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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

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Procedure &<br />

Place of Service<br />

Tarifas<br />

Servicios de <strong>Salud</strong><br />

Description Fee<br />

45119-00 prctect cmbn pull-thru w/rsvr w/ntrstm $1,206.56<br />

45120-00 prctect compl w/pull-thru px&anast $975.00<br />

45121-00 prctect compl w/stot/tot colct w/mlt bxs $1,316.25<br />

45123-00 prctect prtl w/o anast prnl appr $745.88<br />

45126-00 p<strong>el</strong> exntj clrct mal $1,724.29<br />

45130-00 exc rct procid<strong>en</strong>tia w/anast prnl appr $585.00<br />

45135-00 exc rct procid<strong>en</strong>tia w/anast abdl&prnl appr $975.00<br />

45136-00 exc ileoanal rsvr w/ileost $1,096.88<br />

45150-00 div strix rectum $195.00<br />

45160-00 exc rct tum proctotomy transsac/transcoccygeal $804.38<br />

45171-00 exc rct tum not incl muscularis propria $375.38<br />

45172-00 exc rct tum incl muscularis propria $516.75<br />

45190-00 dstrj rct tum transanal appr $396.63<br />

45300-00 proctosgmdsc rgd dx +-collj spec br/wa spx $29.25<br />

45303-00 proctosgmdsc rgd w/dilat $53.63<br />

45305-00 proctosgmdsc rgd w/bx 1/mlt $48.75<br />

45307-00 proctosgmdsc rgd w/rmvl fb $48.75<br />

45308-00 proctosgmdsc rgd rmvl 1 les caut $83.85<br />

45309-00 proctosgmdsc rgd rmvl 1 les snare tq $83.85<br />

45315-00 proctosgmdsc rgd rmvl mlt tum < caut/snare $87.75<br />

45317-00 proctosgmdsc rgd ctrl bld $58.50<br />

45320-00 proctosgmdsc rgd abltj les $126.75<br />

45321-00 proctosgmdsc rgd dcmprn volvulus $146.25<br />

45327-00 proctosgmdsc rgd tndsc st<strong>en</strong>t plmt $79.38<br />

45330-00 scope of sigmoid colon only for diagnosis $78.00<br />

45331-00 scope of sigmoid colon only with biopsy $107.25<br />

45332-00 sgmdsc flx rmvl fb $117.00<br />

45333-00 sgmdsc flx rmvl les caut $136.50<br />

45334-00 sgmdsc flx ctrl bld $117.00<br />

45335-00 sgmdsc flx dired sbmcsl njx any sbst $99.16<br />

45337-00 sgmdsc flx dcmprn volvulus any meth $143.33<br />

45338-00 sgmdsc flx rmvl tum polyp/oth les snare tq $122.85<br />

45339-00 sgmdsc flx abltj les $157.95<br />

45340-00 sgmdsc flx dilat balo 1/more strixs $226.40<br />

45341-00 sgmdsc flx ndsc us xm $114.08<br />

45342-00 sgmdsc flx tndsc us gid ndl aspir/bx $191.64<br />

45345-00 sgmdsc flx tndsc st<strong>en</strong>t plmt $131.63<br />

45355-00 colsc rgd/flx tabdl via colotomy 1/mlt $29.25<br />

45378-00 scope of colon for diagnosis $273.00<br />

45379-00 colsc flx prox spl<strong>en</strong>ic flxr rmvl fb $243.75<br />

45380-00 scope of colon with biopsy $292.50<br />

45381-00 colsc flx prox spl<strong>en</strong>ic flxr sbmcsl njx $268.52<br />

45382-00 colsc flx prox spl<strong>en</strong>ic flxr ctrl bld $282.75<br />

45383-00 colsc flx prox spl<strong>en</strong>ic flxr abltj les $282.75<br />

45384-00 colsc flx prox spl<strong>en</strong>ic flxr rmvl les caut $333.45<br />

45385-00 colsc flx prox spl<strong>en</strong>ic flxr rmvl les snare tq $575.25<br />

45386-00 colsc flx prox spl<strong>en</strong>ic flxr dilat balo 1+ strixs $510.71<br />

45387-00 colsc flx prox spl<strong>en</strong>ic flxr tndsc st<strong>en</strong>t plmt $263.25<br />

45391-00 colsc flx prox spl<strong>en</strong>ic flxr ndsc us xm $219.38<br />

45392-00 colsc flx prox spl<strong>en</strong>ic flxr us gid ndl aspir/bx $279.05<br />

66

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