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 />
92961-00 cardioversion <strong>el</strong>ective arrhyt int spx $177.26<br />
92970-00 cardioassist-meth crc assist int $127.24<br />
92973-00 prq trluml c thrmbc $131.63<br />
92974-00 tcat plmt radj dlvr dev sbsq c iv brachytx $118.46<br />
92975-00 thrombolss c intrac nfs slctv c angrph $339.04<br />
92977-00 thrombolss c iv nfs $191.10<br />
92978-00 iv us c vsl dx&/ther 1st vsl $193.05<br />
92978-26 iv us c vsl dx&/ther 1st vsl $77.22<br />
92978-TC iv us c vsl dx&/ther 1st vsl $115.83<br />
92979-00 iv us c vsl dx&/ther ea vsl $119.34<br />
92979-26 iv us c vsl dx&/ther ea vsl $47.74<br />
92979-TC iv us c vsl dx&/ther ea vsl $71.60<br />
92980-00 tcat plmt an intrac st<strong>en</strong>t prq 1 vsl $1,140.75<br />
92981-00 tcat plmt intrac st<strong>en</strong>t prq ea vsl $298.35<br />
92982-00 prq trluml c balo angiop 1 vsl $975.00<br />
92984-00 prq trluml c balo angiop ea vsl $185.25<br />
92986-00 prq balo vlvp aortic valve $921.38<br />
92987-00 prq balo vlvp mitral valve $986.31<br />
92990-00 prq balo vlvp pulm valve $731.25<br />
92995-00 prq trluml c athrc 1 vsl $578.96<br />
92996-00 prq trluml c athrc ea vsl $154.51<br />
92997-00 prq trluml p-art balo angiop 1 vsl $572.66<br />
92998-00 prq trluml p-art balo angiop ea vsl $280.80<br />
93000-00 ecg routine ecg w/least 12 lds w/i&r $17.00<br />
93005-00 ecg routine ecg w/least 12 lds trcg only w/o i&r $6.80<br />
93010-00 Electrocardiogram report, ecg routine ecg w/least 12 lds i&r only $10.20<br />
93015-00 cv strs tst xers&/or rx cont ecg phys si&r $146.25<br />
93016-00 cv strs tst xers&/or rx cont ecg phys supvj $30.27<br />
93017-00 cv strs tst xers&/or rx cont ecg trcg only $58.50<br />
93018-00 cv strs tst xers&/or rx cont ecg i&r only $30.27<br />
93024-00 ergonovine provocation tst $84.55<br />
93024-26 ergonovine provocation tst $54.75<br />
93024-TC ergonovine provocation tst $29.81<br />
93025-00 microvolt t-wave assess v<strong>en</strong>tricular arrhythmias $240.59<br />
93025-26 microvolt t-wave assess v<strong>en</strong>tricular arrhythmias $35.01<br />
93025-TC microvolt t-wave assess v<strong>en</strong>tricular arrhythmias $205.58<br />
93040-00 rhythm ecg 1-3 lds w/i&r $29.25<br />
93041-00 rhythm ecg 1-3 lds trcg only w/o i&r $11.70<br />
93042-00 rhythm ecg 1-3 lds i&r only $17.55<br />
93224-00 xtrnl ecg up to 48 hr record scan stor w/phy r&i $146.25<br />
93225-00 xtrnl ecg up to 48 hr recording $58.50<br />
93226-00 external ecg scanning analysis report $66.30<br />
93227-00 xtrnl ecg continuous rhythm phys review&interpj $87.75<br />
93268-00 xtrnl pt activ ecg transmis phys r&i 30 days $215.28<br />
93270-00 xtrnl pt activated ecg record monitor 30 days $131.63<br />
93271-00 Ecg/monitoring and analysis, xtrnl pt activated ecg rec dwnld 30 days $438.75<br />
93272-00 xtrnl pt activtd ecg dwnld 30 days phys r&i $96.53<br />
93278-00 saecg +-ecg $39.49<br />
93278-26 saecg +-ecg $23.69<br />
93278-TC saecg +-ecg $15.80<br />
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