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 />
56632-00 vulvectomy rad prtl bi inguinofem lmphadec $1,140.75<br />
56633-00 vulvectomy rad compl $965.25<br />
56634-00 vulvectomy rad compl uni inguinofem lmphadec $1,184.63<br />
56637-00 vulvectomy rad compl bi inguinofem lmphadec $1,228.50<br />
56640-00 vulvectomy rad compl iliac&p<strong>el</strong> lmphadec $975.00<br />
56700-00 prtl hym<strong>en</strong>ectomy/revj hym<strong>en</strong>al ring $97.50<br />
56740-00 exc bartholin's gland or cyst $195.00<br />
56800-00 plstc rpr introitus $185.25<br />
56810-00 prineoplasty rpr pr nonobal spx $195.00<br />
56820-00 colposcopy vulva $82.49<br />
56821-00 colposcopy vulva w/bx $106.18<br />
57000-00 colpotomy w/expl $146.25<br />
57010-00 colpotomy w/drg p<strong>el</strong> absc $156.00<br />
57020-00 colpocnts spx $39.00<br />
57022-00 i&d vag hmtma obal/postpartum $122.85<br />
57023-00 i&d vag hmtma non-obal $200.07<br />
57061-00 dstrj vag les smpl $39.00<br />
57065-00 dstrj vag les x10sv $156.00<br />
57100-00 bx vag mucosa smpl spx $29.25<br />
57105-00 bx vag mucosa x10sv req sutr $165.75<br />
57106-00 vagnc prtl rmvl vag wall $183.40<br />
57107-00 vagnc prtl rmvl vag wall <strong>para</strong>vag tiss $606.35<br />
57109-00 vagnc prtl rmvl vag wall w/bi tot p<strong>el</strong> lmphadec $763.43<br />
57110-00 vagnc compl rmvl vag wall $487.50<br />
57111-00 vagnc compl rmvl vag wall <strong>para</strong>vag tiss $763.43<br />
57112-00 vagnc compl rmvl vag wall tot p<strong>el</strong> lmphadec bx $814.32<br />
57120-00 colpocleisis le fort typ $341.25<br />
57130-00 exc vag septum $224.25<br />
57135-00 exc vag cst/tum $165.75<br />
57150-00 irrg vag&/appl medicam<strong>en</strong>t disease $9.75<br />
57155-00 insj uterine tandem&/vag ovoids $272.03<br />
57156-00 insj vaginal radiation device $93.87<br />
57160-00 fitg&insj pessary/oth intravag support dev $9.75<br />
57170-00 dphrm/crv cap fitg w/instructions $9.75<br />
57180-00 intro any hemostatic agt/pack vag hemrrg spx $29.25<br />
57200-00 colporrhaphy sutr inj vag $195.00<br />
57210-00 colpoprineorrhaphy sutr inj vag&/pr $214.50<br />
57220-00 plstc urtl sphnctr vag appr $292.50<br />
57230-00 plstc rpr urethroc<strong>el</strong>e $292.50<br />
57240-00 ant colporrhaphy rpr cstoc<strong>el</strong>e +-rpr urethroc<strong>el</strong>e $341.25<br />
57250-00 post colporrhaphy rpr rectoc<strong>el</strong>e +-prineorrhaphy $292.50<br />
57260-00 cmbn anteropost colporrhaphy $487.50<br />
57265-00 cmbn anteropost colporrhaphy w/ntrcl rpr $516.75<br />
57267-00 insj mesh/prosth p<strong>el</strong> floor dfct ea sit $190.42<br />
57268-00 rpr ntrcl vag appr spx $438.75<br />
57270-00 rpr ntrcl abdl appr spx $438.75<br />
57280-00 colpopexy abdl appr $438.75<br />
57282-00 colpopexy vag xtr-prtl appr $434.85<br />
57283-00 colpopexy vag intra-prtl appr $451.91<br />
57284-00 <strong>para</strong>vaginal defect repair op<strong>en</strong> abdominal appr $614.25<br />
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