McLaren Thumb Region

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

  $2,845

• Breast Ultrasound

  SSP RA012

  up to

  $45

• Bronchoscopy

  SSP PU000

  up to

  $791

• Carpal Tunnel Repair

  SSP NU002

  up to

  $897

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $1,399

• 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

  $1,556

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $716

• Delivery - Vaginal

  SSP OB001

  up to

  $5,070

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $779

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $134

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $575

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,111

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,056

• 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

  $1,683

• Mammogram

  SSP RA010

  up to

  $56

• MRI with Contrast

  SSP RA007

  up to

  $3,552

• MRI without Contrast

  SSP RA005

  up to

  $2,004

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $879

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $1,969

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $729

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $860

• Ultrasound

  SSP RA008

  up to

  $627

• X-Ray

  SSP RA000

  up to

  $319