECT $458.00 $330.00 $788.00702Z Hepatic blood pool SPECT $459.00 $344.00 $803.00704Z Bone SPECT $458.00 $330.00 $788.00706Z Joint SPECT $458.00 $330.00 $788.00708Z Gated Cardiac Wall Motion (Blood Pool) SPECT $459.00 $344.00 $803.00710Z Myocardial Perfusion SPECT $458.00 $330.00 $788.00rest711Z stress $458.00 $330.00 $788.00712Z ventricular wall motion/thickening $109.00 $109.00713Z ventricular volumes/ejection fraction $109.00 $109.00714Z Myocardial viability SPECT $459.00 $344.00 $803.00716Z Brain SPECT $458.00 $330.00 $788.00718Z Regional Cerebral Perfusion SPECT $459.00 $360.00 $819.00719Z with acetozolamide etc. $458.00 $322.00 $780.00720Z Cerebral Receptor-site SPECT $459.00 $360.00 $819.00722Z CSF Flow SPECT $458.00 $330.00 $788.00724Z Renal SPECT $458.00 $330.00 $788.00726Z Inflammation SPECT $458.00 $330.00 $788.00728Z Bone Marrow SPECT $458.00 $330.00 $788.00730Z Lymph node SPECT $458.00 $330.00 $788.00732Z Tumor SPECT $458.00 $330.00 $788.00Position Emission Tomography800Z Whole body (planar) $772.00 $249.00 $1,021.00801Z Whole body PET $891.00 $249.00 $1,140.00802Z Partial body PET $772.00 $197.00 $969.00803Z Attenuation correction $126.00 $126.00804Z Specific uptake valves $35.60 $35.60805Z Volume rendering $61.70 $61.70SMA FEE GUIDE - Z4 - April 1, 2012
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SMA Fee Guide (for uninsured servic
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INTRODUCTION / PREAMBLEAn understan
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INTRODUCTION / PREAMBLE8. Classific
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INTRODUCTION / PREAMBLERequests fro
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INTRODUCTION / PREAMBLEa) Keep Pati
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SECTION A1:UNINSURED SERVICESIICHAR
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SECTION A1:UNINSURED SERVICESIIIRES
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SECTION A.4:GENERAL SERVICESthe sur
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SECTION A.4:GENERAL SERVICESFee626A
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SECTION A.4:GENERAL SERVICES278D, 2
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SECTION A.4:Pharmacists; Private ca
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SECTION A.4:GENERAL SERVICESFeePati
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SECTION B:GENERAL PRACTICEGeneral P
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SECTION B:GENERAL PRACTICE35B- per
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SECTION B:GENERAL PRACTICE15 minute
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SECTION C:PAEDIATRICSVisitsFee3C Co
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SECTION C:PAEDIATRICSFeeCardiorespi
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SECTION D:INTERNAL MEDICINEFee350D
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SECTION D:INTERNAL MEDICINEFee Anae
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SECTION E:PSYCHIATRYVisitsFee5E Ini
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SECTION E:PSYCHIATRYFee75E Consulta
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SECTION E:PSYCHIATRYFee35E Concurre
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SECTION G:MEDICAL GENETICS^Fee Anae
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SECTION H:ANAESTHESIA"Standby" foll
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SECTION H:ANAESTHESIAFee Anae132H L
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SECTION H:ANAESTHESIALess Intensive
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SECTION I:CARDIOLOGYFee Anae105I Fu
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SECTION K:NEUROSURGERYFeeHospital C
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SECTION K:NEUROSURGERYFeeAnaeNerve
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SECTION K:NEUROSURGERY540K -- each
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SECTION K:NEUROSURGERYFeeAnae648K R
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SECTION L:GENERAL SURGERYFeeAnaeHea
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SECTION L:GENERAL SURGERYFeeAnae120
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SECTION MORTHOPAEDIC SURGERYClassif
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SECTION M:ORTHOPAEDIC SURGERYmuscul
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SECTION N:PLASTIC SURGERY2. Correct
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SECTION N:PLASTIC SURGERYFeeAnaeFun
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SECTION N:PLASTIC SURGERYFeeAnaeNos
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SECTION N:PLASTIC SURGERYFeeAnae367
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SECTION O:PHYSICAL MEDICINEVisitsFe
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SECTION P:OBSTETRICS/GYNAECOLOGYAls
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SECTION P:OBSTETRICS/GYNAECOLOGYFee
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Page 205: Hand Surgery AppendixFeeAnaeTenolys
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