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 />
64408-00 njx anes vagus nrv $29.25<br />
64410-00 njx anes phr<strong>en</strong>ic nrv $29.25<br />
64412-00 njx anes spi accessory nrv $29.25<br />
64413-00 njx anes crv plexus $48.75<br />
64415-00 single nerve block injection arm nerve $48.75<br />
64416-00 injection anes brachial plexus cont nfs cath $92.14<br />
64417-00 njx anes ax nrv $29.25<br />
64418-00 njx anes suprascapular nrv $29.25<br />
64420-00 njx anes intercostal nrv 1 $29.25<br />
64421-00 multiple nerve block injections rib nerves $136.01<br />
64425-00 njx anes ilioingun iliohypogstr nrv $48.75<br />
64430-00 njx anes pud<strong>en</strong>dal nrv $48.75<br />
64435-00 njx anes <strong>para</strong>crv nrv $48.75<br />
64445-00 njx anes sciatic nrv 1 $29.25<br />
64446-00 injection anes sciatic nerve cont infusion cath $109.69<br />
64447-00 njx anes fem nrv 1 $52.65<br />
64448-00 injection anes femoral nerve cont infusion cath $104.42<br />
64449-00 injection anes lumbar plexus post cont nfs cath $103.55<br />
64450-00 njx anes oth prph nrv/branch $29.25<br />
64455-00 njx anes&/steroid plantar common digital nerve $30.71<br />
64479-00 njx anes&/strd w/img tfrml edrl crv/thrc 1 lvl $43.88<br />
64480-00 njx anes&/strd w/img tfrml edrl crv/thrc ea lvl $97.00<br />
64483-00 njx anes&/strd w/img tfrml edrl lmbr/sac 1 lvl $48.75<br />
64484-00 njx anes&/strd w/img tfrml edrl lmbr/sac ea lvl $87.97<br />
64490-00 njx dx/ther agt pvrt facet jt crv/thrc 1 lev<strong>el</strong> $43.88<br />
64491-00 njx dx/ther agt pvrt facet jt crv/thrc 2nd lev<strong>el</strong> $21.45<br />
64492-00 njx dx/ther agt pvrt facet jt crv/thrc 3+ lev<strong>el</strong> $34.13<br />
64493-00 njx dx/ther agt pvrt facet jt lmbr/sac 1 lev<strong>el</strong> $34.13<br />
64494-00 njx dx/ther agt pvrt facet jt lmbr/sac 2nd lev<strong>el</strong> $16.58<br />
64495-00 njx dx/ther agt pvrt facet jt lmbr/sac 3+ lev<strong>el</strong> $29.25<br />
64505-00 njx anes sph<strong>en</strong>opalatine ganglion $70.00<br />
64508-00 njx anes crtd sinus spx $39.00<br />
64510-00 njx anes st<strong>el</strong>late ganglion crv sympathetic $48.75<br />
64517-00 njx anes suprior hypogstr plexus $103.91<br />
64520-00 njx anes lmbr/thrc pvrt sympathetic $19.50<br />
64530-00 njx anes c<strong>el</strong>iac plexus +-rad mntr $100.00<br />
64553-00 prq impltj nstim <strong>el</strong>trds crnl nrv $112.50<br />
64555-00 prq impltj nstim <strong>el</strong>trds prph nrv $126.00<br />
64560-00 prq impltj nstim <strong>el</strong>trds autonomic nrv $124.78<br />
64561-00 prq impltj nstim <strong>el</strong>trds sac nrv $336.59<br />
64565-00 prq impltj nstim <strong>el</strong>trds neuromuscular $100.21<br />
64568-00 inc impltj crnl nrv nstim <strong>el</strong>trds & pulse g<strong>en</strong>er $403.25<br />
64569-00 revision/replmt nstim crnl <strong>el</strong>trds $372.00<br />
64570-00 removal crnl nrv nstim <strong>el</strong>trds & pulse g<strong>en</strong>erator $319.00<br />
64575-00 inc impltj periph nrv nstim <strong>el</strong>trds $196.56<br />
64577-00 inc impltj nstim <strong>el</strong>trds autonomic nrv $222.89<br />
64580-00 inc impltj nstim <strong>el</strong>trds neuromuscular $212.36<br />
64581-00 inc impltj nstim <strong>el</strong>trds sac nrv $519.48<br />
64585-00 revj/rmvl prph nstim <strong>el</strong>trds $150.00<br />
64590-00 insertion/rplcmt peripheral/gastric npgr $142.35<br />
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