Broadlawns Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $1,589

• Breast MRI

  SSP RA011

  up to

  $309

• Breast Ultrasound

  SSP RA012

  up to

  $172

• Bronchoscopy

  SSP PU000

  up to

  $3,407

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,437

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,252

• Colonoscopy

  SSP GA002

  up to

  $854

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,030

• CT

  SSP RA001

  up to

  $192

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,433

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,226

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $716

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,573

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $1,762

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $2,310

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $1,932

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $2,013

• Mammogram

  SSP RA010

  up to

  $339

• MRI with Contrast

  SSP RA007

  up to

  $318

• MRI without Contrast

  SSP RA005

  up to

  $218

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,457

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $2,990

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $824

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $861

• Ultrasound

  SSP RA008

  up to

  $375

• X-Ray

  SSP RA000

  up to

  $176