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 />
68550-00 exc lacrimal glnd tum invg osteom $575.25<br />
68700-00 plstc rpr canaliculi $414.38<br />
68705-00 corrj everted punctum caut $39.00<br />
68720-00 dacryocstorhinostomy $682.50<br />
68745-00 conjunctivorhinostomy w/o tube $770.25<br />
68750-00 conjunctivorhinostomy insj tube/st<strong>en</strong>t $770.25<br />
68760-00 clsr lacrimal punctum thermocaut lig/laser $39.00<br />
68761-00 clsr lacrimal punctum plug ea $58.50<br />
68770-00 clsr lacrimal fstl spx $175.50<br />
68801-00 dilat lacrimal punctum +-irrg $19.50<br />
68810-00 probe nasolacrimal dux +-irrg $47.39<br />
68811-00 probe nasolacrimal dux +-irrg anes $97.50<br />
68815-00 probe nasolacrimal dux +-irrg insj tube/st<strong>en</strong>t $128.12<br />
68816-00 probe nasolacrimal duct with catheter dilation $138.73<br />
68840-00 probe lacrimal canaliculi +-irrg $19.50<br />
68850-00 njx cntrst medium dacryocstograpy $29.25<br />
69000-00 drg xtrnl ear absc/hmtma smpl $19.50<br />
69005-00 drg xtrnl ear absc/hmtma comp $126.75<br />
69020-00 drg xtrnl aud canal absc $19.50<br />
69100-00 bx xtrnl ear $29.25<br />
69105-00 bx xtrnl aud canal $29.25<br />
69110-00 exc xtrnl ear prtl smpl rpr $97.50<br />
69120-00 exc xtrnl ear compl amp $195.00<br />
69140-00 exc exostosis xtrnl aud canal $487.50<br />
69145-00 exc soft tiss les xtrnl aud canal $48.75<br />
69150-00 rad exc xtrnl aud canal les w/o nck dsj $468.00<br />
69155-00 rad exc xtrnl aud canal les nck dsj $1,043.25<br />
69200-00 rmvl fb xtrnl aud canal w/o anes $19.50<br />
69205-00 rmvl fb xtrnl aud canal anes $82.88<br />
69210-00 rmvl impacted cerum<strong>en</strong> spx 1/bth ears $17.55<br />
69220-00 dbrdmt mstdc cavity smpl $39.00<br />
69222-00 dbrdmt mstdc cavity cplx $117.00<br />
69300-00 otoplasty protruding ear +-size rdctj $487.50<br />
69310-00 rcnstj xtrnl aud canal spx $561.60<br />
69320-00 rcnstj xtrnl aud canal cg<strong>en</strong> atresia 1 stg $975.00<br />
69400-00 eustachian tube nfltj transnsl cathj $14.63<br />
69401-00 eustachian tube nfltj transnsl w/o cathj $9.75<br />
69405-00 eustachian tube cathj transtympanic $80.93<br />
69420-00 mrgt aspir&/eustachian tube nfltj $29.25<br />
69421-00 mrgt aspir&/eustachian tube nfltj anes $76.34<br />
69424-00 v<strong>en</strong>tilating tube rmvl anes $29.25<br />
69433-00 tmpst local/topical anes $48.75<br />
69436-00 tmpst anes $243.75<br />
69440-00 middle ear expl thru postaur/ear canal inc $487.50<br />
69450-00 tympanolss transcanal $780.00<br />
69501-00 transmastoid antrt $409.50<br />
69502-00 mstdc compl $487.50<br />
69505-00 mstdc modf rad $780.00<br />
69511-00 mstdc rad $780.00<br />
69530-00 petrous apicectomy rad mstdc $1,160.25<br />
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