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 />
36584-00 rplcmt compl prph cvc w/o subq port/pmp $62.00<br />
36589-00 rmvl tun cvc w/o subq port/pmp $125.00<br />
36590-00 rmvl tun ctr vad w/subq port/pmp ctr/prph insj $190.00<br />
36593-00 declot by thrombolytic ag<strong>en</strong>t implant device/cath $24.20<br />
36595-00 mchnl rmvl pricath obstr cv dev via v<strong>en</strong> access $170.00<br />
36596-00 mchnl rmvl intral obstr cv dev thru dev lum<strong>en</strong> $44.00<br />
36597-00 rpsg previously placed cvc under fluor gdn $60.00<br />
36598-00 cntrst njx rad eval ctr vad fluor img&reprt $47.00<br />
36600-00 artl pnxr w/drawal bld dx $24.38<br />
36620-00 artl cathj/cannulj mntr/transfusion spx prq $39.00<br />
36625-00 artl cathj/cannulj mntr/transfusion spx cutdown $68.25<br />
36640-00 artl cathj prolng nfs ther chemotx cutdown $78.00<br />
36660-00 catheterization umbilical newborn art dx/therapy $39.00<br />
36680-00 plmt ndl intraoss nfs $71.18<br />
36800-00 insj cannula hemo oth purpose spx vein vein $117.00<br />
36810-00 insj cannula hemo oth purpose spx arv<strong>en</strong> xtrnl $273.00<br />
36815-00 insj cannula hemo oth spx arv<strong>en</strong> xtrnl revj/clsr $136.50<br />
36818-00 arv<strong>en</strong> anast opn upr arm cephalic vein trpos $494.03<br />
36819-00 arv<strong>en</strong> anast opn upr arm basilic vein trpos $558.09<br />
36820-00 arv<strong>en</strong> anast opn f/arm vein trpos $446.65<br />
36821-00 arteriov<strong>en</strong>ous anastomosis op<strong>en</strong> direct $399.75<br />
36822-00 insj cannula prolng xc-circj ecmo spx $298.35<br />
36823-00 insj cnula isltd xc-circj reg chemotx xtr rmvl $852.93<br />
36825-00 Artery-vein autograft, crtj arv<strong>en</strong> fstl xcp dir arv<strong>en</strong> anast autog grf $643.50<br />
36830-00 crtj arv<strong>en</strong> fstl xcp dir arv<strong>en</strong> anast nonautog grf $536.25<br />
36831-00 thrmbc opn arv<strong>en</strong> fstl w/o revj dial grf $236.05<br />
36832-00 revj opn arv<strong>en</strong> fstl w/o thrmbc dial grf $429.00<br />
36833-00 revj opn arv<strong>en</strong> fstl w/thrmbc dial grf $336.96<br />
36835-00 insj thomas shunt spx $585.00<br />
36838-00 dstl revsc&interval lig uxtr hemo access $836.26<br />
36860-00 xtrnl cannula decltng spx w/o balo cath $53.63<br />
36861-00 xtrnl cannula decltng spx w/balo cath $112.13<br />
36870-00 thrmbc prq arv<strong>en</strong> fstl autog/nonautog grf $1,208.81<br />
37140-00 v<strong>en</strong> anast opn portocaval $975.00<br />
37145-00 v<strong>en</strong> anast opn r<strong>en</strong>oportal $117.00<br />
37160-00 v<strong>en</strong> anast opn caval-mes<strong>en</strong>teric $1,062.75<br />
37180-00 v<strong>en</strong> anast opn spl<strong>en</strong>ornl prox $975.00<br />
37181-00 v<strong>en</strong> anast opn spl<strong>en</strong>ornl dstl $1,316.25<br />
37182-00 insj transvns intrahepatc portosysic shunt $631.80<br />
37183-00 revj transvns intrahepatic portosystemic shunt $293.09<br />
37184-00 prim prq trluml mchnl thrmbc 1st vsl $393.25<br />
37185-00 prim prq trluml mchnl thrmbc sbsq vsl $144.96<br />
37186-00 sec prq trluml thrmbc $217.36<br />
37187-00 prq trluml mchnl thrmbc vein $365.48<br />
37188-00 prq trluml mchnl thrmbc vein repeat tx $263.16<br />
37195-00 thrombolss cere iv nfs $213.23<br />
37200-00 tcat bx $157.95<br />
37201-00 Transcatheter therapy infuse, tcat ther nfs thrombolss oth/thn c $390.00<br />
37202-00 Transcatheter therapy infuse, tcat ther nfs oth/thn thrombolss any typ $272.03<br />
37203-00 tcat retrieval prq iv fb $241.80<br />
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