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 />
35685-00 plmt vein patch/cuff dstl anast byp conduit $147.42<br />
35686-00 crtj dstl arv<strong>en</strong> fstl lxtr byp surg non-hemo $121.97<br />
35691-00 trpos&/rimpltj vrt crtd art $1,053.00<br />
35693-00 trpos&/rimpltj vrt subcla art $658.13<br />
35694-00 trpos&/rimpltj subcla crtd art $745.88<br />
35695-00 trpos&/rimpltj crtd subcla art $745.88<br />
35697-00 rimpltj visc art infrarnl aortic prosth ea art $105.30<br />
35700-00 roprtj > 1 mo after original opration $131.63<br />
35701-00 expl n/flwd surg rpr +-lss art crtd art $321.75<br />
35721-00 expl n/flwd surg rpr +-lss art fem art $273.00<br />
35741-00 expl n/flwd surg rpr +-lss art pop art $273.00<br />
35761-00 expl n/flwd surg rpr +-lss art oth vsl $298.35<br />
35800-00 expl po hemrrg thrombosis/infctj nck $320.78<br />
35820-00 expl po hemrrg thrombosis/infctj ch $548.93<br />
35840-00 expl po hemrrg thrombosis/infctj abd $452.40<br />
35860-00 expl po hemrrg thrombosis/infctj xtr $303.23<br />
35870-00 rpr grf-<strong>en</strong>teric fstl $896.81<br />
35875-00 thrmbc artl/v<strong>en</strong> grf oth/thn hemo grf/fstl $394.88<br />
35876-00 thrmbc artl/v<strong>en</strong> grf xcp hemo grf/fstl w/revj grf $596.70<br />
35879-00 revj lxtr artl byp opn vein patch angiop $633.75<br />
35881-00 revj lxtr artl byp opn w/sgmtl vein interpos $709.02<br />
35883-00 revision femoral anast op<strong>en</strong> nonautog graft $895.93<br />
35884-00 revision femoral anast op<strong>en</strong> w/autog graft $951.21<br />
35901-00 exc infct grf nck $408.53<br />
35903-00 exc infct grf xtr $438.75<br />
35905-00 exc infct grf thorax $658.13<br />
35907-00 exc infct grf abd $680.55<br />
36002-00 njx px prq tx xtr pseudoarysm $114.08<br />
36005-00 njx px xtr vngrph w/intro ndl/intracath $43.88<br />
36010-00 intro cath suprior/ivc $78.00<br />
36011-00 Place catheter in vein, slctv cath plmt v<strong>en</strong> sys 1st order branch $131.63<br />
36012-00 slctv cath plmt v<strong>en</strong> sys 2nd order/> slctv branch $166.73<br />
36013-00 intro cath r hrt/main p-art $127.73<br />
36014-00 slctv cath plmt l/r p-art $118.95<br />
36015-00 slctv cath plmt sgmtl/subsgmtl p-art $136.50<br />
36100-00 intro ndl/intracath crtd/vrt art $141.38<br />
36120-00 intro ndl/intracath rtrgr brach art $141.38<br />
36140-00 intro ndl/intracath xtr art $78.00<br />
36147-00 intro ndl/cath av shunt ist access w/ rad eval $426.08<br />
36148-00 intro ndl/cath av shunt addl access ther ivntj $133.58<br />
36160-00 intro ndl/intracath aortic translmbr $107.25<br />
36200-00 intro cath aorta $187.20<br />
36215-00 Place catheter in artery, slctv cathj ea 1st ord thrc/brch/cphlc brnch $232.05<br />
36216-00 slctv cathj 1st 2nd ord thrc/brch/cphlc brnch $212.55<br />
36217-00 slctv cathj 3rd+ ord slctv thrc/brch/cphlc brnch $253.50<br />
36218-00 slctv cathj ea 2nd+ ord thrc/brch/cphlc brnch $117.98<br />
36245-00 Place catheter in artery, slctv cathj ea 1st ord abdl p<strong>el</strong>/lxtr art brnch $131.63<br />
36246-00 Place catheter in artery, slctv cathj 2nd order abdl p<strong>el</strong>/lxtr art brnch $191.10<br />
36247-00 slctv cathj 3rd+ ord slctv abdl p<strong>el</strong>/lxtr brnch $241.80<br />
36248-00 slctv cathj ea 2nd+ ord abdl p<strong>el</strong>/lxtr art brnch $87.75<br />
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