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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 />

46600-00 anosc dx +-collj spec br/wa spx $21.06<br />

46604-00 anosc dilat $19.50<br />

46606-00 anosc bx 1/mlt $35.10<br />

46608-00 anosc rmvl fb $48.75<br />

46610-00 anosc rmvl 1 les caut $107.25<br />

46611-00 anosc rmvl 1 tum polyp/oth les snare tq $66.30<br />

46612-00 anosc rmvl mlt tums caut/snare $183.30<br />

46614-00 anosc ctrl bld $105.30<br />

46615-00 anosc abltj les $175.50<br />

46700-00 anoplasty plstc opration strix adlt $390.00<br />

46705-00 anoplasty plstc opration strix inft $404.63<br />

46706-00 rpr anal fstl w/fibrin glue $96.53<br />

46707-00 repair anorectal fistula plug $265.20<br />

46710-00 rpr ileoanal pouch fstl/pouch advmnt tprnl appr $638.82<br />

46712-00 rpr ileoanal pouch fstl/pouch advmnt cmbn appr $1,316.25<br />

46715-00 rpr lw imprf8 anus w/anoprnl fstl cut-bk $282.75<br />

46716-00 rpr lw imprf8 anus w/trpos fstl $468.00<br />

46730-00 rpr hi imprf8 anus w/o fstl prnl/sacroprnl appr $1,042.47<br />

46735-00 rpr hi imprf8 anus w/o fstl cmbn appr $780.00<br />

46740-00 rpr hi imprf8 anus w/fstl prnl/sacroprnl appr $1,131.98<br />

46742-00 rpr hi imprf8 anus w/fstl tabdl&sacroprnl $114.08<br />

46744-00 rpr cloacal anomal sacroprnl $140.40<br />

46746-00 rpr cloacal anomal cmbn abdl&sacroprnl $149.18<br />

46748-00 rpr cloacal anomal cmbn abdl&sacroprnl w/grf $1,667.25<br />

46750-00 sphnctrop anal incont/prolapse adlt $390.00<br />

46751-00 sphnctrop anal incont/prolapse chld $497.25<br />

46753-00 grf thiersch rct incont&/prolapse $243.75<br />

46754-00 rmvl thiersch wire/sutr anal canal $105.43<br />

46760-00 sphnctrop anal musc trnspl $438.75<br />

46761-00 sphnctrop anal levator musc imbrcj $452.40<br />

46762-00 sphnctrop anal impltj artif sphnctr $333.45<br />

46900-00 dstrj les anus smpl chem $139.52<br />

46910-00 dstrj les anus smpl <strong>el</strong>trdsiccation $29.25<br />

46916-00 dstrj les anus smpl cryosurg $35.10<br />

46917-00 dstrj les anus smpl laser surg $175.50<br />

46922-00 dstrj les anus smpl surg exc $175.50<br />

46924-00 dstrj les anus x10sv $175.50<br />

46930-00 destruction internal hemorrhoid thermal <strong>en</strong>ergy $53.63<br />

46940-00 curtg/caut anal fissure w/dilat sphnctr spx 1st $68.25<br />

46942-00 curtg/caut anal fissure w/dilat sphnctr spx sbsq $58.50<br />

46945-00 hrhc ntrnl lig oth than rbbr band 1 col/grp $78.00<br />

46946-00 hrhc ntrnl lig oth than rbbr band 2+ col/grp $117.00<br />

46947-00 hemorrhoidopexy stapling $220.25<br />

47000-00 bx lvr ndl prq $48.75<br />

47001-00 bx lvr ndl done purpose tm oth major px $79.95<br />

47010-00 hepatotomy opn drg absc/cst 1/2 stgs $546.00<br />

47011-00 hepatotomy prq drg absc/cst 1/2 stgs $208.85<br />

47015-00 lapt w/aspir&/njx hepatc <strong>para</strong>sitic cst/absces $605.48<br />

47100-00 bx lvr wedge $419.25<br />

47120-00 hptc rescj lvr prtl lobec $780.00<br />

68

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