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
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Procedure &<br />
Place of Service<br />
Tarifas<br />
Servicios de <strong>Salud</strong><br />
Description Fee<br />
57285-00 <strong>para</strong>vaginal defect repair vaginal approach $416.81<br />
57287-00 rmvl/revj sling stress incontin<strong>en</strong>ce $433.49<br />
57288-00 sling operation stress incontin<strong>en</strong>ce $594.75<br />
57289-00 preyra px w/ant colporrhaphy $458.25<br />
57291-00 constj artif vag w/o grf $468.00<br />
57292-00 constj artif vag w/grf $575.25<br />
57295-00 revj rmvl prostc vag grf vag appr $346.61<br />
57296-00 revj w/rmvl prosthetic vag grf abd appro $632.68<br />
57300-00 clsr rectovag fstl vag/transanal appr $565.50<br />
57305-00 clsr rectovag fstl abdl appr $697.13<br />
57307-00 clsr rectovag fstl abdl appr w/concomitant clst $770.25<br />
57308-00 clsr rectovag fstl tprnl prnl bdy rcnstj $472.10<br />
57310-00 clsr urethrovag fstl $487.50<br />
57311-00 clsr urethrovag fstl w/bulbocavernosus trnspl $570.38<br />
57320-00 clsr vesicovag fstl vag appr $565.50<br />
57330-00 clsr vesicovag fstl transvesical&vag appr $487.50<br />
57400-00 dilation vagina w/anesthesia other than local $19.50<br />
57410-00 p<strong>el</strong>vic examination w/anesthesia other than local $19.50<br />
57415-00 removal impacted vag fb spx w/anes oth/thn local $131.63<br />
57420-00 colposcopy <strong>en</strong>tire vag w/cervix if pres<strong>en</strong>t $197.44<br />
57421-00 colposcopy <strong>en</strong>tire vag w/cervix bx $250.09<br />
57423-00 <strong>para</strong>vaginal defect repair laparoscopic approach $526.50<br />
57425-00 laps surg colpopexy ssp vag apex $614.25<br />
57426-00 revision prosthetic vaginal graft laparoscopic $515.78<br />
57452-00 colposcopy cervix upr/adj vag $195.00<br />
57454-00 colposcopy cervix bx cervix&<strong>en</strong>docrv curtg $253.50<br />
57455-00 colposcopy cervix vag bx cervix $250.09<br />
57456-00 colposcopy cervix vag <strong>en</strong>docrv curtg $232.54<br />
57460-00 colposcopy cervix vag loop <strong>el</strong>trd bx cervix $394.88<br />
57461-00 colposcopy cervix vag <strong>el</strong>trd conization cervix $416.81<br />
57500-00 biopsy cervix 1/mlt or excision of lesion $29.25<br />
57505-00 <strong>en</strong>docrv curtg x done as part dilat&curtg $19.50<br />
57510-00 caut cervix <strong>el</strong>ectro/thermal $29.25<br />
57511-00 caut cervix cryocaut 1st/repeat $82.88<br />
57513-00 caut cervix laser abltj $117.00<br />
57520-00 conization cervix +-d&c rpr knife/laser $195.00<br />
57522-00 conization cervix +-d&c rpr <strong>el</strong>trd exc $184.28<br />
57530-00 trach<strong>el</strong>ectomy cervicectomy amp cervix spx $195.00<br />
57531-00 rad trach<strong>el</strong>ectomy w/bi p<strong>el</strong> lmphadec $1,118.81<br />
57540-00 exc crv stump abdl appr $487.50<br />
57545-00 exc crv stump abdl appr w/p<strong>el</strong> floor rpr $394.88<br />
57550-00 exc crv stump vag appr $585.00<br />
57555-00 exc crv stump vag appr w/ant&/post rpr $589.88<br />
57556-00 exc crv stump vag appr w/rpr ntrcl $546.00<br />
57558-00 dilation & curettage cervical stump $146.25<br />
57700-00 cerclage uterine cervix nonobal $224.25<br />
57720-00 trach<strong>el</strong>orrhaphy plstc rpr uterine cervix vag $224.25<br />
57800-00 dilat crv canal instrum<strong>en</strong>tal spx $29.25<br />
58100-00 <strong>en</strong>dometrial bx +-<strong>en</strong>docrv bx w/o dilat spx $29.25<br />
58110-00 <strong>en</strong>dometrial bx conjunct w/colposcopy $35.62<br />
83
Change language