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Procedure & Place of Service Tarifas Servicios de Salud Description Fee 93279-00 program eval implantable in prsn 1 ld pacemaker $40.95 93279-26 program eval implantable in prsn 1 ld pacemaker $24.57 93279-TC program eval implantable in prsn 1 ld pacemaker $16.38 93280-00 program eval implantable in persn dual ld pacer $46.80 93280-26 program eval implantable in persn dual ld pacer $28.08 93280-TC program eval implantable in persn dual ld pacer $18.72 93281-00 program eval implantable in prsn multi ld pacer $55.28 93281-26 program eval implantable in prsn multi ld pacer $33.17 93281-TC program eval implantable in prsn multi ld pacer $22.11 93282-00 program eval implantable in persn 1 ld card/dfb $51.68 93282-26 program eval implantable in persn 1 ld card/dfb $31.01 93282-TC program eval implantable in persn 1 ld card/dfb $20.67 93283-00 progrm eval implantable in prsn dual l card/dfb $62.40 93283-26 progrm eval implantable in prsn dual l card/dfb $37.44 93283-TC progrm eval implantable in prsn dual l card/dfb $24.96 93284-00 progrm eval implantable in prsn mlt ld card/dfb $72.83 93284-26 progrm eval implantable in prsn mlt ld card/dfb $43.70 93284-TC progrm eval implantable in prsn mlt ld card/dfb $29.13 93285-00 program eval implantable dev in prsn ilr system $34.13 93285-26 program eval implantable dev in prsn ilr system $20.48 93285-TC program eval implantable dev in prsn ilr system $13.65 93286-00 peri-px eval&program in prsn pacemaker system $19.31 93286-26 peri-px eval&program in prsn pacemaker system $11.58 93286-TC peri-px eval&program in prsn pacemaker system $7.72 93287-00 peri-px eval&program cardioverter/defibrillator $25.45 93287-26 peri-px eval&program cardioverter/defibrillator $15.27 93287-TC peri-px eval&program cardioverter/defibrillator $10.18 93288-00 interrogation eval in person 1/dual/mlt lead pm $30.23 93288-26 interrogation eval in person 1/dual/mlt lead pm $18.14 93288-TC interrogation eval in person 1/dual/mlt lead pm $12.09 93289-00 interrogation eval f2f 1/dual/mlt leads cvdfb $46.80 93289-26 interrogation eval f2f 1/dual/mlt leads cvdfb $28.08 93289-TC interrogation eval f2f 1/dual/mlt leads cvdfb $18.72 93290-00 interrogation eval f2f implantable cv mntr sys $22.82 93290-26 interrogation eval f2f implantable cv mntr sys $13.69 93290-TC interrogation eval f2f implantable cv mntr sys $9.13 93291-00 interrogation evaluation in person ilr system $29.25 93291-26 interrogation evaluation in person ilr system $17.55 93291-TC interrogation evaluation in person ilr system $11.70 93292-00 interrogation eval in person wr defibrillator $27.30 93292-26 interrogation eval in person wr defibrillator $16.38 93292-TC interrogation eval in person wr defibrillator $10.92 93303-00 complete tthrc echo congenital cardiac anomaly $175.50 93303-26 complete tthrc echo congenital cardiac anomaly $70.20 93303-TC complete tthrc echo congenital cardiac anomaly $105.30 93304-00 f-up/limited tthrc echo congenital car anomaly $93.02 93304-26 f-up/limited tthrc echo congenital car anomaly $37.21 93304-TC f-up/limited tthrc echo congenital car anomaly $55.81 93306-00 echo tthrc r-t 2d -+m-mode compl spec&color dop $268.00 93306-26 echo tthrc r-t 2d -+m-mode compl spec&color dop $121.20 110
Procedure & Place of Service Tarifas Servicios de Salud Description Fee 93306-TC echo tthrc r-t 2d -+m-mode compl spec&color dop $181.80 93307-00 tthrc r-t img 2d +-m-mode rec compl $92.63 93307-26 tthrc r-t img 2d +-m-mode rec compl $55.58 93307-TC tthrc r-t img 2d +-m-mode rec compl $37.05 93308-00 tthrc r-t img 2d +-m-mode rec f-up/lmtd $76.05 93308-26 tthrc r-t img 2d +-m-mode rec f-up/lmtd $45.63 93308-TC tthrc r-t img 2d +-m-mode rec f-up/lmtd $30.42 93312-00 tee r-t img 2d w/prb img acquisj i&r $161.85 93312-26 tee r-t img 2d w/prb img acquisj i&r $97.11 93312-TC tee r-t img 2d w/prb img acquisj i&r $64.74 93313-00 tee r-t img 2d w/probe plmt only $46.80 93314-00 tee r-t img 2d img acquisj i&r only $97.11 93314-26 tee r-t img 2d img acquisj i&r only $38.84 93314-TC tee r-t img 2d img acquisj i&r only $58.27 93315-00 tee cgen car anoml prb acquisj i&r $207.97 93315-26 tee cgen car anoml prb acquisj i&r $83.17 93315-TC tee cgen car anoml prb acquisj i&r $124.80 93316-00 tee cgen car anoml plmt prb only $46.41 93316-26 tee cgen car anoml plmt prb only $18.56 93316-TC tee cgen car anoml plmt prb only $25.90 93317-00 tee cgen car anoml img acquisj i&r $164.97 93317-26 tee cgen car anoml img acquisj i&r $65.99 93317-TC tee cgen car anoml img acquisj i&r $98.98 93318-00 tee probe monitoring assmt car pump function $92.96 93318-26 tee probe monitoring assmt car pump function $37.19 93318-TC tee probe monitoring assmt car pump function $55.77 93320-00 dop echo compl $97.50 93320-26 dop echo compl $58.50 93320-TC dop echo compl $39.00 93321-00 dop echo p-w&/or cont w/spectral f-up/lmtd std $50.70 93321-26 dop echo p-w&/or cont w/spectral f-up/lmtd std $30.42 93321-TC dop echo p-w&/or cont w/spectral f-up/lmtd std $20.28 93325-00 dop echo color flo vel mapg $71.18 93325-26 dop echo color flo vel mapg $28.47 93325-TC dop echo color flo vel mapg $42.71 93350-00 echo tthrc r-t 2d -+m-mode complete rest&strs $170.63 93350-26 echo tthrc r-t 2d -+m-mode complete rest&strs $102.38 93350-TC echo tthrc r-t 2d -+m-mode complete rest&strs $68.25 93451-00 right heart cath o2 saturation & cardiac output $253.50 93451-26 right heart cath o2 saturation & cardiac output $253.50 93452-00 l hrt cath w/njx l ventriculography img s&i $390.00 93452-26 l hrt cath w/njx l ventriculography img s&i $390.00 93453-00 r & l hrt cath w/njx l ventriculog img s&i $487.50 93453-26 r & l hrt cath w/njx l ventriculog img s&i $487.50 93454-00 cath plmt & njx coronary art angio img s&i $304.20 93454-26 cath plmt & njx coronary art angio img s&i $304.20 93455-00 cath plmt & njx coronary art/grft angio img s&i $175.50 93455-26 cath plmt & njx coronary art/grft angio img s&i $175.50 93456-00 cath plmt r hrt & arts w/njx & angio img s&i $267.38 93456-26 cath plmt r hrt & arts w/njx & angio img s&i $267.38 111
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Listas para Publicar en el Portal-1 (2) - Triple-S Salud

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