Wisconsin Specialty Surgery Center

Provider Information

Services

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $11,022

• Colonoscopy

  SSP GA002

  up to

  $3,601

• CT

  SSP RA001

  up to

  $670

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $464

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,437

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $888

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $10,973

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,953

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $12,924

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,778

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $7,531

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,980

• MRI with Contrast

  SSP RA007

  up to

  $502

• MRI without Contrast

  SSP RA005

  up to

  $705

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,070

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,407

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,535

• Ultrasound

  SSP RA008

  up to

  $636

• X-Ray

  SSP RA000

  up to

  $217