Physicians Surgical Center of Lebanon

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,705

• Breast MRI

  SSP RA011

  up to

  $286

• Bronchoscopy

  SSP PU000

  up to

  $2,419

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,780

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,651

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,596

• Colonoscopy

  SSP GA002

  up to

  $1,785

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,608

• CT

  SSP RA001

  up to

  $481

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $486

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $963

• Fetal MRI

  SSP RA006

  up to

  $349

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $644

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $656

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,836

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $3,154

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,085

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,455

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,617

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $5,064

• MRI with Contrast

  SSP RA007

  up to

  $470

• MRI without Contrast

  SSP RA005

  up to

  $397

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,318

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,480

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,691

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,482

• Ultrasound

  SSP RA008

  up to

  $205

• X-Ray

  SSP RA000

  up to

  $125