Maine Eye Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,236

• Breast MRI

  SSP RA011

  up to

  $369

• Bronchoscopy

  SSP PU000

  up to

  $3,438

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,443

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,523

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,119

• Colonoscopy

  SSP GA002

  up to

  $2,047

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,865

• CT

  SSP RA001

  up to

  $572

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $883

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,221

• Fetal MRI

  SSP RA006

  up to

  $493

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $801

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,288

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $6,069

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,121

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $11,230

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,850

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,038

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $6,352

• MRI with Contrast

  SSP RA007

  up to

  $565

• MRI without Contrast

  SSP RA005

  up to

  $485

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,639

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,166

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,683

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,162

• Ultrasound

  SSP RA008

  up to

  $334

• X-Ray

  SSP RA000

  up to

  $147