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 />
55180-00 scrotoplasty comp $585.00<br />
55200-00 vasotomy cannulization +-inc vas uni/bi spx $146.25<br />
55250-00 vasect uni/bi spx w/po sem<strong>en</strong> xm $146.25<br />
55300-00 vasotomy vasograms uni/bi $146.25<br />
55400-00 vasovasostomy vasovasorrhaphy $403.65<br />
55450-00 lig prq vas defer<strong>en</strong>s uni/bi spx $179.89<br />
55500-00 exc hydroc<strong>el</strong>e sprmatic cord uni spx $292.50<br />
55520-00 exc les sprmatic cord spx $224.25<br />
55530-00 exc varicoc<strong>el</strong>e/lig sprmatic veins spx $292.50<br />
55535-00 exc varicoc<strong>el</strong>e/lig sprmatic veins abdl $351.00<br />
55540-00 exc varicoc<strong>el</strong>e/lig veins w/hrna rpr $390.00<br />
55550-00 laps lig sprmatic veins varicoc<strong>el</strong>e $268.13<br />
55600-00 vesiculotomy $302.25<br />
55605-00 vesiculotomy comp $390.00<br />
55650-00 vesiculectomy any appr $741.00<br />
55680-00 exc mullerian dux cst $277.88<br />
55700-00 prostate needle biopsy any approach $48.75<br />
55705-00 bx prst8 incal any appr $292.50<br />
55706-00 bx prostate strtctc saturation sampling img gid $307.13<br />
55720-00 prostatotomy xtrnl drg absc smpl $292.50<br />
55725-00 prostatotomy xtrnl drg absc comp $390.00<br />
55801-00 prst8ect prnl stot $780.00<br />
55810-00 prst8ect prnl rad $975.00<br />
55812-00 prst8ect prnl rad lymph node bx $1,199.25<br />
55815-00 prst8ect prnl rad bi p<strong>el</strong> lmphadec $1,560.00<br />
55821-00 prst8ect suprapubic stot 1/2 stgs $780.00<br />
55831-00 prst8ect retropubic stot $780.00<br />
55840-00 prst8ect retropubic rad +-nrv sparing $975.00<br />
55842-00 prst8ect retropubic rad lymph node bx $1,033.50<br />
55845-00 prst8ect retropubic rad w/bi p<strong>el</strong> lmphadec $1,287.00<br />
55860-00 expos prst8 any appr insj radact sbst $390.00<br />
55862-00 expos prst8 insj radact node bx $419.25<br />
55865-00 expos prst8 insj radact bi p<strong>el</strong> lmphadec $575.25<br />
55866-00 laps prstect retropubic rad w/nrv sparing robot $1,116.18<br />
55875-00 tprnl plmt ndl/caths into prst8 radj insj $375.57<br />
55876-00 place interstitial dev radiation tx prostate 1+ $77.22<br />
55920-00 placem<strong>en</strong>t needle p<strong>el</strong>vic organ radio<strong>el</strong>em<strong>en</strong>t appl $276.41<br />
56405-00 i&d vulva/prnl absc $61.43<br />
56420-00 i&d of bartholin's gland absc $48.75<br />
56440-00 marsupialization bartholin's gland cyst $146.25<br />
56441-00 lss labial ads $89.70<br />
56442-00 hym<strong>en</strong>otomy simple incision $58.50<br />
56501-00 dstrj les vulva smpl $48.75<br />
56515-00 dstrj les vulva x10sv $165.75<br />
56605-00 bx vulva/pr spx 1 les $29.25<br />
56606-00 bx vulva/pr spx ea sep addl les $8.78<br />
56620-00 vulvectomy smpl prtl $390.00<br />
56625-00 vulvectomy smpl compl $536.25<br />
56630-00 vulvectomy rad prtl $711.75<br />
56631-00 vulvectomy rad prtl uni inguinofem lmphadec $1,053.00<br />
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