Heritage Valley Beaver

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $2,755

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,342

• Breast MRI

  SSP RA011

  up to

  $1,333

• Breast Ultrasound

  SSP RA012

  up to

  $327

• Bronchoscopy

  SSP PU000

  up to

  $2,854

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,697

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,591

• Colonoscopy

  SSP GA002

  up to

  $2,258

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,079

• CT

  SSP RA001

  up to

  $979

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $831

• Delivery - Cesarean

  SSP OB002

  up to

  $16,266

• Delivery - Vaginal

  SSP OB001

  up to

  $10,811

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,167

• Fetal MRI

  SSP RA006

  up to

  $275

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,464

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,205

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,943

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $5,854

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $7,944

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,139

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,402

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,275

• Mammogram

  SSP RA010

  up to

  $319

• MRI with Contrast

  SSP RA007

  up to

  $1,311

• MRI without Contrast

  SSP RA005

  up to

  $1,337

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,546

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $6,720

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,985

• Ultrasound

  SSP RA008

  up to

  $277

• X-Ray

  SSP RA000

  up to

  $232