Pcs Procedure Suite

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,873

• Breast MRI

  SSP RA011

  up to

  $285

• Bronchoscopy

  SSP PU000

  up to

  $2,728

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,809

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,641

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,531

• Colonoscopy

  SSP GA002

  up to

  $1,592

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,394

• CT

  SSP RA001

  up to

  $529

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $707

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $892

• Fetal MRI

  SSP RA006

  up to

  $397

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $571

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $995

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,316

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $3,011

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,521

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,179

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,788

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $4,575

• MRI with Contrast

  SSP RA007

  up to

  $453

• MRI without Contrast

  SSP RA005

  up to

  $423

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,197

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,606

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,971

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,258

• Ultrasound

  SSP RA008

  up to

  $267

• X-Ray

  SSP RA000

  up to

  $186