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 />
64595-00 revision/rmvl peripheral/gastric npgr $112.00<br />
64600-00 dstrj trigeminal nrv supraorb infraorb branch $87.75<br />
64605-00 dstrj nulyt trigeminal nrv 2/3 div $485.00<br />
64610-00 dstrj nulyt trigeminal nrv 2/3 div rad mntr $146.25<br />
64611-00 chemod<strong>en</strong>erv parotid&submandibl salivary glnds bi $59.52<br />
64612-00 chemodnrvtj musc musc innervated facial nrv $91.65<br />
64613-00 chemodnrvtj musc nck musc $105.30<br />
64614-00 chemodnrvtj musc xtr&/trnk musc $96.96<br />
64620-00 dstrj nulyt intercostal nrv $265.00<br />
64622-00 dstrj nulyt pvrt facet jt nrv lmbr/sac 1 lvl $339.00<br />
64623-00 dstrj nulyt pvrt facet jt nrv lmbr/sac ea lvl $102.00<br />
64626-00 dstrj nulyt pvrt facet jt nrv crv/thrc 1 lvl $223.78<br />
64627-00 dstrj nulyt pvrt facet jt nrv crv/thrc ea lvl $44.33<br />
64630-00 dstrj nulyt pud<strong>en</strong>dal nrv $221.00<br />
64632-00 dstrj neurolytic plantar common digital nerve $28.96<br />
64640-00 dstrj nulyt oth prph nrv/branch $39.00<br />
64650-00 chemodnrvtj eccrine glnds bth ax $32.63<br />
64653-00 chemodnrvtj eccrine glnds oth area pr d $38.61<br />
64680-00 dstrj nulyt +-rad mntr c<strong>el</strong>iac plexus $291.00<br />
64681-00 dstrj nulyt +-rad mntr suprior hypogstr plexus $185.06<br />
64702-00 neurp dgtal 1/bth sm dgt $146.25<br />
64704-00 neurp nrv hand/foot $195.00<br />
64708-00 neurp major prph nrv arm/leg opn oth/thn spec $390.00<br />
64712-00 neurp major prph nrv opn arm/leg sciatic nrv $414.38<br />
64713-00 neurp major prph nrv opn arm/leg brach plexus $497.25<br />
64714-00 neurp major prph nrv opn arm/leg lmbr plexus $409.50<br />
64716-00 neurp&/trpos crnl nrv $731.25<br />
64718-00 neurp&/trpos ur nrv <strong>el</strong>bw $243.75<br />
64719-00 neurp&/trpos ur nrv wrst $243.75<br />
64721-00 neurp&/trpos median nrv carpl tunn<strong>el</strong> $292.50<br />
64722-00 dcmprn unspecified nrv $438.75<br />
64726-00 dcmprn plntar dgtal nrv $175.50<br />
64727-00 int neurolss req mcrscp $175.50<br />
64732-00 trnsxj/avlsn supraorb nrv $270.00<br />
64734-00 trnsxj/avlsn infraorb nrv $195.00<br />
64736-00 trnsxj/avlsn m<strong>en</strong>tal nrv $275.00<br />
64738-00 trnsxj/avlsn inf alveolar nrv osteom $330.00<br />
64740-00 trnsxj/avlsn lngl nrv $330.00<br />
64742-00 trnsxj/avlsn facial nrv diffial/compl $337.00<br />
64744-00 trnsxj/avlsn grter occipital nrv $390.00<br />
64746-00 trnsxj/avlsn phr<strong>en</strong>ic nrv $323.00<br />
64752-00 trnsxj/avlsn vagus nrv tthrc $364.00<br />
64755-00 trnsxj/avlsn vagus nrv prox stomach $760.00<br />
64760-00 trnsxj/avlsn vagus nrv abdl $436.00<br />
64761-00 trnsxj/avlsn pud<strong>en</strong>dal nrv $334.00<br />
64763-00 trnsxj/avlsn obturator nrv xtrp<strong>el</strong> $214.50<br />
64766-00 trnsxj/avlsn obturator nrv intrap<strong>el</strong> $370.50<br />
64771-00 trnsxj/avlsn oth crnl nrv xdrl $420.00<br />
64772-00 trnsxj/avlsn oth spi nrv xdrl $390.00<br />
64774-00 exc neuroma cutan nrv surgly id<strong>en</strong>tifiable $78.00<br />
95
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