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 />
51741-26 cplx uroflometry $10.45<br />
51741-TC cplx uroflometry $23.52<br />
51784-00 emg stds anal/urtl sphnctr oth/thn ndl $68.25<br />
51784-26 emg stds anal/urtl sphnctr oth/thn ndl $23.40<br />
51784-TC emg stds anal/urtl sphnctr oth/thn ndl $52.65<br />
51785-00 ndl emg stds emg anal/urtl sphnctr any tq $39.00<br />
51785-26 ndl emg stds emg anal/urtl sphnctr any tq $24.96<br />
51785-TC ndl emg stds emg anal/urtl sphnctr any tq $56.16<br />
51792-00 stimulus evoked rspse $48.75<br />
51792-26 stimulus evoked rspse $21.06<br />
51792-TC stimulus evoked rspse $47.39<br />
51797-00 void pressure studies intraabdominal $186.15<br />
51797-26 void pressure studies intraabdominal $27.30<br />
51797-TC void pressure studies intraabdominal $61.43<br />
51798-00 meas post-voiding residual urine&/bldr cap $12.95<br />
51800-00 cstoplasty/cstourtp plstc any $780.00<br />
51820-00 cstourtp w/uni/bi urtroneocstost $1,121.25<br />
51840-00 ant vesicourethropexy/urethropexy smpl $390.00<br />
51841-00 ant vesicourethropexy/urethropexy comp $672.75<br />
51845-00 abdomino-vag vesical nck ssp +-ndsc ctrl $565.50<br />
51860-00 cstorr sutr bldr wnd inj/rpt smpl $585.00<br />
51865-00 cstorr sutr bldr wnd inj/rpt comp $741.00<br />
51880-00 clsr cstost spx $292.50<br />
51900-00 clsr vesicovag fstl abdl appr $585.00<br />
51920-00 clsr vesicouterine fstl $741.00<br />
51925-00 clsr vesicouterine fstl w/hyst $741.00<br />
51940-00 clsr exstrophy bldr $1,072.50<br />
51960-00 <strong>en</strong>terocstoplasty w/intstinal anast $1,126.13<br />
51980-00 cutan vesicostomy $741.00<br />
51990-00 laparoscopy urethral susp<strong>en</strong>sion stress incont $527.38<br />
51992-00 laparoscopy sling operation stress incont $543.17<br />
52000-00 cystourethroscopy $48.75<br />
52001-00 csto w/irrg&evac mlt obstructing clots $101.43<br />
52005-00 scope bladder insert tube for injection $78.00<br />
52007-00 csto w/urtrl cathj brush bx urtr&/rnl p<strong>el</strong>vis $146.25<br />
52010-00 csto w/ejaculatory dux cathj $58.50<br />
52204-00 cystourethroscopy with biopsy $263.25<br />
52214-00 scope bladder destruction of lesions $102.38<br />
52224-00 scope bladder removal of lesions small $97.50<br />
52234-00 scope bladder removal of tumors small $243.75<br />
52235-00 scope bladder removal of tumors medium $458.25<br />
52240-00 scope bladder w/ removal of tumors large $672.75<br />
52250-00 csto insj radact sbst +-bx/fulg $292.50<br />
52260-00 scope bladder op<strong>en</strong>ing of bladder $146.25<br />
52265-00 cysto bladder dilat intrstl cystitis local $58.50<br />
52270-00 csto int urethrotomy female $195.00<br />
52275-00 csto int urethrotomy male $195.00<br />
52276-00 csto dir vis int urethrotomy $390.00<br />
52277-00 csto rescj xtrnl sphnctr $224.25<br />
52281-00 csto calibration dilat urtl strix/st<strong>en</strong>osis $117.00<br />
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