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 />
63266-00 lam exc/evac ispi les oth/thn neo xdrl thrc $1,529.00<br />
63267-00 lam exc/evac ispi les oth/thn neo xdrl lmbr $1,310.00<br />
63268-00 lam exc/evac ispi les oth/thn neo xdrl sac $958.00<br />
63270-00 lam exc ispi les oth/thn neo idrl crv $1,365.00<br />
63271-00 lam exc ispi les oth/thn neo idrl thrc $1,694.55<br />
63272-00 lam exc ispi les oth/thn neo idrl lmbr $1,584.00<br />
63273-00 lam exc ispi les oth/thn neo idrl sac $1,324.54<br />
63275-00 lam bx/exc ispi neo xdrl crv $1,683.00<br />
63276-00 lam bx/exc ispi neo xdrl thrc $1,550.00<br />
63277-00 lam bx/exc ispi neo xdrl lmbr $1,406.00<br />
63278-00 lam bx/exc ispi neo xdrl sac $1,390.00<br />
63280-00 lam bx/exc ispi neo idrl xmed crv $1,775.00<br />
63281-00 lam bx/exc ispi neo idrl xmed thrc $1,775.00<br />
63282-00 lam bx/exc ispi neo idrl xmed lmbr $1,580.00<br />
63283-00 lam bx/exc ispi neo idrl sac $1,316.25<br />
63285-00 lam bx/exc ispi neo idrl imed crv $2,091.38<br />
63286-00 lam bx/exc ispi neo idrl imed thrc $2,000.00<br />
63287-00 lam bx/exc ispi neo idrl imed thoracolmbr $1,920.00<br />
63290-00 lam bx/exc ispi neo xdrl-idrl les any lvl $1,980.00<br />
63295-00 ostpl rcnstj dorsal spi <strong>el</strong>mnts flwg ispi px $244.00<br />
63300-00 vcrpec les 1 sgm xdrl crv $1,276.00<br />
63301-00 vcrpec les 1 sgm xdrl thrc tthrc $1,455.00<br />
63302-00 vcrpec les 1 sgm xdrl thrc thoracolmbr $1,390.35<br />
63303-00 vcrpec les 1 sgm xdrl lmbr/sac transprtl/rpr $1,499.55<br />
63304-00 vcrpec les 1 sgm idrl crv $1,540.00<br />
63305-00 vcrpec les 1 sgm idrl thrc tthrc $1,650.00<br />
63306-00 vcrpec les 1 sgm idrl thrc thoracolmbr $1,640.00<br />
63307-00 vcrpec les 1 sgm idrl lmbr/sac transprtl/rpr $1,680.00<br />
63308-00 vcrpec les 1 sgm ea sgm $300.00<br />
63600-00 crtj les spi cord strtctc prq $616.00<br />
63610-00 strtctc stimj spi cord prq spx n/flwd oth surg $375.00<br />
63615-00 strtctc bx aspir/exc les spi cord $844.00<br />
63650-00 prq impltj nstim <strong>el</strong>trd ra edrl $293.29<br />
63655-00 lam impltj nstim <strong>el</strong>trds plate/paddle edrl $561.00<br />
63685-00 insj/rplcmt spi npgr dir/induxive coupling $332.57<br />
63688-00 revj/rmvl implted spi npgr $248.33<br />
63700-00 rpr m<strong>en</strong>ingoc<strong>el</strong>e < 5 cm diam $731.25<br />
63702-00 rpr m<strong>en</strong>ingoc<strong>el</strong>e > 5 cm diam $888.00<br />
63704-00 rpr my<strong>el</strong>om<strong>en</strong>ingoc<strong>el</strong>e < 5 cm diam $1,650.00<br />
63706-00 rpr my<strong>el</strong>om<strong>en</strong>ingoc<strong>el</strong>e > 5 cm diam $1,750.00<br />
63707-00 rpr dural/cerebsp flu leak x req lam $820.00<br />
63709-00 rpr dural/csf leak/pseudom<strong>en</strong>ingoc<strong>el</strong>e w/lam $1,820.00<br />
63710-00 dural grf spi $756.00<br />
63740-00 crtj shunt lmbr sarach-prtl-pleural/oth w/lam $936.00<br />
63741-00 crtj shunt lmbr sarach-prtl-pleural prq x lam $879.00<br />
63744-00 rplcmt irrigation/revj lumbosarach shunt $850.00<br />
63746-00 rmvl <strong>en</strong>tire lumbosarach shunt sys w/o rplcmt $400.00<br />
64400-00 njx anes trigeminal nrv any div/branch $19.50<br />
64402-00 njx anes facial nrv $19.50<br />
64405-00 njx anes grter occipital nrv $29.25<br />
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