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

Procedure &
Place of Service
Tarifas
Servicios de Salud
Description Fee
35537-00 byp w/vein aortoiliac $1,189.50
35538-00 byp w/vein aortobi-iliac $1,189.50
35539-00 byp w/vein aortofemoral $1,316.25
35540-00 byp w/vein aortobifemoral $1,462.50
35548-00 byp w/vein aortoiliofem uni $1,316.25
35549-00 byp w/vein aortoiliofem bi $1,550.25
35551-00 byp w/vein aortofempop $1,287.00
35556-00 byp w/vein fempop $1,608.75
35558-00 byp w/vein fem-fem $867.75
35560-00 byp w/vein aortornl $1,755.00
35563-00 byp w/vein ilioiliac $1,238.25
35565-00 byp w/vein iliofem $1,160.25
35566-00 byp fem-ant tibl pst tibl proneal art/oth dstl $1,608.75
35570-00 byp tibl-tibl/proneal-tibl/tibl/proneal trk-tibl $1,404.39
35571-00 byp w/vein pop-tibl-proneal art/oth dstl vsl $1,033.50
35572-00 harvest fempop vein 1 sgm vasc rcnstj px $254.57
35583-00 in-situ vein byp fempop $1,053.00
35585-00 in-situ fem-ant tibl pst tibl/proneal art $1,100.78
35587-00 in-situ vein byp pop-tibl proneal $1,140.75
35600-00 harvest upper extremity art 1 segment for cabg $184.28
35601-00 byp oth/thn vein common-ipsilateral crtd $897.00
35606-00 byp oth/thn vein crtd-subcla $1,053.00
35612-00 byp oth/thn vein subcla-subcla $741.00
35616-00 byp oth/thn vein subcla-ax $1,023.75
35621-00 byp oth/thn vein ax-fem $867.75
35623-00 byp oth/thn vein ax-pop/-tibl $731.25
35626-00 bypass not vein aortosubcla/carotid/innominate $975.00
35631-00 byp oth/thn vein aortoceliac aortomsn aortornl $1,272.38
35632-00 bypass graft w/other than vein ilio-celiac $1,371.53
35633-00 bypass graft w/other than vein ilio-mesenteric $1,481.22
35634-00 bypass graft w/other than vein iliorenal $1,342.58
35636-00 byp oth/thn vein splenornl $1,228.50
35637-00 byp oth/thn vein aortoiliac $1,228.50
35638-00 byp oth/thn vein aortobi-iliac $1,404.00
35642-00 byp oth/thn vein crtd-vrt $1,009.13
35645-00 byp oth/thn vein subcla-vrt $789.75
35646-00 byp oth/thn vein aortobifem $1,062.75
35647-00 byp oth/thn vein aortofem $1,184.63
35650-00 byp oth/thn vein ax-ax $1,053.00
35651-00 byp oth/thn vein aortofempop $1,462.50
35654-00 byp oth/thn vein ax-fem-fem $1,162.69
35656-00 byp oth/thn vein fempop $1,608.75
35661-00 byp oth/thn vein fem-fem $741.00
35663-00 byp oth/thn vein ilioiliac $936.00
35665-00 byp oth/thn vein iliofem $828.75
35666-00 byp oth/thn vein fem-ant tibl pst tibl/proneal $804.38
35671-00 byp oth/thn vein pop-tibl/-proneal art $804.38
35681-00 byp composit prostc&vein $65.57
35682-00 byp autog composit 2 seg veins from 2 locations $295.01
35683-00 byp autog composit 3/> seg from 2/> locations $348.95
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