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 />
23182-00 partial excision bone scapula $243.75<br />
23184-00 partial excision bone proximal humerus $603.01<br />
23190-00 ostectomy scapula partial $292.50<br />
23195-00 resection humeral head $448.50<br />
23200-00 radical resection tumor clavicle $195.00<br />
23210-00 radical resection tumor scapula $292.50<br />
23220-00 radical resection bone tumor proximal humerus $780.00<br />
23330-00 removal foreign body shoulder subcutaneous $78.00<br />
23331-00 removal foreign body shoulder deep $468.00<br />
23332-00 removal foreign body shoulder complicated $970.13<br />
23350-00 injection shoulder arthrography/ ct/mri arthg $37.05<br />
23395-00 muscle transfer shoulder/upper arm single $731.25<br />
23397-00 muscle transfer shoulder/upper arm multiple $812.18<br />
23400-00 scapulopexy $633.75<br />
23405-00 t<strong>en</strong>otomy shoulder area 1 t<strong>en</strong>don $351.00<br />
23406-00 t<strong>en</strong>otomy shoulder multiple thru same incision $482.63<br />
23410-00 op<strong>en</strong> repair of rotator cuff acute $686.21<br />
23412-00 op<strong>en</strong> repair of rotator cuff chronic $737.10<br />
23415-00 coracoacromial ligam<strong>en</strong>t r<strong>el</strong>ease +-acromioplasty $554.58<br />
23420-00 reconstruction rotator cuff avulsion chronic $773.96<br />
23430-00 t<strong>en</strong>odesis long t<strong>en</strong>don biceps $581.78<br />
23440-00 resection/transplantation long t<strong>en</strong>don biceps $516.75<br />
23450-00 capsulorrhaphy anterior putti-platt/magnuson $682.50<br />
23455-00 capsulorrhaphy anterior w/labral repair $816.86<br />
23460-00 capsulorrhaphy anterior with bone block $867.75<br />
23462-00 capsulorrhaphy anterior w/coracoid process tr $965.25<br />
23465-00 capsulorrhaphy gl<strong>en</strong>ohumeral jt pst +-bone blk $741.00<br />
23466-00 capsulorrhaphy gl<strong>en</strong>ohumrl jt multi-dirional ins $785.36<br />
23470-00 arthroplasty gl<strong>en</strong>ohumrl jt hemiarthroplasty $927.52<br />
23472-00 arthroplasty gl<strong>en</strong>ohumeral joint total shoulder $1,657.50<br />
23480-00 osteotomy clavicle +-internal fixation $390.00<br />
23485-00 osteotomy clav +-int fixj w/b1 grf non/mal $472.88<br />
23490-00 proph tx +-methylmethacrylate clavicle $555.75<br />
23491-00 proph tx +-methylmethacrylate proximal humerus $741.00<br />
23500-00 clsd tx clavicular fracture w/o manipulation $146.25<br />
23505-00 clsd tx clavicular fracture w/manipulation $237.28<br />
23515-00 op<strong>en</strong> tx clavicular fracture internal fixation $429.10<br />
23520-00 clsd tx sternoclavicular dislc w/o manipulation $19.50<br />
23525-00 closed tx sternoclavicular dislc w/manipulation $117.00<br />
23530-00 op<strong>en</strong> tx sternoclavicular dislc acute/chronic $429.00<br />
23532-00 optx strnclav dislc acute/chronic w/fascial grf $468.00<br />
23540-00 clsd tx acromioclavicular dislc w/o manipulation $117.00<br />
23545-00 clsd tx acromioclavicular dislc w/manipulation $146.25<br />
23550-00 op<strong>en</strong> tx acromioclavicular dislc acute/chronic $516.75<br />
23552-00 optx acromclav dislc acute/chronic w/fascial grf $555.75<br />
23570-00 closed tx scapular fracture w/o manipulation $34.13<br />
23575-00 cltx scapular fx w/manipulation +-sk<strong>el</strong> traction $121.88<br />
23585-00 op<strong>en</strong> tx scapular fx w/internal fixation if pfrmd $516.75<br />
23600-00 cltx proximal humeral fracture w/o manipulation $199.19<br />
23605-00 cltx prox humrl fx w/manipulation +-sk<strong>el</strong> tracj $292.50<br />
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