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 />
43228-00 esphgsc rgd/flx abltj tum xcp hot bx/caut/snare $312.00<br />
43231-00 esphgsc rgd/flx w/ndsc us xm $140.40<br />
43234-00 upper stomach-intestine scope simple $123.83<br />
43235-00 upper stomach-intestine scope for diagnosis $253.50<br />
43236-00 stomach-intestine scope inject intestine wall $140.61<br />
43237-00 upr gi ndsc ndsc us xm lmtd esoph $149.18<br />
43238-00 upr gi ndsc tndsc us fine ndl aspir/bx esoph $184.28<br />
43239-00 upper stomach-intestine scope for biopsy $290.00<br />
43240-00 upr gi ndsc transmural drg pseudocst $254.48<br />
43241-00 upr gi ndsc tndsc intral tube/cath plmt $241.80<br />
43242-00 stomach-intestine scope ultrasound guided biopsy $263.25<br />
43243-00 upr gi ndsc njx sclerosis esophgl&/gstr varc $273.00<br />
43244-00 upr gi ndsc band lig esophgl&/gstr varc $263.25<br />
43245-00 upr gi ndsc dilat gstr outlet for obstrcj $282.75<br />
43246-00 upr gi ndsc dired plmt prq gastrostomy tube $321.75<br />
43247-00 stomach-intestine scope for foreign body removal $263.25<br />
43248-00 upr gi ndsc insj gd wire dilat esoph > gd wire $175.50<br />
43249-00 upr gi ndsc balo dilat esoph < 30 mm diam $219.38<br />
43250-00 upr gi ndsc rmvl les hot bx/bipolar caut $245.70<br />
43251-00 upr gi ndsc rmvl tum polyp/oth les snare tq $263.25<br />
43255-00 upr gi ndsc ctrl bld any meth $273.00<br />
43256-00 upr gi ndsc tndsc st<strong>en</strong>t plmt w/predilat $206.60<br />
43258-00 upr gi ndsc abltj les x rmvl forceps/caut/snare $273.00<br />
43259-00 stomach-intestine scope with ultrasound exam $236.93<br />
43260-00 ercp dx collj spec br/wa spx $341.25<br />
43261-00 ercp w/bx 1/mlt $548.93<br />
43262-00 ercp w/sphnctrotomy/papillotomy $409.50<br />
43263-00 ercp w/press meas sphnctr oddi $346.11<br />
43264-00 ercp w/rmvl st1/calculi biliary&/pncrtc duxs $443.63<br />
43265-00 ercp w/dstrj lithotrp st1/calculi any meth $377.33<br />
43267-00 ercp w/insj nasobiliary/nasopncrtc drg tube $350.42<br />
43268-00 ercp w/insj tube/st<strong>en</strong>t bile/pncrtc dux $443.63<br />
43269-00 ercp w/rtrgr rmvl fb&/chng tube/st<strong>en</strong>t $570.38<br />
43271-00 ercp w/balo dilat ampulla biliary&/pncrtc dux $409.50<br />
43272-00 ercp w/abltj les x rmvl forceps/caut/snare $388.05<br />
43273-00 <strong>en</strong>doscopic papilla cannulation bile pancreatic $106.53<br />
43279-00 laps esophagomyotomy w/fundoplasty if performed $833.63<br />
43280-00 laps surg esopg/gstr fundoplasty $765.38<br />
43281-00 laps rpr <strong>para</strong>esphgl hrna incl fundplsty w/o mesh $926.25<br />
43282-00 laps rpr <strong>para</strong>esphgl hrna incl fundplsty w/mesh $1,041.30<br />
43283-00 laps esophageal l<strong>en</strong>gth<strong>en</strong>ing addl $97.50<br />
43300-00 esphgp crv appr w/o rpr tracheoesophgl fstl $526.50<br />
43305-00 esphgp crv appr w/rpr tracheoesophgl fstl $804.38<br />
43310-00 esphgp thrc appr w/o rpr tracheoesophgl fstl $994.50<br />
43312-00 esphgp thrc appr w/rpr tracheoesophgl fstl $1,062.75<br />
43313-00 esphgp cg<strong>en</strong> dfct thrc appr w/o rpr fstl $1,840.12<br />
43314-00 esphgp cg<strong>en</strong> dfct thrc appr w/rpr fstl $2,020.88<br />
43320-00 egst+-vagotomy&pyloroplasty tabdl/tthrc appr $780.00<br />
43325-00 esopg/gstr fundoplasty w/fundic patch $975.00<br />
43327-00 esopg/gstr fundoplasty w/lapt $490.47<br />
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