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 />
27665-00 rpr ext<strong>en</strong>sor t<strong>en</strong>don leg secondary +/-graft each $341.25<br />
27675-00 rpr dislocating peroneal t<strong>en</strong>don w/o fib osteot $422.99<br />
27676-00 repair dislocating peroneal t<strong>en</strong>don w/fib osteot $253.50<br />
27680-00 t<strong>en</strong>olysis flxr/xtnsr t<strong>en</strong>don leg&/ankle 1 each $352.48<br />
27681-00 tnols flxr/xtnsr tdn leg&/ankle mlt tdn $292.50<br />
27685-00 lngth/shrt tdn leg/ankle 1 tdn spx $389.81<br />
27686-00 lngth/shrt tdn leg/ankle mlt tdn same inc ea $341.25<br />
27687-00 gastrocnemius recession $377.63<br />
27690-00 tr/trnspl 1 tdn w/musc redirion/rerouting supfc $341.25<br />
27691-00 tr/trnspl 1 tdn w/musc redirion/rerouting dp $429.00<br />
27692-00 tr/trnspl 1 tdn w/musc redirion/rerouting ea tdn $107.25<br />
27695-00 rpr primary disrupted ligam<strong>en</strong>t ankle collateral $429.00<br />
27696-00 rpr prim disrupted ligm ankle bth coltrl ligms $594.75<br />
27698-00 repair secondary disrupted ligam<strong>en</strong>t ankle coltrl $438.75<br />
27700-00 arthroplasty ankle $731.25<br />
27702-00 arthroplasty ankle w/implant $1,238.25<br />
27703-00 arthroplasty ankle revision total ankle $745.88<br />
27704-00 removal ankle implant $624.00<br />
27705-00 osteotomy tibia $603.72<br />
27707-00 osteotomy fibula $292.50<br />
27709-00 osteotomy tibia&fibula $487.50<br />
27712-00 osteot mlt w/r<strong>el</strong>ignmt imed rod $487.50<br />
27715-00 osteoplasty tibia&fibula l<strong>en</strong>gth<strong>en</strong>ing/short<strong>en</strong>ing $975.00<br />
27720-00 repair nonunion/malunion tibia w/o graft $692.93<br />
27722-00 repair nonunion/malunion tibia w/sliding graft $680.00<br />
27724-00 rpr non/mal tibia w/iliac/oth agrft $825.00<br />
27725-00 rpr non/mal tibia synostosis w/fibula any meth $612.00<br />
27726-00 repair fibula nonunion/malunion w int fixation $565.50<br />
27727-00 repair cong<strong>en</strong>ital pseudarthrosis tibia $630.00<br />
27730-00 arrest epiphyseal op<strong>en</strong> distal tibia $429.00<br />
27732-00 arrest epiphyseal op<strong>en</strong> distal fibula $253.50<br />
27734-00 arrest epiphyseal op<strong>en</strong> distal tibia&fibula $536.25<br />
27740-00 arrst epiphysl any meth tibfib $770.25<br />
27742-00 arrst epiphysl any meth tibfib&dstl femur $936.00<br />
27745-00 proph tx n/p/pltwr +-mma tibia $461.18<br />
27750-00 cltx tibl shft fx w/o mnpj $107.25<br />
27752-00 cltx tibl shft fx w/mnpj +-sk<strong>el</strong> tracj $364.19<br />
27756-00 prq sk<strong>el</strong> fixj tibl shft fx $485.10<br />
27758-00 optx tibl shft fx w/plate/screws +-cerclage $699.30<br />
27759-00 tx tibl shft fx imed implt +-screws&/cerclage $748.51<br />
27760-00 cltx medial malls fx w/o mnpj $87.75<br />
27762-00 cltx medial malls fx w/mnpj +-skn/sk<strong>el</strong> tracj $332.89<br />
27766-00 op<strong>en</strong> treatm<strong>en</strong>t medial malleolus fracture $462.44<br />
27767-00 closed treatm<strong>en</strong>t pst malleolus fracture w/o mnpj $156.00<br />
27768-00 closed treatm<strong>en</strong>t pst malleolus fracture w mnpj $260.00<br />
27769-00 op<strong>en</strong> treatm<strong>en</strong>t posterior malleolus fracture $440.00<br />
27780-00 cltx prox fibula/shft fx w/o mnpj $87.75<br />
27781-00 cltx prox fibula/shft fx w/mnpj $165.00<br />
27784-00 op<strong>en</strong> treatm<strong>en</strong>t proximal fibula/shaft fracture $292.50<br />
27786-00 cltx dstl fibular fx lat malls w/o mnpj $78.00<br />
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