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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 />

61340-00 stpl crnl dcmprn $1,000.00<br />

61343-00 crnec sopl crv lam dcmprn medulla&spi cord $2,193.75<br />

61345-00 oth crnl dcmprn post fossa $741.00<br />

61440-00 crx sctj t<strong>en</strong>torium cereb<strong>el</strong>li spx $1,440.00<br />

61450-00 crnec stpl sctj compression/dcmprn ganglion $975.00<br />

61458-00 crnec sopl expl/dcmprn crnl nrv $1,218.75<br />

61460-00 crnec sopl sctj 1+ crnl nrv $1,658.00<br />

61470-00 crnec sopl medullary trcotomy $1,520.00<br />

61480-00 crnec sopl mes<strong>en</strong>cephal trcotomy/pedunculotomy $1,391.00<br />

61490-00 crx lobotomy w/cingulotomy $390.00<br />

61500-00 crnec exc tum/oth b1 les skl $994.50<br />

61501-00 crnec osteomy<strong>el</strong>itis $838.50<br />

61510-00 crnec treph b1 flap crx exc tum sttl $2,500.00<br />

61512-00 crnec treph b1 flap crx exc m<strong>en</strong>ingioma sttl $2,500.00<br />

61514-00 crnec treph b1 flap crx exc brn absc sttl $1,600.00<br />

61516-00 crnec treph b1 flap crx exc cst sttl $1,600.00<br />

61517-00 impltj brn intrcv chemotx agt $58.00<br />

61518-00 crnec exc tum ittl/pfos m<strong>en</strong>ingioma $1,608.75<br />

61519-00 crnec exc tum ittl/pfos m<strong>en</strong>ingioma $2,253.00<br />

61520-00 crnec exc tum ittl/pfos crblopnt angl tum $1,482.00<br />

61521-00 crnec exc tum ittl/pfos midline tum base skl $2,500.00<br />

61522-00 crnec ittl/pfos exc absc $1,287.00<br />

61524-00 crnec ittl/pfos exc/f<strong>en</strong>estration cst $1,287.00<br />

61526-00 crnec exc crblopnt angl tum $1,755.00<br />

61530-00 crnec exc crblopnt angl tum middle/pfos $2,437.50<br />

61531-00 sdrl impltj strip <strong>el</strong>trds seizure mntr $860.00<br />

61533-00 crx b1 flap impltj <strong>el</strong>trd ra seizure mntr $1,100.00<br />

61534-00 crx b1 flap exc epileptog<strong>en</strong>ic foc w/o ecog $1,108.00<br />

61535-00 crx b1 flap rmvl <strong>el</strong>trd ra w/o exc cere tiss spx $638.00<br />

61536-00 crx b1 flap exc cere foc w/ecog $1,832.00<br />

61537-00 crx b1 flap temporal lobe w/o ecog $1,331.00<br />

61538-00 crx b1 flap lobec temporal lobe w/ecog $1,846.00<br />

61539-00 crx b1 flap lobec oth/thn temporal lobe w/ecog $1,700.00<br />

61540-00 crx b1 flap lobec oth/thn temporal lobe w/o ecog $1,607.00<br />

61541-00 crx b1 flap trnsxj corpus callosum $1,500.00<br />

61542-00 crx b1 flap tot hemisphercomy $1,639.00<br />

61543-00 crx b1 flap prtl/stot hemisphercomy $1,126.13<br />

61544-00 crx b1 flap exc/coagj choroid plexus $1,600.00<br />

61545-00 crx b1 flap exc craniopharyngioma $2,251.00<br />

61546-00 crx hypphsec/exc pituitary tum icra $1,686.75<br />

61548-00 hypphsec/exc pituitary tum transnsl/septal $2,450.00<br />

61550-00 crnec craniosynostosis 1 crnl sutr $2,100.00<br />

61552-00 crnec craniosynostosis mlt crnl sutrs $2,300.00<br />

61556-00 crx craniosynostosis frnt/parietal b1 flap $2,100.00<br />

61557-00 crx craniosynostosis bifrnt b1 flap $2,300.00<br />

61558-00 x10sv crnec mlt sutr craniosynostosis x w/b1 grf $2,300.00<br />

61559-00 x10sv crnec mlt sutr craniosynostosis b1 agrft $2,690.00<br />

61563-00 exc b9 tum crnl b1 w/o optic nrv dcmprn $1,500.00<br />

61564-00 exc b9 tum crnl b1 w/optic nrv dcmprn $1,728.00<br />

61566-00 crx b1 flap slctv amygdalohippocampectomy $1,591.00<br />

88

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