| CODIGO PRESTACIÓN | CODIGO PABELLÓN | DIGITO VERIFICADOR | DENOMINACIÓN | TARIFA INSTITUCIONAL | TARIFA PARTICULAR | TARIFA FONASA |
|---|---|---|---|---|---|---|
| ATENCIÓN ABIERTA | ||||||
| 101007 | 0 | 3 | ATENC.MED RECIEN NACIDO SALA DE PARTO O PAB.C/S REAN.CARD.RE | $39.005 | $189.478 | $189.478 |
| 101015 | 0 | 6 | CONSULTA URGENCIA | $37.869 | $52.609 | $52.609 |
| 101019 | 0 | 8 | CONSULTA NUTRICIONISTA | $18.183 | $29.025 | $29.025 |
| 101020 | 0 | 6 | ATENCION MEDICA INTEGRAL | $2.817 | $3.306 | $3.306 |
| 101024 | 0 | 8 | EVALUAC.DESARR.PSICOMOT.DEL LACTANTE P/ENFERMERA | $11.831 | $13.887 | $13.887 |
| 101034 | 0 | 7 | CONSULTA OBESIDAD ADULTO | $13.494 | $32.355 | $32.355 |
| 101201 | 0 | 2 | CONSULTA MEDICA DE ESPECIALIDAD EN DERMATOLOGIA | $21.818 | $30.495 | $25.740 |
| 101203 | 0 | 8 | CONSULTA MEDICA DE ESPECIALIDAD EN NEUROCIRUGIA | $21.161 | $30.495 | $25.740 |
| 101204 | 0 | 6 | CONSULTA MEDICA DE ESPEC. OFTALMOLOGIA (INCL. EXP. VITREORE) | $26.014 | $41.543 | $41.543 |
| 101205 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN OTORRINOLARINGOLOGIA | $21.161 | $30.495 | $25.740 |
| 101206 | 0 | 1 | CONSULTA MEDICA EN REUMATOLOGIA | $21.161 | $37.691 | $25.740 |
| 101207 | 0 | 9 | CONSULTA MEDICA DE ESPECIALIDAD EN ENDOCRINOLOGIA ADULTO | $21.818 | $30.495 | $25.740 |
| 101208 | 0 | 7 | CONSULTA MEDICA ESPECIALIDAD EN ENDOCRINOLOGIA PEDIATRICA | $20.878 | $30.495 | $25.740 |
| 101209 | 0 | 5 | CONSULTA MEDICA DE ESPECIALIDAD EN NERUROLOGIA ADULTOS | $21.161 | $30.495 | $25.740 |
| 101210 | 0 | 3 | CONSULTA MEDICA ESPECIALIDAD NEUROLOGIA PEDIATRICA | $21.161 | $30.495 | $25.740 |
| 101211 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN ONCOLOGIA MEDICA | $21.161 | $30.495 | $25.740 |
| 101301 | 0 | 0 | CONSULTA MEDICA DE ESPECIALIDAD EN CARDIOLOGIA | $21.161 | $30.495 | $30.495 |
| 101302 | 0 | 8 | CONSULTA MEDICA DE ESPECIALIDAD EN HEMATOLOGIA | $21.161 | $30.495 | $30.495 |
| 101307 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN MEDICINA INTERNA | $21.161 | $30.495 | $30.495 |
| 101308 | 0 | 5 | CONSULTA MEDICA DE ESPECIALIDAD EN OBSTETRICIA Y GINECOLOGIA | $21.161 | $30.495 | $30.495 |
| 101309 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN PEDIATRIA | $21.161 | $30.495 | $30.495 |
| 101310 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN TRAUMAT. Y ORTOPEDIA | $21.161 | $30.495 | $30.495 |
| 101311 | 0 | 9 | CONSULTA MEDICA DE ESPECIALIDAD EN UROLOGIA | $21.161 | $30.495 | $25.740 |
| 101312 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA GENERAL | $21.161 | $30.495 | $30.495 |
| 101313 | 0 | 5 | CONSULTA MEDICA DE ESPEC. EN CIRUGIA DE CABEZA, CUELLO, MAXI | $21.161 | $30.495 | $30.495 |
| 101314 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA CARDIOVASCULAR | $21.161 | $30.495 | $30.495 |
| 101317 | 0 | 6 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA PEDIATRICA | $21.161 | $30.495 | $30.495 |
| 101319 | 0 | 2 | CONSULTA MEDICA DE ESPECIALIDAD EN COLOPROCTOLOGIA | $21.161 | $30.495 | $30.495 |
| 101321 | 0 | 8 | CONSULTA MEDICA ESPEC.ENFERMEDADES RESPIRATORIAS ADULTO | $21.161 | $30.495 | $30.495 |
| 101322 | 0 | 6 | CONSULTA MEDICA ESPEC.ENFERMEDADES RESPIRATORIAS PEDIATRICAS | $21.161 | $30.495 | $30.495 |
| 101323 | 0 | 4 | CONSULTA MEDICA ESPEC. EN GASTROENTEROLOGIA ADULTO | $21.161 | $30.495 | $30.495 |
| 101324 | 0 | 2 | CONSULTA MEDICA ESPEC. EN GASTROENTEROLOGIA PEDIATRICO | $20.250 | $30.495 | $30.495 |
| 101326 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN NEFROLOGIA ADULTO | $21.161 | $30.495 | $30.495 |
| 101328 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN NEONATOLOGIA | $21.161 | $30.495 | $30.495 |
| 101329 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN ANESTESIOLOGIA | $21.161 | $30.495 | $30.495 |
| 101334 | 0 | 1 | CONSULTA LEY R.SOTO | $21.161 | $51.767 | $51.767 |
| 101507 | 0 | 2 | CURACION EXTENSA (COMPLEJA) | $8.515 | $10.345 | $10.345 |
| 101508 | 0 | 0 | CURACION SIMPLE | $6.332 | $7.690 | $7.690 |
| 101511 | 0 | 4 | HEMOGLUCOTEST (INCLUYE PROCEDIMIENTO E INSUMOS) | $1.301 | $4.752 | $4.752 |
| 101512 | 0 | 2 | INYECCION INTRAMUSCULAR (INCL. PROCED. E INSUMOS, SIN FARM.) | $344 | $6.666 | $6.666 |
| 101514 | 0 | 8 | INYECCION INTRAVENOSA (INCL. PROCED. E INSUMOS, SIN FARM.) | $747 | $10.664 | $10.664 |
| 101520 | 0 | 5 | INSTALACION DE FLEBOCLISIS | $6.283 | $7.986 | $7.986 |
| 101536 | 0 | 1 | CONSULTA PROFESIONAL DE SALUD | $5.616 | $7.251 | $7.251 |
| 101574 | 0 | 2 | TRATAMIENTO ANTICOAGULANTE (TACO) | $10.837 | $18.842 | $18.842 |
| 101900 | 0 | 9 | CUIDADO DEL PIE DIABETICO | $12.563 | $21.966 | $21.966 |
| 110194 | 0 | 8 | TOMA E INFORME ELEC. DIGITAL URGENCIA | $176.440 | $254.603 | $254.603 |
| DERECHO DE PABELLON | ||||||
| 201111 | 0 | 2 | DERECHO PABELLON NIVEL 1 | $92.114 | $105.449 | $105.449 |
| 201112 | 0 | 0 | DERECHO PABELLON NIVEL 2 | $92.114 | $105.449 | $105.449 |
| 201003 | 3 | 1 | DERECHO PABELLON NIVEL 3 | $92.114 | $122.946 | $122.946 |
| 201004 | 4 | 9 | DERECHO PABELLON NIVEL 4 | $185.634 | $224.460 | $224.460 |
| 201005 | 5 | 6 | DERECHO PABELLON NIVEL 5 | $250.980 | $287.302 | $287.302 |
| 201006 | 6 | 4 | DERECHO PABELLON NIVEL 6 | $336.416 | $385.098 | $385.098 |
| 201007 | 7 | 2 | DERECHO PABELLON NIVEL 7 | $459.960 | $526.520 | $526.520 |
| 201008 | 8 | 0 | DERECHO PABELLON NIVEL 8 | $663.148 | $759.106 | $759.106 |
| 201009 | 9 | 8 | DERECHO PABELLON NIVEL 9 | $884.628 | $1.012.633 | $1.012.633 |
| 201010 | 10 | 6 | DERECHO PABELLON NIVEL 10 | $954.636 | $1.092.770 | $1.092.770 |
| 201011 | 11 | 4 | DERECHO PABELLON NIVEL 11 | $1.094.980 | $1.253.421 | $1.253.421 |
| 201012 | 12 | 2 | DERECHO PABELLON NIVEL 12 | $1.132.115 | $1.354.244 | $1.354.244 |
| 201013 | 13 | 0 | DERECHO PABELLON NIVEL 13 | $1.255.485 | $1.501.823 | $1.501.823 |
| 201014 | 14 | 8 | DERECHO PABELLON NIVEL 14 | $1.445.278 | $1.728.851 | $1.728.851 |
| 201015 | 1 | 5 | SALA DE PROCEDIMIENTOS NIVEL 1 | $85.166 | $104.940 | $104.940 |
| 201016 | 2 | 3 | SALA DE PROCEDIMIENTOS NIVEL 2 | $75.527 | $105.449 | $105.449 |
| 201017 | 3 | 1 | SALA DE PROCEDIMIENTOS NIVEL 3 | $92.114 | $122.946 | $122.946 |
| 201018 | 4 | 9 | SALA DE PROCEDIMIENTOS NIVEL 4 | $185.634 | $224.460 | $224.460 |
| 201020 | 0 | 5 | DERECHO PABELLON DENTAL | $57.725 | $73.148 | $73.148 |
| DIA CAMA | ||||||
| 201001 | 0 | 5 | DIA CAMA HOSPITALIZACION INTEGRAL CUIDADOS BASICOS (SALA 1 CA | $179.631 | $236.198 | $236.198 |
| 201002 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADOS BASICOS (SALA 2 | $145.381 | $174.959 | $174.959 |
| 201101 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADEOS MEDIOS (SALA 1 | $79.517 | $195.192 | $195.192 |
| 201102 | 0 | 1 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADOS MEDIOS (SALA 2 | $211.195 | $345.563 | $345.563 |
| 201201 | 0 | 1 | DIA CAMA HOSPITALIZACION INTEGRAL ADULTO EN UNIDAD DE CUIDADO | $506.044 | $733.894 | $733.894 |
| 201203 | 0 | 7 | DIA CAMA HOSPITALIZACION INTEGRAL NEONATAL EN UNIDAD DE CUIDA | $400.776 | $628.492 | $628.492 |
| 201301 | 0 | 9 | DIA CAMA HOSPITALIZACION INTEGRAL ADULTO EN UNIDAD DE TRATAMI | $258.738 | $489.286 | $489.286 |
| 201303 | 0 | 5 | DIA CAMA HOSPITALIZACION INTEGRAL NEONATAL EN UNIDAD DE TRATA | $191.023 | $345.007 | $345.007 |
| 201401 | 0 | 7 | DIA CAMA DE HOSPITALIZACION INTEGRAL OBSTETRICIA (SALA 1 CAMA | $63.616 | $208.639 | $208.639 |
| 201402 | 0 | 5 | DIA CAMA DE HOSPITALIZACION INTEGRAL OBSTETRICIA (SALA 2 O MA | $61.844 | $135.888 | $135.888 |
| 201403 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL SALA CUNA | $79.517 | $118.516 | $118.516 |
| 201404 | 0 | 1 | DIA CAMA DE HOSPITALIZACION INCUBADORA | $169.624 | $224.786 | $224.786 |
| 201405 | 0 | 8 | DIA CAMA DE HOSPITALIZACION INTEGRAL PSIQUIATRIA CUIDADOS BAS | $63.761 | $121.076 | $121.076 |
| 201407 | 0 | 4 | DIA CAMA DE HOSPITALIZACION INTEGRAL DE OBSERVACION - AMBULAT | $79.629 | $217.439 | $217.439 |
| 202110 | 0 | 3 | DIA CAMA DE HOSPITALIZACION PEDIATRIA (SALA 2 CAMAS | $56.778 | $126.674 | $126.674 |
| 202112 | 0 | 9 | DIA CAMA DE HOSPITALIZACION PEDIATRIA (SALA 1 CAMA | $59.743 | $216.531 | $216.531 |
| EXÁMENES DE LABORATORIO | ||||||
| 301001 | 0 | 4 | TEST DE HAM, ACIDIFICACION DEL SUE | $2.153 | $3.297 | $3.297 |
| 301002 | 0 | 2 | ACIDO FOLICO | $7.975 | $8.891 | $8.891 |
| 301003 | 0 | 0 | ADENOGRAMA, MIELOGRAMA, C/U | $5.578 | $13.808 | $12.800 |
| 301007 | 0 | 1 | ANTICOAGULANTES CIRCULANTES O ANTICOAGULANTE LUPICO | $11.918 | $13.660 | $13.660 |
| 301008 | 0 | 9 | ANTITROMBINA III | $8.559 | $10.631 | $10.631 |
| 301012 | 0 | 1 | COAGULO, TIEMPO DE RETRACCION DEL | $1.177 | $2.285 | $2.285 |
| 301014 | 0 | 7 | PRUEBA ANTIGLOBULINA DIRECTA, COOMBS DIRECTO/FRACCIONADA | $7.903 | $15.348 | $15.348 |
| 301015 | 0 | 4 | COOMBS INDIRECTO, TEST DE (PRUEBA | $9.173 | $10.822 | $10.822 |
| 301021 | 0 | 2 | FIBRINOGENO (FACTOR I) | $5.256 | $7.814 | $7.814 |
| 301024 | 0 | 6 | FACTOR V | $13.256 | $15.879 | $15.879 |
| 301026 | 0 | 1 | FERRITINA | $5.238 | $10.042 | $9.310 |
| 301027 | 0 | 9 | FIBRINOGENO, PRODUCTOS DE DEGRADACION DEL | $13.950 | $16.479 | $16.479 |
| 301028 | 0 | 7 | FIERRO SERICO | $3.451 | $3.989 | $3.989 |
| 301029 | 0 | 5 | FIERRO, CAPACIDAD DE FIJACION DEL (INCLUYE FIERRO SERICO) | $7.366 | $8.212 | $8.212 |
| 301034 | 0 | 5 | CLASIFICACION SANGUINEA ABO Y RHD | $11.418 | $13.087 | $13.087 |
| 301036 | 0 | 0 | HEMATOCRITO (PROC. AUT.) | $1.285 | $1.894 | $1.894 |
| 301038 | 0 | 6 | HEMOGLOBINA EN SANGRE TOTAL (PROC. AUT.) | $1.285 | $1.892 | $1.892 |
| 301041 | 0 | 0 | HEMOGLOBINA GLICADA A1C | $7.513 | $8.513 | $8.513 |
| 301045 | 0 | 1 | HEMOGRAMA (INCL. RECUENTO DE LEUCOCITOS Y ERITROCITOS, HEMOG | $4.890 | $5.471 | $5.471 |
| 301048 | 0 | 5 | HEMOSIDERINA MEDULAR | $6.733 | $7.721 | $7.721 |
| 301050 | 0 | 1 | ISOINMUNIZACION, DETECCION DE ANTICUERPOS IRR | $9.264 | $13.328 | $13.328 |
| 301051 | 0 | 9 | IDENTIFICACION DE ANTICUERPOS IRREGULARES ERITROCITARIOS | $5.398 | $21.591 | $7.780 |
| 301059 | 0 | 2 | TIEMPO DE PROTROMBINA (INCL. INR, RAZON INTERNAC. NORMALIZAD | $2.490 | $2.869 | $2.869 |
| 301063 | 0 | 4 | RECUENTOS DE EOSINOFILOS (ABSOLUTO) | $1.068 | $1.646 | $1.520 |
| 301064 | 0 | 2 | RECUENTO DE ERITROCITOS, ABSOLUTO (PROC. AUT.) | $553 | $1.267 | $1.170 |
| 301065 | 0 | 9 | RECUENTO DE LEUCOCITOS, ABSOLUTO (PROC. AUT.) | $1.285 | $1.900 | $1.900 |
| 301066 | 0 | 7 | RECUENTO DE LINFOCITOS (ABSOLUTO) | $1.157 | $2.120 | $1.970 |
| 301067 | 0 | 5 | RECUENTO DE PLAQUETAS (ABSOLUTO) | $2.260 | $2.596 | $2.596 |
| 301068 | 0 | 3 | RECUENTO DE RETICULOCITOS (ABSOLUTO O PORCENTUAL) | $2.956 | $3.577 | $3.577 |
| 301069 | 0 | 1 | RECUENTO DIFERENCIAL O FORMULA LEUCOCITARIA (PROC. AUT.) | $3.122 | $3.541 | $3.280 |
| 301070 | 0 | 9 | RESISTENCIA GLOBULAR OSMOTICA | $32.173 | $39.907 | $39.907 |
| 301072 | 0 | 5 | TIEMPO DE SANGRIA (NO INCLUYE DISPOSITIVO ASOCIADO) | $8.258 | $9.468 | $9.468 |
| 301075 | 0 | 8 | SUBGRUPO AB0 Y RH FENOTIPO - GENOTIPO RH, C/U | $13.517 | $15.943 | $15.943 |
| 301082 | 0 | 4 | TRANSFERRINA | $5.050 | $9.190 | $8.510 |
| 301085 | 0 | 7 | TROMBOPLASTINA, TIEMPO PARCIAL DE (TTPA, TTPK O SIMILARES) | $3.841 | $4.402 | $4.402 |
| 301086 | 0 | 5 | VELOCIDAD DE ERITROSEDIMENTACION (PROC.AUT.) | $2.736 | $3.143 | $3.143 |
| 301087 | 0 | 3 | VITAMINA B12 | $11.677 | $13.444 | $13.444 |
| 301091 | 0 | 5 | PROTEINA C FUNCIONAL | $36.741 | $52.082 | $48.260 |
| 301092 | 0 | 3 | PROTEINA S | $29.051 | $61.605 | $57.070 |
| 301093 | 0 | 1 | RESISTENCIA A LA PROTEINA C ACTIVADA | $18.932 | $38.807 | $35.950 |
| 301094 | 0 | 9 | FACTOR "VII" | $9.372 | $16.461 | $74.130 |
| 301095 | 0 | 6 | DOSIFICACION DE FACTOR "X" | $11.853 | $16.461 | $18.530 |
| 301096 | 0 | 4 | ANTICUERPOS ANTICARDIOLIPINAS IGG-IGM C/U | $16.963 | $21.565 | $21.565 |
| 301097 | 0 | 2 | DIMERO D | $12.022 | $20.014 | $20.014 |
| 301098 | 0 | 0 | MIELOGRAMA | $6.696 | $13.808 | $13.808 |
| 301100 | 0 | 4 | FACTOR VIII (ANTI HEMOFILICO) | $3.015 | $16.461 | $16.461 |
| 301101 | 0 | 2 | FACTOR IX (ANTI HEMOFILICO B) | $9.519 | $16.461 | $16.461 |
| 301900 | 0 | 7 | DERIVADOS DE HEMOGLOBINA | $3.705 | $22.501 | $22.501 |
| 301901 | 0 | 5 | DOSIFICACION FACTOR XI | $11.987 | $16.461 | $16.461 |
| 301902 | 0 | 3 | DOSIFICACION FACTOR XII | $15.252 | $17.481 | $17.481 |
| 301904 | 0 | 9 | PANEL UPC EXAMENES URGENCIA | $7.875 | $30.092 | $30.092 |
| 301945 | 0 | 2 | RECUENTOS HEMATOLOGICOS | $2.606 | $6.157 | $6.157 |
| 302001 | 0 | 3 | CUERPOS CETONICOS EN SANGRE | $1.342 | $1.551 | $1.440 |
| 302004 | 0 | 7 | LACTATO EN SANGRE | $6.317 | $7.219 | $7.219 |
| 302005 | 0 | 4 | ACIDO URICO, EN SANGRE | $2.439 | $2.803 | $2.803 |
| 302006 | 0 | 2 | ALCOHOL EN SANGRE | $6.105 | $27.038 | $27.038 |
| 302008 | 0 | 8 | AMILASA, EN SANGRE | $3.903 | $4.483 | $4.483 |
| 302010 | 0 | 4 | AMONIO | $4.211 | $5.049 | $5.049 |
| 302011 | 0 | 2 | BICARBONATO (PROC. AUT.) | $4.206 | $5.046 | $5.046 |
| 302012 | 0 | 0 | BILIRRUBINA TOTAL (PROC. AUT.) | $2.280 | $2.594 | $2.400 |
| 302013 | 0 | 8 | BILIRRUBINA TOTAL Y CONJUGADA | $2.317 | $2.686 | $2.686 |
| 302015 | 0 | 3 | CALCIO EN SANGRE | $2.146 | $2.452 | $2.452 |
| 302017 | 0 | 9 | CAROTENO | $2.041 | $3.695 | $3.420 |
| 302018 | 0 | 7 | CAROTENO PRUEBA DE SOBRECARGA DE, ADEMAS COD 307011 O 307012 | $4.585 | $8.017 | $7.420 |
| 302023 | 0 | 7 | CREATININA EN SANGRE | $2.029 | $2.250 | $2.080 |
| 302024 | 0 | 5 | CLEARENCE DE CREATININA (PROC. AUT.) | $4.829 | $5.525 | $5.525 |
| 302025 | 0 | 2 | CREATINQUINASA CK - MB ACTIVIDAD | $8.171 | $9.419 | $8.210 |
| 302026 | 0 | 0 | CREATINQUINASA CK - TOTAL | $4.409 | $6.371 | $5.890 |
| 302027 | 0 | 8 | TROPONINA | $24.992 | $33.159 | $33.159 |
| 302030 | 0 | 2 | DESHIDROGENASA LACTICA TOTAL (LDH) | $3.622 | $4.226 | $3.700 |
| 302032 | 0 | 8 | ELECTROLITOS PLASMATICOS (SODIO, POTASIO, CLORO) C/U | $2.085 | $2.384 | $2.384 |
| 302034 | 0 | 4 | PERFIL LIPIDICO (INCL. MEDICIONES DE COLESTEROL TOTAL, HDL | $10.379 | $11.716 | $11.716 |
| 302035 | 0 | 1 | FARMACOS Y/O DROGAS; NIVELES PLASMATICOS DE (ALCOHOL, ANOREX | $5.202 | $27.038 | $9.680 |
| 302037 | 0 | 7 | FOSF.ACIDOS | $4.527 | $9.005 | $9.005 |
| 302038 | 0 | 5 | FOSFATASAS ACIDAS TOTALES Y FRACCION PROSTATI | $3.394 | $7.427 | $7.427 |
| 302040 | 0 | 1 | FOSFATASAS ALCALINAS TOTALES | $2.085 | $2.415 | $2.415 |
| 302042 | 0 | 7 | FOSFORO (FOSFATOS) EN SANGRE | $2.841 | $3.257 | $2.850 |
| 302045 | 0 | 0 | GAMMA GLUTAMILTRANSPEPTIDASA (GGT) | $3.659 | $4.230 | $4.230 |
| 302046 | 0 | 8 | GASES Y EQUILIBRIO ACIDO BASE EN SANGRE (INCL. PH, O2, CO2, | $6.195 | $6.942 | $6.942 |
| 302047 | 0 | 6 | GLUCOSA EN SANGRE | $1.988 | $2.306 | $2.306 |
| 302048 | 0 | 4 | GLUCOSA, PRUEBA DE TOLERANCIA A LA GLUCOSA ORAL (PTGO) | $9.659 | $10.929 | $10.929 |
| 302053 | 0 | 4 | LIPASA EN SANGRE | $3.585 | $4.417 | $4.100 |
| 302054 | 0 | 2 | ELECTROFORESIS DE LIPOPROTEINAS | $8.004 | $13.202 | $13.202 |
| 302055 | 0 | 9 | LITIO EN SANGRE | $2.580 | $4.867 | $4.510 |
| 302056 | 0 | 7 | MAGNESIO EN SANGRE | $4.890 | $5.659 | $4.930 |
| 302057 | 0 | 5 | NITROGENO UREICO Y/O UREA, EN SANGRE | $1.287 | $2.214 | $2.050 |
| 302059 | 0 | 1 | PROTEINAS FRACCIONADAS ALBUMINA/GL | $1.602 | $2.615 | $2.615 |
| 302060 | 0 | 9 | PROTEINAS TOTALES EN SANGRE | $2.342 | $2.699 | $2.699 |
| 302061 | 0 | 7 | PROTEINAS, ELECTROFORESIS (INCL. COD. 302060) | $10.786 | $17.780 | $17.780 |
| 302063 | 0 | 3 | TRANSAMINASAS, OXALACETICA (GOT/AST), PIRUVICA (GPT/ALT) C/U | $1.644 | $3.091 | $2.860 |
| 302064 | 0 | 1 | TRIGLICERIDOS EN SANGRE (PROC.AUT.) | $2.865 | $3.275 | $3.275 |
| 302067 | 0 | 4 | COLESTEROL TOTAL (PROC.AUT.) | $1.694 | $2.274 | $2.100 |
| 302068 | 0 | 2 | COLESTEROL HDL (PROC. AUT.) | $3.255 | $3.777 | $3.777 |
| 302075 | 0 | 7 | PERFIL BIOQUIMICO (DETERMINACION AUTOMATIZADA DE 12 PARAMETRO | $13.979 | $21.109 | $21.109 |
| 302078 | 0 | 1 | 25 OH VITAMINA D TOTAL POR INMUNOENSAYO | $26.978 | $31.897 | $31.897 |
| 302080 | 0 | 7 | VITAMINA B6 POR HPLC | $1.244 | $86.474 | $80.110 |
| 302087 | 0 | 2 | DROGA CIRCULANTE ACIDO VALPROICO | $11.784 | $28.688 | $28.688 |
| 302088 | 0 | 0 | DROGA CIRCULANTE FENOBARBITAL | $15.622 | $28.688 | $28.688 |
| 302089 | 0 | 8 | DROGA CIRCULANTE FENITOINA | $8.717 | $14.369 | $14.369 |
| 302090 | 0 | 6 | TROPONINA I | $7.140 | $18.983 | $18.983 |
| 302092 | 0 | 2 | DROGA CIRCULANTE CICLOSPORINA | $26.639 | $31.734 | $31.734 |
| 302093 | 0 | 0 | DROGA CIRCULANTE DIGOXINA | $16.239 | $28.688 | $28.688 |
| 302094 | 0 | 8 | ALBUMINA EN SANGRE | $1.333 | $2.440 | $2.440 |
| 302096 | 0 | 3 | TRANSAMINASA PIRUVICA | $1.341 | $3.091 | $3.091 |
| 302097 | 0 | 1 | NITROGENO UREICO Y/O UREA, EN SANGRE | $1.318 | $2.214 | $2.214 |
| 302100 | 0 | 3 | TRANSAMINASA OXALOACETICA | $1.400 | $3.091 | $2.270 |
| 302107 | 0 | 8 | POTASEMIA | $1.602 | $2.156 | $2.156 |
| 302108 | 0 | 6 | GLICEMIA POST-PRANDIAL | $1.297 | $2.084 | $2.084 |
| 302113 | 0 | 6 | DROGA CIRCULANTE CARBAMAZEPINA | $12.024 | $28.688 | $28.688 |
| 302357 | 0 | 9 | PERFIL BIOQUIMICO | $13.979 | $21.109 | $21.109 |
| 302507 | 0 | 9 | PREALBUMINA | $4.496 | $31.738 | $31.738 |
| 302509 | 0 | 5 | PEPTIDO NATRIURETICO (PNP) | $23.204 | $29.120 | $29.120 |
| 302934 | 0 | 5 | SODIO (PLASMATICO) | $1.078 | $2.156 | $2.156 |
| 302937 | 0 | 8 | CALCIO IONICO | $3.209 | $4.169 | $4.169 |
| 302960 | 0 | 0 | PROTEINA CUALITATIVA EN ORINA | $3.391 | $6.766 | $6.766 |
| 302965 | 0 | 9 | TEST HIPOGLICEMIA REACTIVA | $18.006 | $31.370 | $31.370 |
| 302986 | 0 | 5 | NIVEL PLASM DE AMIKACINA | $31.550 | $35.437 | $35.437 |
| 303001 | 0 | 2 | ADENOCORTICOTROFINA (ACTH) | $11.683 | $14.341 | $13.280 |
| 303006 | 0 | 1 | CORTISOL | $8.915 | $10.310 | $10.310 |
| 303008 | 0 | 7 | DEHIDROEPIANDROSTERONA SULFATO (DHEA-S) | $10.181 | $15.366 | $10.800 |
| 303014 | 0 | 5 | GONADOTROFINA CORIONICA, SUB UNIDAD BETA (CUANTIFICACION) | $8.659 | $9.930 | $9.930 |
| 303015 | 0 | 2 | HORMONA FOLICULO ESTIMULANTE (FSH) | $8.659 | $9.759 | $9.759 |
| 303016 | 0 | 0 | HORMONA LUTEINIZANTE (LH) | $8.659 | $9.784 | $9.784 |
| 303017 | 0 | 8 | INSULINA | $8.501 | $9.633 | $9.633 |
| 303018 | 0 | 6 | PARATHORMONA, HORMONA PARATIROIDEA O PTH | $6.020 | $14.021 | $12.980 |
| 303019 | 0 | 4 | PROGESTERONA | $8.659 | $9.795 | $9.795 |
| 303020 | 0 | 2 | PROLACTINA (PRL) | $8.659 | $9.759 | $9.759 |
| 303022 | 0 | 8 | TESTOSTERONA EN SANGRE | $8.915 | $10.136 | $10.136 |
| 303023 | 0 | 6 | TESTOSTERONA LIBRE EN SANGRE | $11.175 | $16.865 | $16.865 |
| 303024 | 0 | 4 | TIROESTIMULANTE (TSH),HORMONA (ADULTO, NINO O R.N.) | $7.315 | $8.513 | $8.513 |
| 303026 | 0 | 9 | TIROXINA LIBRE (T4L) | $8.659 | $9.795 | $9.795 |
| 303027 | 0 | 7 | TIROXINA O TETRAYODOTIRONINA (T4) | $7.513 | $8.513 | $8.513 |
| 303028 | 0 | 5 | TRIYODOTIRONINA (T3) | $7.513 | $8.698 | $8.698 |
| 303029 | 0 | 3 | 17 HIDROXIPROGESTERONA | $9.088 | $11.818 | $10.940 |
| 303030 | 0 | 1 | ESTRADIOL (17 BETA) | $8.501 | $9.558 | $9.558 |
| 303031 | 0 | 9 | INSULINA, CURVA DE (MINIMO DOS DETERMINACIONES E INCLUYE TOD | $13.899 | $23.057 | $21.360 |
| 303035 | 0 | 0 | CORTISOL LIBRE URINARIO | $2.602 | $9.450 | $8.770 |
| 303039 | 0 | 2 | GONADOTROFINA CORIONICA, SUB UNIDAD BETA; TITULACION POR (EL | $7.156 | $8.965 | $8.300 |
| 303046 | 0 | 7 | SHBG (SEX HORMONE BINDING GLOBULIN) | $20.391 | $23.436 | $23.436 |
| 303047 | 0 | 5 | IGF1 O SOMATOMEDINA C (INSULINE LIKE GROWTH FACTOR) | $17.512 | $22.809 | $21.140 |
| 303502 | 0 | 9 | PROCALCITONINA | $17.346 | $45.510 | $45.510 |
| 303919 | 0 | 5 | PROCALCITONINA | $39.905 | $67.787 | $67.787 |
| 304001 | 0 | 1 | CARIOTIPO EN SANGRE POR CULTIVO DE LINFOSITOS (INCL. MINIMO | $176.008 | $231.602 | $231.602 |
| 304803 | 0 | 0 | EST.CITOGENETICO DE PLACENTA | $203.676 | $345.977 | $345.977 |
| 305001 | 0 | 0 | ALFA 1 ANTITRIPSINA CUANTITATIVA | $13.042 | $16.375 | $16.375 |
| 305003 | 0 | 6 | ALFA FETOPROTEINAS | $8.659 | $9.795 | $9.795 |
| 305004 | 0 | 4 | ANTICUERPO ANTI ENA (SCREENING Y P | $8.824 | $18.000 | $16.670 |
| 305005 | 0 | 1 | ANTICUERPOS ANTICELULA PARIETAL GA | $12.113 | $14.004 | $14.004 |
| 305006 | 0 | 9 | ANTICUERPOS ATIPICOS PANNEL DE IDE | $20.706 | $23.884 | $23.884 |
| 305007 | 0 | 7 | ANTICUERPOS ESPECIFICOS Y OTROS ANTICUERPOS (ANTITIROIDEOS | $10.024 | $11.424 | $11.424 |
| 305008 | 0 | 5 | ANTIESTREPTOLISINA O, POR TECNICA DE LATEX | $4.513 | $7.828 | $7.250 |
| 305009 | 0 | 3 | ANTIGENO CARCINOEMBRIONARIO (CEA) | $11.318 | $13.074 | $13.074 |
| 305010 | 0 | 1 | BETA-2 MICROGLOBULINA | $12.147 | $14.261 | $12.450 |
| 305012 | 0 | 7 | COMPLEMENTO C1Q, C2, C3, C4, ETC., C/U | $7.756 | $8.820 | $8.820 |
| 305014 | 0 | 3 | CRIOGLOBULINAS, PRECIPITACION EN FRIO (CUALIT.) O CUANT. C/U | $1.380 | $2.143 | $1.980 |
| 305019 | 0 | 2 | FACTOR REUMATOIDEO POR TECNICA DE LATEX U OTRAS SIMILARES | $2.330 | $7.698 | $4.140 |
| 305020 | 0 | 0 | FACTOR REUMATOIDEO POR TECNICA SCAT, WAALER R | $10.767 | $13.911 | $13.911 |
| 305025 | 0 | 9 | INMUNOFIJACION DE INMUNOGLOBULINAS, C/U | $95.884 | $111.373 | $111.373 |
| 305027 | 0 | 5 | INMUNOGLOBULINAS IGA, IGG, IGM, C/U | $7.756 | $9.130 | $7.970 |
| 305029 | 0 | 1 | INMUNOGLOBULINAS IGE, IGG ESPECIFICA, C/U | $2.283 | $8.835 | $8.180 |
| 305030 | 0 | 9 | PROTEINA C REACTIVA POR TECNICA DE LATEX U OTRAS SIMILARES | $10.230 | $14.991 | $14.991 |
| 305031 | 0 | 7 | PROTEINA C REACTIVA POR TECNICAS AUTOMATIZADAS | $10.099 | $11.421 | $11.421 |
| 305035 | 0 | 8 | DETECCION, IDENTIFICACION Y TITULACION DE CRIOAGLUTININAS | $2.256 | $4.429 | $4.110 |
| 305048 | 0 | 1 | REACCION CUTANEA 16 ALERGENOS POR | $7.444 | $12.222 | $12.222 |
| 305049 | 0 | 9 | TRANSFORMACION LINFOBLASTICA A DROGAS, ANALISIS DE | $85.176 | $106.930 | $106.930 |
| 305070 | 0 | 5 | ANTIGENO PROSTATICO ESPECIFICO | $7.905 | $15.218 | $14.100 |
| 305080 | 0 | 4 | ANTICUERPOS ANTINUCLEARES | $6.642 | $12.660 | $31.260 |
| 305082 | 0 | 0 | ANTICUERPOS ANTIMITOCONDRIALES EN | $13.010 | $14.549 | $25.120 |
| 305084 | 0 | 6 | ANTICUERPOS ANTI MUSCULO LISO,ANTI | $12.653 | $14.549 | $19.970 |
| 305085 | 0 | 3 | ANTICUERPO ANTICITOPLASMA DE NEUTR | $16.124 | $27.119 | $35.660 |
| 305090 | 0 | 3 | COMPLEMENTO C4 CUANTITATIVO | $4.860 | $45.118 | $45.118 |
| 305517 | 0 | 5 | ANTICUERPOS ANTI PROTEINASA 3 (PR3) | $13.241 | $15.020 | $15.020 |
| 305518 | 0 | 3 | ANTICUERPOS ANTI MIELOPEROXIDASA (MPO) | $12.228 | $13.821 | $13.821 |
| 305519 | 0 | 1 | ANTICUERPOS ANTI PEPTIDO CITRULINADO (ANTI CCP) | $18.362 | $39.843 | $39.843 |
| 305520 | 0 | 9 | ANTICUERPOS ANTITRANSGLUTAMINASA TTG | $7.639 | $20.275 | $20.275 |
| 305925 | 0 | 0 | INMUNOFIJACION DE INMUNOGLOBULINAS EN ORINA C/U | $100.218 | $118.272 | $118.272 |
| 305949 | 0 | 0 | TEST CUTANEO DE ALIMENTOS | $4.616 | $7.800 | $7.800 |
| 305970 | 0 | 6 | ANTIGENO CA 125 | $10.978 | $15.762 | $15.762 |
| 305971 | 0 | 4 | ANTIGENO PROSTATICO TOTAL | $6.559 | $15.218 | $15.218 |
| 305972 | 0 | 2 | ANTIGENO CA 19-9 | $10.978 | $15.762 | $15.762 |
| 305973 | 0 | 0 | ANTIGENO CA 15-3 | $5.468 | $15.762 | $15.762 |
| 305981 | 0 | 3 | ANTICUERPO ANTIENDOMISIO (EMA) | $12.363 | $28.660 | $28.660 |
| 305983 | 0 | 9 | ANTICUERPOS ANTI N -DNA | $7.334 | $12.660 | $12.660 |
| 305999 | 0 | 5 | IGE ESPECIFICA 36 ALERGENOS | $124.063 | $210.741 | $210.741 |
| 306001 | 0 | 9 | BACILOSCOPIA POR METODO DE CONCENTRACION | $3.045 | $4.393 | $4.080 |
| 306002 | 0 | 7 | BACILOSCOPIA ZIEHL-NEELSEN, C/U | $7.774 | $9.593 | $9.593 |
| 306003 | 0 | 5 | CLAMIDIAS POR INMUNOFLUORESCENCIA, PEROXIDASA, ELISA O SIM. | $30.902 | $35.413 | $35.413 |
| 306004 | 0 | 3 | EXAMEN DIRECTO AL FRESCO,C/S TINCION (INCL.TRICHOMONAS) | $12.963 | $15.158 | $15.158 |
| 306005 | 0 | 0 | TINCION DE GRAM | $3.539 | $4.061 | $4.061 |
| 306007 | 0 | 6 | COPROCULTIVO, C/U (INC. SALMONELLA, SHI) | $7.600 | $8.863 | $8.863 |
| 306008 | 0 | 4 | CULTIVO CORRIENTE (EXCEPTO COPRO., HEMO. Y UROCULTIVO) C/U | $18.580 | $21.818 | $21.818 |
| 306009 | 0 | 2 | HEMOCULTIVO AUT- AEROBIO INCLUYE ANTIBIOGRAMA POR CIM (NO IN | $21.805 | $29.523 | $29.523 |
| 306010 | 0 | 0 | HEMOCULTIVO AUT- ANAEROBIO, INCLUYE ANTIBIOGRAMA POR CIM (NO | $21.299 | $29.523 | $29.523 |
| 306011 | 0 | 8 | UROCULTIVO, RECUENTO DE COLONIAS Y ANTIBIOGRAMA (CUALQUIER T | $11.290 | $13.439 | $13.439 |
| 306012 | 0 | 6 | CULTIVO PARA ANAEROBIOS (INCLUYE COD. 306008) | $7.956 | $14.803 | $13.710 |
| 306013 | 0 | 4 | CULTIVO BORDETELLA PERTUSSI | $3.458 | $11.724 | $10.860 |
| 306014 | 0 | 2 | CULTIVO PARA CAMPYLOBACTER, YERSINIA, VIBRIO, C/U | $17.726 | $20.317 | $20.317 |
| 306017 | 0 | 5 | CULTIVO PARA HONGOS (LEVADURAS Y FILAMENTOSOS) | $16.191 | $18.870 | $18.870 |
| 306018 | 0 | 3 | CULTIVO PARA MICOBACTERIAS (INCLUYE BACILO DE KOCH) | $10.934 | $12.863 | $12.863 |
| 306023 | 0 | 3 | CULTIVO MYCOPLASMA Y UREAPLASMA, C/U | $16.057 | $19.135 | $19.135 |
| 306031 | 0 | 6 | PREPARACION VACUNAS | $7.120 | $12.464 | $12.464 |
| 306036 | 0 | 5 | MONONUCLEOSIS, REACCION DE PAUL BUNNELL, ANTICUERPOS HETEROF | $11.603 | $13.898 | $13.898 |
| 306037 | 0 | 3 | MYCOPLASMA IGG, IGM, C/U | $10.410 | $12.059 | $12.059 |
| 306038 | 0 | 1 | R.P.R. | $15.789 | $18.910 | $18.910 |
| 306041 | 0 | 5 | TREPONEMA PALLIDUM FTA-ABS, MHA-TP C/U (SIFILIS) | $8.565 | $9.821 | $9.821 |
| 306042 | 0 | 3 | V.D.R.L. | $4.988 | $5.725 | $5.725 |
| 306043 | 0 | 1 | ARTRÓPODOS MACRO Y MICROSCÓPICOS (IMAGOS Y/O PUPAS Y/O LARVA | $4.878 | $5.659 | $4.930 |
| 306048 | 0 | 0 | COPROPARASITARIO SERIADO SIMPLE (INCLUYE DIAGNOSTICO DE GUSA | $6.138 | $7.182 | $7.182 |
| 306051 | 0 | 4 | GRAHAM, EXAMEN DE (INCLUYE DIAGNOSTICO DE GUSANOS MACROSCOPI | $3.414 | $3.950 | $3.950 |
| 306061 | 0 | 3 | PARASITOS IGG-IGM (CHAGAS, HIDATIDOSIS Y OTROS) C/U | $16.957 | $20.019 | $20.019 |
| 306064 | 0 | 7 | HEMAGLUTINACION IND. HTLV (TOXOPLASMIA CHAGAS HIDATIDOSIS) | $18.279 | $21.476 | $21.476 |
| 306067 | 0 | 0 | REACCION INTRADERMICA (TEST DE SEN | $3.157 | $6.943 | $6.943 |
| 306069 | 0 | 6 | ANTICUERPOS VIRALES, DETERM.DE (SARS COV2)(ADENOV., CITOMEG. | $21.782 | $29.606 | $29.606 |
| 306070 | 0 | 4 | ROTAVIRUS EN DEPOSICIÓN, TEST RÁPIDO | $8.756 | $10.035 | $10.035 |
| 306074 | 0 | 6 | VIRUS HEPATITIS A, ANTICUERPOS IGG, IGM O TOTALES C/U | $17.809 | $20.411 | $20.411 |
| 306076 | 0 | 1 | VIRUS HEPATITIS B, ANTICORE TOTAL DEL (ANTI HBC TOTAL) | $6.782 | $12.814 | $11.870 |
| 306079 | 0 | 5 | VIRUS HEPATITIS B, ANTIGENO DE SUPERFICIE (HBSAG) | $19.143 | $21.940 | $21.940 |
| 306081 | 0 | 1 | VIRUS HEPATITIS C, ANTICUERPOS DE (ANTI HCV) | $27.622 | $31.655 | $31.655 |
| 306082 | 0 | 9 | REACCION DE POLIMERASA EN CADENA (PCR) SARS COV2, INCL. TOMA | $26.125 | $26.200 | $26.200 |
| 306083 | 0 | 7 | PARASITOS IGG-IGM (CHAGAS, HIDATIDOSIS Y OTROS) ELISA C/U | $3.223 | $9.380 | $9.380 |
| 306085 | 0 | 2 | HEPATITIS C, CARGA VIRAL | $3.129 | $131.640 | $131.640 |
| 306089 | 0 | 4 | TOXINA CLOSTRIDIUM DIFFICILE EN DEPOSICIONES TEST RÁPIDO | $40.691 | $46.401 | $46.401 |
| 306090 | 0 | 2 | TEST RAPIDO DE DETECCION DE STREPTOCOCCUS GRUPO A (PYOGENES) | $9.171 | $10.790 | $9.410 |
| 306092 | 0 | 8 | VIRUS SINCICIAL RESPIRATORIO TEST RÁPIDO | $18.494 | $21.914 | $21.914 |
| 306093 | 0 | 6 | ADENOVIRUS RESPIRATORIO, TEST RÁPIDO | $19.468 | $56.926 | $28.830 |
| 306094 | 0 | 4 | PARAINFLUENZA 1, 2 Y 3 INMUNOFLUORESCENCIA | $38.386 | $56.926 | $41.440 |
| 306095 | 0 | 1 | INFLUENZA A Y B TEST RÁPIDO | $58.577 | $66.813 | $63.020 |
| 306097 | 0 | 7 | BORDETELLA PERTUSSIS, PCR | $5.689 | $11.724 | $11.724 |
| 306100 | 0 | 9 | CULTIVO ACELERADO PARA MYCOBACTERIAS | $20.415 | $27.119 | $27.119 |
| 306101 | 0 | 7 | CULTIVO LIQUIDOS ESTERILES AUTOMATIZADO | $15.582 | $22.548 | $22.548 |
| 306114 | 0 | 0 | V.D.R.L. EN LIQUIDO CEFALORAQUIDEO | $5.854 | $6.710 | $6.710 |
| 306115 | 0 | 7 | EXAMEN DIRECTO AL FRESCO,C/S TINCION (INCL.TRICHOMONAS) | $13.363 | $15.158 | $15.158 |
| 306119 | 0 | 9 | INTERFERON GAMMA TBC | $65.247 | $76.585 | $76.585 |
| 306271 | 0 | 8 | TEST RAPIDO DETECCION DE ANTIGENOS SARS-COV2 (INCL. TOMA MUE | $8.444 | $9.889 | $9.889 |
| 306567 | 0 | 9 | VIRUS EPSTEIN BARR IG M | $8.841 | $10.445 | $10.445 |
| 306568 | 0 | 7 | VIRUS EPSTEIN BARR IG G | $8.832 | $10.445 | $10.445 |
| 306570 | 0 | 3 | DETERMINACION DE ANTIGENO DE LEGIONELLA EN ORINA | $19.660 | $50.980 | $50.980 |
| 306572 | 0 | 9 | DETERMINACION DE ANTIGENO DE NEUMOCOCO EN ORINA | $15.278 | $38.234 | $38.234 |
| 306969 | 0 | 7 | CITOMEGALOVIRUS, ANTICUERPOS IG G | $3.917 | $10.445 | $10.445 |
| 306970 | 0 | 5 | CITOMEGALOVIRUS, ANTICUERPOS IG M | $3.917 | $10.445 | $10.445 |
| 306971 | 0 | 3 | TEST RAPIDO DE HIV | $9.440 | $13.254 | $13.254 |
| 306972 | 0 | 1 | TEST RAPIDO DE HEPATITIS "B" | $12.727 | $15.231 | $15.231 |
| 306973 | 0 | 9 | TEST RAPIDO DE HEPATITIS "C" | $12.499 | $14.959 | $14.959 |
| 306975 | 0 | 4 | ADENOVIRUS EN DEPOSICION, TEST RÁPIDO | $3.476 | $9.320 | $9.320 |
| 306982 | 0 | 0 | VIRUS HEPATITIS B, ANTICUERPO ANTI ANTIGENO DE SUPERF (AUSAB | $23.070 | $26.416 | $26.416 |
| 306983 | 0 | 8 | PRUEBA RAP DETECCION AG HELICOBACTTER PILORY DEPOSICION | $12.468 | $14.004 | $14.004 |
| 306984 | 0 | 6 | ANTICUERPO IGG COVID-19 | $20.106 | $29.606 | $29.606 |
| 306985 | 0 | 3 | TEST RAPIDO ANTIGENOS COVID 19/SERVICIO ACTIVO | $8.800 | $10.480 | $10.480 |
| 306987 | 0 | 9 | ESTUDIO DE SUSCEPTIBILIDAD AUT POR CIM HONGOS Y LEVADURA | $11.422 | $20.877 | $20.877 |
| 306988 | 0 | 7 | ESTUDIO DE CARBAPENEMASAS | $37.745 | $66.014 | $66.014 |
| 306989 | 0 | 5 | PCR MYCOBACTERIUM TUBERCULOSIS | $51.566 | $84.996 | $84.996 |
| 306990 | 0 | 3 | PCR PANEL ITS | $68.551 | $112.996 | $112.996 |
| 306991 | 0 | 1 | TEST R?PIDO DE MENINGITIS | $4.645 | $12.132 | $12.132 |
| 306992 | 0 | 9 | PCR PANEL VIRAL RESPIRATORIO | $57.133 | $94.176 | $94.176 |
| 306993 | 0 | 7 | PCR CLOSTRIDIUM DIFFICILE | $45.810 | $75.510 | $75.510 |
| 306994 | 0 | 5 | PCR CITOMEGALOVIRUS (CMV)CARGA VIRAL | $74.049 | $123.669 | $123.669 |
| 306995 | 0 | 2 | PCR PANEL VIRAL EN LCR | $66.134 | $109.014 | $109.014 |
| 306996 | 0 | 0 | TEST RAPIDO PARA IDENTIFICACION DE MYCOBACTERIAS | $16.514 | $30.181 | $30.181 |
| 306997 | 0 | 8 | PCR BORDETELLA PETUSSIS | $41.319 | $75.515 | $75.515 |
| 306998 | 0 | 6 | PCR HPV(GENOTIPOS DE ALTO RIESGO) | $66.293 | $114.193 | $114.193 |
| 307009 | 0 | 1 | TOMA DE MUESTRA ARTERIAL EN ADULTO | $1.927 | $2.150 | $2.150 |
| 307010 | 0 | 9 | TOMA DE MUESTRA ARTERIAL EN NINOS Y LACTANTES | $2.781 | $3.182 | $3.182 |
| 307011 | 0 | 7 | TOMA DE MUESTRA VENOSA EN ADULTOS | $1.432 | $1.612 | $1.612 |
| 307012 | 0 | 5 | TOMA DE MUESTRA VENOSA EN NINOS Y LACTANTES | $1.268 | $1.446 | $1.446 |
| 307013 | 0 | 3 | TOMA DE MUESTRA CON TECNICA ASEPTICA PARA HEMOCULTIVO AUTOMA | $2.146 | $2.477 | $2.160 |
| 307015 | 0 | 8 | TOMA DE MUESTRA ORINA ASEPTICA | $1.380 | $2.343 | $2.343 |
| 307017 | 0 | 4 | PUNCION VESICAL EN RECIEN NACIDOS | $2.065 | $4.382 | $4.060 |
| 307018 | 0 | 2 | PUNCION MEDULAR OSEA | $11.266 | $23.531 | $21.810 |
| 308001 | 0 | 7 | AZUCARES REDUCTORES (BENEDICT FEHLING) EN DEPOSIC. CUALIT. | $2.533 | $3.039 | $3.039 |
| 308003 | 0 | 3 | GRASAS NEUTRAS (SUDAN III) | $2.481 | $2.978 | $2.978 |
| 308004 | 0 | 1 | HEMORRAGIAS OCULTAS, (BENCIDINA, GUAYACO O TEST W) C/MUESTRA | $2.824 | $3.551 | $3.551 |
| 308005 | 0 | 8 | LEUCOCITOS FECALES | $1.865 | $2.088 | $2.088 |
| 308006 | 0 | 6 | PH EN DEPOSICION | $1.492 | $1.717 | $1.717 |
| 308010 | 0 | 8 | CITOLOGICO C/S TINCION (INCL. EXAMEN AL FRESCO, RECUENTO CEL | $5.183 | $5.911 | $5.911 |
| 308013 | 0 | 2 | EOSINOFILOS EN SECRECIONES | $1.946 | $2.338 | $2.338 |
| 308014 | 0 | 0 | FISICO-QUIMICO (INCL. ASPECTO, COLOR, PH, GLUCOSA, PROTEINA, | $4.389 | $4.993 | $4.993 |
| 308023 | 0 | 1 | ESTUDIO DE CRISTALES (CON LUZ POLARIZADA) | $2.461 | $2.936 | $2.720 |
| 308029 | 0 | 8 | ESPERMIOGRAMA (FISICO Y MICROSCOPICO | $8.019 | $9.097 | $9.097 |
| 308047 | 0 | 0 | L.C.R. CITOLOGICO Y QUIMICO | $4.494 | $5.201 | $5.201 |
| 308049 | 0 | 6 | CALPROTECTINA CAUNT POR ELISA | $19.543 | $47.033 | $47.033 |
| 308050 | 0 | 4 | SEPARACION ESPERMATICA | $148.902 | $181.450 | $181.450 |
| 308090 | 0 | 0 | HEMORRAGIAS OCULTAS, C/MUESTRA | $1.330 | $1.966 | $1.966 |
| 309003 | 0 | 2 | FENILALANINA | $2.158 | $4.323 | $4.323 |
| 309004 | 0 | 0 | ACIDO URICO EN ORINA (CUANTITATIVO) | $3.451 | $3.924 | $3.924 |
| 309006 | 0 | 5 | AMILASA CUANTITATIVA EN ORINA | $1.852 | $4.524 | $4.190 |
| 309008 | 0 | 1 | CALCIO CUANTITATIVO EN ORINA | $3.171 | $3.622 | $3.622 |
| 309009 | 0 | 9 | CALCULO URINARIO (EXAMEN FISICO Y QUIMICO) | $3.976 | $8.113 | $7.520 |
| 309010 | 0 | 7 | CREATININA CUANTITATIVA EN ORINA | $2.390 | $2.754 | $2.400 |
| 309011 | 0 | 5 | CUERPOS CETONICOS | $1.697 | $2.677 | $2.380 |
| 309012 | 0 | 3 | ELECTROLITOS (SODIO, POTASIO, CLORO) C/U, EN ORINA | $2.451 | $2.817 | $2.817 |
| 309013 | 0 | 1 | MICROALBUMINURIA CUANTITATIVA | $4.659 | $5.337 | $5.337 |
| 309015 | 0 | 6 | FOSFORO CUANTITATIVO EN ORINA | $3.171 | $3.622 | $3.622 |
| 309016 | 0 | 4 | GLUCOSA (CUANTITATIVO), EN ORINA | $2.268 | $2.628 | $2.628 |
| 309020 | 0 | 6 | NITROGENO UREICO O UREA EN ORINA (CUANTITATIVO) | $1.390 | $1.601 | $1.601 |
| 309022 | 0 | 2 | ORINA COMPLETA (INCLUYE COD. 309023 Y 309024) | $2.976 | $4.273 | $4.273 |
| 309023 | 0 | 0 | ORINA FISICO-QUIMICO (ASPECTO, COLOR, DENSIDAD, PH, PROTEINA | $669 | $2.333 | $2.160 |
| 309024 | 0 | 8 | SEDIMENTO DE ORINA (PROC. AUT.) | $1.792 | $2.002 | $2.002 |
| 309028 | 0 | 9 | PROTEINA (CUANTITATIVA), EN ORINA | $2.781 | $3.182 | $3.182 |
| 309040 | 0 | 4 | HEMOGLOBINURIA | $2.185 | $2.477 | $2.477 |
| 309043 | 0 | 8 | HEMOSIDERINURIA | $6.972 | $8.353 | $8.353 |
| 309060 | 0 | 2 | DROGAS DE ABUSO EN ORINA | $27.837 | $31.869 | $31.869 |
| 309100 | 0 | 6 | ELECTROFERESIS DE PROTEINAS EN ORINA O LCR | $48.121 | $55.141 | $55.141 |
| 310001 | 0 | 3 | ACIDO VALPROLICO LIBRE | $11.845 | $20.122 | $20.122 |
| IMAGENOLOGÍA | ||||||
| 401002 | 0 | 1 | RADIOGRAFIA DE PARTES BLANDAS, LARINGE LATERAL, CAVUM RINOFA | $15.855 | $17.853 | $17.853 |
| 401005 | 0 | 4 | PROYECCION COMPLEMENTARIA DEL CORA | $9.818 | $18.231 | $18.231 |
| 401006 | 0 | 2 | ESTUDIO RADIOLOGICO DE CORAZON (IN | $19.841 | $37.505 | $37.505 |
| 401009 | 0 | 6 | RADIOGRAFIA DE TORAX SIMPLE FRONTAL O LATERAL | $17.347 | $19.912 | $19.912 |
| 401010 | 0 | 4 | MAMOGRAFIA BILATERAL (4 EXP.) | $36.053 | $40.646 | $40.646 |
| 401011 | 0 | 2 | MARCACION PREOPERATORIA LESIONES DE LA MAMA | $44.062 | $52.545 | $48.670 |
| 401012 | 0 | 0 | RADIOGRAFIA DE MAMA, PIEZA OPERATORIA | $6.617 | $15.419 | $14.290 |
| 401013 | 0 | 8 | RADIOGRAFIA DE ABDOMEN SIMPLE | $15.220 | $17.531 | $15.280 |
| 401014 | 0 | 6 | RADIOGRAFIA DE ABDOMEN SIMPLE, PROYECCION COMP | $12.149 | $13.927 | $13.927 |
| 401015 | 0 | 3 | COLANGIOGRAFIA INTRA O POSTOPERATORIA (POR SONDA T, O SIMIL | $17.835 | $38.464 | $35.630 |
| 401017 | 0 | 9 | COLECISTOGRAFIA C/S SERIOGRAFIA (3-4 EXP.) | $15.578 | $33.166 | $33.166 |
| 401019 | 0 | 5 | ENEMA BARITADO DEL COLON O INTESTINO DELGADO, DOBLE CONTRAST | $38.173 | $76.075 | $70.480 |
| 401020 | 0 | 3 | ESOFAGOGRAMA (INCLUYE PESQUISA DE CUERPO EXTRANO) PROC. AUT. | $15.115 | $36.072 | $33.420 |
| 401021 | 0 | 1 | RADIOGRAFIA DE ESOFAGO, ESTOMAGO Y DUODENO, DOBLE CON | $61.629 | $71.067 | $62.000 |
| 401023 | 0 | 7 | ESTUDIO RADIOLOGICO DEL INTESTINO DELGADO | $26.951 | $55.731 | $51.620 |
| 401024 | 0 | 5 | RADIOGRAFIA DE ESOFAGO, ESTOMAGO Y DUODENO, SIMPLE NINOS | $16.435 | $55.458 | $51.390 |
| 401028 | 0 | 6 | RADIOGRAFIA RENAL SIMPLE (PROC. AUT.) | $11.608 | $15.182 | $14.060 |
| 401029 | 0 | 4 | RADIOGRAFIA VESICAL SIMPLE O PERIVESICAL (PROC. AUT.) | $12.131 | $13.884 | $13.884 |
| 401031 | 0 | 0 | RADIOGRAFIA DE CAVIDADES PERINASALES, ORBITAS, ARTIC | $17.013 | $18.977 | $18.977 |
| 401032 | 0 | 8 | RADIOGRAFIA DE CRANEO FRONTAL Y LATERAL | $17.952 | $20.672 | $20.672 |
| 401033 | 0 | 6 | RADIOGRAFIA DE CRANEO PROYECCION ESPECIAL DE BASE DE CRANEO | $12.127 | $13.909 | $12.130 |
| 401034 | 0 | 4 | GLOBO OCULAR, ESTUDIO DE CUERPO EX | $16.296 | $32.031 | $32.031 |
| 401037 | 0 | 7 | OIDO, UNO O AMBOS (3 PROY.) (3 EXP | $21.670 | $27.211 | $27.211 |
| 401040 | 0 | 1 | RADIOGRAFIA DE SILLA TURCA FRONTAL Y LATERAL | $14.609 | $20.878 | $19.340 |
| 401042 | 0 | 7 | RADIOGRAFIA DE COLUMNA CERVICAL O ATLAS AXIS (FRONTAL Y LAT | $17.013 | $19.116 | $19.116 |
| 401043 | 0 | 5 | RADIOGRAFIA DE COLUMNA CERVICAL (FRONTAL, LATERAL Y OBLICUA | $20.549 | $30.292 | $28.060 |
| 401044 | 0 | 3 | RADIOGRAFIA DE COLUMNA CERVICAL FLEXION Y EXTENSION | $13.982 | $16.994 | $15.740 |
| 401045 | 0 | 0 | RADIOGRAFIA DE COLUMNA DORSAL O DORSOLUMBAR LOCALIZADA | $20.038 | $23.201 | $23.201 |
| 401046 | 0 | 8 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA (F. L. Y FOCALIZADA | $17.336 | $31.039 | $28.750 |
| 401047 | 0 | 6 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA FLEXION Y EXTENSION | $14.613 | $25.236 | $23.380 |
| 401048 | 0 | 4 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA, OBLICUAS ADICIONAL | $14.616 | $16.994 | $15.740 |
| 401049 | 0 | 2 | RADIOGRAFIA DE COLUMNA TOTAL, PANORAMICA CON FOLIO GRADUAD | $29.252 | $33.925 | $33.925 |
| 401051 | 0 | 8 | RADIOGRAFIA DE PELVIS, CADERA O COXOFEMORAL | $13.376 | $15.236 | $15.236 |
| 401052 | 0 | 6 | RADIOGRAFIA DE PELVIS, CADERA O COXOFEMORAL, PROY. ESPECIAL | $12.538 | $14.156 | $14.156 |
| 401053 | 0 | 4 | RADIOGRAFIA DE SACROCOXIS O ARTICULACIONES SACROILIACAS | $18.965 | $21.323 | $21.323 |
| 401054 | 0 | 2 | RADIOGRAFIA DE BRAZO, ANTEBR.,CODO, MUNECA, MANO, DEDOS, PIE | $15.571 | $17.861 | $17.861 |
| 401055 | 0 | 9 | RADIOGRAFIA DE CLAVICULA | $14.620 | $18.356 | $17.010 |
| 401056 | 0 | 7 | RADIOGRAFIA EDAD OSEA: CARPO Y MANO | $12.538 | $14.489 | $14.489 |
| 401057 | 0 | 5 | RADIOGRAFIA EDAD OSEA: RODILLA FRONTAL | $11.841 | $13.666 | $12.660 |
| 401058 | 0 | 3 | ESTUDIO RADIOLOGICO DE ESCAFOIDES | $19.590 | $22.715 | $22.715 |
| 401059 | 0 | 1 | ESTUDIO RADIOLOGICO DE MUNECA O TOBILLO FRONT LAT Y OBLICUA | $20.559 | $23.138 | $23.138 |
| 401060 | 0 | 9 | RADIOGRAFIA HOMBRO, FEMUR, RODILLA, PIERNA, COSTILLA F Y L | $14.839 | $18.568 | $17.200 |
| 401062 | 0 | 5 | RADIOGRAFIA DE PROYECCIONES ESPECIALES OBLICUAS HOMBRO, BRAZ | $10.868 | $12.920 | $11.970 |
| 401063 | 0 | 3 | RADIOGRAFIA DE TUNEL INTERCONDILEO O RADIO CARPIANO | $10.553 | $12.564 | $11.650 |
| 401064 | 0 | 1 | APOYO FLUOROSCOPICO A PROCEDIMIENTOS INTRAOPERATORIOS Y/O BI | $104.180 | $119.369 | $119.369 |
| 401070 | 0 | 8 | RADIOGRAFIA DE TORAX FRONTAL Y LATERAL | $14.630 | $32.437 | $30.060 |
| 401090 | 0 | 6 | MAMOGRAFIA BILAT. EN APS (4 EXP.)(EFOS) | $35.517 | $40.646 | $40.646 |
| 401102 | 0 | 9 | SESAMOIDEOS AXIAL | $11.856 | $14.293 | $14.293 |
| 401107 | 0 | 8 | PODOGRAMA (F) | $5.101 | $8.381 | $8.381 |
| 401110 | 0 | 2 | MAMOGRAFIA UNILATERAL (2 EXP) | $29.763 | $34.107 | $34.107 |
| 401130 | 0 | 0 | MAMOGRAFIA PROYECCION COMPLEMENTARIA (AXILAR U OTRAS) | $29.734 | $35.095 | $35.095 |
| 402008 | 0 | 7 | COLANGIOPANCREATOGRAFIA ENDOSCOPICA (A.C.18-01-018; 5-7 EXP) | $32.331 | $51.467 | $47.680 |
| 402011 | 0 | 1 | HISTEROSALPINGOGRAFIA (A.C. 20-01-013) (4 EXP., INCL. PRUEBA | $288.449 | $358.877 | $358.877 |
| 402014 | 0 | 5 | URETRO Y/O CISTOURETROGRAFIA MICCIONAL RETROGRADA AC.1901016 | $22.856 | $42.881 | $39.730 |
| 402022 | 0 | 8 | ANGIOPLASTIA INTRALUMINAL CORONARIA. PROCEDIMIENTO RADIOLOGI | $57.303 | $114.847 | $106.400 |
| 402023 | 0 | 6 | ANGIOPLASTIA INTRALUMINAL PERIFERICA. PROCEDIMIENTO RADIOLOG | $40.959 | $79.996 | $74.110 |
| 402024 | 0 | 4 | AORTOGRAFIA CON AOT O CINEANGIOGRAFIA (A.C. 1701022) | $44.649 | $83.844 | $77.680 |
| 402025 | 0 | 1 | ARTERIOGRAFIA DE MIEMBROS SUP. E INF. UNILAT. (AC 1701023) | $29.515 | $52.983 | $49.090 |
| 402027 | 0 | 7 | ARTERIOGRAFIA SELECTIVA CON AOT O CINEANGIOGRAF (AC 1701024) | $48.768 | $98.493 | $91.250 |
| 402029 | 0 | 3 | ARTERIOGRAFIA VASOS DE CUELLO CAROTID Y VERTEB (AC 1101013) | $32.808 | $72.002 | $66.700 |
| 402030 | 0 | 1 | CINECORONARIOGRAFIA (A.C. 17-01-019) | $42.082 | $89.553 | $82.960 |
| 402032 | 0 | 7 | INSTALACION DE CATETER O SONDA INTRACARDIACA, CONTROL POR RA | $21.221 | $39.281 | $36.380 |
| 402033 | 0 | 5 | VENTRICULOGRAFIA DERECHA Y/O IZQUIERDA (AC 1701011-1701020- | $43.718 | $89.553 | $82.960 |
| 402038 | 0 | 4 | FLEBOGRAFIA EXTREMIDAD INFERIOR O SUPERIOR, UNILATERAL | $20.103 | $44.788 | $41.500 |
| 402041 | 0 | 8 | FLEBOGRAFIA SELECTIVA DE VENAS HEPATICAS, RENALES, GONADALES | $22.320 | $50.661 | $46.930 |
| 402050 | 0 | 9 | MIELOGRAFIA POR PUNCION LUMBAR CON CONTRASTE HIDROSOLUBLE | $28.972 | $61.486 | $56.960 |
| 402060 | 0 | 8 | AORTOGRAFIA ABDOMINAL Y FEMORAL BILATERAL POR TRASLACION | $123.117 | $298.540 | $298.540 |
| 402111 | 3 | 9 | BIOPSIA ESTEREOTAXICA DE MAMA | $769.826 | $1.001.623 | $1.001.623 |
| 403001 | 0 | 1 | TC DE CRANEO ENCEFALICA | $35.153 | $113.533 | $105.180 |
| 403002 | 0 | 9 | TC DE HIPOTALAMO - HIPOFISIS | $28.599 | $119.466 | $110.670 |
| 403003 | 0 | 7 | TC DE FOSA POSTERIOR | $70.606 | $102.602 | $95.060 |
| 403006 | 0 | 0 | TC DE TEMPORAL - OIDO | $35.220 | $98.529 | $91.280 |
| 403007 | 0 | 8 | TC DE ORBITAS MAXILOFACIAL | $37.085 | $131.759 | $122.060 |
| 403008 | 0 | 6 | TC DE COLUMNA CERVICAL | $52.325 | $144.323 | $133.710 |
| 403009 | 0 | 4 | TC DE COLUMNA DORSAL O LUMBAR (CORTE | $70.226 | $126.453 | $126.453 |
| 403011 | 0 | 0 | TC CON MIELOGRAFIA (A.C. 11-01-025) | $25.998 | $173.874 | $173.874 |
| 403012 | 0 | 8 | TC DE CUELLO, PARTES BLANDAS | $37.483 | $106.653 | $98.820 |
| 403013 | 0 | 6 | TC DE TORAX INCL. ESTERNON, CLAVICULAS | $48.120 | $168.470 | $156.060 |
| 403014 | 0 | 4 | TC DE ABDOMEN (HIGADO, VIAS Y VESICU | $38.054 | $101.431 | $93.970 |
| 403016 | 0 | 9 | TC DE PELVIS INCL. SACRO, COXIS, CADER | $37.516 | $104.023 | $96.370 |
| 403017 | 0 | 7 | TC MUSCULOESQUELETICA POR ZONA ANATOMI | $47.652 | $90.796 | $84.130 |
| 403101 | 0 | 9 | TC ANGIO DE ENCEFALO | $41.756 | $137.597 | $127.470 |
| 403102 | 0 | 7 | TC ANGIO DE TORAX | $57.326 | $207.159 | $191.920 |
| 403103 | 0 | 5 | TC ANGIO DE ABDOMEN | $50.620 | $191.811 | $177.700 |
| 403106 | 0 | 8 | TC DE ANGIO CARDIACO MIN 64 CORTES | $56.838 | $108.097 | $100.140 |
| 403517 | 0 | 6 | URO-TC (INCLUYE RINONES, SISTEMA EXCRETOR Y VEJIGA, Y RESTO | $276.860 | $319.579 | $319.579 |
| 403902 | 0 | 0 | ENTEROCLISIS POR TC | $59.004 | $413.155 | $413.155 |
| 404002 | 0 | 8 | ECOGRAFIA OBSTETRICA | $7.581 | $14.211 | $13.170 |
| 404003 | 0 | 6 | ECOGRAFIA ABDOMINAL (INCL. HIGADO, VIA BILIAR, VESICULA, PAN | $22.259 | $44.907 | $41.600 |
| 404004 | 0 | 4 | ECOGRAFIA COMO APOYO A CIRUGIA, O A PROCEDIMIENTO (DE TORAX, | $42.085 | $48.143 | $48.143 |
| 404005 | 0 | 1 | ECOGRAFIA TRANSVAGINAL O TRANSRECTAL | $13.948 | $25.082 | $23.230 |
| 404006 | 0 | 9 | ECOGRAFIA GINECOLOGICA, PELVIANA FEMENINA U OBSTETRICA CON | $23.095 | $26.410 | $26.410 |
| 404007 | 0 | 7 | ECOGRAFIA TRANSVAGINAL PARA SEGUIMIENTO DE OVULACION, PROC. | $17.675 | $34.888 | $32.300 |
| 404009 | 0 | 3 | ECOGRAFIA PELVICA MASCULINA (INCLUYE VEJIGA Y PROSTATA) | $21.691 | $24.952 | $23.120 |
| 404010 | 0 | 1 | ECOGRAFIA RENAL (BILATERAL), O DE BAZO | $21.661 | $31.110 | $28.830 |
| 404011 | 0 | 9 | ECOGRAFIA ENCEFALICA (RN O LACTANTE) | $16.958 | $33.597 | $31.120 |
| 404012 | 0 | 7 | ECOGRAFIA MAMARIA BILATERAL (INCLUYE DOPPLER) | $22.154 | $31.300 | $28.990 |
| 404014 | 0 | 3 | ECOGRAFIA TESTICULAR (UNILATERAL O BILATERAL)(INCL. DOPPLER) | $21.617 | $30.885 | $28.610 |
| 404015 | 0 | 0 | ECOGRAFIA TIROIDEA (INCLUYE DOPPLER) | $22.154 | $31.300 | $28.990 |
| 404016 | 0 | 8 | ECOGRAFIA PARTES BLANDAS O MUSCULOESQUELETICA (CADA ZONA ANA | $22.468 | $31.300 | $28.990 |
| 404017 | 0 | 6 | ECOGRAFIA DE HIGADO, BILIAR, VESICULA | $22.606 | $45.528 | $45.528 |
| 404019 | 0 | 2 | ECOGRAFIA VASCULAR PERIFERICA U OTROS ORG. | $39.644 | $102.662 | $102.662 |
| 404025 | 0 | 9 | ECOGRAFIA DE CADERAS | $22.579 | $30.360 | $30.360 |
| 404030 | 0 | 9 | ECOTOMOGRAFIA PROSTATICA | $16.082 | $28.995 | $28.995 |
| 404218 | 0 | 0 | ELASTOGRAFIA HEPATICA | $76.262 | $85.658 | $85.658 |
| RESONANCIA MAGNÉTICA | ||||||
| 405001 | 0 | 9 | R.M CRANEO-CEREBRO U OIDOS, BILATERAL | $147.376 | $306.867 | $203.070 |
| 405002 | 0 | 7 | RM DE HIPOTALAMO-HIPOFISIS | $150.014 | $319.551 | $211.450 |
| 405003 | 0 | 5 | R.M.ORBITAS | $136.961 | $286.425 | $189.540 |
| 405004 | 0 | 3 | R.M.ARTICULACIONES TEMPOROMANDIBULARES | $147.610 | $307.995 | $203.810 |
| 405005 | 0 | 0 | R.M. COLUMNA CERVICAL | $153.434 | $306.867 | $203.070 |
| 405006 | 0 | 8 | R.M. COLUMNA DORSAL | $155.989 | $319.153 | $211.190 |
| 405007 | 0 | 6 | R.M. COLUMNA LUMBAR | $153.434 | $306.867 | $203.070 |
| 405008 | 0 | 4 | ANGIOGRAFIA POR RESONANCIA | $150.480 | $222.251 | $222.251 |
| 405009 | 0 | 2 | RM TORAX (CORAZON, CLAVICULA,COSTILLAS, OTRAS ARTIC.) | $158.007 | $328.852 | $217.610 |
| 405010 | 0 | 0 | R.M. ABDOMEN | $153.434 | $306.867 | $203.070 |
| 405011 | 0 | 8 | RM PELVIS (PROSTATA, SACROILIACAS, GENITALES, Y GASTROINT | $153.434 | $306.867 | $203.070 |
| 405012 | 0 | 6 | RM ABDOMEN Y PELVIS | $188.956 | $460.276 | $304.580 |
| 405013 | 0 | 4 | R.M. RODILLA | $129.826 | $251.608 | $166.500 |
| 405014 | 0 | 2 | R.M. EXTREMIDAD SUPERIOR | $135.500 | $193.287 | $193.287 |
| 405015 | 0 | 9 | R.M. EXTREMIDAD INFERIOR | $135.500 | $193.287 | $193.287 |
| 405016 | 0 | 7 | R.M.COLUMNA TOTAL(CERVICAL,DORSAL,LUMBAR) | $228.613 | $543.023 | $359.330 |
| 405017 | 0 | 5 | RM ANGIOGRAFIA DE ENCEFALO | $145.892 | $328.852 | $217.610 |
| 405018 | 0 | 3 | RM ANGIOGRAFIA DE CUELLO | $147.827 | $338.153 | $223.770 |
| 405019 | 0 | 1 | R.M ANGIOGRAFIA DE TORAX | $152.763 | $332.764 | $220.200 |
| 405020 | 0 | 9 | RM ANGIOGRAFIA DE ABDOMEN | $134.715 | $310.763 | $205.640 |
| 405021 | 0 | 7 | RM ANGIOGRAFIA DE PELVIS | $136.377 | $319.551 | $211.450 |
| 405022 | 0 | 5 | RM ANGIOGRAFIA DE EXTREMIDAD SUPERIOR UNILATERAL | $148.606 | $315.803 | $208.980 |
| 405023 | 0 | 3 | RM ANGIOGRAFIA DE EXTREMIDAD INFERIOR BILATERAL | $133.479 | $306.867 | $203.070 |
| 405024 | 0 | 1 | RM.MANO O MUNECA | $145.692 | $269.646 | $178.430 |
| 405025 | 0 | 8 | RM DE ANTEBRAZO O BRAZO | $143.234 | $257.826 | $170.610 |
| 405026 | 0 | 6 | RM DE CODO | $137.897 | $262.003 | $173.370 |
| 405027 | 0 | 4 | RM.DE HOMBRO | $141.940 | $251.608 | $166.500 |
| 405028 | 0 | 2 | RM.PIE,ANTEPIE O TOBILLO | $141.940 | $251.608 | $166.500 |
| 405029 | 0 | 0 | RM.DE PIERNA | $137.290 | $258.953 | $171.350 |
| 405030 | 0 | 8 | RM MUSLO O CADERA UNILATERAL | $144.102 | $262.003 | $173.370 |
| 405031 | 0 | 6 | RM DE MAMA (BILATERAL) | $147.422 | $251.608 | $166.500 |
| 405032 | 0 | 4 | RM FETAL | $143.131 | $301.960 | $199.820 |
| 405098 | 0 | 5 | COLANGIORESONANCIA | $120.249 | $205.567 | $136.030 |
| 405507 | 0 | 5 | R.M. DE CUELLO | $145.712 | $219.191 | $219.191 |
| 405519 | 0 | 0 | R.M. MAMAS | $139.437 | $179.720 | $179.720 |
| MEDICINA NUCLEAR | ||||||
| 501100 | 0 | 2 | CAPTACION I-131 A LAS 2 Y 24 HORAS | $37.010 | $58.571 | $38.320 |
| 501101 | 0 | 0 | CINTIGRAFIA TIROIDEA, CUALQUIER RADIOISOTOPO | $37.019 | $71.180 | $38.320 |
| 501102 | 0 | 8 | CINTIGRAFIA GLANDULAS PARATIROIDES NO INCLUYE MIBI | $55.569 | $168.256 | $57.520 |
| 501104 | 0 | 4 | CINTIGRAFIA OSEA TRIFASICA(INCLUYE MEDICIONES FASE PRECOZ | $148.179 | $221.361 | $153.360 |
| 501105 | 0 | 1 | SPECT PERF MIOCARDICA (STRESS Y REPOSO) NO INCLUYE HONORA | $269.299 | $414.900 | $278.720 |
| 501106 | 0 | 9 | VENTRICULOGRAFÍA CARDIACA ISOTOPICA DE EQUILIBRIO CON GL | $73.770 | $126.687 | $88.420 |
| 501107 | 0 | 7 | POOL SANGUINEO, ARTERIOGRAFIA ISOTOPICA C/U | $29.037 | $72.420 | $39.890 |
| 501108 | 0 | 5 | LINFOCINTIGRAFIA ISOTOPICA NO INCLUY PROC | $115.659 | $210.332 | $119.710 |
| 501111 | 0 | 9 | ESTUDIO MOTILIDAD ESOFAGICA Y/O REFLUJO GASTROESOFAGICO | $83.359 | $156.588 | $86.270 |
| 501112 | 0 | 7 | VACIAMIENTO GASTRICO LIQUIDO O SOLIDO | $154.783 | $226.878 | $173.360 |
| 501113 | 0 | 5 | CINTIGRAFIA VESICULA Y VIA BILIAR | $160.488 | $317.942 | $190.190 |
| 501114 | 0 | 3 | DETECCION DE SITIO DE SANGRAMIENTO DIGESTIVO CON GLOBULOS RO | $156.090 | $266.957 | $199.620 |
| 501115 | 0 | 0 | DETECCION DIVERTICULO MECKEL | $59.988 | $92.229 | $64.370 |
| 501116 | 0 | 8 | SPECT HEPATOESPLENICO,EVAL HEMANGIOMA O HIPERPLASIA | $140.498 | $253.988 | $177.260 |
| 501117 | 0 | 6 | CINTIGRAMA RENAL CON D.M.S.A. | $55.569 | $100.754 | $57.520 |
| 501118 | 0 | 4 | ESTUDIO DINAMICO RENAL CON TC 99 -DTPA (RENOGRAMA) | $82.020 | $171.108 | $84.900 |
| 501119 | 0 | 2 | ESTUDIO DINAMICO RENAL CON TC 99-MAG3 O EC | $144.410 | $293.695 | $149.470 |
| 501120 | 0 | 0 | CISTOGRAFIA ISOTOPICA INDIRECTA | $49.186 | $89.290 | $58.420 |
| 501121 | 0 | 8 | CISTOGRAFIA ISOTOPICA DIRECTA,A.C.19-01-022 | $55.560 | $98.885 | $57.520 |
| 501122 | 0 | 6 | CINTIGRAFIA PULMON PERFUSION O VENTILACION ODIFUSION C/U | $55.569 | $126.554 | $57.520 |
| 501123 | 0 | 4 | CINTIGRAFIA Y EST.ASPIRACION PULMONAR | $41.421 | $88.032 | $61.440 |
| 501124 | 0 | 2 | SPECT CEREBRAL DE PERFUSION(NO INCLUYE RADIOFARMACOS) | $116.769 | $173.172 | $120.850 |
| 501125 | 0 | 9 | ESTUDIO DINAMICO SISTEMA NERVIOSO RADIOCISTERNOGRADIA | $108.266 | $178.512 | $116.800 |
| 501128 | 0 | 3 | DETECCION Y/O MARCACION GANGLIO CENTINELA | $119.059 | $407.620 | $123.220 |
| 501129 | 0 | 1 | CINTIGRAMA C/GALIO 67 PLANAR Y SPECT,PARA ESTUDIO DE TUM | $234.119 | $400.891 | $279.780 |
| 501130 | 0 | 9 | EXPLORACION SISTEMICA CON l -131 (INCL MEDICIONES FASE PREC | $166.500 | $285.627 | $172.500 |
| 501132 | 0 | 5 | ESTUDIO TUMORES ANTICUERPOS MONOCLONALES,OCTREOSCAN | $211.961 | $329.538 | $229.980 |
| 501136 | 0 | 6 | CINTIGRAFIA OSEA COMPLETA PLANAR | $99.999 | $199.772 | $103.500 |
| 501138 | 0 | 2 | CINTIGRAFIA GLANDULAS SALIVALES | $54.669 | $103.121 | $56.590 |
| 501901 | 0 | 3 | TEST AIRE ESPIRADO HELICOBACTER PYLORI | $73.839 | $164.920 | $164.920 |
| 502001 | 0 | 1 | DOSIS TERAPEUTICA CON I-131 HASTA 30 MCI. | $129.539 | $210.389 | $134.060 |
| 502002 | 0 | 9 | DOSIS TERAPEUTICA CON I-131 ENTRE 31 A 100 MCI. | $249.999 | $471.870 | $258.750 |
| 502003 | 0 | 7 | DOSIS TERAPEUTICAS I-131 ENTRE 101MCI A 200MCl. | $451.459 | $946.764 | $467.260 |
| KINESIOLOGÍA | ||||||
| 601101 | 0 | 9 | EVALUACION KINESIOLOGICA INTEGRAL | $7.727 | $8.678 | $8.678 |
| 601103 | 0 | 5 | ATENCION KINESIOLOGICA INTEGRAL EN PACIENTES HOSPITALIZADOS | $8.319 | $13.349 | $11.780 |
| 601104 | 0 | 3 | ATENCION KINESIOLOGICA INTEGRAL UPC (INTENSIVO E INTERMEDIO) | $24.508 | $34.410 | $34.410 |
| 601105 | 0 | 0 | ATENCION KINESIOLOGICA INTEGRAL AMBULATORIA | $8.319 | $9.344 | $10.750 |
| 601106 | 0 | 8 | ATENCION KINESIOLOGICA INTEGRAL DOMICILIARIA | $8.319 | $9.344 | $13.500 |
| 602001 | 0 | 0 | ATENCION INTEGRAL DE TERAPIA OCUPACIONAL | $6.657 | $10.483 | $9.500 |
| 602002 | 0 | 8 | INTERVENCION DE TERAPIA OCUPACIONAL AYUDAS TEC. Y TECNO ASIS | $10.193 | $11.448 | $11.448 |
| 602006 | 0 | 9 | TERAPIAS DE GRUPO EN NINOS Y ADULTOS POR SESION | $2.895 | $5.785 | $5.785 |
| BANCO DE SANGRE | ||||||
| 702001 | 0 | 9 | PREPARACION DE HEMODERIVADOS | $18.781 | $31.619 | $31.619 |
| 702002 | 0 | 7 | PLAQUETOFERESIS | $302.594 | $392.907 | $392.907 |
| 702003 | 0 | 5 | SET EXAMEN X UNID.GLOBULOS ROJOS TRANSFUNDIDOS | $100.573 | $180.004 | $180.004 |
| 702004 | 0 | 3 | SET EXAMEN X UNID.TRANSFUN.DE PLASMA PLAQUETAS O CRIOPRECI | $98.937 | $138.914 | $138.914 |
| 702005 | 0 | 0 | PRUEBA DE COMPATIBILIDAD | $9.212 | $11.608 | $11.608 |
| 702006 | 0 | 8 | TRANSFUSION DE SANGRE EN ADULTOS | $26.118 | $32.894 | $32.894 |
| 702007 | 0 | 6 | TRANSFUSION DE SANGRE EN NINOS | $26.520 | $34.622 | $34.622 |
| 702008 | 0 | 4 | TRANSF.SANGRE ADULTO O NINO EN PABELLON | $30.666 | $64.709 | $64.709 |
| 702009 | 0 | 2 | EXSANG.TRANSF.POR VIA UMBILICAL EN R.NACIDO | $39.401 | $96.109 | $96.109 |
| 702010 | 0 | 0 | EXSANG.TRANSF.EN ADULTO O NINO | $58.974 | $85.761 | $85.761 |
| 702012 | 0 | 6 | SANGRIA, (CADA UNIDAD) | $14.849 | $27.767 | $27.767 |
| 702014 | 0 | 2 | PLASMAFERESIS AUTOMATIZADA POR CEN | $367.805 | $471.288 | $471.288 |
| ANATOMÍA PATOLÓGICA | ||||||
| 801001 | 0 | 9 | CITODIAGNOSTICO CORRIENTE, EXFOLIA PAPANICOLAU | $17.144 | $19.678 | $19.678 |
| 801004 | 0 | 3 | ESTUDIO HISTOPAT C/TEC INMUNOHISTOQCA O INMUNO | $82.072 | $97.408 | $97.408 |
| 801005 | 0 | 0 | ESTUDIO HISTOPATOLOGICO C/ TEC HISTOQCA ESPECIALES | $55.169 | $65.479 | $65.479 |
| 801006 | 0 | 8 | ESTUDIO HISTOPATOLOGICO DE BIOPSIA RAPIDA | $70.763 | $83.985 | $83.985 |
| 801007 | 0 | 6 | ESTUDIO HISTOPATOLOGICO CORRIENTE | $68.851 | $78.889 | $78.889 |
| 801008 | 0 | 4 | ESTUDIO HISTOPAT C/TINCION CTE DE BIOPSIA DIFERIDA | $27.683 | $31.724 | $31.724 |
| 801090 | 0 | 2 | CITODIAGNOST.CTE.PAPANICOLAU APS (HISTOTEC LTDA) | $5.931 | $10.796 | $10.796 |
| PSIQUIATRÍA Y PSICOLOGÍA CLÍNICA | ||||||
| 901003 | 0 | 4 | ELECTROSHOCKS E INSULINO-TERAPIA | $181.046 | $309.058 | $309.058 |
| 901005 | 0 | 9 | ATENCION PSIQUIATRICA O PSICOTERAPIA FAMILIAR O INDIV. | $26.230 | $47.370 | $44.020 |
| 901014 | 0 | 1 | INTERVENCION PSICOSOCIAL | $21.655 | $40.763 | $40.763 |
| 901030 | 0 | 7 | TEST P.E.D.E. (PRUEBA EXPLORATORIA DISLEXIA ESPECIFICA) | $32.228 | $68.801 | $68.801 |
| 901031 | 0 | 5 | TRATAMIENTO DE LUMINOTERAPIA | $3.708 | $8.152 | $8.152 |
| 902001 | 0 | 7 | CONSULTA PSICOLOGO CLINICO (SESIONES 45') | $16.243 | $20.724 | $19.260 |
| 902002 | 0 | 5 | PSICOTERAPIA INDIVIDUAL | $24.589 | $37.440 | $37.440 |
| 902003 | 0 | 3 | PSICOTERAPIA DE PAREJA CON AMBOS MIEMBROS | $22.034 | $34.233 | $34.233 |
| 902005 | 0 | 8 | TEST DE WAIS | $80.578 | $136.804 | $136.804 |
| 902010 | 0 | 8 | TEST RORSCHACH | $58.587 | $91.021 | $91.021 |
| 902011 | 0 | 6 | TEST DE RELACIONES OBJETALES | $25.709 | $41.283 | $38.350 |
| 902012 | 0 | 4 | TEST DE APERCEPCION TAT, CAT, HOCAT | $37.840 | $44.659 | $44.659 |
| 902013 | 0 | 2 | TEST EDWARDS | $17.116 | $20.599 | $18.030 |
| 902014 | 0 | 0 | TEST M.M.P.I. | $24.054 | $37.370 | $37.370 |
| 902016 | 0 | 5 | TEST DE DOMINO Y RABEN | $14.021 | $19.397 | $18.030 |
| 902017 | 0 | 3 | TEST DE BENDER | $23.898 | $37.129 | $37.129 |
| 902018 | 0 | 1 | BENDER BIP | $22.869 | $38.243 | $38.243 |
| 902903 | 0 | 4 | ENTREVISTA DIAGNOSTICA | $33.744 | $57.290 | $57.290 |
| 902905 | 0 | 9 | PSICOTERAPIA DE GRUPO (POR PSICOLOGO) | $18.078 | $39.754 | $39.754 |
| 902906 | 0 | 7 | IPEC (INTERVENCION PSICOLOGICA EN CRISIS) | $76.771 | $163.737 | $163.737 |
| OTRAS PRESTACIONES O PROCEDIMIENTOS | ||||||
| 1101006 | 0 | 3 | ELECTROENCEFALOGRAMA (E.E.G.) STANDARD ACTIVADO (INCLUYE | $30.193 | $37.256 | $34.510 |
| 1101010 | 0 | 5 | ELECTROMIOGRAFIA CUALQUIER REGION | $20.249 | $26.373 | $24.450 |
| 1101012 | 0 | 1 | VELOCIDAD DE CONDUCCION | $17.024 | $21.577 | $19.980 |
| 1101025 | 0 | 3 | MIELOGRAFIA LUMBAR, C/CONTRASTE AC 402050 | $13.775 | $27.249 | $25.230 |
| 1101027 | 0 | 9 | BLOQUEO NERVIO TRONCULAR | $11.860 | $30.033 | $27.820 |
| 1101031 | 0 | 1 | INFILTRACION O BLOQUEO INTERCOSTALES CUALQ. NUMERO | $10.713 | $22.583 | $20.930 |
| 1101043 | 0 | 6 | E.E.G. DIGITAL 32 CANALES | $54.390 | $65.618 | $60.780 |
| 1101045 | 0 | 1 | POLISOMNOGRAFEA | $344.000 | $481.269 | $481.269 |
| 1101943 | 0 | 7 | E.E.G.DIGITAL ESTANDAR CON PRIVACION DE SUENO | $66.068 | $105.210 | $105.210 |
| 1101945 | 0 | 2 | INFORME ELEC DIGITAL URGENCIA | $69.427 | $121.303 | $121.303 |
| 1101946 | 0 | 0 | TEST DE ESTIMULACION REPETITIVA | $66.078 | $128.235 | $128.235 |
| 1101947 | 0 | 8 | FUNCION AUTONOMICA | $83.376 | $151.778 | $151.778 |
| 1101949 | 0 | 4 | TEST DE NEOSTIGMINA | $13.612 | $27.560 | $27.560 |
| 1101951 | 0 | 0 | TEST FUNCION PUPILAR | $23.373 | $43.826 | $43.826 |
| 1101952 | 0 | 8 | TEST DE HIPOTENSION EN EL EJERCICIO | $16.950 | $32.736 | $32.736 |
| 1101953 | 0 | 6 | TEST DE HIPOTENSION POSTPRANDIAL | $36.546 | $82.772 | $82.772 |
| 1101954 | 0 | 4 | NEUROMONITOREO | $1.033.331 | $1.877.665 | $1.877.665 |
| 1101955 | 0 | 1 | TEST DE MULTIPLES LATENCIAS DE SUENO | $128.365 | $243.547 | $243.547 |
| 1101956 | 0 | 9 | APLICACION TOXINA BOTULINICA (S/MEDICAMENTO) | $26.623 | $46.380 | $46.380 |
| 1101960 | 0 | 1 | EEG VIDEO MONITOREO SESION POR HORA | $15.228 | $22.167 | $22.167 |
| 1101961 | 0 | 9 | EEG VIDEO MONITOREO SESION DE 6 A 24 HRAS | $365.315 | $827.395 | $827.395 |
| 1103013 | 0 | 7 | - HONORARIOS C/U DE LOS OTROS 1ROS. CIRUJANOS Y AYUDANTES | $71.562 | $736.005 | $683.780 |
| 1201001 | 0 | 3 | & CAMPIMETRIA DE PROYECCION (C/OJO) | $10.922 | $20.597 | $11.410 |
| 1201003 | 0 | 9 | CUANTIF. DE LAGRIMACION(TEST SCHIRMER),UNO O AMBOS OJOS | $2.938 | $3.825 | $3.540 |
| 1201004 | 0 | 7 | & CURVA DE TENSION APLANATICA (C/DIA Y C/OJO) | $14.700 | $22.726 | $22.726 |
| 1201005 | 0 | 4 | & DIPLOSCOPIA CUANTITATIVA. | $5.597 | $9.192 | $9.192 |
| 1201009 | 0 | 6 | & EXPLORACION SENSORIOMOTORA: ESTRABISMO, ESTUDIO COMPLE | $28.553 | $44.144 | $44.144 |
| 1201010 | 0 | 4 | PERIMETRIA GOLDMAN POR OJO | $13.051 | $19.102 | $17.680 |
| 1201011 | 0 | 2 | & PRUEBAS DE PROVOCACION PARA GLAUCOMA. | $15.024 | $31.137 | $31.137 |
| 1201012 | 0 | 0 | RETINOGRAFIA OCULAR DIGITAL | $56.087 | $63.989 | $63.989 |
| 1201014 | 0 | 6 | & TONOMETRIA APLANATICA. | $9.261 | $10.621 | $10.621 |
| 1201015 | 0 | 3 | & TRATAMIENTO ORTOPTICO Y/ O PLEOPTICO (POR SESION). | $8.991 | $10.299 | $10.299 |
| 1201016 | 0 | 1 | ANGIOGRAFIA DE RETINA O DE IRIS DIGITAL C/OJO | $32.636 | $48.992 | $48.992 |
| 1201019 | 0 | 5 | EXPLORACION VITREORRETINAL | $3.964 | $11.534 | $10.700 |
| 1201020 | 0 | 3 | ECOBIOMETRIA C/CALCULO LENTE INTRAOCULAR(AMBOS OJOS) | $61.309 | $68.717 | $68.717 |
| 1201027 | 0 | 8 | EXAMEN OPTOMETRICO C/S PRESCRIPCION DE LENTES | $20.518 | $23.446 | $23.446 |
| 1201030 | 0 | 2 | CUERPO EXTRANO CONJUNTIVAL/CORNEAL EN NINOS | $10.039 | $23.187 | $21.470 |
| 1201031 | 0 | 0 | VIA LAGRIMAL/CATETERISMO/SONDAJE -EN ADULTOS | $33.452 | $39.870 | $39.870 |
| 1201042 | 0 | 7 | CAMPIMETRIA COMPUTARIZADA, CADA OJO | $42.432 | $48.393 | $48.393 |
| 1201043 | 0 | 5 | & TOPOGRAFIA CORNEAL COMPUTARIZADA C/OJO | $45.233 | $51.008 | $51.008 |
| 1201046 | 0 | 8 | CURACION CON ASEO DE CAVIDADES | $1.442 | $2.798 | $2.798 |
| 1201099 | 0 | 7 | ECOGRAFIA OCULAR (C/U) | $76.214 | $125.692 | $125.692 |
| 1201910 | 0 | 5 | MICROSCOPIA ESPECULAR | $20.107 | $58.237 | $58.237 |
| 1201912 | 0 | 1 | INFORME RETINOGRAFIA AMBOSOJOS | $9.831 | $17.125 | $17.125 |
| 1201950 | 0 | 1 | OCT CORRIENTE (CORNEA, RETINA, GLAUCOMA, ETC) | $72.823 | $83.033 | $83.033 |
| 1201951 | 0 | 9 | PAQUIMETRIA | $57.780 | $65.873 | $65.873 |
| 1201952 | 0 | 7 | REHABILITACION VISUAL | $12.138 | $20.353 | $20.353 |
| 1201953 | 0 | 5 | TEST DE TELLER | $11.909 | $19.969 | $19.969 |
| 1301003 | 0 | 8 | NASOFARINGOLARINGOFIBROSCOPIA | $41.711 | $64.489 | $64.489 |
| 1301004 | 0 | 6 | RINOSCOPIA POSTERIOR, CON NASOFARINGOSCOPIA C/S TOMA | $8.164 | $17.344 | $17.344 |
| 1301009 | 0 | 5 | & IMPEDANCIOMETRIA | $14.933 | $23.091 | $23.091 |
| 1301011 | 0 | 1 | & POTENCIALES EVOCADOS AUDITIVOS DE TRONCO CEREBRAL | $42.731 | $66.068 | $66.068 |
| 1301016 | 0 | 0 | & FUNCION TUBARIA | $10.613 | $16.412 | $16.412 |
| 1301018 | 0 | 6 | RINOMANOMETRIA C/S VASO CONSTRICTOR | $8.493 | $73.103 | $73.103 |
| 1301020 | 0 | 2 | & EXAMEN FUNCIONAL DE VIII PAR | $36.490 | $58.958 | $58.958 |
| 1301021 | 0 | 0 | & AUDIOMETRIA ADULTOS | $16.303 | $24.705 | $24.705 |
| 1301025 | 0 | 1 | TAPONAMIENTO NASAL ANTERIOR (PROC. AUT.) | $23.671 | $39.429 | $39.429 |
| 1301026 | 0 | 9 | TAPONAMIENTO NASAL POSTERIOR | $26.892 | $47.754 | $47.754 |
| 1301029 | 0 | 3 | CUERPO EXTR.FOSAS NASALES EN ADULTOS, EXTRACCION DE | $11.168 | $19.833 | $19.833 |
| 1301030 | 1 | 1 | CUERPO EXTR.FOSAS NASALES EN NINOS, EXTRACCION DE | $20.119 | $24.538 | $22.740 |
| 1301031 | 0 | 9 | HUESOS DE LA NARIZ, REDUCCION DE FRACTURA CERRADA. | $34.994 | $53.011 | $53.011 |
| 1301034 | 0 | 3 | REEDUCACION DE LA VOZ (PROC. AUT.) (POR SESION) | $11.843 | $20.013 | $20.013 |
| 1301040 | 0 | 0 | LESIONES DEL OIDO EXTERNO Y/O MEDIO, CURACION BAJO MICRO | $13.679 | $21.150 | $21.150 |
| 1301042 | 0 | 6 | CUERPO EXTR.EN OIDO EN ADULTOS, EXTRACCION DE CERUMEN | $7.726 | $13.323 | $13.323 |
| 1301043 | 0 | 4 | CUERPO EXTR.EN OIDO EN NINOS, EXTRACCION DE | $10.611 | $22.583 | $20.930 |
| 1301045 | 0 | 9 | AUDIOMETRIA BARRIDO TONAL, EMISIONES OTOACUSTICAS | $2.758 | $12.399 | $11.490 |
| 1301920 | 0 | 3 | POSTUROGRAFIA BRU POR SESION | $48.561 | $58.125 | $58.125 |
| 1301921 | 0 | 1 | OTOEMISIONES ACUSTICAS | $13.262 | $15.530 | $15.530 |
| 1301922 | 0 | 9 | MANIOBRA DE REPOSICION CANALÉTICO, (POR SESI N) | $10.093 | $13.175 | $13.175 |
| 1301923 | 0 | 7 | CONTROL VESTIBULAR, (POR SESION) | $8.935 | $11.663 | $11.663 |
| 1303003 | 0 | 6 | EVALUACION DEL LENGUAJE (INCLUYE 3 SESIONES) | $46.239 | $71.490 | $71.490 |
| 1303005 | 0 | 1 | REHABILITACION DEL HABLA Y/O LENGUAJE | $29.408 | $44.561 | $44.561 |
| 1601110 | 0 | 8 | CURETAJES DE LESIONES VIRALES Y SIMILARES HASTA 10 LESIONES | $21.649 | $44.965 | $41.650 |
| 1601115 | 0 | 7 | IMPLANTES SUBCUTANEOS | $14.960 | $35.776 | $33.140 |
| 1601116 | 0 | 5 | CRIOTERAPIA HASTA 5 LESIONES POR SESION | $16.551 | $30.245 | $28.020 |
| 1601117 | 0 | 3 | CRIOTERAPIA 6 A 10 LESIONES POR SESION | $23.417 | $47.298 | $43.820 |
| 1601119 | 0 | 9 | INYECCION INTRACUTANEA EN AREAS HASTA 9 CMS.2 POR SESION | $15.838 | $31.512 | $29.200 |
| 1701001 | 0 | 8 | E.C.G. DE REPOSO (INCLUYE MINIMO 12 DERIVACIONES Y 4 COM | $6.106 | $11.558 | $11.500 |
| 1701003 | 0 | 4 | E.C.G. DE ESFUERZO | $25.909 | $47.429 | $46.530 |
| 1701006 | 0 | 7 | ECG CONTINUO (TEST HOLTER O SIMILARES) 20 A 24 HORAS | $26.250 | $54.984 | $53.950 |
| 1701007 | 0 | 5 | ECOCARDIOGRAMA DOPPLER (INCLUYE COD.1701008) | $46.519 | $109.270 | $108.910 |
| 1701008 | 0 | 3 | ECOCARDIOGRAMA BIDIMENSIONAL (INCLUYE REGISTRO MODO M ) | $28.812 | $68.307 | $68.100 |
| 1701009 | 0 | 1 | MONITOREO DE PRESION ARTERIAL CONTINUO | $25.922 | $38.405 | $37.700 |
| 1701013 | 0 | 3 | CATETERISMO EN RECIEN NACIDO POR ARTERIA UMBILICAL | $61.115 | $98.742 | $98.742 |
| 1701024 | 0 | 0 | ARTERIOGRAFIA PULMONAR, RENAL, ETC C/U AC 0402019-20-27 | $36.556 | $62.599 | $62.599 |
| 1701037 | 0 | 2 | PUNCION SUBCLAVIA O YUGULAR CON COLOCACION DE CATETER | $86.715 | $140.104 | $140.104 |
| 1701045 | 0 | 5 | ECOCARDIOGRAMA BIDIMENSIONAL DOPPLER COLOR | $64.047 | $116.932 | $114.720 |
| 1701523 | 0 | 1 | ESTUDIO DE OPTIMIZACION DE RESINCRONIZADORES | $12.333 | $194.407 | $194.407 |
| 1701901 | 0 | 9 | ECOCARDIOG.DE STRESS CON DOBUTAMINA (INC.ECO DOPPLER COL | $67.295 | $194.407 | $194.407 |
| 1701903 | 0 | 5 | ECOCARDIOGRAMA DOPPLER CON CONTRASTE | $121.744 | $223.665 | $223.665 |
| 1701967 | 0 | 0 | TILT TEST | $57.646 | $86.999 | $86.999 |
| 1707001 | 0 | 2 | ESPIROMETRIA BASAL | $6.541 | $12.151 | $11.250 |
| 1707002 | 0 | 0 | ESPIROMETRIA BASAL Y CON BRONCODILATADOR | $18.300 | $21.530 | $18.780 |
| 1707004 | 0 | 6 | PROVOCACION CON EJERCICIO, TEST DE | $29.440 | $57.235 | $57.235 |
| 1707005 | 0 | 3 | PROVOCACION CON METACOLINA,TEST DE (INCL.ESPIROMETRIA) | $20.138 | $33.727 | $31.250 |
| 1707008 | 0 | 7 | CAPACIDAD DE DIFUSION, ESTUDIO DE | $15.002 | $22.335 | $20.700 |
| 1707009 | 0 | 5 | CAPACIDAD FISICA DEL TRABAJO | $77.255 | $102.892 | $102.892 |
| 1707011 | 0 | 1 | CURVA DE RELACION FLUJO-VOLUMEN BASAL | $11.475 | $15.384 | $14.260 |
| 1707013 | 0 | 7 | MEDICION DE PRESION DE OCLUSION | $7.058 | $23.140 | $21.420 |
| 1707014 | 0 | 5 | MEDICION DE PRESION INSPIRATORIA MAXIMA (PROC. AUT) | $4.613 | $9.640 | $8.940 |
| 1707020 | 0 | 2 | VOLUMENES PULMONARES POR LAVADO DE NITROGENO | $26.590 | $42.845 | $39.700 |
| 1707025 | 0 | 1 | PROC. DETERMINAR GASOMETRIA ARTERIAL (X 2 COD.0302046) | $9.232 | $13.048 | $13.048 |
| 1707028 | 0 | 5 | PLEUROTOMIA MINIMA CON DRENAJE PLE | $46.327 | $84.721 | $84.721 |
| 1707030 | 0 | 1 | AEROSOLTERAPIA (NEBULIZ) POR SESION (C/AIRE COMP.,O2) | $3.457 | $3.855 | $3.855 |
| 1707039 | 0 | 2 | TEST INMUNOLOGICO RAPIDO PARA EL DIAGNOSTICO DE | $8.704 | $12.672 | $12.672 |
| 1707054 | 0 | 1 | SATURACION DE O2 EN REPOSO Y/O EJERC.(C/OXIMETRO) | $4.482 | $6.158 | $5.710 |
| 1707939 | 0 | 3 | TEST DE CAMINATA 6 MINUTOS | $15.629 | $26.409 | $26.409 |
| 1707940 | 0 | 1 | TEST DE EJERCICIO CARDIOPULMONAR | $96.633 | $211.461 | $211.461 |
| 1707941 | 0 | 9 | POLIGRAFIA RESPIRATORIA PARA ESTUDIO DE APNEA DEL SUENO | $135.713 | $239.361 | $239.361 |
| 1711009 | 0 | 9 | ECOCARDIOGRAFIA TRANSESOFAGICA (INCLUYE ECO DOPPLER) | $135.640 | $291.741 | $291.741 |
| 1801023 | 0 | 1 | INTUBACION ENDOSCOPICA DE SONDA NASOGASTRICA | $2.731 | $6.040 | $5.600 |
| 1801024 | 0 | 9 | INTUBACION ENDOSCOPICA DE SONDA ENTERAL | $8.312 | $13.429 | $13.429 |
| 1801037 | 0 | 1 | TEST DE UREASA (PARA HELICOBACTER PYLORI) | $6.126 | $10.859 | $10.050 |
| 1801041 | 0 | 3 | PUNCION DE LIQUIDO ASCITICO, DIAGNOSTICA | $45.308 | $56.605 | $56.605 |
| 1801050 | 0 | 4 | P.H. METRIA ESOFAGICA (24 HORAS) ADULTO | $130.301 | $276.831 | $276.831 |
| 1801922 | 0 | 4 | CAMBIO SONDA DE GASTROSTOMIA | $12.589 | $21.385 | $21.385 |
| 1901011 | 0 | 5 | UROFLUJOMETRIA (PROC. AUT.) | $20.107 | $23.002 | $23.002 |
| 1901019 | 0 | 8 | INSTILACION VESICAL (INCLUYE COLOCACION DE SONDA) | $20.107 | $38.860 | $38.860 |
| 1901020 | 0 | 6 | INYECCION DE MEDICAMENTOS EN EL PENE | $18.599 | $32.066 | $32.066 |
| 1901022 | 0 | 2 | VAC. VESICAL POR SONDA URETRAL, (PROC. AUT.) | $24.128 | $38.860 | $38.860 |
| 1901024 | 0 | 8 | HEMODIALISIS SIN INSUMOS | $107.609 | $122.700 | $122.700 |
| 1901025 | 0 | 5 | PERITONEODIALISIS | $504.112 | $683.228 | $683.228 |
| 1901026 | 0 | 3 | PERITONEODIALISIS AMBULATORIA CONTINUA | $109.910 | $1.168.845 | $1.085.900 |
| 1901501 | 0 | 5 | INSTALACION SONDA FOLEY (INSTALACION DE SONDAS URINARIAS) | $17.472 | $26.530 | $26.530 |
| 1901902 | 0 | 5 | INSTALACION Y/O RETIRO DE CATETER TENKOFF | $29.922 | $54.473 | $54.473 |
| 1902902 | 0 | 4 | USO EQUIPO LASER HO YAG | $180.631 | $254.797 | $254.797 |
| 1902903 | 0 | 2 | PROGRAMA UNIDAD CUIDADO RENAL AVANZADO UCRA ETAPA 4 | $31.130 | $34.965 | $34.965 |
| 1902904 | 0 | 0 | PROGRAMA UNIDAD CUIDADO RENAL AVANZADO UCRA ETAPA 5 | $37.127 | $41.701 | $41.701 |
| 2001002 | 0 | 1 | COLPOSCOPIA | $15.932 | $24.631 | $24.631 |
| 2001006 | 0 | 2 | AMNIOCENTESIS | $16.215 | $23.211 | $21.500 |
| 2001009 | 0 | 6 | MONITOREO BASAL CON INFORME | $20.902 | $32.315 | $32.315 |
| 2001010 | 0 | 4 | MONITOREO FETAL ESTRESANTE, CON CONTROL PERMANENTE | $65.306 | $100.967 | $100.967 |
| 2001015 | 2 | 3 | COLOCACION O EXTRACCION DE DISPOSITIVO INTRAUTERINO | $18.121 | $22.640 | $22.640 |
| 2001021 | 0 | 1 | HISTEROSONOGRAFIA | $36.577 | $51.408 | $47.630 |
| 2001022 | 0 | 9 | PUNCION EVACUADORA DE QUISTES MAMARIOS,C/S TOMA DE MUEST | $20.514 | $33.142 | $33.142 |
| 2004009 | 0 | 3 | FOTOTERAPIA A RECIEN NACIDOS | $46.692 | $75.220 | $75.220 |
| 2101001 | 0 | 2 | INFILTRACION LOCAL MEDICAMENTOS (BURSAS, TENDONES, YUXTA | $21.872 | $34.866 | $34.866 |
| 2101004 | 0 | 6 | EXTRACCION DE MATERIAL DE OSTEOSISTESIS | $3.945 | $8.081 | $8.081 |
| 2105004 | 0 | 2 | RODILLERA, BOTA LARGA O CORTA DE YESO | $15.204 | $29.618 | $27.440 |
| 2105005 | 0 | 9 | VELPEAU | $13.028 | $29.618 | $27.440 |
| 2105006 | 0 | 7 | YESO ANTEBRAQUIAL C/S FERULA DIGITAL | $15.888 | $29.618 | $27.440 |
| 2105007 | 0 | 5 | YESO BRAQUICARPIANO | $15.888 | $29.618 | $27.440 |
| 2105009 | 0 | 1 | YESO PELVIPEDIO UNILATERAL | $10.487 | $56.311 | $52.160 |
| 2105010 | 0 | 9 | YESO TORACOBRAQUIAL | $26.542 | $51.858 | $48.050 |
| 2105011 | 0 | 7 | CORSETS MILWAUKEE (TOMA DE MOLDE ) | $14.834 | $60.988 | $56.500 |
| 2201001 | 0 | 1 | ANESTESIA GRAL O REGIONAL OTORGADA POR MEDICO DIF PRIMER CIR | $32.638 | $63.594 | $59.070 |
| 2201002 | 0 | 9 | ANESTESIA PERIDURAL CONTINUA, PROC. AUT. | $67.500 | $76.549 | $71.120 |
| 2201005 | 0 | 2 | ANESTESIA GENERAL Y PERFUSION CON C.E.C. | $147.646 | $205.273 | $205.273 |
| 2201006 | 0 | 0 | ANESTESIA GENERAL | $81.642 | $104.534 | $104.534 |
| 2201008 | 0 | 6 | ASISTENCIA ANESTESIOLOGICA A TERAPIA ELECTROCONVULSIVA | $39.135 | $56.961 | $56.961 |
| 2201904 | 0 | 6 | BLOQUEO GANGLIO ESTRELLADO | $26.606 | $39.696 | $39.696 |
| 2201905 | 0 | 3 | RECUPERACION ANESTESICA | $10.428 | $56.045 | $56.045 |
| 2201910 | 0 | 3 | ANESTESIA RESONADOR | $94.341 | $428.248 | $428.248 |
| CÁMARA HIPERBÁRICA | ||||||
| 2302001 | 0 | 9 | TABLA 9 (OXIGENOTERAPIA) | $67.163 | $89.143 | $89.143 |
| 2302008 | 0 | 4 | TABLA 6 (DESCOMPRESIÓN) | $1.263.880 | $1.989.110 | $1.989.110 |
| 2302009 | 0 | 2 | TABLA 6 A (DESCOMPRESIÓN) | $1.632.652 | $2.572.227 | $2.572.227 |
| 2302010 | 0 | 0 | PRUEBA HIPERBARICA | $74.198 | $96.158 | $96.158 |
| 2302011 | 0 | 8 | TEST DE TOLERANCIA AL OXIGENO | $99.479 | $173.030 | $173.030 |
| 2302012 | 0 | 6 | TABLA 5 (DESCOMPRESIÓN) | $911.133 | $1.431.332 | $1.431.332 |
