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 />
49320-00 laps abd prtm&om<strong>en</strong>tum dx +-spec br/wa spx $243.75<br />
49321-00 laps surg w/bx 1/mlt $233.03<br />
49322-00 laps surg w/aspir cavity/cst 1/mlt $329.55<br />
49323-00 laps surg w/drg lymphoc<strong>el</strong>e prtl cavity $408.53<br />
49324-00 laps insertion tunn<strong>el</strong>ed intraperitoneal catheter $250.09<br />
49325-00 laps w/revision intraperitoneal catheter $268.52<br />
49326-00 laps w/om<strong>en</strong>topexy $123.73<br />
49327-00 laps w/insertion ntrstl dev w/img gid 1+ $78.98<br />
49400-00 njx air/cntrst in prtl cavity spx $39.00<br />
49402-00 removal peritoneal foreign body from cavity $546.00<br />
49412-00 plmt intrstl dev opn w/img gid 1+ $48.96<br />
49418-00 insj intraperitoneal catheter w/img gid $279.92<br />
49419-00 insertion tunn<strong>el</strong> intraperitoneal cath subq port $279.92<br />
49421-00 insertion tunn<strong>el</strong> intraperitoneal cath dial op<strong>en</strong> $165.75<br />
49422-00 removal tunn<strong>el</strong>ed intraperitoneal catheter $341.25<br />
49423-00 exchng absc/cst drg cath rad gid spx $68.36<br />
49424-00 cntrst njx assmt absc/cst via drg cath/tube spx $35.98<br />
49425-00 insj prtl-v<strong>en</strong> shunt $463.13<br />
49426-00 revj prtl-v<strong>en</strong> shunt $117.00<br />
49427-00 inject evaluate previous peritoneal-v<strong>en</strong>ous shunt $36.08<br />
49428-00 lig prtl-v<strong>en</strong> shunt $87.75<br />
49429-00 rmvl prtl-v<strong>en</strong> shunt $265.01<br />
49435-00 insj subq ext<strong>en</strong>sion intraperitoneal catheter $79.85<br />
49436-00 d<strong>el</strong>ayed creation exit site embedded catheter $116.71<br />
49440-00 insert gastrostomy tube percutaneous $156.59<br />
49441-00 insert duod<strong>en</strong>ostomy/jejunostomy tube perq $175.16<br />
49442-00 insert cecostomy/other colonic tube percutaneous $144.79<br />
49446-00 convert gastrostomy-gastro-jejunostomy tube perq $114.08<br />
49450-00 replace gastrostomy/cecostomy tube percutaneous $46.92<br />
49451-00 replace duod<strong>en</strong>ostomy/jejunostomy tube perq $64.42<br />
49452-00 replacem<strong>en</strong>t gastro-jejunostomy tube percutaneous $100.91<br />
49460-00 obstructive material removal from gi tube $33.14<br />
49465-00 contrast injection perq radiologic eval gi tube $21.87<br />
49491-00 rpr 1st ingun hrna preterm inft rdc $451.04<br />
49492-00 rpr 1st ingun hrna preterm inft ncrc8 $553.70<br />
49495-00 rpr 1st ingun hrna full term inft ncrc8 $341.25<br />
49520-00 rpr recrt ingun hrna any age rdc $390.00<br />
49521-00 rpr recrt ingun hrna any age ncrc8 $394.88<br />
49525-00 rpr ingun hrna sliding any age $390.00<br />
49540-00 rpr lmbr hrna $390.00<br />
49550-00 rpr 1st fem hrna any age rdc $341.25<br />
49553-00 rpr 1st fem hrna any age ncrc8 $385.13<br />
49555-00 rpr recrt fem hrna rdc $438.75<br />
49557-00 rpr recrt fem hrna ncrc8 $412.43<br />
49560-00 repair first abdominal wall hernia $438.75<br />
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