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 />
58561-00 hystsc rmvl leiomyomata $394.88<br />
58562-00 hystsc rmvl impacted fb $219.38<br />
58563-00 hystsc <strong>en</strong>dometrial abltj $221.53<br />
58570-00 laparoscopy w total hysterectomy uterus 250 g/< $570.38<br />
58571-00 laps total hysterectomy 250 g/250 g $723.59<br />
58573-00 laparoscopy tot hysterectomy >250 g w tube/ovary $811.69<br />
58600-00 lig/trnsxj flp tube abdl/vag appr uni/bi $390.00<br />
58605-00 lig/trnsxj flp tube abdl/vag postpartum spx $292.50<br />
58611-00 lig/trnsxj flp tube done tm c dlvr/surg $78.00<br />
58615-00 occlusion flp tube dev vag/suprapubic appr $390.00<br />
58661-00 laps rmvl adnexal struxs $494.78<br />
58662-00 laps fulg/exc ovary viscera/prtl surf $329.55<br />
58670-00 laps fulg oviduxs $365.63<br />
58671-00 laps occlusion oviduxs dev $273.55<br />
58672-00 laps fimbrioplasty $342.23<br />
58673-00 laps salpingostomy $339.30<br />
58700-00 salpingectomy compl/prtl uni/bi spx $438.75<br />
58720-00 salpingo-oophorectomy compl/prtl uni/bi spx $468.00<br />
58740-00 lss ads $565.50<br />
58770-00 salpingostomy $468.00<br />
58800-00 drg ovarian cst uni/bi spx vag $243.75<br />
58805-00 drg ovarian cst uni/bi spx abdl $390.00<br />
58820-00 drg ovarian absc vag opn $195.00<br />
58822-00 drg ovarian absc abdl $390.00<br />
58823-00 drg p<strong>el</strong> absc trvg/transrct prq $158.83<br />
58825-00 trpos ovary $440.51<br />
58900-00 bx ovary uni/bi spx $438.75<br />
58920-00 wedge rescj/bisctj ovary uni/bi $482.63<br />
58925-00 ovarian cstc uni/bi $482.63<br />
58940-00 oophorectomy prtl/tot uni/bi $438.75<br />
58943-00 oophorectomy prtl/tot uni/bi ovarian mal $749.78<br />
58950-00 rescj prim prtl mal w/bso&omntc $804.38<br />
58951-00 rescj prim prtl mal w/bso&omntc tah&lmphadec $1,110.53<br />
58952-00 rescj prim prtl mal w/bso&omntc rad debulking $1,128.08<br />
58953-00 bso w/omntc tah&rad dsj debulking $1,281.15<br />
58954-00 bso w/omntc tah debulking w/lmphadec $1,390.84<br />
58956-00 bso tot omntc tah mal $891.54<br />
58957-00 resection recrt mal w/om<strong>en</strong>tectomy $982.80<br />
58958-00 resection recrt mal w/om<strong>en</strong>tectomy p<strong>el</strong> lmphadec $1,088.10<br />
58960-00 lapt stg/restg ovarian tubal/prim mal 2nd look $636.68<br />
58999-00 unlis px female g<strong>en</strong> sys $73.13<br />
59000-00 amniocnts dx $48.75<br />
59001-00 amniocnts ther amniotic flu rdctj us gid $115.83<br />
59012-00 cordocnts intrauterine $162.83<br />
59015-00 chornc villus sampling $811.69<br />
59020-00 ftl contrcj strs tst $55.58<br />
59020-26 ftl contrcj strs tst $33.15<br />
59020-TC ftl contrcj strs tst $22.43<br />
59025-00 ftl non-strs tst $29.25<br />
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