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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 />

44144-00 colct prtl w/rescj w/clst/ileost&mucofstl $975.00<br />

44145-00 colct prtl w/colopxtstmy lw p<strong>el</strong> anast $1,170.00<br />

44146-00 colct prtl w/colopxtstmy lw p<strong>el</strong> anast w/clst $1,267.50<br />

44147-00 colct prtl abdl&transanal appr $1,140.75<br />

44150-00 colct tot abdl w/o prctect w/ileost/ileopxts $1,072.50<br />

44151-00 colct tot abdl w/o prctect w/contin<strong>en</strong>t ileost $1,053.00<br />

44155-00 colct tot abdl w/prctect w/ileost $1,170.00<br />

44156-00 colct tot abdl w/prctect w/contin<strong>en</strong>t ileost $780.00<br />

44157-00 colct ttl abd w/prctect ileoanal anast $1,400.49<br />

44158-00 colct ttl abd w/prctect ileoanal anast & rsvr $1,437.35<br />

44160-00 colct prtl w/rmvl terminal ile w/ileoclst $965.25<br />

44180-00 laps <strong>en</strong>terolss fring intstinal adhesion spx $263.25<br />

44186-00 laps jejunostomy $474.48<br />

44187-00 laps ileost/jejunostomy non-tube $665.15<br />

44188-00 laps clst/skn lvl cecostomy $860.06<br />

44202-00 laps <strong>en</strong>trc rescj sm int 1 rescj&anast $953.55<br />

44203-00 laps ea sm int rescj&anast $164.09<br />

44204-00 laps colct prtl w/anast $1,060.46<br />

44205-00 laps colct prtl w/rmvl terminal ile $851.18<br />

44206-00 laps colct prtl w/<strong>en</strong>d clst&clsr dstl sgm $1,023.17<br />

44207-00 laps colct prtl w/colopxtstmy lw anast $1,119.69<br />

44208-00 laps colct prtl w/colopxtstmy lw anast w/clst $1,210.95<br />

44210-00 laps colct tot w/o prctect w/ileost/ileopxts $1,071.72<br />

44211-00 laps colct ttl abd w/prctect ileoanal anast&rsvr $1,331.17<br />

44212-00 laps colct abdl w/prctect w/ileost $1,243.42<br />

44213-00 laps moblj spl<strong>en</strong>ic flxr pfrmd w/prtl colct $131.63<br />

44227-00 laps clsr ntrstm lg/sm int w/rescj&anast $824.85<br />

44300-00 placem<strong>en</strong>t <strong>en</strong>terostomy/cecostomy tube op<strong>en</strong> $487.50<br />

44310-00 ileost/jejunostomy non-tube $604.50<br />

44312-00 revj ileost smpl rls supfc scar spx $204.75<br />

44314-00 revj ileost comp rcnstj in-depth spx $604.50<br />

44316-00 contin<strong>en</strong>t ileost kock px spx $682.50<br />

44320-00 clst/skn lvl cecostomy $487.50<br />

44322-00 clst/skn lvl cecostomy w/mlt bxs spx $473.85<br />

44340-00 revj clst smpl rls supfc scar spx $48.75<br />

44345-00 revj clst comp rcnstj in-depth spx $243.75<br />

44346-00 revj clst w/rpr <strong>para</strong>clst hrna spx $491.40<br />

44360-00 scope of upper small intestine $87.75<br />

44361-00 scope of upper small intestine with biopsy $263.25<br />

44363-00 <strong>en</strong>teroscopy > 2nd prtn x ile rmvl fb $165.75<br />

44364-00 <strong>en</strong>teroscopy > 2nd prtn x ile rmvl les snare $224.25<br />

44365-00 <strong>en</strong>teroscopy > 2nd prtn x ile rmvl les caut $245.70<br />

44366-00 <strong>en</strong>teroscopy > 2nd prtn x ile ctrl bld $263.25<br />

44369-00 <strong>en</strong>teroscopy > 2nd prtn x ile abltj les $263.25<br />

44370-00 <strong>en</strong>teroscopy > 2nd prtn x ile tndsc st<strong>en</strong>t plmt $228.39<br />

44372-00 <strong>en</strong>teroscopy > 2nd prtn x ile w/plmt prq tube $263.25<br />

44373-00 <strong>en</strong>teroscopy > 2nd prtn x ile conv gstrst tube $222.89<br />

44376-00 <strong>en</strong>teroscopy > 2nd prtn w/ile +-collj spec spx $254.48<br />

44377-00 <strong>en</strong>teroscopy > 2nd prtn w/ile w/bx 1/mlt $267.64<br />

44378-00 <strong>en</strong>teroscopy > 2nd prtn ile ctrl bld $338.72<br />

64

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