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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 />

32552-00 rmvl ndw<strong>el</strong>lg tun pleural cath w/cuff $106.28<br />

32553-00 plmt ntrstl dev radj thx gid prq intrathrc 1/mlt $323.70<br />

32560-00 instlj via chest tube/cath ag<strong>en</strong>t for pleurodesis $97.50<br />

32561-00 instlj via ch tube/cath ag<strong>en</strong>t fbrnlysis 1st day $55.58<br />

32562-00 instlj ch tube/cath ag<strong>en</strong>t fbrnlysis sbsq day $50.70<br />

32601-00 thorsc dx lungs/pleural space/med/pericar w/o bx $238.88<br />

32602-00 thoracoscopy dx lungs&pleural space w/bx spx $268.13<br />

32603-00 thoracoscopy dx pericardial sac w/o biopsy spx $302.25<br />

32604-00 thoracoscopy dx pericardial sac w/biopsy spx $341.25<br />

32605-00 thoracoscopy dx mediastinal space w/o biopsy spx $280.80<br />

32606-00 thoracoscopy dx mediastinal space w/biopsy spx $329.55<br />

32650-00 thoracoscopy w/pleurodesis $482.63<br />

32651-00 thoracoscopy w/partial pulmonary decortication $666.90<br />

32652-00 thrsc tot pulm dcrtctj intrapleural pneumonolss $877.50<br />

32653-00 thoracoscopy rmvl intrapleural fb/fibrin deposit $636.68<br />

32654-00 thoracoscopy control traumatic hemorrhage $643.50<br />

32655-00 thoracoscopy w/excision bullae $728.33<br />

32656-00 thoracoscopy w/parietal pleurectomy $715.65<br />

32657-00 thrsc w/wedge rescj lng 1/mlt $745.88<br />

32658-00 thrsc w/rmvl clot/fb from prcrd sac $684.45<br />

32659-00 thrsc crtj prcrd window/prtl rescj prcrd sac $702.00<br />

32660-00 thoracoscopy w/total pericardiectomy $965.25<br />

32661-00 thrsc w/exc prcrd cst tum/mass $596.70<br />

32662-00 thrsc w/exc medstnl cst tum/mass $842.40<br />

32663-00 thoracoscopy w/lobectomy total/sgmtl $719.55<br />

32664-00 thoracoscopy w/thoracic sympathectomy $671.78<br />

32665-00 thoracoscopy w/esophagomyotomy h<strong>el</strong>ler type $807.30<br />

32800-00 repair lung hernia through chest wall $321.75<br />

32810-00 clsr ch wall flwg opn flap drg empyema $224.25<br />

32815-00 op<strong>en</strong> closure major bronchial fistula $585.00<br />

32820-00 major reconstruction chest wall posttraumatic $560.63<br />

32900-00 resection ribs extrapleural all stages $560.63<br />

32905-00 thoracoplasty schede type/extrapleural $560.63<br />

32906-00 thoracop schede typ/xtrpleural clsr brncplr fstl $1,014.00<br />

32940-00 pneumonolss xtrpriosteal w/filling/packing px $682.50<br />

32960-00 pneumothorax ther intrapleural njx air $48.75<br />

32997-00 total lung lavage unilateral $394.88<br />

33010-00 pericardioc<strong>en</strong>tesis initial $195.00<br />

33011-00 pericardioc<strong>en</strong>tesis subsequ<strong>en</strong>t $58.50<br />

33015-00 tube pericardiostomy $58.50<br />

33020-00 pericardiotomy removal clot/foreign body primary $975.00<br />

33025-00 crtj pericardial window/prtl resecj w/drg/bx $643.50<br />

33030-00 pricardiectomy stot/compl w/o card byp $1,126.13<br />

33031-00 pricardiectomy stot/compl w/card byp $899.93<br />

33050-00 resecj pericardial cyst/tumor $643.50<br />

33120-00 exc intracardiac tumor rescj cardiopulmonary byp $1,950.00<br />

33130-00 resection external cardiac tumor $804.38<br />

33140-00 transmyocrd laser revsc thorcom spx $727.06<br />

33141-00 transmyocrd laser revsc pfrmd tm oth opn car px $176.38<br />

33202-00 insertion epicardial <strong>el</strong>ectrode op<strong>en</strong> $544.00<br />

43

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