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

Procedure &
Place of Service
Tarifas
Servicios de Salud
Description Fee
33518-00 coronary artery byp w vein &artery graft 2 vein $658.13
33519-00 coronary artery byp w vein &artery graft 3 vein $987.68
33521-00 coronary artery byp w vein &artery graft 4 vein $1,316.25
33522-00 coronary artery byp w vein &artery graft 5 vein $1,645.80
33523-00 coronary artery byp w vein &artery graft 6 vein $1,974.38
33530-00 roprtj cab/valve px > 1 mo after original operj $464.10
33533-00 cab w/artl grf 1 artl grf $2,237.63
33534-00 cab w/artl grf 2 c artl grfs $2,567.18
33535-00 cab w/artl grf 3 c artl grfs $2,895.75
33536-00 cab w/artl grf 4/> c artl grfs $3,225.30
33542-00 myocardial resection $2,486.25
33545-00 rpr postinfrcj ventr septal dfct $1,930.50
33548-00 surg ventr rstrj px w/prostc patch pfrmd $1,866.42
33572-00 c endartercomy opn any meth $833.63
33600-00 clsr atrioventricular valve suture/patch $1,360.13
33602-00 clsr semilunar valve aortic/pulm sutr/patch $1,316.25
33606-00 anast p-art aorta damus-kaye-stansel px $1,404.00
33608-00 rpr car anomal xcp pulm atresia ventr septl dfct $1,447.88
33610-00 rpr car anomal surg enlgment ventr septl dfct $1,404.00
33611-00 rpr 2 outlet r vntrc w/intraventr tunnel rpr $1,491.75
33612-00 rpr 2 outlet r vntrc rpr r ventr o/f trc obstrcj $1,535.63
33615-00 rpr car anomal clsr septl dfct smpl fontan px $1,465.43
33617-00 rpr cplx car anomal modf fontan px $1,544.40
33619-00 rpr 1 vntrc w/o/f obstrcj&aortic arch hypoplasia $1,755.00
33620-00 application right & left pulmonary artery bands $1,006.24
33621-00 tthrc catheter insert for stent placement $544.43
33622-00 reconstruction complex cardiac anomaly $2,132.69
33641-00 rpr atr septal dfct secundum w/card byp +-patch $1,150.50
33645-00 dir/patch clsr sinus venosus +-anom pulm ven drg $1,287.00
33647-00 rpr atr&ventr septal dfct dir/patch clsr $3,071.25
33660-00 rpr incompl/prtl av canal +-av valve rpr $1,550.25
33665-00 rpr intrm/transj av canal +-av valve rpr $1,608.75
33670-00 rpr compl av canal +-prostc valve $1,930.50
33675-00 closure multiple ventricular septal defects $1,507.12
33676-00 closure multiple vsd w/resection $1,548.73
33677-00 closure multiple vsd w/removal artery band $1,609.74
33681-00 clsr 1 ventr septal dfct +- patch $2,413.13
33684-00 clsr v-septl dfct w/pulm vlvt/infund rescj $1,608.75
33688-00 clsr v-septl dfct w/rmvl p-art band +-gusset $1,876.88
33690-00 banding pulmonary artery $643.50
33692-00 compl rpr tetralogy fallot w/o pulm atresia $2,559.38
33694-00 compl rpr t-fallot w/o pulm atresia tanulr patch $2,691.00
33697-00 compl rpr t-fallot w/pulm atresia $1,631.37
33702-00 rpr sinus valsalva fistula $1,950.00
33710-00 rpr sinus valsalva fstl w/rpr v-septl dfct $2,593.50
33720-00 rpr sinus valsalva aneurysm $1,608.75
33722-00 closure aortico-left ventricular tunnel $2,193.75
33724-00 repair isolated partial pulm venous return $1,082.74
33726-00 repair pulmonary venous stenosis $1,434.28
33730-00 compl rpr anom ven return $1,608.75
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