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 />
44379-00 <strong>en</strong>teroscopy > 2nd prtn w/ile w/st<strong>en</strong>t plmt $201.83<br />
44380-00 ilesc thru stoma dx +-collj spec br/wa spx $86.00<br />
44382-00 ilesc thru stoma w/bx 1/mlt $104.33<br />
44383-00 ilesc thru stoma w/tndsc st<strong>en</strong>t plmt $114.08<br />
44385-00 ndsc eval intstinal pouch dx +-collj spec spx $114.08<br />
44386-00 ndsc eval intstinal pouch w/bx 1/mlt $96.53<br />
44388-00 scope of colon thru ostomy for diagnosis $156.00<br />
44389-00 scope of colon with biopsy thru ostomy $185.25<br />
44390-00 colsc thru stoma w/rmvl fb $195.00<br />
44391-00 colsc thru stoma ctrl bld $253.50<br />
44392-00 colsc thru stoma rmvl les caut $273.00<br />
44393-00 colsc thru stoma abltj les $282.75<br />
44394-00 colsc thru stoma w/rmvl tum polyp/oth les snare $254.48<br />
44397-00 colsc thru stoma w/tndsc st<strong>en</strong>t plmt $201.83<br />
44500-00 intro long gi tube spx $17.55<br />
44602-00 <strong>en</strong>terorrhaphy 1 prf8j $602.84<br />
44603-00 <strong>en</strong>terorrhaphy mlt prf8j $701.12<br />
44604-00 sutr lg int 1/mlt prf8j w/o clst $613.37<br />
44605-00 sutr lg int 1/mlt prf8j w/clst $682.50<br />
44615-00 intstinal stricturoplasty+-dilat obstrcj $615.13<br />
44620-00 clsr ntrstm lg/sm int $476.48<br />
44625-00 clsr ntrstm lg/sm rescj&anast oth/thn clrct $682.50<br />
44626-00 clsr ntrstm lg/sm rescj&clrct anast $965.25<br />
44640-00 clsr intstinal cutan fstl $811.69<br />
44650-00 clsr <strong>en</strong>tero<strong>en</strong>teric/<strong>en</strong>terocolic fstl $585.00<br />
44660-00 clsr <strong>en</strong>teroves fstl w/o intstinal/bldr rescj $789.75<br />
44661-00 clsr <strong>en</strong>teroves fstl w/int&/bldr rescj $926.25<br />
44680-00 intstinal plctj spx $838.50<br />
44700-00 exclusion sm int from p<strong>el</strong>vis mesh/prosth/tiss $715.16<br />
44701-00 intraop colonic lvg $114.08<br />
44800-00 exc meck<strong>el</strong>'s diverticulum/omphalomes<strong>en</strong>teric duct $487.50<br />
44820-00 exc les mes<strong>en</strong>tery spx $487.50<br />
44850-00 sutr mes<strong>en</strong>tery spx $390.00<br />
44900-00 i&d app<strong>en</strong>diceal absc opn $292.50<br />
44901-00 i&d app<strong>en</strong>diceal absc prq $204.46<br />
44950-00 app<strong>en</strong>dec $390.00<br />
44955-00 app<strong>en</strong>dec indicated purpose oth major px x spx $355.88<br />
44960-00 app<strong>en</strong>dec rptd app<strong>en</strong>dix absc/pritonitis $453.38<br />
44970-00 laps surg app<strong>en</strong>dec $438.75<br />
45000-00 transrct drg p<strong>el</strong> absc $146.25<br />
45005-00 i&d sbmcsl absc rectum $117.00<br />
45020-00 i&d dp supralevator p<strong>el</strong>virct/retrorct absc $195.00<br />
45100-00 bx anrct wall anal appr $175.50<br />
45108-00 anrct myomectomy $219.38<br />
45110-00 prctect compl cmbn abdominoprnl w/clst $975.00<br />
45111-00 prctect prtl rescj rectum tabdl appr $838.50<br />
45112-00 prctect cmbn abdominoprnl pull-thru px $877.50<br />
45113-00 prctect prtl w/mucosec ileoanal anast rsvr $1,202.18<br />
45114-00 prctect prtl w/anast abdl&transsac appr $926.25<br />
45116-00 prctect prtl w/anast transsac appr only $804.38<br />
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