Optx Rhode Island

Provider Information

Services

• Bronchoscopy

  SSP PU000

  up to

  $4,089

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,490

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,413

• Colonoscopy

  SSP GA002

  up to

  $2,742

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,384

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,383

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $470

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,227

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,727

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,705

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,470

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $3,150

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,687

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $4,992

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,139

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,478

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $1,769