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 />
28415-00 op<strong>en</strong> treatm<strong>en</strong>t calcaneal fracture $861.71<br />
28420-00 op<strong>en</strong> treatm<strong>en</strong>t calcaneal fracture w bone graft $526.50<br />
28430-00 closed tx talus fracture w/o manipulation $146.95<br />
28435-00 closed tx talus fracture w/ manipulation $175.50<br />
28436-00 prq sk<strong>el</strong>etal fixation talus fracture w/mnpj $254.48<br />
28445-00 op<strong>en</strong> treatm<strong>en</strong>t talus fracture $788.00<br />
28450-00 tx tarsal b1 fx xcp talus&calcn w/o mnpj $102.67<br />
28455-00 tx tarsal b1 fx xcp talus&calcn w/mnpj $205.95<br />
28456-00 prq sk<strong>el</strong> fixj tarsl fx xcp talus&calcns w/mnpj $263.25<br />
28465-00 op<strong>en</strong> tx tarsal fracture xcp talus &calcaneus ea $292.50<br />
28470-00 closed tx metatarsal fracture w/o manipulation $73.13<br />
28475-00 cltx metar fx w/mnpj $159.71<br />
28476-00 prq sk<strong>el</strong> fixj metar fx w/mnpj $257.39<br />
28485-00 op<strong>en</strong> treatm<strong>en</strong>t metatarsal fracture each $360.72<br />
28490-00 cltx fx grt toe phlx/phlg w/o mnpj $19.50<br />
28495-00 cltx fx grt toe phlx/phlg w/mnpj $113.16<br />
28496-00 prq sk<strong>el</strong> fixj fx grt toe phlx/phlg w/mnpj $182.72<br />
28505-00 op<strong>en</strong> tx fracture great toe/phalanx/phalanges $266.01<br />
28510-00 cltx fx phlx/phlg oth/thn grt toe w/o mnpj $29.25<br />
28515-00 cltx fx phlx/phlg oth/thn grt toe w/mnpj $78.10<br />
28525-00 op<strong>en</strong> tx fracture phalanx/phalanges not great toe $236.19<br />
28530-00 closed treatm<strong>en</strong>t sesamoid fracture $55.58<br />
28531-00 op<strong>en</strong> tx sesamoid fracture +-internal fixation $116.03<br />
28540-00 cltx tarsal dislc oth/thn talotarsal w/o anes $29.25<br />
28545-00 cltx tarsal dislc oth/thn talotarsal w/anes $97.50<br />
28546-00 prq sk<strong>el</strong> fixj tarsl dislc xcp talotarsal w/mnpj $126.75<br />
28555-00 op<strong>en</strong> treatm<strong>en</strong>t tarsal bone dislocation $408.84<br />
28570-00 closed tx talotarsal joint dislc w/o anes $39.00<br />
28575-00 closed tx talotarsal joint dislocation w/anes $107.25<br />
28576-00 prq sk<strong>el</strong> fixj talotarsal jt dislc w/mnpj $195.00<br />
28585-00 op<strong>en</strong> treatm<strong>en</strong>t talotarsal joint dislocation $341.25<br />
28600-00 closed tx tarsometatarsal dislocation w/o anes $29.25<br />
28605-00 closed tx tarsometatarsal dislocation w/anes $82.88<br />
28606-00 prq sk<strong>el</strong> fixj tars jt dislc w/mnpj $126.75<br />
28615-00 op<strong>en</strong> treatm<strong>en</strong>t tarsometatarsal joint dislocation $472.10<br />
28630-00 cltx metatarsophlngl jt dislc w/o anes $29.25<br />
28635-00 cltx metatarsophlngl jt dislc req anes $58.50<br />
28636-00 prq sk<strong>el</strong> fixj metatarsophlngl jt dislc w/mnpj $148.20<br />
28645-00 op<strong>en</strong> tx metatarsophalangeal joint dislocation $175.50<br />
28660-00 cltx iphal jt dislc w/o anes $76.11<br />
28665-00 cltx iphal jt dislc req anes $48.75<br />
28666-00 prq sk<strong>el</strong> fixj iphal jt dislc w/mnpj $148.20<br />
28675-00 op<strong>en</strong> treatm<strong>en</strong>t interphalangeal joint dislocation $102.38<br />
28705-00 arthrodesis pantalar $741.00<br />
28715-00 arthrodesis triple $706.39<br />
28725-00 arthrodesis subtalar $663.00<br />
28730-00 arthrd midtarsl/tars mlt/transvrs $468.00<br />
28735-00 arthrd midtarsl/tars mlt/transvrs w/osteot $553.70<br />
28737-00 arthrd w/tdn lngth&advmnt tarsl nvclr-cuneiform $493.16<br />
28740-00 arthrodesis midtarsometatarsal single joint $471.53<br />
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