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 />
43328-00 esopg/gstr fundoplasty w/thorcom $708.83<br />
43330-00 esophagomyotomy h<strong>el</strong>ler typ abdl appr $780.00<br />
43331-00 esophagomyotomy h<strong>el</strong>ler typ thrc appr $780.00<br />
43332-00 rpr <strong>para</strong>esoph hiatal hernia w/lapt w/o mesh $619.52<br />
43333-00 lapt rpr <strong>para</strong>esoph hiatal hernia w/ mesh $761.64<br />
43334-00 rpr <strong>para</strong>esoph hiatal hernia w/thorcom w/o mesh $769.28<br />
43335-00 rpr <strong>para</strong>esoph hiatal hernia w/thorcom w/mesh $828.75<br />
43336-00 rpr <strong>para</strong>esoph hiatal hernia thorcoabdom w/o mesh $902.99<br />
43337-00 rpr <strong>para</strong>esoph hiatal hernia thorcoabdom w/mesh $986.70<br />
43338-00 esophagus l<strong>en</strong>gth<strong>en</strong>ing $80.31<br />
43340-00 esophagojejunostomy w/o tot gstrct abdl appr $975.00<br />
43341-00 esophagojejunostomy w/o tot gstrct thrc appr $975.00<br />
43350-00 esophagostomy fstlj esoph xtrnl abdl appr $585.00<br />
43351-00 esophagostomy fstlj esoph xtrnl thrc appr $585.00<br />
43352-00 esophagostomy fstlj esoph xtrnl crv appr $516.75<br />
43360-00 gi rcnstj prev esphg/exclusion w/stomach $1,404.00<br />
43361-00 gi rcnstj prev esphg/exclusion w/colon sm int $447.53<br />
43400-00 lig dir esophgl varc $780.00<br />
43401-00 trnsxj esoph w/rpr esophgl varc $1,316.25<br />
43405-00 lig/stapling g-esop junct pre-esophgl prf8j $791.51<br />
43410-00 sutr esophgl wnd/inj crv appr $468.00<br />
43415-00 sutr esophgl wnd/inj tthrc/tabdl appr $682.50<br />
43420-00 clsr esophagostomy/fstl crv appr $438.75<br />
43425-00 clsr esophagostomy/fstl tthrc/tabdl appr $682.50<br />
43450-00 op<strong>en</strong>ing of esophagus $48.75<br />
43453-00 dilat esoph > gd wire $102.38<br />
43456-00 dilat esoph balo/dilator rtrgr $195.00<br />
43458-00 dilat esoph balo 30 mm diam/lgr achalasia $175.50<br />
43460-00 esopg/gstr tamponade w/balo s<strong>en</strong>gstak<strong>en</strong> typ $87.75<br />
43500-00 gstrt w/expl/fb rmvl $487.50<br />
43501-00 gstrt w/sutr rpr bld ulcer $529.43<br />
43502-00 gstrt w/sutr rpr pre-esopg/gstr lac $592.80<br />
43510-00 gstrt w/esophgl dilat&insj prm intral tube $536.25<br />
43520-00 pyloromyotomy cutting pyloric musc $487.50<br />
43605-00 bx stomach lapt $487.50<br />
43610-00 exc local ulcer/b9 tum stomach $585.00<br />
43611-00 exc local mal tum stomach $570.38<br />
43620-00 gstrct tot w/esophagontrstm $975.00<br />
43621-00 gstrct tot w/roux-<strong>en</strong>-y rcnstj $978.90<br />
43622-00 gstrct tot w/frmj intstinal pouch any typ $1,061.78<br />
43631-00 gstrct prtl dstl w/gastroduod<strong>en</strong>ostomy $833.63<br />
43632-00 gstrct prtl dstl w/gastrojejunostomy $833.63<br />
43633-00 gstrct prtl dstl w/roux-<strong>en</strong>-y rcnstj $856.05<br />
43634-00 gstrct prtl dstl w/frmj intstinal pouch $1,140.75<br />
43635-00 vagotomy pfrmd w/prtl dstl gstrct $848.25<br />
43640-00 vgtmy w/pyps +-gastrostomy truncal/slctv $682.50<br />
43641-00 vgtmy w/pyps +-gastrostomy parietal c<strong>el</strong>l $789.75<br />
43644-00 laps gstr rstcv px w/byp roux-<strong>en</strong>-y
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