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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 />

60271-00 trdec w/substernal thyr crv appr $789.75<br />

60280-00 exc thyroglossal dux cst/sinus $438.75<br />

60281-00 exc thyroglossal dux cst/sinus recrt $394.88<br />

60300-00 aspiration and/or injection thyroid cyst $52.65<br />

60500-00 <strong>para</strong>trdec/expl <strong>para</strong>thyr $682.50<br />

60502-00 <strong>para</strong>trdec/expl <strong>para</strong>thyr re-expl $614.25<br />

60505-00 <strong>para</strong>trdec/expl <strong>para</strong>thyr medstnl sternal/tthrc $877.50<br />

60512-00 <strong>para</strong>thyr autotrnsplj $175.50<br />

60520-00 thymectomy prtl/tot transcrv appr spx $838.50<br />

60521-00 thymectomy prtl/tot w/o rad medstnl dsj spx $859.95<br />

60522-00 thymectomy prtl/tot rad medstnl dsj spx $1,053.00<br />

60540-00 adrnlectomy expl adrnl tabdl lmbr/dorsal spx $780.00<br />

60545-00 adrnlectomy expl adrnl spx exc adj tum $936.00<br />

60600-00 exc crtd bdy tum w/o exc crtd art $682.50<br />

60605-00 exc crtd bdy tum w/exc crtd art $975.00<br />

60650-00 laps adrnlectomy prtl/compl tabdl $947.70<br />

61000-00 sdrl tap thru fontan<strong>el</strong>le/sutr inft uni/bi 1st $85.00<br />

61001-00 sdrl tap thru fontan<strong>el</strong>le/sutr inft uni/bi sbsq $39.00<br />

61020-00 v<strong>en</strong>tr pnxr previous burr hole w/o njx $100.00<br />

61026-00 v<strong>en</strong>tr pnxr previous burr hole w/njx $125.00<br />

61050-00 cisternal/lat crv c1-c2 pnxr w/o njx spx $30.00<br />

61055-00 cisternal/lat crv c1-c2 pnxr w/njx $146.25<br />

61070-00 pnxr shunt tubing/rsvr aspir/njx $68.25<br />

61105-00 tdh sdrl/v<strong>en</strong>tr pnxr $292.50<br />

61107-00 tdh sdrl/v<strong>en</strong>tr pnxr implting v<strong>en</strong>tr cath/dev $375.00<br />

61108-00 tdh sdrl/v<strong>en</strong>tr pnxr evac&/drg sdrl hmtma $750.00<br />

61140-00 burr hole/trephine w/bx brn/icra les $938.00<br />

61150-00 burr hole/trephine w/drg brn absc/cst $1,000.00<br />

61151-00 burr hole/trephine w/sbsq tapping icra absc/cst $68.25<br />

61154-00 burr hole w/evac&/drg hmtma xdrl/sdrl $877.50<br />

61156-00 burr hole w/aspir hmtma/cst icere $1,025.00<br />

61210-00 burr hole implant v<strong>en</strong>tricular cath/other device $435.00<br />

61215-00 insj subq rsvr pmp/nfs sys v<strong>en</strong>tr cath $600.00<br />

61250-00 burr hole/trephine sttl expl n/flwd oth surg $610.00<br />

61253-00 burr hole/trephine ittl uni/bi $458.25<br />

61304-00 crnec/crx expl sttl $1,290.00<br />

61305-00 crnec/crx expl ittl $1,752.00<br />

61312-00 craniectomy hmtma suprat<strong>en</strong>torial extra/subdural $975.00<br />

61313-00 craniectomy hmtma suprat<strong>en</strong>torial intracerebral $1,890.00<br />

61314-00 craniectomy hmtma infrat<strong>en</strong>torial extra/subdural $1,890.00<br />

61315-00 craniectomy hmtma suprat<strong>en</strong>torial intracerebral $1,620.00<br />

61316-00 inc&subq plmt crnl b1 grf $69.00<br />

61320-00 crnec/crx drg icra absc sttl $1,092.00<br />

61321-00 crnec/crx drg icra absc ittl $1,480.00<br />

61322-00 crnec/crx dcmprive w/o lobec $1,402.00<br />

61323-00 crnec/crx dcmprive w/lobec $1,451.00<br />

61330-00 dcmprn orbit only transcrnl $936.00<br />

61332-00 expl orbit transcrnl bx $1,470.00<br />

61333-00 expl orbit transcrnl rmvl les $1,507.00<br />

61334-00 expl orbit transcrnl w/rmvl fb $995.00<br />

87

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