Quillen Rehabilitation Hospital

Provider Information

Services

• Breast Ultrasound

  SSP RA012

  up to

  $620

• Bronchoscopy

  SSP PU000

  up to

  $9,920

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $10,998

• Colonoscopy

  SSP GA002

  up to

  $9,800

• CT

  SSP RA001

  up to

  $485

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,720

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $7,023

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,583

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $27,893

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $16,202

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $31,466

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,934

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $25,254

• Mammogram

  SSP RA010

  up to

  $631

• MRI with Contrast

  SSP RA007

  up to

  $3,001

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,070

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,204

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $12,601

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $12,062

• Ultrasound

  SSP RA008

  up to

  $1,035

• X-Ray

  SSP RA000

  up to

  $875