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 />
37204-00 tcat occls/embolj prq non-cns non-head/nck $975.00<br />
37205-00 tcat plmt iv st<strong>en</strong>t percutaneous 1st vess<strong>el</strong> $390.00<br />
37206-00 tcat plmt iv st<strong>en</strong>t percutaneous each addl vess<strong>el</strong> $175.50<br />
37207-00 tcat plmt iv st<strong>en</strong>t op<strong>en</strong> 1st vess<strong>el</strong> $195.00<br />
37208-00 tcat plmt iv st<strong>en</strong>t op<strong>en</strong> each addl vess<strong>el</strong> $351.00<br />
37209-00 exchng prev placed iv cath thrombolytic ther $351.00<br />
37210-00 uterine fibroid embolization perq w/rad gid $364.16<br />
37215-00 tcat iv st<strong>en</strong>t crv crtd art embolic protecj $844.16<br />
37216-00 tcat iv st<strong>en</strong>t crv crtd art w/o embolic protecj $813.44<br />
37220-00 revascularization iliac artery angiop 1st vsl $596.70<br />
37221-00 revsc opn/prq iliac art w/stnt plmt & angiop uni $791.70<br />
37222-00 revascularization iliac art angiop ea ipsi vsl $179.40<br />
37223-00 revsc opn/prq iliac art w/stnt & angiop ipsi vsl $479.70<br />
37224-00 revsc opn/prg fem/pop w/angioplasty uni $715.65<br />
37225-00 revsc opn/prq fem/pop w/athrc/angiop sm vsl $978.90<br />
37226-00 revsc opn/prq fem/pop w/stnt/angiop sm vsl $910.65<br />
37227-00 #N/A $1,173.90<br />
37228-00 revsc opn/prq tib/pero w/angioplasty uni $847.28<br />
37229-00 revsc opn/prq tib/pero w/athrc/angiop sm vsl $1,110.53<br />
37230-00 revsc opn/prq tib/pero w/stnt/angiop sm vsl $1,042.28<br />
37231-00 revsc opn/prq tib/pero w/stnt/athr/angiop sm vsl $1,305.53<br />
37232-00 revsc opn/prq tib/pero w/angioplasty uni ea vsl $254.48<br />
37233-00 revsc opn/prq tib/pero w/athrc/angiop uni ea vsl $653.25<br />
37234-00 revsc opn/prq tib/pero w/stnt/angiop uni ea vsl $516.75<br />
37235-00 revsc opn/prq tib/pero w/stnt/athr/angiop ea vsl $848.25<br />
37250-00 iv us non-c vsl dx eval&/ther ivntj 1st vsl $77.22<br />
37251-00 iv us non-c vsl dx eval&/ther ivntj ea vsl $67.00<br />
37500-00 vasc ndsc seps $582.00<br />
37565-00 lig int jug vein $273.00<br />
37600-00 lig xtrnl crtd art $390.00<br />
37605-00 lig int/common crtd art $507.00<br />
37606-00 lig int/common crtd art w/gradual occls $565.50<br />
37607-00 lig/banding angioaccess arv<strong>en</strong> fstl $250.58<br />
37609-00 lig/bx temporal art $136.50<br />
37615-00 lig major art nck $365.63<br />
37616-00 lig major art ch $458.25<br />
37617-00 lig major art abd $994.50<br />
37618-00 lig major art xtr $331.50<br />
37620-00 interrupj ivc sutr lig plctj clip xtrvasc iv $585.00<br />
37650-00 lig fem vein $243.75<br />
37660-00 lig common iliac vein $463.13<br />
37700-00 lig&div long saph vein saphfem junct/interrupj $160.88<br />
37718-00 lig div&stripping short saph<strong>en</strong>ous vein $280.80<br />
37722-00 lig div&strip long saph saphfem junct kne/b<strong>el</strong>w $332.67<br />
37735-00 lig&div&compl strip long/short saph rad exc $468.00<br />
37760-00 lig prfratr vein subfscal rad incl skn grf 1 leg $458.25<br />
37761-00 lig prfratr vein subfscal op<strong>en</strong> incl us gid 1 leg $504.08<br />
37765-00 stab phlebt varicose veins 1 xtr 10-20 stab incs $314.15<br />
37766-00 stab phlebt varicose veins 1 xtr > 20 incs $381.71<br />
37780-00 lig&div short saph vein saph<strong>en</strong>opop junct spx $121.88<br />
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