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 />
53230-00 exc urtl diverticulum spx female $487.50<br />
53235-00 exc urtl diverticulum spx male $487.50<br />
53240-00 marsupialization urtl diverticulum male/female $146.25<br />
53250-00 exc of bulbourtl gland $121.88<br />
53260-00 exc/fulguration urtl polyp dstl urt $48.75<br />
53265-00 exc/fulguration urtl caruncle $68.25<br />
53270-00 exc or fulguration sk<strong>en</strong>e's glands $68.25<br />
53275-00 exc/fulguration urtl prolapse $117.00<br />
53400-00 urethroplasty 1st stg fistula/diverticulum/strix $370.50<br />
53405-00 urtp 2nd stg w/ur dvrj $516.75<br />
53410-00 urtp one-stg rcnstj male ant urt $594.75<br />
53415-00 urtp transpubic/prnl 1 stg rcnstj/rpr urt $731.25<br />
53420-00 urtp 2-stg rcnstj/rpr urt 1st stg $741.00<br />
53425-00 urtp 2-stg rcnstj/rpr urt 2nd stg $741.00<br />
53430-00 urtp rcnstj female urt $516.75<br />
53431-00 urtp w/tubularization post urt&/lwr bldr $770.25<br />
53440-00 sling opration corrj male ur incont $741.00<br />
53442-00 rmvl/revj sling male ur incont $253.50<br />
53444-00 insj tandem cuff $519.48<br />
53445-00 insj nfltbl urtl/bldr nck sphnctr $741.00<br />
53446-00 rmvl nfltbl urtl/bldr nck sphnctr $424.71<br />
53447-00 rmvl&rplcmt nfltbl nck sphnctr sm sess $526.50<br />
53448-00 rmvl&rplcmt nfltbl nck sphnctr thru infct fld $823.10<br />
53449-00 rpr nfltbl urtl/bldr nck sphnctr $526.50<br />
53450-00 urethromeatoplasty w/mucosal advmnt $146.25<br />
53460-00 urethromeatoplasty w/prtl exc dstl urtl sgm $117.00<br />
53500-00 urethrolss trvg sec opn w/csto $508.95<br />
53502-00 urtorr sutr urtl wnd/inj female $253.50<br />
53505-00 urtorr sutr urtl wnd/inj p<strong>en</strong> $370.50<br />
53510-00 urtorr sutr urtl wnd/inj prnl $516.75<br />
53515-00 urtorr sutr urtl wnd/inj prostatomembranous $741.00<br />
53520-00 clsr urethrostomy/urethroq fstl male spx $292.50<br />
53600-00 dilat urtl strix dilator male 1st $29.25<br />
53601-00 dilat urtl strix dilator male sbsq $14.63<br />
53605-00 dilat urtl strix/vesical nck dilator male anes $51.68<br />
53620-00 dilat urtl strix filiform&follwr male 1st $48.75<br />
53621-00 dilat urtl strix filiform&follwr male sbsq $24.38<br />
53660-00 dilat female urt w/suppository&/instlj 1st $19.50<br />
53661-00 dilat female urt w/suppository&/instlj sbsq $9.75<br />
53665-00 dilat female urt g<strong>en</strong>eral/cndj spi anes $30.71<br />
53850-00 trurl dstrj prst8 tiss microwave thermoth $2,281.50<br />
53852-00 trurl dstrj prst8 tiss rf thermoth $2,018.25<br />
53855-00 insert temp prostatic ureth st<strong>en</strong>t w/measurem<strong>en</strong>t $290.55<br />
54000-00 slitting prepuce dorsal/lat spx nb $29.25<br />
54001-00 slitting prepuce dorsal/lat spx xcp nb $58.50<br />
54015-00 i&d pns dp $48.75<br />
54050-00 dstrj les pns smpl chem $19.50<br />
54055-00 dstrj les pns smpl <strong>el</strong>trdsiccation $29.25<br />
54056-00 dstrj les pns smpl cryosurg $35.10<br />
54057-00 dstrj les pns smpl laser surg $35.10<br />
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