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 />
33732-00 rpr c triatm/supvalvr ring rescj l atr memb $1,316.25<br />
33735-00 atr septect/septost clsd hrt $1,462.50<br />
33736-00 atr septect/septost opn hrt w/card byp $1,316.25<br />
33737-00 atr septect/septost opn hrt w/infl occlusion $1,033.50<br />
33750-00 shunt subcla p-art $1,170.00<br />
33755-00 shunt asc<strong>en</strong>ding aorta p-art $1,170.00<br />
33762-00 shunt desc<strong>en</strong>ding aorta p-art $1,462.50<br />
33764-00 shunt ctr w/prostc grf $1,316.25<br />
33766-00 shunt suprior v/c p-art flo 1 lng $1,462.50<br />
33767-00 shunt suprior v/c p-art flo bth lngs $1,372.80<br />
33768-00 anast cavopulm 2nd suprior v/c $301.86<br />
33770-00 rpr tga w/o surg <strong>en</strong>lgmnt v-septl dfct $1,671.77<br />
33771-00 rpr tga <strong>en</strong>lgmnt v-septl dfct $3,071.25<br />
33774-00 rpr tga atr baffle w/card byp $2,457.00<br />
33775-00 rpr tga atr baffle w/rmvl pulm band $3,071.25<br />
33776-00 rpr tga atr baffle w/clsr v-septl dfct $3,071.25<br />
33777-00 rpr tga atr baffle rpr sbpulmc obstrcj $3,071.25<br />
33778-00 rpr tga aortic p-art rcnstj $3,071.25<br />
33779-00 rpr tga aortic p-art rcnstj w/rmvl pulm band $3,159.00<br />
33780-00 rpr tga aortic p-art rcnstj w/clsr v-septl dfct $3,217.50<br />
33786-00 total repair truncus arteriosus $1,930.50<br />
33788-00 reimplantation anomalous pulmonary artery $1,126.13<br />
33800-00 aortic ssp tracheal dcmprn spx $702.00<br />
33802-00 division aberrant vess<strong>el</strong> vascular ring $770.25<br />
33803-00 division aberrant vess<strong>el</strong> w/reanastomosis $965.25<br />
33813-00 obltrj aortopulm septal dfct w/o card byp $1,335.75<br />
33814-00 obltrj aortopulm septal dfct w/card byp $1,852.50<br />
33820-00 repair pat<strong>en</strong>t ductus arteriosus ligation $975.00<br />
33822-00 rpr pat<strong>en</strong>t duxus arteriosus div under 18 yr $1,101.75<br />
33824-00 rpr pat<strong>en</strong>t duxus arteriosus div 18 yr&older $1,296.75<br />
33840-00 exc coarcj aorta +-pda w/dir anast $965.25<br />
33845-00 exc coarctation aorta +-pda w/grf $1,287.00<br />
33851-00 exc coarcj aorta w/l subcla art/prostc as gusset $1,579.50<br />
33852-00 rpr hypoplstc a-arch w/agrft/prostc $1,579.50<br />
33853-00 rpr hypoplstc a-arch agrft/prostc card byp $1,755.00<br />
33860-00 asc<strong>en</strong>ding aorta grf w/card byp & valve ssp $1,803.75<br />
33863-00 as-aort grf w/card byp & aortic root rplcmt $1,984.51<br />
33864-00 asc<strong>en</strong>ding aorta grf valve spare root remod<strong>el</strong> $1,974.38<br />
33870-00 transverse arch graft w/cardiopulmonary bypass $2,574.00<br />
33875-00 desc<strong>en</strong>ding thoracic aorta graft +-bypass $1,608.75<br />
33877-00 rpr thoracoaaa w/grf +-card byp $1,316.25<br />
33880-00 evasc rpr dta coverage art origin 1st <strong>en</strong>doprosth $1,253.36<br />
33881-00 evasc rpr dta exp coverage w/o art origin $1,075.82<br />
33883-00 plmt prox xtn prosth evasc rpr dta 1st xtn $795.89<br />
33884-00 plmt prox xtn prosth evasc rpr dta ea prox xtn $298.35<br />
33886-00 plmt dstl xtn prosth dlyd after evasc rpr dta $687.96<br />
33889-00 opn subcla crtd art trpos nck inc ulat $591.44<br />
33891-00 byp grf w/dta rpr nck inc $755.53<br />
33910-00 pulmonary artery embolectomy w/card bypass $2,559.38<br />
33915-00 pulmonary artery embolectomy w/o card bypass $1,560.00<br />
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