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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 />

31579-00 laryngoscopy flx/rgd fibopt w/stroboscopy $124.80<br />

31580-00 laryngoplasty laryn web 2 stg w/ke<strong>el</strong> insj&rmvl $1,009.13<br />

31582-00 laryngp laryn st<strong>en</strong>osis grf/core mold w/tracht $1,082.25<br />

31584-00 laryngoplasty w/opn rdctj fx $836.55<br />

31587-00 laryngoplasty cricoid split $410.48<br />

31590-00 laryngeal reinnervation neuromuscular pedicle $508.07<br />

31595-00 section recurr<strong>en</strong>t laryngeal nerve ther uni spx $1,009.13<br />

31600-00 tracheostomy planned spx $195.00<br />

31601-00 tracheostomy planned under 2 years spx $234.00<br />

31603-00 tracheostomy emerg<strong>en</strong>cy procedure transtracheal $209.63<br />

31605-00 tracheostomy emerg<strong>en</strong>cy cricothyroid membrane $209.63<br />

31610-00 tracheostomy f<strong>en</strong>estration w/skin flaps $487.50<br />

31611-00 constj tracheoesophgl fstl&insj sp prosth $438.75<br />

31612-00 tracheal pnxr prq w/transtracheal aspir&/njx $9.75<br />

31613-00 tracheostoma revj smpl w/o flap rotation $156.00<br />

31614-00 tracheostoma revj cplx w/flap rotation $234.00<br />

31615-00 tracheobrnchsc thru est trachs inc $117.00<br />

31620-00 <strong>en</strong>dobrncl us bronchoscopic dx/ther ivntj $184.28<br />

31622-00 brnchsc incl fluor gid dx w/c<strong>el</strong>l washg spx $146.25<br />

31623-00 brnchsc brushing/protected brushings $135.31<br />

31624-00 brnchsc w/brncl alveolar lavage $223.76<br />

31625-00 brnchsc brncl/<strong>en</strong>dobrncl bx 1+ sits $365.63<br />

31628-00 brnchsc w/transbrncl lung bx 1 lobe $365.63<br />

31629-00 brnchsc ndl bx trachea main stem&/bronchusi $219.38<br />

31630-00 brnchsc w/tracheal/brncl dilat/clsd rdctj fx $365.63<br />

31631-00 brnchsc w/placem<strong>en</strong>t tracheal st<strong>en</strong>t $231.08<br />

31632-00 brnchsc w/transbrncl lung bx ea lobe $47.45<br />

31633-00 brnchsc w/transbrncl ndl aspir bx ea lobe $60.06<br />

31634-00 bronchoscopy balloon occlusion $0.00<br />

31635-00 brnchsc w/removal foreign body $365.63<br />

31636-00 brnchsc w/placem<strong>en</strong>t brncl st<strong>en</strong>t 1st bronchus $207.68<br />

31637-00 brnchsc ea major bronchus st<strong>en</strong>ted $57.92<br />

31638-00 brnchsc revj tracheal/brncl st<strong>en</strong>t ins prev sess $179.89<br />

31640-00 brnchsc w/excision tumor $365.63<br />

31641-00 brnchsc w/dstrj tum r<strong>el</strong>ief st<strong>en</strong>osis oth/thn exc $364.65<br />

31643-00 brnchsc w/plmt cath intrcv radio<strong>el</strong>mnt appl $162.92<br />

31645-00 brnchsc w/ther aspir tracheobrncl tree 1st $273.00<br />

31646-00 brnchsc w/ther aspir tracheobrncl tree sbsq $146.25<br />

31656-00 brnchsc w/njx contrast sgmtl bronchog $273.00<br />

31715-00 transtracheal injection bronchography $39.00<br />

31717-00 catheterization w/bronchial brush biopsy $90.34<br />

31720-00 catheter aspiration nasotracheal spx $39.00<br />

31725-00 cath aspir tracheobrncl fiberscope bedside spx $67.57<br />

31730-00 ttrach intro ndl wire dil/st<strong>en</strong>t/tube o2 ther $137.77<br />

31750-00 tracheoplasty cervical $877.50<br />

31755-00 tracheoplasty tracheopharyngeal fstlj ea stg $975.00<br />

31760-00 tracheoplasty intrathoracic $1,033.50<br />

31766-00 carinal reconstruction $1,140.75<br />

31770-00 bronchoplasty graft repair $1,033.50<br />

31775-00 bronchoplasty excision st<strong>en</strong>osis & anastomosis $1,033.50<br />

41

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