Augusta Health

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $15,690

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,865

• Breast MRI

  SSP RA011

  up to

  $3,141

• Breast Ultrasound

  SSP RA012

  up to

  $693

• Bronchoscopy

  SSP PU000

  up to

  $5,070

• Carpal Tunnel Repair

  SSP NU002

  up to

  $15,648

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,950

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,227

• Colonoscopy

  SSP GA002

  up to

  $4,647

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,349

• CT

  SSP RA001

  up to

  $2,478

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,474

• Delivery - Cesarean

  SSP OB002

  up to

  $34,231

• Delivery - Vaginal

  SSP OB001

  up to

  $23,723

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,938

• Fetal MRI

  SSP RA006

  up to

  $2,227

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,042

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,933

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $24,542

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $15,745

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $26,223

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $18,948

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $16,184

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $24,662

• MRI with Contrast

  SSP RA007

  up to

  $2,465

• MRI without Contrast

  SSP RA005

  up to

  $2,324

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,102

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $25,777

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,602

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,660

• Ultrasound

  SSP RA008

  up to

  $657

• X-Ray

  SSP RA000

  up to

  $617