Orange County Vascular Access Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,496

• Breast MRI

  SSP RA011

  up to

  $270

• Bronchoscopy

  SSP PU000

  up to

  $2,093

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,517

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,256

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,348

• Colonoscopy

  SSP GA002

  up to

  $1,416

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,223

• CT

  SSP RA001

  up to

  $538

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $533

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $804

• Fetal MRI

  SSP RA006

  up to

  $366

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $534

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $638

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,047

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,665

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $6,902

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,156

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,090

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $4,193

• MRI with Contrast

  SSP RA007

  up to

  $412

• MRI without Contrast

  SSP RA005

  up to

  $556

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,142

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $6,348

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,881

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,079

• Ultrasound

  SSP RA008

  up to

  $204

• X-Ray

  SSP RA000

  up to

  $122