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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 />

94240-00 functional residual capacity or residual volume $29.25<br />

94240-26 functional residual capacity or residual volume $7.02<br />

94240-TC functional residual capacity or residual volume $11.70<br />

94250-00 exp gas collj quan 1 px spx $9.75<br />

94250-26 exp gas collj quan 1 px spx $2.34<br />

94250-TC exp gas collj quan 1 px spx $3.90<br />

94260-00 thrc gas vol $39.00<br />

94260-26 thrc gas vol $9.36<br />

94260-TC thrc gas vol $15.60<br />

94350-00 deter maldistribj of inspired gas n wshot curve $58.50<br />

94350-26 deter maldistribj of inspired gas n wshot curve $14.04<br />

94350-TC deter maldistribj of inspired gas n wshot curve $23.40<br />

94360-00 deter resist to airflo oscillatory/plethysmograp $39.00<br />

94360-26 deter resist to airflo oscillatory/plethysmograp $9.36<br />

94360-TC deter resist to airflo oscillatory/plethysmograp $15.60<br />

94370-00 deter airwy closing vol 1 brth tsts $28.42<br />

94370-26 deter airwy closing vol 1 brth tsts $11.63<br />

94370-TC deter airwy closing vol 1 brth tsts $16.78<br />

94375-00 respir flo vol loop $68.25<br />

94375-26 respir flo vol loop $21.45<br />

94375-TC respir flo vol loop $39.00<br />

94400-00 brthing rspse co2 co2 rspse curve $36.86<br />

94400-26 brthing rspse co2 co2 rspse curve $14.74<br />

94400-TC brthing rspse co2 co2 rspse curve $22.11<br />

94450-00 brthing rspse hypoxia hypoxia rspse curve $30.71<br />

94450-26 brthing rspse hypoxia hypoxia rspse curve $12.29<br />

94450-TC brthing rspse hypoxia hypoxia rspse curve $18.43<br />

94610-00 intrapulmonary surfactant administration $47.39<br />

94620-00 pulm strs tstg smpl $85.80<br />

94620-26 pulm strs tstg smpl $20.59<br />

94620-TC pulm strs tstg smpl $34.32<br />

94621-00 pulm strs tstg cplx $86.00<br />

94621-26 pulm strs tstg cplx $20.64<br />

94621-TC pulm strs tstg cplx $34.40<br />

94640-00 pressurized/nonpressurized inhalation treatm<strong>en</strong>t $9.75<br />

94642-00 p<strong>en</strong>tamidine aersl inhalation pneumocystis/proph $9.75<br />

94644-00 continuous inhalation treatm<strong>en</strong>t 1st hr $22.75<br />

94645-00 continuous inhalation treatm<strong>en</strong>t ea addl hr $9.50<br />

94660-00 cpap vntj cpap initiation&mgmt $36.08<br />

94662-00 cnp vntj cnp initiation&mgmt $4.88<br />

94664-00 demo&/eval of pt utiliz aersl g<strong>en</strong>/neb/inhlr/ippb $4.88<br />

94667-00 mnpj ch wall facilitate lng funcj 1 demo&/eval $4.88<br />

94668-00 mnpj ch facilitate lng funcj sbsq $4.88<br />

94680-00 o2 uptk exp gas alys rest&xers dir smpl $59.13<br />

94680-26 o2 uptk exp gas alys rest&xers dir smpl $11.63<br />

94680-TC o2 uptk exp gas alys rest&xers dir smpl $47.50<br />

94681-00 o2 uptk exp gas alys w/co2 output % o2 xtrc $76.46<br />

94681-26 o2 uptk exp gas alys w/co2 output % o2 xtrc $9.19<br />

94681-TC o2 uptk exp gas alys w/co2 output % o2 xtrc $67.27<br />

94690-00 o2 uptk exp gas alys rest indir spx $54.09<br />

116

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