McLaren Macomb

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $2,015

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $654

• Breast MRI

  SSP RA011

  up to

  $2,084

• Breast Ultrasound

  SSP RA012

  up to

  $182

• Bronchoscopy

  SSP PU000

  up to

  $3,764

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,399

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,219

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $615

• Colonoscopy

  SSP GA002

  up to

  $1,065

• Colonoscopy via Stoma

  SSP GA000

  up to

  $693

• CT

  SSP RA001

  up to

  $1,082

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,348

• Delivery - Cesarean

  SSP OB002

  up to

  $11,541

• Delivery - Vaginal

  SSP OB001

  up to

  $6,144

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,959

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $533

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $634

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $17,344

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,086

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $1,239

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $1,677

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $2,162

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,560

• Mammogram

  SSP RA010

  up to

  $56

• MRI with Contrast

  SSP RA007

  up to

  $2,774

• MRI without Contrast

  SSP RA005

  up to

  $1,526

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $990

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $1,969

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,382

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $8,100

• Ultrasound

  SSP RA008

  up to

  $280

• X-Ray

  SSP RA000

  up to

  $262