Upper Connecticut Valley Hospital

Provider Information

Services

• Breast Ultrasound

  SSP RA012

  up to

  $929

• CT

  SSP RA001

  up to

  $3,327

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,300

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,912

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $676

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $927

• Mammogram

  SSP RA010

  up to

  $1,122

• MRI with Contrast

  SSP RA007

  up to

  $5,633

• MRI without Contrast

  SSP RA005

  up to

  $3,431

• Ultrasound

  SSP RA008

  up to

  $1,008

• X-Ray

  SSP RA000

  up to

  $841