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 />
30540-00 repair choanal atresia intranasal $97.50<br />
30545-00 repair choanal atresia transpalatine $585.00<br />
30560-00 lysis intranasal synechia $19.50<br />
30580-00 repair fistula oromaxillary $429.00<br />
30600-00 repair fistula oronasal $195.00<br />
30620-00 septal/other intranasal dermatoplasty $390.00<br />
30630-00 repair nasal septal perforations $548.44<br />
30801-00 abltj sof tiss inf turbs uni/bi supfc $19.50<br />
30802-00 abltj sof tiss inf turbs uni/bi supfc intramural $78.98<br />
30901-00 control nasal hemorrhage anterior simple $19.50<br />
30903-00 control nasal hemorrhage anterior complex $39.00<br />
30905-00 ctrl nsl hemrrg pst pst nsl packs&/caut 1st $97.50<br />
30906-00 ctrl nsl hemrrg pst pst nsl packs&/caut sbsq $19.50<br />
30915-00 ligation arteries ethmoidal $292.50<br />
30920-00 ligation arteries int maxillary transantral $663.00<br />
30930-00 fracture nasal inferior turbinate therapeutic $68.25<br />
31000-00 lavage cannulation maxillary sinus $19.50<br />
31002-00 lavage cannulation sph<strong>en</strong>oid sinus $39.00<br />
31020-00 sinusotomy maxillary antrotomy intranasal $146.25<br />
31030-00 sinusotomy maxillary rad w/o rmvl antroch polyps $487.50<br />
31032-00 sinusot max antrt rad w/rmvl antroch polyps $585.00<br />
31040-00 pterygomaxillary fossa surgery any approach $848.25<br />
31050-00 sinusotomy sph<strong>en</strong>oid +-biopsy $292.50<br />
31051-00 sinusot sph<strong>en</strong>oid w/mucosal stripping/rmvl polyp $406.58<br />
31070-00 sinusotomy frontal external simple $195.00<br />
31075-00 sinusotomy frontal transorbital unilateral $390.00<br />
31080-00 sinusotomy frnt obliterative w/o flap brow inc $663.00<br />
31081-00 sinusot frnt oblit w/o ostpl flap coronal inc $614.25<br />
31084-00 sinusot frnt oblit w/ostpl flap brow inc $1,140.75<br />
31085-00 sinusot frnt oblit w/ostpl flap coronal inc $926.25<br />
31086-00 sinusot frnt nonoblit w/ostpl flap brow inc $789.75<br />
31087-00 sinusot frnt nonoblit w/ostpl flap coronal inc $789.75<br />
31090-00 sinusot uni 3/> <strong>para</strong>nsl sinuses $1,092.00<br />
31200-00 ethmoidectomy intranasal anterior $292.50<br />
31201-00 ethmoidectomy intranasal total $394.88<br />
31205-00 ethmoidectomy extranasal total $555.75<br />
31225-00 maxillectomy w/o orbital ex<strong>en</strong>teration $975.00<br />
31230-00 maxillectomy w/orbital ex<strong>en</strong>teration $1,218.75<br />
31231-00 nasal <strong>en</strong>doscopy diagnostic uni/bi spx $34.13<br />
31233-00 nsl/sinus ndsc dx max sinusc $165.75<br />
31235-00 nsl/sinus ndsc dx sph<strong>en</strong>oid sinusoscopy $165.75<br />
31237-00 nsl/sinus ndsc surg w/bx polypc/dbrdmt spx $117.00<br />
31238-00 nsl/sinus ndsc surg w/ctrl nsl hemrrg $201.83<br />
31239-00 nsl/sinus ndsc surg w/dacryocstorhinostomy $526.50<br />
31240-00 nsl/sinus ndsc surg w/concha bullosa rescj $166.73<br />
31254-00 nasal/sinus <strong>en</strong>doscopy w/ethmoidectomy partial $263.25<br />
31255-00 nasal/sinus <strong>en</strong>doscopy w/ethmoidectomy total $307.13<br />
31256-00 nasal/sinus <strong>en</strong>doscopy w/maxillary antrostomy $110.18<br />
31267-00 nsl/sinus ndsc max antrost w/rmvl tiss max sinus $219.38<br />
31276-00 nsl/sinus ndsc w/frnt sinus expl $215.48<br />
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