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 />
93770-26 deter v<strong>en</strong> press $2.34<br />
93770-TC deter v<strong>en</strong> press $3.90<br />
93786-00 ambl bld press w/tape&/disk 24+ hr + rec only $23.80<br />
93788-00 ambl bld press w/tape/disk 24+ hr alys w/reprt $13.38<br />
93790-00 ambl bld press tape&/disk 24+ hr phys rev w/i&r $17.52<br />
93875-00 n-invas physiologic std xtrc art compl bi std $45.83<br />
93875-26 n-invas physiologic std xtrc art compl bi std $18.33<br />
93875-TC n-invas physiologic std xtrc art compl bi std $27.50<br />
93880-00 dup-scan xtrc art compl bi std $112.13<br />
93880-26 dup-scan xtrc art compl bi std $44.85<br />
93880-TC dup-scan xtrc art compl bi std $67.28<br />
93882-00 dup-scan xtrc art uni/lmtd std $75.08<br />
93882-26 dup-scan xtrc art uni/lmtd std $30.03<br />
93886-00 tcd std icra art compl std $124.80<br />
93886-26 tcd std icra art compl std $49.92<br />
93886-TC tcd std icra art compl std $74.88<br />
93888-00 tcd std icra art lmtd std $87.75<br />
93888-26 tcd std icra art lmtd std $35.10<br />
93888-TC tcd std icra art lmtd std $52.65<br />
93890-00 tcd std icra art vasoreactv std $166.73<br />
93890-26 tcd std icra art vasoreactv std $40.01<br />
93890-TC tcd std icra art vasoreactv std $66.69<br />
93892-00 tcd std icra art emboli detcj w/o iv mbubb njx $175.50<br />
93892-26 tcd std icra art emboli detcj w/o iv mbubb njx $42.12<br />
93892-TC tcd std icra art emboli detcj w/o iv mbubb njx $70.20<br />
93893-00 tcd std icra art emboli detcj w/iv mbubb njx $175.50<br />
93893-26 tcd std icra art emboli detcj w/iv mbubb njx $42.12<br />
93893-TC tcd std icra art emboli detcj w/iv mbubb njx $70.20<br />
93922-00 non-invas physiologic std extremity art 2 lev<strong>el</strong> $43.88<br />
93922-26 non-invas physiologic std extremity art 2 lev<strong>el</strong> $17.55<br />
93922-TC non-invas physiologic std extremity art 2 lev<strong>el</strong> $26.33<br />
93923-00 non-invasive physiologic study extremity 3 levls $97.50<br />
93923-26 non-invasive physiologic study extremity 3 levls $39.00<br />
93923-TC non-invasive physiologic study extremity 3 levls $58.50<br />
93924-00 n-invas physiologic std lxtr art compl bi $105.30<br />
93924-26 n-invas physiologic std lxtr art compl bi $42.12<br />
93924-TC n-invas physiologic std lxtr art compl bi $63.18<br />
93925-00 dup-scan lxtr art/artl bpgs compl bi std $112.13<br />
93925-26 dup-scan lxtr art/artl bpgs compl bi std $43.88<br />
93925-TC dup-scan lxtr art/artl bpgs compl bi std $68.25<br />
93926-00 dup-scan lxtr art/artl bpgs uni/lmtd std $65.33<br />
93926-26 dup-scan lxtr art/artl bpgs uni/lmtd std $26.13<br />
93926-TC dup-scan lxtr art/artl bpgs uni/lmtd std $39.20<br />
93930-00 dup-scan uxtr art/artl bpgs compl bi std $107.25<br />
93930-26 dup-scan uxtr art/artl bpgs compl bi std $42.90<br />
93930-TC dup-scan uxtr art/artl bpgs compl bi std $64.35<br />
93931-00 dup-scan uxtr art/artl bpgs uni/lmtd std $73.13<br />
93931-26 dup-scan uxtr art/artl bpgs uni/lmtd std $29.25<br />
93931-TC dup-scan uxtr art/artl bpgs uni/lmtd std $43.88<br />
93965-00 n-invas physiologic std xtr veins compl bi std $34.13<br />
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