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