Buchanan County Health Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $20,321

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,511

• Breast MRI

  SSP RA011

  up to

  $2,390

• Breast Ultrasound

  SSP RA012

  up to

  $684

• Bronchoscopy

  SSP PU000

  up to

  $3,385

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,794

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,708

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,587

• Colonoscopy

  SSP GA002

  up to

  $8,171

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,830

• CT

  SSP RA001

  up to

  $3,500

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,395

• Delivery - Cesarean

  SSP OB002

  up to

  $17,788

• Delivery - Vaginal

  SSP OB001

  up to

  $18,768

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,131

• Fetal MRI

  SSP RA006

  up to

  $3,232

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,000

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,022

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $14,787

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,494

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,694

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,304

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,743

• Mammogram

  SSP RA010

  up to

  $817

• MRI with Contrast

  SSP RA007

  up to

  $6,231

• MRI without Contrast

  SSP RA005

  up to

  $4,093

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,128

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $20,137

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,585

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,524

• Ultrasound

  SSP RA008

  up to

  $1,489

• X-Ray

  SSP RA000

  up to

  $801