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
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Procedure &<br />
Place of Service<br />
Tarifas<br />
Servicios de <strong>Salud</strong><br />
Description Fee<br />
95927-00 short-lat<strong>en</strong>cy somatos<strong>en</strong>s ep std trnk/head $51.04<br />
95928-00 ctr motor ep std transcrnl motor stimj upr limbs $127.80<br />
95928-26 ctr motor ep std transcrnl motor stimj upr limbs $29.90<br />
95928-TC ctr motor ep std transcrnl motor stimj upr limbs $49.84<br />
95929-00 ctr motor ep std transcrnl motor stimj lwr limbs $133.20<br />
95929-26 ctr motor ep std transcrnl motor stimj lwr limbs $31.17<br />
95929-TC ctr motor ep std transcrnl motor stimj lwr limbs $51.95<br />
95930-00 visual ep tstg cns checkerboard/flash $35.10<br />
95934-00 h-reflex amplt&lat<strong>en</strong>cy gastrcn/soleus musc $34.13<br />
95934-26 h-reflex amplt&lat<strong>en</strong>cy gastrcn/soleus musc $8.19<br />
95934-TC h-reflex amplt&lat<strong>en</strong>cy gastrcn/soleus musc $13.65<br />
95936-00 h-reflex amplt&lat<strong>en</strong>cy oth/thn gastrcn/soleus $34.13<br />
95936-26 h-reflex amplt&lat<strong>en</strong>cy oth/thn gastrcn/soleus $8.19<br />
95936-TC h-reflex amplt&lat<strong>en</strong>cy oth/thn gastrcn/soleus $13.65<br />
95937-00 neuromuscular junct tstg ea nrv any 1 meth $54.00<br />
95937-26 neuromuscular junct tstg ea nrv any 1 meth $12.96<br />
95937-TC neuromuscular junct tstg ea nrv any 1 meth $21.06<br />
95950-00 monitor id& lateralization seizure focus eeg $370.50<br />
95950-26 monitor id& lateralization seizure focus eeg $88.92<br />
95950-TC monitor id& lateralization seizure focus eeg $148.20<br />
95951-00 localize cerebral seizure cable/radio eeg/video $438.75<br />
95951-26 localize cerebral seizure cable/radio eeg/video $175.50<br />
95951-TC localize cerebral seizure cable/radio eeg/video $263.25<br />
95953-00 localize cerebral seizure cptr portable eeg $285.94<br />
95953-26 localize cerebral seizure cptr portable eeg $134.79<br />
95953-TC localize cerebral seizure cptr portable eeg $154.52<br />
95954-00 rx/physical activaj phys attn during eeg activaj $175.50<br />
95954-26 rx/physical activaj phys attn during eeg activaj $70.20<br />
95954-TC rx/physical activaj phys attn during eeg activaj $105.30<br />
95955-00 eeg nonicra surg $96.53<br />
95955-26 eeg nonicra surg $38.61<br />
95955-TC eeg nonicra surg $57.92<br />
95956-00 mntr seizure cmptr 16>chan eeg atnd ea 24 hr $421.20<br />
95956-26 mntr seizure cmptr 16>chan eeg atnd ea 24 hr $168.48<br />
95956-TC mntr seizure cmptr 16>chan eeg atnd ea 24 hr $252.72<br />
95957-00 EEG digital analysis, dgtal alys eeg $130.50<br />
95957-26 dgtal alys eeg $78.30<br />
95957-TC dgtal alys eeg $52.20<br />
95958-00 wada activation test hemispheric function w/eeg $219.38<br />
95958-26 wada activation test hemispheric function w/eeg $180.00<br />
95958-TC wada activation test hemispheric function w/eeg $43.88<br />
95961-00 funcjal cort&subcort mapg <strong>el</strong>trds 1 hr phys attn $157.95<br />
95961-26 funcjal cort&subcort mapg <strong>el</strong>trds 1 hr phys attn $63.18<br />
95961-TC funcjal cort&subcort mapg <strong>el</strong>trds 1 hr phys attn $94.77<br />
95962-00 funcjal cort&subcort mapg <strong>el</strong>trds ea hr phys attn $166.73<br />
95962-26 funcjal cort&subcort mapg <strong>el</strong>trds ea hr phys attn $66.69<br />
95962-TC funcjal cort&subcort mapg <strong>el</strong>trds ea hr phys attn $100.04<br />
95970-00 <strong>el</strong>ec alys nstim pls g<strong>en</strong> brn/sc/perph w/o reprgrm $18.00<br />
95971-00 <strong>el</strong>ec alys nstim pls g<strong>en</strong> smpl sc/perph w/prgrmg $29.84<br />
95972-00 <strong>el</strong>ec alys nstim pls g<strong>en</strong> cplx sc/perph 1st hr $57.92<br />
119
Change language