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 />
49561-00 rpr 1st incal/vnt hrna ncrc8 $465.08<br />
49565-00 rpr recrt incal/vnt hrna rdc $487.50<br />
49566-00 rpr recrt incal/vnt hrna ncrc8 $491.40<br />
49568-00 implant mesh opn hernia rpr/debridem<strong>en</strong>t closure $206.70<br />
49570-00 rpr epigstr hrna rdc spx $341.25<br />
49572-00 rpr epigstr hrna ncrc8 $329.55<br />
49580-00 rpr umbilical hrna < 5 yrs rdc $292.50<br />
49582-00 rpr umbilical hrna rdc $307.13<br />
49587-00 rpr umbilical hrna age 5 yrs/> ncrc8 $342.23<br />
49590-00 rpr spig<strong>el</strong>ian hrna $370.50<br />
49600-00 rpr sm omphaloc<strong>el</strong>e w/prim clsr $390.00<br />
49605-00 rpr lg omphaloc<strong>el</strong>e/gastroschisis +-prosth $624.00<br />
49606-00 rpr lg omphaloc<strong>el</strong>e/gastroschisis rmvl prosth $633.75<br />
49610-00 rpr omphaloc<strong>el</strong>e gross typ opration 1st stg $487.50<br />
49611-00 rpr omphaloc<strong>el</strong>e gross typ opration 2nd stg $487.50<br />
49650-00 laps surg rpr 1st ingun hrna $456.30<br />
49651-00 laps surg rpr recrt ingun hrna $491.40<br />
49652-00 laps repair hernia except incal/ingun reducible $504.56<br />
49653-00 lap rpr hrna xcpt incal/ingun ncrc8/strangulated $630.92<br />
49654-00 laparoscopy repair incisional hernia reducible $580.03<br />
49655-00 laps rpr incisional hernia ncrc8/strangulated $698.49<br />
49656-00 laps rpr recurr<strong>en</strong>t incisional hernia reducible $581.78<br />
49657-00 laps rpr recurr<strong>en</strong>t incal hrna ncrc8/strangulated $840.65<br />
49900-00 sec abdominal wall suture evisceration/dehsn $195.00<br />
49904-00 om<strong>en</strong>tal flap xtr-abdl $963.50<br />
50010-00 rnl expl x necessitating oth spec px $585.00<br />
50020-00 drg prirnl/rnl absc opn $487.50<br />
50021-00 drg prirnl/rnl absc prq $343.10<br />
50040-00 nfros nfrot w/drg $780.00<br />
50045-00 nfrot w/expl $780.00<br />
50060-00 nephrolithotomy rmvl st1 $780.00<br />
50065-00 nephrolithotomy secondary for calculus $897.00<br />
50070-00 nephrolithotomy comp cg<strong>en</strong> kdn abnormality $897.00<br />
50075-00 nephrolithotomy rmvl lg staghorn st1 $936.00<br />
50080-00 prq nephrostolithotomy/py<strong>el</strong>ostolithotomy up 2 cm $1,218.75<br />
50081-00 prq nephrostolithotomy/py<strong>el</strong>ostolithotomy > 2 cm $1,345.50<br />
50100-00 trnsxj/rpsg aberrant rnl vsl spx $682.50<br />
50120-00 plot w/expl $682.50<br />
50125-00 plot w/drg py<strong>el</strong>ostomy $682.50<br />
50130-00 plot w/rmvl st1 $682.50<br />
50135-00 plot comp $958.23<br />
50200-00 rnl bx prq trocar/ndl $159.90<br />
50205-00 rnl bx surg expos kdn $302.25<br />
50220-00 nfrct w/prtl urtrec any opn rib rescj $780.00<br />
50225-00 nfrct w/prtl urtrec any opn rib rescj comp $897.00<br />
50230-00 nfrct w/prtl urtrec any opn rib rescj rad $965.25<br />
50234-00 nfrct w/tot urtrec&bldr cuff thru sm inc $975.00<br />
50236-00 nfrct tot urtrec&bldr cuff thru sep inc $975.00<br />
50240-00 nfrct prtl $780.00<br />
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