Frye Regional Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $8,487

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,668

• Breast MRI

  SSP RA011

  up to

  $523

• Breast Ultrasound

  SSP RA012

  up to

  $406

• Bronchoscopy

  SSP PU000

  up to

  $6,521

• Carpal Tunnel Repair

  SSP NU002

  up to

  $8,444

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,733

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,997

• Colonoscopy

  SSP GA002

  up to

  $6,121

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,913

• CT

  SSP RA001

  up to

  $732

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $615

• Delivery - Cesarean

  SSP OB002

  up to

  $26,793

• Delivery - Vaginal

  SSP OB001

  up to

  $17,406

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,653

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,642

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,778

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $10,984

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,547

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $12,732

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $9,062

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $9,002

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $11,108

• Mammogram

  SSP RA010

  up to

  $333

• MRI with Contrast

  SSP RA007

  up to

  $942

• MRI without Contrast

  SSP RA005

  up to

  $591

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,639

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $12,268

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,374

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,434

• Ultrasound

  SSP RA008

  up to

  $842

• X-Ray

  SSP RA000

  up to

  $229