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 />
50660-00 urtrec tot ectopic urtr cmbn appr $780.00<br />
50684-00 njx urtrg/urtroplog thru urtrost/urtrl cath $9.75<br />
50686-00 manometric stds thru urtrost/ndw<strong>el</strong>lg urtrl cath $9.75<br />
50688-00 chng urtrost tube/xtrnlly accessible st<strong>en</strong>t ileal $9.75<br />
50690-00 njx visualization ileal conduit&/urtroplog $9.75<br />
50700-00 urtroplasty plstc opration urtr $780.00<br />
50715-00 urtrolss +-rpsg urtr rpr fibrosis $682.50<br />
50722-00 ureterolysis for ovarian vein syndrome $594.75<br />
50725-00 urtrolss retrocaval urtr w/reanast $877.50<br />
50727-00 revj ur-cutan anast $351.00<br />
50728-00 revj ur-cutan anast rpr fscal dfct&hrna $505.05<br />
50740-00 urtropy<strong>el</strong>ostomy anast urtr&rnl p<strong>el</strong>vis $780.00<br />
50750-00 urtrocalycostomy anast urtr rnl calyx $897.00<br />
50760-00 urtrourtrost $780.00<br />
50770-00 transurtrourtrost anast urtr clat urtr $897.00<br />
50780-00 urtroneocstost anast 1 urtr bldr $780.00<br />
50782-00 urtroneocstost anast duplicated urtr bldr $873.60<br />
50783-00 urtroneocstost w/x10sv urtrl tailoring $898.95<br />
50785-00 urtroneocstost w/vesico-psoas hitch/bldr flap $897.00<br />
50800-00 urtrontrstm dir anast urtr int $780.00<br />
50810-00 urtrosigmoidostomy crtj clst int anast $1,126.13<br />
50815-00 urtrocolon conduit int anast $1,160.25<br />
50820-00 urtroileal conduit w/int anast $789.75<br />
50825-00 contin<strong>en</strong>t dvrj w/int anast w/any sgm sm&/lg int $1,140.75<br />
50830-00 ur undvrj $1,218.75<br />
50840-00 rplcmt all/part urtr int sgm w/int anast $1,126.13<br />
50845-00 cutan app<strong>en</strong>dico-vesicostomy $877.50<br />
50860-00 urtrost trnsplj urtr skn $682.50<br />
50900-00 urtrorrhaphy sutr urtr spx $780.00<br />
50920-00 clsr urtrocutan fstl $741.00<br />
50930-00 clsr urtrovisc fstl w/visc rpr $897.00<br />
50940-00 d<strong>el</strong>ig urtr $741.00<br />
50945-00 laps urtrolithotomy $680.06<br />
50947-00 laps urtroneocstost w/cstsc&urtrl st<strong>en</strong>t plmt $924.89<br />
50948-00 laps urtroneocstost w/o cstsc&urtrl st<strong>en</strong>t plmt $843.28<br />
50951-00 ndsc thru urtrost $82.88<br />
50953-00 ndsc urtrost w/urtrl cathj $97.50<br />
50955-00 ndsc thru urtrost bx $97.50<br />
50957-00 ndsc thru urtrost fulg&/inc +-bx $102.38<br />
50961-00 ndsc thru urtrost rmvl fb/st1 $102.38<br />
50970-00 ndsc thru urtrotomy $39.00<br />
50972-00 ndsc thru urtrotomy urtrl cathj +-dilat $58.50<br />
50974-00 ndsc thru urtrotomy bx $58.50<br />
50976-00 ndsc thru urtrotomy fulg&/inc +-bx $68.25<br />
50980-00 ndsc thru urtrotomy rmvl fb/st1 $68.25<br />
51020-00 cstotomy/cstost fulg&/insj radact matrl $585.00<br />
51030-00 cstotomy/cstost cryosurg dstrj intravesical les $585.00<br />
51040-00 cstost cstotomy w/drg $487.50<br />
51045-00 cstotomy w/insj urtrl cath/st<strong>en</strong>t spx $404.63<br />
51050-00 cstolithotomy cstotomy w/rmvl st1 $487.50<br />
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