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Listas para Publicar en el Portal-1 (2) - Triple-S Salud

Listas para Publicar en el Portal-1 (2) - Triple-S Salud

Listas para Publicar en el Portal-1 (2) - Triple-S Salud

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Procedure &<br />

Place of Service<br />

Tarifas<br />

Servicios de <strong>Salud</strong><br />

Description Fee<br />

67316-00 strabismus recession/rescj 2/more ver musc $526.50<br />

67318-00 strabismus any suprior oblq musc $526.50<br />

67320-00 trpos any eo musc $643.50<br />

67331-00 strabismus previous eye x involve eo musc $585.00<br />

67332-00 strabismus scarring eo musc/rstcv myopathy $585.00<br />

67334-00 strabismus post fixj sutr tq +-musc recession $526.50<br />

67335-00 plmt adjustable sutr strabismus $526.50<br />

67340-00 strabismus expl&/rpr detached eo musc $526.50<br />

67343-00 rls x10sv scar tiss w/o detaching eo musc spx $342.23<br />

67345-00 chemodnrvtj eo musc $140.40<br />

67346-00 biopsy extraocular muscle $141.38<br />

67400-00 orbt w/o b1 flap expl +-bx $585.00<br />

67405-00 orbt w/o b1 flap drg only $585.00<br />

67412-00 orbt w/o b1 flap rmvl les $594.75<br />

67413-00 orbt w/o b1 flap rmvl fb $585.00<br />

67414-00 orbt w/o b1 flap rmvl b1 dcmprn $526.50<br />

67415-00 fine ndl aspir orb cnts $68.25<br />

67420-00 orbt b1 flap/window lat rmvl les $877.50<br />

67430-00 orbt b1 flap/window lat rmvl fb $877.50<br />

67440-00 orbt b1 flap/window lat drg $877.50<br />

67445-00 orbt b1 flap/window lat rmvl b1 dcmprn $789.75<br />

67450-00 orbt b1 flap/window lat expl +-bx $877.50<br />

67500-00 retrobulbar njx med spx $19.50<br />

67505-00 retrobulbar njx alcohol $97.50<br />

67515-00 njx med/other sbst t<strong>en</strong>on's capsule $19.50<br />

67550-00 orb implt insj $497.25<br />

67560-00 orb implt rmvl/revj $390.00<br />

67570-00 optic nrv dcmprn $476.78<br />

67700-00 blepharotomy drg absc ey<strong>el</strong>id $19.50<br />

67710-00 severing tarsorrhaphy $19.50<br />

67715-00 canthotomy spx $19.50<br />

67800-00 exc chalazion 1 $48.75<br />

67801-00 exc chalazion mlt sm lid $58.50<br />

67805-00 exc chalazion mlt diff lids $68.25<br />

67808-00 exc chalazion anes req hospization 1/mlt $141.38<br />

67810-00 bx ey<strong>el</strong>id $48.75<br />

67820-00 corrj trichiasis epilation forceps only $14.63<br />

67825-00 corrj trichiasis epilation oth/thn forceps $39.00<br />

67830-00 corrj trichiasis inc lid mrgn $29.25<br />

67835-00 corrj trichiasis inc lid mrgn w/fr muc memb grf $58.50<br />

67840-00 exc les ey<strong>el</strong>id w/o clsr/w/smpl dir clsr $58.50<br />

67850-00 dstrj les lid mrgn

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