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 />
51060-00 transvesical urtrolithotomy $672.75<br />
51065-00 cstotomy w/st1 basket xtrj&/fragm<strong>en</strong>tation $458.25<br />
51080-00 drg privesical/prevesical space absc $487.50<br />
51100-00 aspiration bladder needle $48.75<br />
51101-00 aspiration bladder trocar/intracatheter $48.75<br />
51102-00 aspiration bladder insert suprapubic catheter $97.50<br />
51500-00 exc urachal cst/sinus +-umbilical hrna rpr $536.25<br />
51520-00 cystotomy simple excision vesical neck $585.00<br />
51525-00 cystotomy excise bladder diverticulum 1/multiple $682.50<br />
51530-00 cystotomy excision bladder tumor $585.00<br />
51535-00 cystotomy excise/incise/repair ureteroc<strong>el</strong>e $594.75<br />
51550-00 cstc prtl smpl $682.50<br />
51555-00 cstc prtl comp $741.00<br />
51565-00 cstc prtl w/rimpltj urtr in bldr urtroneocstost $780.00<br />
51570-00 cstc compl spx $975.00<br />
51575-00 cstc compl w/bi p<strong>el</strong> lmphadec $1,287.00<br />
51580-00 cstc compl w/trnspljs $1,170.00<br />
51585-00 cstc compl w/trnspljs w/lmphadec $1,560.00<br />
51590-00 cstc compl w/urtroileal conduit/bldr w/int anast $1,365.00<br />
51595-00 cstc compl w/conduit/sigmoid bldr p<strong>el</strong> lmphadec $1,930.50<br />
51596-00 cstc compl w/contin<strong>en</strong>t dvrj opn neobldr $1,228.50<br />
51597-00 p<strong>el</strong> exntj compl mal $1,170.00<br />
51600-00 njx cstograpy/voiding urethrocstograpy $9.75<br />
51605-00 njx&plmt chain c+&/urethrocstograpy $9.75<br />
51610-00 njx rtrgr urethrocstograpy $9.75<br />
51700-00 bldr irrigation smpl lvg&/instlj $9.75<br />
51701-00 insj non-ndw<strong>el</strong>lg bldr cath $19.31<br />
51705-00 chng cstost tube smpl $9.75<br />
51710-00 chng cstost tube comp $48.75<br />
51715-00 ndsc njx implt matrl urt&/bldr nck $175.50<br />
51720-00 bldr instlj anticarcinog<strong>en</strong>ic agt $29.25<br />
51725-00 smpl cstometrogram $34.13<br />
51725-26 smpl cstometrogram $40.40<br />
51725-TC smpl cstometrogram $90.91<br />
51726-00 bladder pressure measurem<strong>en</strong>t during filling $48.75<br />
51726-26 bladder pressure measurem<strong>en</strong>t during filling $50.70<br />
51726-TC bladder pressure measurem<strong>en</strong>t during filling $114.08<br />
51727-00 complex cystometrogram urethral press profile $165.75<br />
51727-26 complex cystometrogram urethral press profile $66.30<br />
51727-TC complex cystometrogram urethral press profile $99.45<br />
51728-00 complex cystometrogram voiding pressure studies $165.75<br />
51728-26 complex cystometrogram voiding pressure studies $66.30<br />
51728-TC complex cystometrogram voiding pressure studies $99.45<br />
51729-00 complx cystometro w/void press&urethral profile $180.38<br />
51729-26 complx cystometro w/void press&urethral profile $72.15<br />
51729-TC complx cystometro w/void press&urethral profile $108.23<br />
51736-00 smpl uroflometry $19.50<br />
51736-26 smpl uroflometry $5.46<br />
51736-TC smpl uroflometry $12.29<br />
51741-00 cplx uroflometry $29.25<br />
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