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 />
64776-00 exc neuroma dgtal nrv 1/bth sm dgt $97.50<br />
64778-00 exc neuroma dgtal nrv ea dgt $58.50<br />
64782-00 exc neuroma hand/foot xcp dgtal nrv $146.25<br />
64783-00 exc neuroma hand/foot ea nrv xcp sm dgt $58.50<br />
64784-00 exc neuroma major prph nrv xcp sciatic $243.75<br />
64786-00 exc neuroma sciatic nrv $633.75<br />
64787-00 impltj nrv <strong>en</strong>d in b1/musc $240.83<br />
64788-00 exc neurofibroma/neurolemmoma cutan nrv $214.50<br />
64790-00 exc neurofibroma/neurolemmoma major prph nrv $546.00<br />
64792-00 exc neurofibroma/neurolemmoma x10sv $585.00<br />
64795-00 bx nrv $117.00<br />
64802-00 sympth crv $585.00<br />
64804-00 sympth cervicothrc $682.50<br />
64809-00 sympth thoracolmbr $741.00<br />
64818-00 sympth lmbr $536.25<br />
64820-00 sympth dgtal arts ea dgt $482.63<br />
64821-00 sympth rdl art $459.85<br />
64822-00 sympth ur art $459.85<br />
64823-00 sympth supfc plmr arch $532.08<br />
64831-00 sutr dgtal nrv hand/foot 1 nrv $146.25<br />
64832-00 sutr dgtal nrv hand/foot ea dgtal nrv $48.75<br />
64834-00 suture 1 nerve hand/foot common s<strong>en</strong>sory nerve $195.00<br />
64835-00 suture 1 nerve median motor th<strong>en</strong>ar $292.50<br />
64836-00 suture 1 nerve ulnar motor $292.50<br />
64837-00 sutr ea nrv hand/foot $48.75<br />
64840-00 sutr post tibl nrv $390.00<br />
64856-00 sutr prph nrv arm/leg xcp sciatic w/trpos $800.00<br />
64857-00 sutr prph nrv arm/leg xcp sciatic w/o trpos $390.00<br />
64858-00 sutr sciatic nrv $458.25<br />
64859-00 sutr ea major prph nrv $250.00<br />
64861-00 sutr brach plexus $760.50<br />
64862-00 sutr lmbr plexus $965.25<br />
64864-00 sutr facial nrv xtrc $507.00<br />
64865-00 sutr facial nrv itprl +-grfg $849.00<br />
64866-00 anast facial-spi accessory $731.25<br />
64868-00 anast facial-hypoglossal $731.25<br />
64870-00 anast facial-phr<strong>en</strong>ic $936.00<br />
64872-00 sutr nrv req sec/dlyd sutr $107.00<br />
64874-00 sutr nrv req x10sv moblj/trpos nrv $140.40<br />
64876-00 sutr nrv req shrt b1 xtr $157.95<br />
64885-00 nrv grf head/nck 4 cm $1,030.00<br />
64890-00 nrv grf 1 strand hand/foot 4 cm $875.00<br />
64892-00 nrv grf 1 strand arm/leg 4 cm $925.00<br />
64895-00 nrv grf mlt strands hand/foot 4 cm $1,155.00<br />
64897-00 nrv grf mlt strands arm/leg 4 cm $1,050.00<br />
96
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