University of Texas MD Anderson Cancer Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $5,452

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,447

• Breast MRI

  SSP RA011

  up to

  $3,519

• Breast Ultrasound

  SSP RA012

  up to

  $1,097

• Bronchoscopy

  SSP PU000

  up to

  $4,164

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,639

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,493

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,499

• Colonoscopy

  SSP GA002

  up to

  $3,243

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,191

• CT

  SSP RA001

  up to

  $2,097

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,982

• Delivery - Cesarean

  SSP OB002

  up to

  $21,014

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,693

• Fetal MRI

  SSP RA006

  up to

  $1,334

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,220

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,156

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $13,694

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $7,427

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $9,870

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,097

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,335

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,124

• Mammogram

  SSP RA010

  up to

  $672

• MRI with Contrast

  SSP RA007

  up to

  $3,518

• MRI without Contrast

  SSP RA005

  up to

  $3,568

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,962

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $13,787

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,859

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,468

• Ultrasound

  SSP RA008

  up to

  $878

• X-Ray

  SSP RA000

  up to

  $622