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 />
52282-00 cystourethroscopy insertion perm urethral st<strong>en</strong>t $290.45<br />
52283-00 csto strd njx in strix $102.38<br />
52285-00 scope bladder op<strong>en</strong> narrowed female urethra $117.00<br />
52290-00 csto urtrl meatotomy uni/bi $195.00<br />
52300-00 csto orthotopic urtroc<strong>el</strong>e uni/bi $195.00<br />
52301-00 csto ectopic urtroc<strong>el</strong>e uni/bi $245.70<br />
52305-00 csto inc/rescj orifice bldr diverticulum 1/mlt $224.25<br />
52310-00 scope bladder w/simple removal stone & st<strong>en</strong>t $195.00<br />
52315-00 scope bladder w/complex removal stone & st<strong>en</strong>t $292.50<br />
52317-00 litholapaxy smpl/sm < 2.5 cm $487.50<br />
52318-00 litholapaxy comp/lg > 2.5 cm $516.75<br />
52320-00 csto rmvl urtrl st1 $292.50<br />
52325-00 csto fragm<strong>en</strong>tation urtrl st1 $575.25<br />
52330-00 csto mnpj w/o rmvl urtrl st1 $195.00<br />
52332-00 scope bladder & ureter insert st<strong>en</strong>t into ureter $195.00<br />
52334-00 csto insj urtrl gd wire prq nfros rtrgr $224.25<br />
52341-00 csto w/tx urtrl strix $228.36<br />
52342-00 csto w/tx urtrop<strong>el</strong> junct strix $245.66<br />
52343-00 csto w/tx intra-rnl strix $271.05<br />
52344-00 csto w/urtroscopy w/tx urtrl strix $291.17<br />
52345-00 csto w/urtroscopy w/tx urtrop<strong>el</strong> junct strix $309.23<br />
52346-00 csto w/urtroscopy w/tx intra-rnl strix $346.11<br />
52351-00 csto w/urtroscopy&/py<strong>el</strong>oscopy dx $235.95<br />
52352-00 scope bladder & ureter remove or move stones $438.75<br />
52353-00 scope bladder & ureter break up kidney stone $544.05<br />
52354-00 csto/py<strong>el</strong>oscopy bx&/fulg p<strong>el</strong> les $295.43<br />
52355-00 csto/py<strong>el</strong>oscopy rescj p<strong>el</strong> tum $399.75<br />
52400-00 csto inc fulg/rescj urtl valves/folds $379.41<br />
52402-00 csto w/trurl rescj/inc ejaculatory duxs $187.79<br />
52450-00 trurl inc prst8 $291.53<br />
52500-00 surgery on bladder neck through urethra $487.50<br />
52601-00 trurl <strong>el</strong>ectrosurg rescj prst8 ctrl bld compl $780.00<br />
52630-00 trurl rescj residual/regrowth obstr prst8 tissue $741.00<br />
52640-00 op<strong>en</strong>ing of postoperative bladder neck narrowing $370.50<br />
52647-00 laser coagulation of prostate for urine flow $416.81<br />
52648-00 laser vaporization of prostate for urine flow $702.00<br />
52649-00 laser <strong>en</strong>ucleation prostate w morc<strong>el</strong>lation $631.80<br />
52700-00 trurl drg prostatic absc $292.50<br />
53000-00 urtt/urts xtrnl spx p<strong>en</strong>dulous urt $97.50<br />
53010-00 urtt/urts xtrnl spx prnl urt xtrnl $243.75<br />
53020-00 meatotomy cutting meatus spx xcp inft $29.25<br />
53025-00 meatotomy cutting meatus spx inft $58.50<br />
53040-00 drg dp priurtl absc $97.50<br />
53060-00 drg of sk<strong>en</strong>e's gland absc or cyst $48.75<br />
53080-00 drg prnl ur xtrvasation uncomp spx $146.25<br />
53085-00 drg prnl ur xtrvasation comp $487.50<br />
53200-00 bx urt $78.00<br />
53210-00 urethrectomy tot w/cstost female $536.25<br />
53215-00 urethrectomy tot w/cstost male $672.75<br />
53220-00 exc/fulguration carc urt $331.50<br />
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