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for uninsured services - Saskatchewan Medical Association

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SECTION D:INTERNAL MEDICINE64D Cardiopulmonary Exercise Testing $326.00 * D-- technical - maximal incremental or enduranceexercise testing on a treadmill or cycleergometer with ECG monitoring, gas exchangemeasurements and pre-/post-spirometrymeasurements (if equipment owned andstaff employed by physician)Payable with code 67D and applicable visit;not payable with code 63D.67D -- professional (includes 62D, 264D, 265D x 2 $326.00 Dand 277D)Payable with aplicable visit.Stress echocardiography (applicable totreadmill, dobutamine and pacing stressechocardiography).Physician in constant attendance.65D -- technical $308.00 D66D -- professional $390.00 D141D Continuous or intermittent $83.50 * Delectrocardiogram monitoring (e.g. Holteror Cardiocassette) -- interpretation142D -- technical component and scanning (if $83.50 * Dinstruments owned by physician)144D Dipyridamole thallium test to include $203.30 Dsupervision of ETT, infusion of medicationand interpretation145D 24-hour ambulatory blood pressure $53.50 * Dmonitoring--professional component only-- one per patient per year42D Cardiac arrhythmia cardioversion $218.00 0 L44D Rogitine test $40.70 L49D Bleeding time -- Ivy (Template) test $31.00 DElectroencephalogram50D -- tracing only $45.60 D51D -- interpretation only $52.50 D53D -- insertion of sphenoidal leads -- extra $40.70 D59D Electroclinical detailed interpretation of $692.00 Da set of seizures (Telemetry)Polysomnography54D -- technical component $113.40 D55D -- professional component $221.50 D56D Electrocorticography $344.50 D57D E.E.G. monitoring during carotid $172.30 Dendarterectomy58D Sodium Amytal testing $172.30 D360D Transcranial Doppler $101.70 DSMA FEE GUIDE - D3 - April 1, 2012

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