Listas para Publicar en el Portal-1 (2) - Triple-S Salud

Procedure &
Place of Service
Tarifas
Servicios de Salud
Description Fee
33335-00 insj grf aorta/grt vsl w/card byp $1,608.75
33400-00 vlvp aortic valve opn w/card byp $2,413.13
33401-00 vlvp aortic valve opn w/infl occlusion $1,755.00
33403-00 vlvp aortic valve w/transventr dilat w/card byp $2,062.13
33404-00 construction apical-aortic conduit $2,614.95
33405-00 rplcmt a-valve prostc xcp homogrf/stent< valve $2,778.75
33406-00 rplcmt a-valve algrft valve frhand $2,778.75
33410-00 rplcmt a-valve stent< tiss valve $1,336.43
33411-00 rplcmt aortic valve annulus enlgment nonc sinus $2,154.75
33412-00 rplcmt a-valve konno procedure $2,457.00
33413-00 rplcmt a-valve ross px $1,667.25
33414-00 rpr ventr o/f trc obstrcj patch enlgment o/f trc $1,404.00
33415-00 rescj/inc subvalvular tissue $1,267.50
33416-00 ventriculomyotomy-myectomy $1,579.50
33417-00 aortoplasty supravalvular stenosis $1,287.00
33420-00 valvotomy mitral valve closed heart $2,413.13
33422-00 valvotomy mitral valve opn hrt w/card byp $1,413.75
33425-00 vlvp mitral valve w/card byp $1,540.50
33426-00 vlvp mitral valve w/card byp w/prostc ring $2,544.75
33427-00 vlvp mitral valve w/card byp rad rcnstj +-ring $2,588.63
33430-00 replacement mitral valve w/cardiopulmonary byp $1,950.00
33460-00 valvectomy tricuspid valve w/cardiopulmonary byp $1,681.88
33463-00 valvuloplasty tricuspid valve w/o ring insertion $1,667.25
33464-00 valvuloplasty tricuspid valve w/ring insertion $1,755.00
33465-00 replacement tricuspid valve w/card bypass $1,828.13
33468-00 tricuspid valve rpsg&plctj ebstein anomaly $1,735.50
33470-00 valvotomy pulmonary valve clsd heart transventr $1,828.13
33471-00 valvotomy pulm valve clsd hrt via p-art $1,645.80
33472-00 valvotomy pulm valve opn hrt w/infl occlusion $1,033.50
33474-00 valvotomy pulm valve opn hrt w/card byp $1,287.00
33475-00 replacement pulmonary valve $1,930.50
33476-00 r ventr rescj infund sten +-commissurotomy $1,413.75
33478-00 o/f trc agmntj +-commissurotomy/infund rescj $1,018.88
33496-00 rpr non-structural prostc valve dysf card byp $1,375.96
33500-00 rpr c arven/arteriocar chamber fstl w/card byp $983.78
33501-00 rpr c arven/arteriocar chamber fstl w/o card byp $899.93
33502-00 rpr anom c art from p-art origin lig $804.38
33503-00 rpr anom c art from p-art origin grf $1,126.13
33504-00 rpr anom c art from p-art origin grf w/card byp $1,608.75
33505-00 rpr anom c art w/constj intrap-art tunnel $1,579.50
33506-00 rpr anom c art from p-art to aorta $1,579.50
33507-00 rpr anom aortic origin c art unroofing/tlcj $970.52
33508-00 ndsc surg w/vid-asstd harvest vein cab $11.45
33510-00 coronary artery bypass 1 coronary venous graft $2,486.25
33511-00 coronary artery bypass 2 coronary venous grafts $2,851.88
33512-00 coronary artery bypass 3 coronary venous grafts $3,217.50
33513-00 coronary artery bypass 4 coronary venous grafts $3,583.13
33514-00 coronary artery bypass 5 coronary venous grafts $3,948.75
33516-00 coronary artery bypass 6/+ coronary venous graft $3,948.75
33517-00 coronary artery byp w vein &artery graft 1 vein $329.55
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