Wake Forest Baptist Health - Brenner Childrens Hospital

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,239

• Breast MRI

  SSP RA011

  up to

  $1,784

• Breast Ultrasound

  SSP RA012

  up to

  $371

• Bronchoscopy

  SSP PU000

  up to

  $11,632

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,382

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,804

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,608

• Colonoscopy

  SSP GA002

  up to

  $6,696

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,644

• CT

  SSP RA001

  up to

  $2,306

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,510

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $7,615

• Fetal MRI

  SSP RA006

  up to

  $1,679

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,268

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $656

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $13,163

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,780

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $27,544

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,129

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,688

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $14,353

• Mammogram

  SSP RA010

  up to

  $641

• MRI with Contrast

  SSP RA007

  up to

  $2,277

• MRI without Contrast

  SSP RA005

  up to

  $1,547

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,125

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $14,410

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,347

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,124

• Ultrasound

  SSP RA008

  up to

  $625

• X-Ray

  SSP RA000

  up to

  $451