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 />
47780-00 anast roux-<strong>en</strong>-y xtrhepatc biliary duxs&gi $828.75<br />
47785-00 anast roux-<strong>en</strong>-y intrahepatc biliary duxs&gi $965.25<br />
47800-00 rcnstj plstc biliary duxs w/<strong>en</strong>d-to-<strong>en</strong>d anast $780.00<br />
47801-00 plmt choledochal st<strong>en</strong>t $438.75<br />
47802-00 u-tube hepatcontrstm $702.00<br />
48000-00 place drain peripancreatic acute pancreatitis $487.50<br />
48001-00 place drain peripancreatic w/cholecystostomy $614.25<br />
48020-00 rmvl pncrtc st1 $682.50<br />
48100-00 bx pncrs opn $594.75<br />
48102-00 bx pncrs prq ndl $156.00<br />
48105-00 resecj/dbrdmt pancreas necrotizing pancreatitis $737.10<br />
48120-00 exc les pncrs $711.75<br />
48140-00 pncrtect dstl stot w/o pncrtcojejunostomy $780.00<br />
48145-00 pncrtect dstl stot w/pncrtcojejunostomy $936.00<br />
48146-00 pncrtect dstl nr-tot w/prsrv duo chld-typ px $1,053.00<br />
48148-00 exc ampulla vater $544.05<br />
48150-00 pncrtect prox stot w/pancreatojejunostomy $1,365.00<br />
48152-00 pncrtect whipple w/o pancreatojejunostomy $1,491.75<br />
48153-00 pncrtect w/pancreatojejunostomy $1,579.50<br />
48154-00 pncrtect prox stot w/o pancreatojejunostomy $1,491.75<br />
48155-00 pncrtect tot $1,365.00<br />
48400-00 injection intraoperative pancreatography $82.49<br />
48500-00 marsupialization pncrtc cst $585.00<br />
48510-00 xtrnl drg pseudocst pncrs opn $272.03<br />
48511-00 xtrnl drg pseudocst pncrs prq $200.07<br />
48520-00 int anast pncrtc cst gi trc dir $682.50<br />
48540-00 int anast pncrtc cst gi trc roux-<strong>en</strong>-y $780.00<br />
48545-00 pancreatorrhaphy inj $614.25<br />
48547-00 duol exclusion w/gastrojejunostomy pncrtc inj $877.50<br />
48548-00 pancreaticojejunostomy side-to-side anast $780.00<br />
49000-00 expl lapt expl c<strong>el</strong>iotomy +-bx spx $390.00<br />
49002-00 reopng rec<strong>en</strong>t lapt $321.75<br />
49010-00 expl rpr area +-bx spx $463.13<br />
49020-00 drg prtl absc/loclzd pritonitis opn $390.00<br />
49021-00 drg prtl absc/loclzd pritonitis prq $375.57<br />
49040-00 drg subdiphrg/subphr<strong>en</strong>ic absc opn $487.50<br />
49041-00 drg subdiphrg/subphr<strong>en</strong>ic absc prq $248.33<br />
49060-00 drg rpr absc opn $390.00<br />
49061-00 drg rpr absc prq $241.31<br />
49062-00 drg xtrprtl lymphoc<strong>el</strong>e prtl cavity opn $514.22<br />
49080-00 pritoneocnts abdl pcnts/prtl lvg 1st $39.00<br />
49081-00 pritoneocnts abdl pcnts/prtl lvg sbsq $29.25<br />
49180-00 bx abdl/rpr mass prq ndl $97.50<br />
49203-00 excision/destruction op<strong>en</strong> abdominal tumors 5 cm $682.50<br />
49204-00 exc/destruction op<strong>en</strong> abdmnl tumors 5.1-10.0 cm $750.75<br />
49205-00 exc/destruction op<strong>en</strong> abdominal tumors >10.0 cm $819.00<br />
49215-00 exc presac/sacrococcygeal tum $812.18<br />
49220-00 staging laparotomy hodgkins disease/lymphoma $741.00<br />
49250-00 umbilectomy omphalectomy exc umbilicus spx $390.00<br />
49255-00 omntc epiploectomy rescj om<strong>en</strong>tum spx $429.00<br />
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