| 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 | $41.033 | $199.331 | $199.331 |
| 101015 | 0 | 6 | CONSULTA URGENCIA | $39.838 | $55.345 | $55.345 |
| 101019 | 0 | 8 | CONSULTA NUTRICIONISTA | $19.129 | $30.534 | $30.534 |
| 101020 | 0 | 6 | ATENCION MEDICA INTEGRAL | $2.817 | $3.478 | $3.478 |
| 101024 | 0 | 8 | EVALUAC.DESARR.PSICOMOT.DEL LACTANTE P/ENFERMERA | $11.831 | $14.609 | $14.609 |
| 101034 | 0 | 7 | CONSULTA OBESIDAD ADULTO | $14.196 | $34.037 | $34.037 |
| 101201 | 0 | 2 | CONSULTA MEDICA DE ESPECIALIDAD EN DERMATOLOGIA | $22.261 | $39.644 | $26.830 |
| 101203 | 0 | 8 | CONSULTA MEDICA DE ESPECIALIDAD EN NEUROCIRUGIA | $22.261 | $39.644 | $26.830 |
| 101204 | 0 | 6 | CONSULTA MEDICA DE ESPEC. OFTALMOLOGIA (INCL. EXP. VITREORE) | $27.367 | $54.006 | $54.006 |
| 101205 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN OTORRINOLARINGOLOGIA | $22.261 | $39.644 | $26.830 |
| 101206 | 0 | 1 | CONSULTA MEDICA EN REUMATOLOGIA | $22.261 | $39.651 | $26.830 |
| 101207 | 0 | 9 | CONSULTA MEDICA DE ESPECIALIDAD EN ENDOCRINOLOGIA ADULTO | $22.261 | $32.081 | $26.830 |
| 101208 | 0 | 7 | CONSULTA MEDICA ESPECIALIDAD EN ENDOCRINOLOGIA PEDIATRICA | $21.964 | $39.644 | $26.830 |
| 101209 | 0 | 5 | CONSULTA MEDICA DE ESPECIALIDAD EN NERUROLOGIA ADULTOS | $22.261 | $39.644 | $26.830 |
| 101210 | 0 | 3 | CONSULTA MEDICA ESPECIALIDAD NEUROLOGIA PEDIATRICA | $22.261 | $39.644 | $26.830 |
| 101211 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN ONCOLOGIA MEDICA | $22.261 | $39.644 | $26.830 |
| 101301 | 0 | 0 | CONSULTA MEDICA DE ESPECIALIDAD EN CARDIOLOGIA | $22.261 | $39.644 | $39.644 |
| 101302 | 0 | 8 | CONSULTA MEDICA DE ESPECIALIDAD EN HEMATOLOGIA | $22.261 | $39.644 | $39.644 |
| 101307 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN MEDICINA INTERNA | $22.261 | $39.644 | $39.644 |
| 101308 | 0 | 5 | CONSULTA MEDICA DE ESPECIALIDAD EN OBSTETRICIA Y GINECOLOGIA | $22.261 | $39.644 | $39.644 |
| 101309 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN PEDIATRIA | $22.261 | $39.644 | $39.644 |
| 101310 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN TRAUMAT. Y ORTOPEDIA | $22.261 | $39.644 | $39.644 |
| 101311 | 0 | 9 | CONSULTA MEDICA DE ESPECIALIDAD EN UROLOGIA | $25.740 | $39.644 | $26.830 |
| 101312 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA GENERAL | $22.261 | $39.644 | $39.644 |
| 101313 | 0 | 5 | CONSULTA MEDICA DE ESPEC. EN CIRUGIA DE CABEZA, CUELLO, MAXI | $22.261 | $39.644 | $39.644 |
| 101314 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA CARDIOVASCULAR | $22.261 | $32.081 | $32.081 |
| 101317 | 0 | 6 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA PEDIATRICA | $22.261 | $39.644 | $39.644 |
| 101319 | 0 | 2 | CONSULTA MEDICA DE ESPECIALIDAD EN COLOPROCTOLOGIA | $22.261 | $39.644 | $39.644 |
| 101321 | 0 | 8 | CONSULTA MEDICA ESPEC.ENFERMEDADES RESPIRATORIAS ADULTO | $22.261 | $32.081 | $32.081 |
| 101322 | 0 | 6 | CONSULTA MEDICA ESPEC.ENFERMEDADES RESPIRATORIAS PEDIATRICAS | $21.161 | $32.081 | $32.081 |
| 101323 | 0 | 4 | CONSULTA MEDICA ESPEC. EN GASTROENTEROLOGIA ADULTO | $22.261 | $39.644 | $39.644 |
| 101324 | 0 | 2 | CONSULTA MEDICA ESPEC. EN GASTROENTEROLOGIA PEDIATRICO | $20.250 | $32.081 | $32.081 |
| 101326 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN NEFROLOGIA ADULTO | $22.261 | $39.644 | $39.644 |
| 101328 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN NEONATOLOGIA | $22.261 | $32.081 | $32.081 |
| 101329 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN ANESTESIOLOGIA | $22.261 | $32.081 | $32.081 |
| 101334 | 0 | 1 | CONSULTA LEY R.SOTO | $22.261 | $54.459 | $54.459 |
| 101507 | 0 | 2 | CURACION EXTENSA (COMPLEJA) | $8.958 | $10.883 | $10.883 |
| 101508 | 0 | 0 | CURACION SIMPLE | $6.661 | $8.090 | $8.090 |
| 101511 | 0 | 4 | HEMOGLUCOTEST (INCLUYE PROCEDIMIENTO E INSUMOS) | $1.369 | $4.999 | $4.999 |
| 101512 | 0 | 2 | INYECCION INTRAMUSCULAR (INCL. PROCED. E INSUMOS, SIN FARM.) | $362 | $7.013 | $7.013 |
| 101514 | 0 | 8 | INYECCION INTRAVENOSA (INCL. PROCED. E INSUMOS, SIN FARM.) | $747 | $11.219 | $11.219 |
| 101520 | 0 | 5 | INSTALACION DE FLEBOCLISIS | $6.610 | $8.401 | $8.401 |
| 101536 | 0 | 1 | CONSULTA PROFESIONAL DE SALUD | $5.908 | $7.628 | $7.628 |
| 101574 | 0 | 2 | TRATAMIENTO ANTICOAGULANTE (TACO) | $10.837 | $19.822 | $19.822 |
| 101900 | 0 | 9 | CUIDADO DEL PIE DIABETICO | $13.216 | $23.108 | $23.108 |
| 110194 | 0 | 8 | TOMA E INFORME ELEC. DIGITAL URGENCIA | $185.615 | $267.842 | $267.842 |
| DERECHO DE PABELLON | ||||||
| 201111 | 0 | 2 | DERECHO PABELLON NIVEL 1 | $92.114 | $115.994 | $115.994 |
| 201112 | 0 | 0 | DERECHO PABELLON NIVEL 2 | $96.904 | $137.084 | $137.084 |
| 201003 | 3 | 1 | DERECHO PABELLON NIVEL 3 | $96.904 | $147.535 | $147.535 |
| 201004 | 4 | 9 | DERECHO PABELLON NIVEL 4 | $195.287 | $246.906 | $246.906 |
| 201005 | 5 | 6 | DERECHO PABELLON NIVEL 5 | $250.980 | $316.032 | $316.032 |
| 201006 | 6 | 4 | DERECHO PABELLON NIVEL 6 | $336.416 | $462.118 | $462.118 |
| 201007 | 7 | 2 | DERECHO PABELLON NIVEL 7 | $459.960 | $631.824 | $631.824 |
| 201008 | 8 | 0 | DERECHO PABELLON NIVEL 8 | $663.148 | $835.017 | $835.017 |
| 201009 | 9 | 8 | DERECHO PABELLON NIVEL 9 | $884.628 | $1.113.896 | $1.113.896 |
| 201010 | 10 | 6 | DERECHO PABELLON NIVEL 10 | $954.636 | $1.202.047 | $1.202.047 |
| 201011 | 11 | 4 | DERECHO PABELLON NIVEL 11 | $1.094.980 | $1.504.105 | $1.504.105 |
| 201012 | 12 | 2 | DERECHO PABELLON NIVEL 12 | $1.190.985 | $1.625.093 | $1.625.093 |
| 201013 | 13 | 0 | DERECHO PABELLON NIVEL 13 | $1.320.770 | $1.802.188 | $1.802.188 |
| 201014 | 14 | 8 | DERECHO PABELLON NIVEL 14 | $1.520.432 | $1.901.736 | $1.901.736 |
| 201015 | 1 | 5 | SALA DE PROCEDIMIENTOS NIVEL 1 | $85.166 | $110.397 | $110.397 |
| 201016 | 2 | 3 | SALA DE PROCEDIMIENTOS NIVEL 2 | $79.454 | $110.932 | $110.932 |
| 201017 | 3 | 1 | SALA DE PROCEDIMIENTOS NIVEL 3 | $92.114 | $129.339 | $129.339 |
| 201018 | 4 | 9 | SALA DE PROCEDIMIENTOS NIVEL 4 | $195.287 | $236.132 | $236.132 |
| 201020 | 0 | 5 | DERECHO PABELLON DENTAL | $60.727 | $76.952 | $76.952 |
| DIA CAMA | ||||||
| 201001 | 0 | 5 | DIA CAMA HOSPITALIZACION INTEGRAL CUIDADOS BASICOS (SALA 1 CA | $188.972 | $259.818 | $259.818 |
| 201002 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADOS BASICOS (SALA 2 | $152.941 | $192.455 | $192.455 |
| 201101 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADEOS MEDIOS (SALA 1 | $83.652 | $214.711 | $214.711 |
| 201102 | 0 | 1 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADOS MEDIOS (SALA 2 | $222.177 | $363.532 | $363.532 |
| 201201 | 0 | 1 | DIA CAMA HOSPITALIZACION INTEGRAL ADULTO EN UNIDAD DE CUIDADO | $506.044 | $880.673 | $880.673 |
| 201203 | 0 | 7 | DIA CAMA HOSPITALIZACION INTEGRAL NEONATAL EN UNIDAD DE CUIDA | $421.616 | $754.190 | $754.190 |
| 201301 | 0 | 9 | DIA CAMA HOSPITALIZACION INTEGRAL ADULTO EN UNIDAD DE TRATAMI | $272.192 | $587.143 | $587.143 |
| 201303 | 0 | 5 | DIA CAMA HOSPITALIZACION INTEGRAL NEONATAL EN UNIDAD DE TRATA | $200.956 | $448.509 | $448.509 |
| 201401 | 0 | 7 | DIA CAMA DE HOSPITALIZACION INTEGRAL OBSTETRICIA (SALA 1 CAMA | $66.924 | $229.503 | $229.503 |
| 201402 | 0 | 5 | DIA CAMA DE HOSPITALIZACION INTEGRAL OBSTETRICIA (SALA 2 O MA | $65.060 | $149.477 | $149.477 |
| 201403 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL SALA CUNA | $83.652 | $130.368 | $130.368 |
| 201404 | 0 | 1 | DIA CAMA DE HOSPITALIZACION INCUBADORA | $178.444 | $247.265 | $247.265 |
| 201405 | 0 | 8 | DIA CAMA DE HOSPITALIZACION INTEGRAL PSIQUIATRIA CUIDADOS BAS | $67.077 | $127.372 | $127.372 |
| 201407 | 0 | 4 | DIA CAMA DE HOSPITALIZACION INTEGRAL DE OBSERVACION - AMBULAT | $83.770 | $228.746 | $228.746 |
| 202110 | 0 | 3 | DIA CAMA DE HOSPITALIZACION PEDIATRIA (SALA 2 CAMAS | $59.730 | $133.261 | $133.261 |
| 202112 | 0 | 9 | DIA CAMA DE HOSPITALIZACION PEDIATRIA (SALA 1 CAMA | $62.850 | $227.791 | $227.791 |
| EXÁMENES DE LABORATORIO | ||||||
| 301001 | 0 | 4 | TEST DE HAM, ACIDIFICACION DEL SUE | $2.153 | $3.468 | $3.468 |
| 301002 | 0 | 2 | ACIDO FOLICO | $8.390 | $9.780 | $9.780 |
| 301003 | 0 | 0 | ADENOGRAMA, MIELOGRAMA, C/U | $5.578 | $14.526 | $13.340 |
| 301007 | 0 | 1 | ANTICOAGULANTES CIRCULANTES O ANTICOAGULANTE LUPICO | $12.538 | $14.370 | $14.370 |
| 301008 | 0 | 9 | ANTITROMBINA III | $9.004 | $11.184 | $11.184 |
| 301012 | 0 | 1 | COAGULO, TIEMPO DE RETRACCION DEL | $1.177 | $2.404 | $2.404 |
| 301014 | 0 | 7 | PRUEBA ANTIGLOBULINA DIRECTA, COOMBS DIRECTO/FRACCIONADA | $8.314 | $16.146 | $16.146 |
| 301015 | 0 | 4 | COOMBS INDIRECTO, TEST DE (PRUEBA | $9.650 | $11.385 | $11.385 |
| 301021 | 0 | 2 | FIBRINOGENO (FACTOR I) | $5.529 | $8.220 | $8.220 |
| 301024 | 0 | 6 | FACTOR V | $13.945 | $16.705 | $16.705 |
| 301026 | 0 | 1 | FERRITINA | $9.310 | $11.046 | $9.700 |
| 301027 | 0 | 9 | FIBRINOGENO, PRODUCTOS DE DEGRADACION DEL | $14.675 | $17.336 | $17.336 |
| 301028 | 0 | 7 | FIERRO SERICO | $3.630 | $4.388 | $4.388 |
| 301029 | 0 | 5 | FIERRO, CAPACIDAD DE FIJACION DEL (INCLUYE FIERRO SERICO) | $7.749 | $9.033 | $9.033 |
| 301034 | 0 | 5 | CLASIFICACION SANGUINEA ABO Y RHD | $12.012 | $13.768 | $13.768 |
| 301036 | 0 | 0 | HEMATOCRITO (PROC. AUT.) | $1.352 | $2.083 | $2.083 |
| 301038 | 0 | 6 | HEMOGLOBINA EN SANGRE TOTAL (PROC. AUT.) | $1.352 | $2.081 | $2.081 |
| 301041 | 0 | 0 | HEMOGLOBINA GLICADA A1C | $7.513 | $10.216 | $10.216 |
| 301045 | 0 | 1 | HEMOGRAMA (INCL. RECUENTO DE LEUCOCITOS Y ERITROCITOS, HEMOG | $4.890 | $6.565 | $4.980 |
| 301048 | 0 | 5 | HEMOSIDERINA MEDULAR | $7.083 | $8.122 | $8.122 |
| 301050 | 0 | 1 | ISOINMUNIZACION, DETECCION DE ANTICUERPOS IRR | $9.264 | $14.021 | $14.021 |
| 301051 | 0 | 9 | IDENTIFICACION DE ANTICUERPOS IRREGULARES ERITROCITARIOS | $5.398 | $22.714 | $8.100 |
| 301059 | 0 | 2 | TIEMPO DE PROTROMBINA (INCL. INR, RAZON INTERNAC. NORMALIZAD | $2.490 | $3.443 | $2.500 |
| 301063 | 0 | 4 | RECUENTOS DE EOSINOFILOS (ABSOLUTO) | $1.068 | $1.732 | $1.580 |
| 301064 | 0 | 2 | RECUENTO DE ERITROCITOS, ABSOLUTO (PROC. AUT.) | $553 | $1.333 | $1.220 |
| 301065 | 0 | 9 | RECUENTO DE LEUCOCITOS, ABSOLUTO (PROC. AUT.) | $1.352 | $1.999 | $1.999 |
| 301066 | 0 | 7 | RECUENTO DE LINFOCITOS (ABSOLUTO) | $1.157 | $2.230 | $2.050 |
| 301067 | 0 | 5 | RECUENTO DE PLAQUETAS (ABSOLUTO) | $2.378 | $2.731 | $2.731 |
| 301068 | 0 | 3 | RECUENTO DE RETICULOCITOS (ABSOLUTO O PORCENTUAL) | $3.110 | $3.763 | $3.763 |
| 301069 | 0 | 1 | RECUENTO DIFERENCIAL O FORMULA LEUCOCITARIA (PROC. AUT.) | $3.122 | $4.249 | $3.420 |
| 301070 | 0 | 9 | RESISTENCIA GLOBULAR OSMOTICA | $32.173 | $41.982 | $41.982 |
| 301072 | 0 | 5 | TIEMPO DE SANGRIA (NO INCLUYE DISPOSITIVO ASOCIADO) | $8.687 | $9.960 | $9.960 |
| 301075 | 0 | 8 | SUBGRUPO AB0 Y RH FENOTIPO - GENOTIPO RH, C/U | $14.220 | $16.772 | $16.772 |
| 301082 | 0 | 4 | TRANSFERRINA | $5.050 | $9.668 | $8.860 |
| 301085 | 0 | 7 | TROMBOPLASTINA, TIEMPO PARCIAL DE (TTPA, TTPK O SIMILARES) | $3.841 | $5.282 | $3.860 |
| 301086 | 0 | 5 | VELOCIDAD DE ERITROSEDIMENTACION (PROC.AUT.) | $2.736 | $3.457 | $3.457 |
| 301087 | 0 | 3 | VITAMINA B12 | $12.284 | $14.143 | $14.143 |
| 301091 | 0 | 5 | PROTEINA C FUNCIONAL | $38.652 | $54.790 | $50.290 |
| 301092 | 0 | 3 | PROTEINA S | $30.562 | $64.808 | $59.470 |
| 301093 | 0 | 1 | RESISTENCIA A LA PROTEINA C ACTIVADA | $19.916 | $40.825 | $37.460 |
| 301094 | 0 | 9 | FACTOR "VII" | $9.859 | $17.317 | $77.250 |
| 301095 | 0 | 6 | DOSIFICACION DE FACTOR "X" | $12.469 | $18.107 | $19.310 |
| 301096 | 0 | 4 | ANTICUERPOS ANTICARDIOLIPINAS IGG-IGM C/U | $17.845 | $23.722 | $43.940 |
| 301097 | 0 | 2 | DIMERO D | $12.647 | $21.055 | $91.510 |
| 301098 | 0 | 0 | MIELOGRAMA | $7.044 | $14.526 | $117.980 |
| 301100 | 0 | 4 | FACTOR VIII (ANTI HEMOFILICO) | $3.172 | $17.317 | $44.450 |
| 301101 | 0 | 2 | FACTOR IX (ANTI HEMOFILICO B) | $10.014 | $17.317 | $17.317 |
| 301900 | 0 | 7 | DERIVADOS DE HEMOGLOBINA | $3.898 | $23.671 | $23.671 |
| 301901 | 0 | 5 | DOSIFICACION FACTOR XI | $12.610 | $17.317 | $17.317 |
| 301902 | 0 | 3 | DOSIFICACION FACTOR XII | $16.045 | $18.390 | $18.390 |
| 301904 | 0 | 9 | PANEL UPC EXAMENES URGENCIA | $8.285 | $31.657 | $31.657 |
| 301945 | 0 | 2 | RECUENTOS HEMATOLOGICOS | $2.742 | $6.477 | $6.477 |
| 302001 | 0 | 3 | CUERPOS CETONICOS EN SANGRE | $1.412 | $1.706 | $1.500 |
| 302004 | 0 | 7 | LACTATO EN SANGRE | $6.645 | $8.663 | $8.663 |
| 302005 | 0 | 4 | ACIDO URICO, EN SANGRE | $2.439 | $3.364 | $2.450 |
| 302006 | 0 | 2 | ALCOHOL EN SANGRE | $6.422 | $28.444 | $28.444 |
| 302008 | 0 | 8 | AMILASA, EN SANGRE | $4.106 | $4.931 | $4.931 |
| 302010 | 0 | 4 | AMONIO | $4.430 | $5.554 | $5.554 |
| 302011 | 0 | 2 | BICARBONATO (PROC. AUT.) | $4.206 | $5.308 | $5.308 |
| 302012 | 0 | 0 | BILIRRUBINA TOTAL (PROC. AUT.) | $2.399 | $2.853 | $2.500 |
| 302013 | 0 | 8 | BILIRRUBINA TOTAL Y CONJUGADA | $2.317 | $3.223 | $2.350 |
| 302015 | 0 | 3 | CALCIO EN SANGRE | $2.258 | $2.942 | $2.942 |
| 302017 | 0 | 9 | CAROTENO | $2.041 | $3.887 | $3.570 |
| 302018 | 0 | 7 | CAROTENO PRUEBA DE SOBRECARGA DE, ADEMAS COD 307011 O 307012 | $4.585 | $8.434 | $7.730 |
| 302023 | 0 | 7 | CREATININA EN SANGRE | $2.029 | $2.700 | $2.160 |
| 302024 | 0 | 5 | CLEARENCE DE CREATININA (PROC. AUT.) | $5.080 | $6.078 | $6.078 |
| 302025 | 0 | 2 | CREATINQUINASA CK - MB ACTIVIDAD | $8.210 | $9.909 | $8.560 |
| 302026 | 0 | 0 | CREATINQUINASA CK - TOTAL | $5.890 | $7.008 | $6.130 |
| 302027 | 0 | 8 | TROPONINA | $24.992 | $34.883 | $34.883 |
| 302030 | 0 | 2 | DESHIDROGENASA LACTICA TOTAL (LDH) | $3.700 | $5.071 | $3.860 |
| 302032 | 0 | 8 | ELECTROLITOS PLASMATICOS (SODIO, POTASIO, CLORO) C/U | $2.085 | $2.861 | $2.861 |
| 302034 | 0 | 4 | PERFIL LIPIDICO (INCL. MEDICIONES DE COLESTEROL TOTAL, HDL | $10.379 | $14.059 | $14.059 |
| 302035 | 0 | 1 | FARMACOS Y/O DROGAS; NIVELES PLASMATICOS DE (ALCOHOL, ANOREX | $5.202 | $28.444 | $10.080 |
| 302037 | 0 | 7 | FOSF.ACIDOS | $4.527 | $9.473 | $9.473 |
| 302038 | 0 | 5 | FOSFATASAS ACIDAS TOTALES Y FRACCION PROSTATI | $3.394 | $7.813 | $7.813 |
| 302040 | 0 | 1 | FOSFATASAS ALCALINAS TOTALES | $2.085 | $2.898 | $2.898 |
| 302042 | 0 | 7 | FOSFORO (FOSFATOS) EN SANGRE | $2.850 | $3.908 | $2.960 |
| 302045 | 0 | 0 | GAMMA GLUTAMILTRANSPEPTIDASA (GGT) | $3.659 | $5.076 | $5.076 |
| 302046 | 0 | 8 | GASES Y EQUILIBRIO ACIDO BASE EN SANGRE (INCL. PH, O2, CO2, | $6.517 | $8.330 | $8.330 |
| 302047 | 0 | 6 | GLUCOSA EN SANGRE | $1.988 | $2.767 | $2.020 |
| 302048 | 0 | 4 | GLUCOSA, PRUEBA DE TOLERANCIA A LA GLUCOSA ORAL (PTGO) | $10.161 | $13.115 | $13.115 |
| 302053 | 0 | 4 | LIPASA EN SANGRE | $4.100 | $5.300 | $4.270 |
| 302054 | 0 | 2 | ELECTROFORESIS DE LIPOPROTEINAS | $8.004 | $13.889 | $13.889 |
| 302055 | 0 | 9 | LITIO EN SANGRE | $2.580 | $5.120 | $4.700 |
| 302056 | 0 | 7 | MAGNESIO EN SANGRE | $4.930 | $6.791 | $5.140 |
| 302057 | 0 | 5 | NITROGENO UREICO Y/O UREA, EN SANGRE | $1.354 | $2.657 | $2.130 |
| 302059 | 0 | 1 | PROTEINAS FRACCIONADAS ALBUMINA/GL | $1.685 | $2.751 | $2.751 |
| 302060 | 0 | 9 | PROTEINAS TOTALES EN SANGRE | $2.464 | $2.839 | $2.839 |
| 302061 | 0 | 7 | PROTEINAS, ELECTROFORESIS (INCL. COD. 302060) | $11.347 | $18.705 | $18.705 |
| 302063 | 0 | 3 | TRANSAMINASAS, OXALACETICA (GOT/AST), PIRUVICA (GPT/ALT) C/U | $1.644 | $3.252 | $2.990 |
| 302064 | 0 | 1 | TRIGLICERIDOS EN SANGRE (PROC.AUT.) | $3.014 | $3.930 | $3.930 |
| 302067 | 0 | 4 | COLESTEROL TOTAL (PROC.AUT.) | $1.782 | $2.729 | $2.190 |
| 302068 | 0 | 2 | COLESTEROL HDL (PROC. AUT.) | $3.424 | $4.532 | $4.532 |
| 302075 | 0 | 7 | PERFIL BIOQUIMICO (DETERMINACION AUTOMATIZADA DE 12 PARAMETRO | $13.979 | $22.207 | $14.080 |
| 302078 | 0 | 1 | 25 OH VITAMINA D TOTAL POR INMUNOENSAYO | $26.978 | $33.556 | $27.170 |
| 302080 | 0 | 7 | VITAMINA B6 POR HPLC | $1.309 | $90.971 | $83.470 |
| 302087 | 0 | 2 | DROGA CIRCULANTE ACIDO VALPROICO | $12.397 | $30.180 | $30.180 |
| 302088 | 0 | 0 | DROGA CIRCULANTE FENOBARBITAL | $15.622 | $30.180 | $30.180 |
| 302089 | 0 | 8 | DROGA CIRCULANTE FENITOINA | $9.170 | $15.116 | $15.116 |
| 302090 | 0 | 6 | TROPONINA I | $7.511 | $19.970 | $19.970 |
| 302092 | 0 | 2 | DROGA CIRCULANTE CICLOSPORINA | $28.024 | $33.384 | $33.384 |
| 302093 | 0 | 0 | DROGA CIRCULANTE DIGOXINA | $17.083 | $30.180 | $30.180 |
| 302094 | 0 | 8 | ALBUMINA EN SANGRE | $1.402 | $2.567 | $2.567 |
| 302096 | 0 | 3 | TRANSAMINASA PIRUVICA | $1.411 | $3.252 | $3.252 |
| 302097 | 0 | 1 | NITROGENO UREICO Y/O UREA, EN SANGRE | $1.387 | $2.329 | $22.680 |
| 302100 | 0 | 3 | TRANSAMINASA OXALOACETICA | $2.270 | $3.709 | $2.370 |
| 302107 | 0 | 8 | POTASEMIA | $1.685 | $2.268 | $2.268 |
| 302108 | 0 | 6 | GLICEMIA POST-PRANDIAL | $1.364 | $2.192 | $2.192 |
| 302113 | 0 | 6 | DROGA CIRCULANTE CARBAMAZEPINA | $12.024 | $30.180 | $30.180 |
| 302357 | 0 | 9 | PERFIL BIOQUIMICO | $13.979 | $22.207 | $22.207 |
| 302507 | 0 | 9 | PREALBUMINA | $4.730 | $33.388 | $33.388 |
| 302509 | 0 | 5 | PEPTIDO NATRIURETICO (PNP) | $24.411 | $30.634 | $30.634 |
| 302934 | 0 | 5 | SODIO (PLASMATICO) | $1.078 | $2.268 | $2.268 |
| 302937 | 0 | 8 | CALCIO IONICO | $3.376 | $4.386 | $4.386 |
| 302960 | 0 | 0 | PROTEINA CUALITATIVA EN ORINA | $3.391 | $7.118 | $7.118 |
| 302965 | 0 | 9 | TEST HIPOGLICEMIA REACTIVA | $18.942 | $33.001 | $33.001 |
| 302986 | 0 | 5 | NIVEL PLASM DE AMIKACINA | $31.550 | $37.280 | $37.280 |
| 303001 | 0 | 2 | ADENOCORTICOTROFINA (ACTH) | $11.683 | $15.087 | $13.840 |
| 303006 | 0 | 1 | CORTISOL | $9.379 | $12.372 | $12.372 |
| 303008 | 0 | 7 | DEHIDROEPIANDROSTERONA SULFATO (DHEA-S) | $10.181 | $16.165 | $11.250 |
| 303014 | 0 | 5 | GONADOTROFINA CORIONICA, SUB UNIDAD BETA (CUANTIFICACION) | $9.109 | $11.916 | $11.916 |
| 303015 | 0 | 2 | HORMONA FOLICULO ESTIMULANTE (FSH) | $9.109 | $11.711 | $11.711 |
| 303016 | 0 | 0 | HORMONA LUTEINIZANTE (LH) | $9.109 | $11.741 | $11.741 |
| 303017 | 0 | 8 | INSULINA | $8.501 | $11.560 | $11.560 |
| 303018 | 0 | 6 | PARATHORMONA, HORMONA PARATIROIDEA O PTH | $6.333 | $16.825 | $13.520 |
| 303019 | 0 | 4 | PROGESTERONA | $9.109 | $11.754 | $11.754 |
| 303020 | 0 | 2 | PROLACTINA (PRL) | $9.109 | $11.711 | $11.711 |
| 303022 | 0 | 8 | TESTOSTERONA EN SANGRE | $9.379 | $12.163 | $12.163 |
| 303023 | 0 | 6 | TESTOSTERONA LIBRE EN SANGRE | $11.175 | $17.742 | $17.742 |
| 303024 | 0 | 4 | TIROESTIMULANTE (TSH),HORMONA (ADULTO, NINO O R.N.) | $7.315 | $10.216 | $10.216 |
| 303026 | 0 | 9 | TIROXINA LIBRE (T4L) | $8.659 | $11.754 | $11.754 |
| 303027 | 0 | 7 | TIROXINA O TETRAYODOTIRONINA (T4) | $7.904 | $10.216 | $10.216 |
| 303028 | 0 | 5 | TRIYODOTIRONINA (T3) | $7.904 | $10.438 | $10.438 |
| 303029 | 0 | 3 | 17 HIDROXIPROGESTERONA | $9.088 | $12.433 | $11.410 |
| 303030 | 0 | 1 | ESTRADIOL (17 BETA) | $8.943 | $11.470 | $11.470 |
| 303031 | 0 | 9 | INSULINA, CURVA DE (MINIMO DOS DETERMINACIONES E INCLUYE TOD | $21.360 | $27.668 | $22.260 |
| 303035 | 0 | 0 | CORTISOL LIBRE URINARIO | $2.602 | $9.941 | $9.140 |
| 303039 | 0 | 2 | GONADOTROFINA CORIONICA, SUB UNIDAD BETA; TITULACION POR (EL | $7.156 | $9.431 | $8.660 |
| 303046 | 0 | 7 | SHBG (SEX HORMONE BINDING GLOBULIN) | $21.451 | $28.123 | $28.123 |
| 303047 | 0 | 5 | IGF1 O SOMATOMEDINA C (INSULINE LIKE GROWTH FACTOR) | $17.512 | $23.995 | $22.020 |
| 303502 | 0 | 9 | PROCALCITONINA | $18.248 | $47.877 | $47.877 |
| 303919 | 0 | 5 | PROCALCITONINA | $39.905 | $71.312 | $71.312 |
| 304001 | 0 | 1 | CARIOTIPO EN SANGRE POR CULTIVO DE LINFOSITOS (INCL. MINIMO | $176.008 | $243.645 | $243.645 |
| 304803 | 0 | 0 | EST.CITOGENETICO DE PLACENTA | $203.676 | $363.968 | $363.968 |
| 305001 | 0 | 0 | ALFA 1 ANTITRIPSINA CUANTITATIVA | $13.042 | $17.227 | $17.227 |
| 305003 | 0 | 6 | ALFA FETOPROTEINAS | $9.109 | $11.754 | $11.754 |
| 305004 | 0 | 4 | ANTICUERPO ANTI ENA (SCREENING Y P | $9.283 | $21.600 | $17.380 |
| 305005 | 0 | 1 | ANTICUERPOS ANTICELULA PARIETAL GA | $12.743 | $16.805 | $16.805 |
| 305006 | 0 | 9 | ANTICUERPOS ATIPICOS PANNEL DE IDE | $21.783 | $25.126 | $25.126 |
| 305007 | 0 | 7 | ANTICUERPOS ESPECIFICOS Y OTROS ANTICUERPOS (ANTITIROIDEOS | $10.545 | $13.709 | $13.709 |
| 305008 | 0 | 5 | ANTIESTREPTOLISINA O, POR TECNICA DE LATEX | $4.513 | $8.235 | $7.550 |
| 305009 | 0 | 3 | ANTIGENO CARCINOEMBRIONARIO (CEA) | $11.907 | $15.689 | $15.689 |
| 305010 | 0 | 1 | BETA-2 MICROGLOBULINA | $12.779 | $17.113 | $12.980 |
| 305012 | 0 | 7 | COMPLEMENTO C1Q, C2, C3, C4, ETC., C/U | $8.159 | $10.584 | $10.584 |
| 305014 | 0 | 3 | CRIOGLOBULINAS, PRECIPITACION EN FRIO (CUALIT.) O CUANT. C/U | $1.380 | $2.254 | $2.060 |
| 305019 | 0 | 2 | FACTOR REUMATOIDEO POR TECNICA DE LATEX U OTRAS SIMILARES | $2.451 | $9.238 | $4.320 |
| 305020 | 0 | 0 | FACTOR REUMATOIDEO POR TECNICA SCAT, WAALER R | $10.767 | $14.634 | $14.634 |
| 305025 | 0 | 9 | INMUNOFIJACION DE INMUNOGLOBULINAS, C/U | $100.870 | $117.164 | $117.164 |
| 305027 | 0 | 5 | INMUNOGLOBULINAS IGA, IGG, IGM, C/U | $8.159 | $10.956 | $8.300 |
| 305029 | 0 | 1 | INMUNOGLOBULINAS IGE, IGG ESPECIFICA, C/U | $2.402 | $10.602 | $8.510 |
| 305030 | 0 | 9 | PROTEINA C REACTIVA POR TECNICA DE LATEX U OTRAS SIMILARES | $10.230 | $15.771 | $15.771 |
| 305031 | 0 | 7 | PROTEINA C REACTIVA POR TECNICAS AUTOMATIZADAS | $10.099 | $13.705 | $13.705 |
| 305035 | 0 | 8 | DETECCION, IDENTIFICACION Y TITULACION DE CRIOAGLUTININAS | $2.256 | $4.659 | $4.290 |
| 305048 | 0 | 1 | REACCION CUTANEA 16 ALERGENOS POR | $7.831 | $12.858 | $12.858 |
| 305049 | 0 | 9 | TRANSFORMACION LINFOBLASTICA A DROGAS, ANALISIS DE | $85.176 | $112.490 | $112.490 |
| 305070 | 0 | 5 | ANTIGENO PROSTATICO ESPECIFICO | $8.316 | $18.262 | $14.690 |
| 305080 | 0 | 4 | ANTICUERPOS ANTINUCLEARES | $6.987 | $15.192 | $32.580 |
| 305082 | 0 | 0 | ANTICUERPOS ANTIMITOCONDRIALES EN | $13.687 | $17.459 | $26.180 |
| 305084 | 0 | 6 | ANTICUERPOS ANTI MUSCULO LISO,ANTI | $13.311 | $17.459 | $20.800 |
| 305085 | 0 | 3 | ANTICUERPO ANTICITOPLASMA DE NEUTR | $16.962 | $32.543 | $37.170 |
| 305090 | 0 | 3 | COMPLEMENTO C4 CUANTITATIVO | $4.860 | $47.464 | $47.464 |
| 305517 | 0 | 5 | ANTICUERPOS ANTI PROTEINASA 3 (PR3) | $13.930 | $15.801 | $15.801 |
| 305518 | 0 | 3 | ANTICUERPOS ANTI MIELOPEROXIDASA (MPO) | $12.864 | $14.540 | $14.540 |
| 305519 | 0 | 1 | ANTICUERPOS ANTI PEPTIDO CITRULINADO (ANTI CCP) | $19.317 | $41.915 | $41.915 |
| 305520 | 0 | 9 | ANTICUERPOS ANTITRANSGLUTAMINASA TTG | $8.036 | $21.329 | $21.329 |
| 305925 | 0 | 0 | INMUNOFIJACION DE INMUNOGLOBULINAS EN ORINA C/U | $105.429 | $124.422 | $124.422 |
| 305949 | 0 | 0 | TEST CUTANEO DE ALIMENTOS | $4.856 | $8.206 | $8.206 |
| 305970 | 0 | 6 | ANTIGENO CA 125 | $11.549 | $16.582 | $16.582 |
| 305971 | 0 | 4 | ANTIGENO PROSTATICO TOTAL | $6.900 | $16.009 | $16.009 |
| 305972 | 0 | 2 | ANTIGENO CA 19-9 | $11.549 | $16.582 | $16.582 |
| 305973 | 0 | 0 | ANTIGENO CA 15-3 | $5.468 | $16.582 | $16.582 |
| 305981 | 0 | 3 | ANTICUERPO ANTIENDOMISIO (EMA) | $13.006 | $30.150 | $30.150 |
| 305983 | 0 | 9 | ANTICUERPOS ANTI N -DNA | $7.715 | $13.318 | $13.318 |
| 305999 | 0 | 5 | IGE ESPECIFICA 36 ALERGENOS | $124.063 | $221.700 | $221.700 |
| 306001 | 0 | 9 | BACILOSCOPIA POR METODO DE CONCENTRACION | $3.045 | $4.621 | $4.260 |
| 306002 | 0 | 7 | BACILOSCOPIA ZIEHL-NEELSEN, C/U | $8.178 | $10.092 | $10.092 |
| 306003 | 0 | 5 | CLAMIDIAS POR INMUNOFLUORESCENCIA, PEROXIDASA, ELISA O SIM. | $30.902 | $37.254 | $37.254 |
| 306004 | 0 | 3 | EXAMEN DIRECTO AL FRESCO,C/S TINCION (INCL.TRICHOMONAS) | $13.637 | $15.946 | $15.946 |
| 306005 | 0 | 0 | TINCION DE GRAM | $3.723 | $4.272 | $4.272 |
| 306007 | 0 | 6 | COPROCULTIVO, C/U (INC. SALMONELLA, SHI) | $7.995 | $10.636 | $10.636 |
| 306008 | 0 | 4 | CULTIVO CORRIENTE (EXCEPTO COPRO., HEMO. Y UROCULTIVO) C/U | $19.546 | $22.953 | $22.953 |
| 306009 | 0 | 2 | HEMOCULTIVO AUT- AEROBIO INCLUYE ANTIBIOGRAMA POR CIM (NO IN | $22.939 | $31.058 | $31.058 |
| 306010 | 0 | 0 | HEMOCULTIVO AUT- ANAEROBIO, INCLUYE ANTIBIOGRAMA POR CIM (NO | $22.407 | $31.058 | $31.058 |
| 306011 | 0 | 8 | UROCULTIVO, RECUENTO DE COLONIAS Y ANTIBIOGRAMA (CUALQUIER T | $11.290 | $14.783 | $14.783 |
| 306012 | 0 | 6 | CULTIVO PARA ANAEROBIOS (INCLUYE COD. 306008) | $8.370 | $17.764 | $14.290 |
| 306013 | 0 | 4 | CULTIVO BORDETELLA PERTUSSI | $3.458 | $12.334 | $11.330 |
| 306014 | 0 | 2 | CULTIVO PARA CAMPYLOBACTER, YERSINIA, VIBRIO, C/U | $18.648 | $21.373 | $21.373 |
| 306017 | 0 | 5 | CULTIVO PARA HONGOS (LEVADURAS Y FILAMENTOSOS) | $17.033 | $19.851 | $19.851 |
| 306018 | 0 | 3 | CULTIVO PARA MICOBACTERIAS (INCLUYE BACILO DE KOCH) | $10.934 | $13.532 | $13.532 |
| 306023 | 0 | 3 | CULTIVO MYCOPLASMA Y UREAPLASMA, C/U | $16.892 | $20.130 | $20.130 |
| 306031 | 0 | 6 | PREPARACION VACUNAS | $7.120 | $13.112 | $13.112 |
| 306036 | 0 | 5 | MONONUCLEOSIS, REACCION DE PAUL BUNNELL, ANTICUERPOS HETEROF | $11.603 | $14.621 | $14.621 |
| 306037 | 0 | 3 | MYCOPLASMA IGG, IGM, C/U | $10.951 | $12.686 | $12.686 |
| 306038 | 0 | 1 | R.P.R. | $16.610 | $19.893 | $19.893 |
| 306041 | 0 | 5 | TREPONEMA PALLIDUM FTA-ABS, MHA-TP C/U (SIFILIS) | $9.010 | $11.785 | $11.785 |
| 306042 | 0 | 3 | V.D.R.L. | $5.247 | $6.870 | $6.870 |
| 306043 | 0 | 1 | ARTRÓPODOS MACRO Y MICROSCÓPICOS (IMAGOS Y/O PUPAS Y/O LARVA | $5.132 | $6.791 | $5.140 |
| 306048 | 0 | 0 | COPROPARASITARIO SERIADO SIMPLE (INCLUYE DIAGNOSTICO DE GUSA | $6.457 | $8.618 | $8.618 |
| 306051 | 0 | 4 | GRAHAM, EXAMEN DE (INCLUYE DIAGNOSTICO DE GUSANOS MACROSCOPI | $3.592 | $4.740 | $4.740 |
| 306061 | 0 | 3 | PARASITOS IGG-IGM (CHAGAS, HIDATIDOSIS Y OTROS) C/U | $17.839 | $21.060 | $21.060 |
| 306064 | 0 | 7 | HEMAGLUTINACION IND. HTLV (TOXOPLASMIA CHAGAS HIDATIDOSIS) | $19.230 | $22.593 | $22.593 |
| 306067 | 0 | 0 | REACCION INTRADERMICA (TEST DE SEN | $3.157 | $7.304 | $7.304 |
| 306069 | 0 | 6 | ANTICUERPOS VIRALES, DETERM.DE (SARS COV2)(ADENOV., CITOMEG. | $22.915 | $31.146 | $31.146 |
| 306070 | 0 | 4 | ROTAVIRUS EN DEPOSICIÓN, TEST RÁPIDO | $9.211 | $11.039 | $11.039 |
| 306074 | 0 | 6 | VIRUS HEPATITIS A, ANTICUERPOS IGG, IGM O TOTALES C/U | $18.735 | $24.493 | $24.493 |
| 306076 | 0 | 1 | VIRUS HEPATITIS B, ANTICORE TOTAL DEL (ANTI HBC TOTAL) | $6.782 | $13.480 | $12.370 |
| 306079 | 0 | 5 | VIRUS HEPATITIS B, ANTIGENO DE SUPERFICIE (HBSAG) | $20.138 | $23.081 | $23.081 |
| 306081 | 0 | 1 | VIRUS HEPATITIS C, ANTICUERPOS DE (ANTI HCV) | $29.058 | $33.301 | $33.301 |
| 306082 | 0 | 9 | REACCION DE POLIMERASA EN CADENA (PCR) SARS COV2, INCL. TOMA | $27.484 | $27.562 | $27.562 |
| 306083 | 0 | 7 | PARASITOS IGG-IGM (CHAGAS, HIDATIDOSIS Y OTROS) ELISA C/U | $3.223 | $9.868 | $74.900 |
| 306085 | 0 | 2 | HEPATITIS C, CARGA VIRAL | $3.129 | $138.485 | $127.070 |
| 306089 | 0 | 4 | TOXINA CLOSTRIDIUM DIFFICILE EN DEPOSICIONES TEST RÁPIDO | $42.807 | $48.814 | $48.814 |
| 306090 | 0 | 2 | TEST RAPIDO DE DETECCION DE STREPTOCOCCUS GRUPO A (PYOGENES) | $9.648 | $12.948 | $9.810 |
| 306092 | 0 | 8 | VIRUS SINCICIAL RESPIRATORIO TEST RÁPIDO | $19.456 | $23.054 | $23.054 |
| 306093 | 0 | 6 | ADENOVIRUS RESPIRATORIO, TEST RÁPIDO | $20.480 | $59.886 | $30.050 |
| 306094 | 0 | 4 | PARAINFLUENZA 1, 2 Y 3 INMUNOFLUORESCENCIA | $38.386 | $59.886 | $43.180 |
| 306095 | 0 | 1 | INFLUENZA A Y B TEST RÁPIDO | $63.020 | $73.494 | $65.660 |
| 306097 | 0 | 7 | BORDETELLA PERTUSSIS, PCR | $5.689 | $12.334 | $42.710 |
| 306100 | 0 | 9 | CULTIVO ACELERADO PARA MYCOBACTERIAS | $21.477 | $28.529 | $26.180 |
| 306101 | 0 | 7 | CULTIVO LIQUIDOS ESTERILES AUTOMATIZADO | $16.392 | $23.720 | $21.770 |
| 306114 | 0 | 0 | V.D.R.L. EN LIQUIDO CEFALORAQUIDEO | $6.158 | $7.059 | $7.059 |
| 306115 | 0 | 7 | EXAMEN DIRECTO AL FRESCO,C/S TINCION (INCL.TRICHOMONAS) | $13.363 | $15.946 | $15.946 |
| 306119 | 0 | 9 | INTERFERON GAMMA TBC | $65.247 | $80.567 | $102.400 |
| 306271 | 0 | 8 | TEST RAPIDO DETECCION DE ANTIGENOS SARS-COV2 (INCL. TOMA MUE | $8.883 | $10.403 | $9.540 |
| 306567 | 0 | 9 | VIRUS EPSTEIN BARR IG M | $8.841 | $10.988 | $10.988 |
| 306568 | 0 | 7 | VIRUS EPSTEIN BARR IG G | $8.832 | $10.988 | $10.988 |
| 306570 | 0 | 3 | DETERMINACION DE ANTIGENO DE LEGIONELLA EN ORINA | $20.682 | $53.631 | $53.631 |
| 306572 | 0 | 9 | DETERMINACION DE ANTIGENO DE NEUMOCOCO EN ORINA | $16.072 | $40.222 | $40.222 |
| 306969 | 0 | 7 | CITOMEGALOVIRUS, ANTICUERPOS IG G | $3.917 | $10.988 | $10.988 |
| 306970 | 0 | 5 | CITOMEGALOVIRUS, ANTICUERPOS IG M | $3.917 | $10.988 | $10.988 |
| 306971 | 0 | 3 | TEST RAPIDO DE HIV | $9.440 | $13.943 | $13.943 |
| 306972 | 0 | 1 | TEST RAPIDO DE HEPATITIS "B" | $12.727 | $16.023 | $16.023 |
| 306973 | 0 | 9 | TEST RAPIDO DE HEPATITIS "C" | $12.499 | $15.737 | $15.737 |
| 306975 | 0 | 4 | ADENOVIRUS EN DEPOSICION, TEST RÁPIDO | $3.657 | $9.805 | $9.805 |
| 306982 | 0 | 0 | VIRUS HEPATITIS B, ANTICUERPO ANTI ANTIGENO DE SUPERF (AUSAB | $24.270 | $27.790 | $27.790 |
| 306983 | 0 | 8 | PRUEBA RAP DETECCION AG HELICOBACTTER PILORY DEPOSICION | $13.116 | $14.732 | $14.732 |
| 306984 | 0 | 6 | ANTICUERPO IGG COVID-19 | $20.106 | $31.146 | $31.146 |
| 306985 | 0 | 3 | TEST RAPIDO ANTIGENOS COVID 19/SERVICIO ACTIVO | $8.800 | $11.025 | $11.025 |
| 306987 | 0 | 9 | ESTUDIO DE SUSCEPTIBILIDAD AUT POR CIM HONGOS Y LEVADURA | $11.422 | $21.963 | $21.963 |
| 306988 | 0 | 7 | ESTUDIO DE CARBAPENEMASAS | $39.708 | $69.447 | $69.447 |
| 306989 | 0 | 5 | PCR MYCOBACTERIUM TUBERCULOSIS | $54.247 | $89.416 | $89.416 |
| 306990 | 0 | 3 | PCR PANEL ITS | $72.116 | $118.872 | $118.872 |
| 306991 | 0 | 1 | TEST R?PIDO DE MENINGITIS | $4.645 | $12.763 | $12.763 |
| 306992 | 0 | 9 | PCR PANEL VIRAL RESPIRATORIO | $60.104 | $99.073 | $99.073 |
| 306993 | 0 | 7 | PCR CLOSTRIDIUM DIFFICILE | $48.192 | $79.437 | $79.437 |
| 306994 | 0 | 5 | PCR CITOMEGALOVIRUS (CMV)CARGA VIRAL | $77.900 | $130.100 | $130.100 |
| 306995 | 0 | 2 | PCR PANEL VIRAL EN LCR | $69.573 | $114.683 | $114.683 |
| 306996 | 0 | 0 | TEST RAPIDO PARA IDENTIFICACION DE MYCOBACTERIAS | $16.514 | $31.750 | $31.750 |
| 306997 | 0 | 8 | PCR BORDETELLA PETUSSIS | $43.468 | $79.442 | $79.442 |
| 306998 | 0 | 6 | PCR HPV(GENOTIPOS DE ALTO RIESGO) | $69.740 | $120.131 | $120.131 |
| 307009 | 0 | 1 | TOMA DE MUESTRA ARTERIAL EN ADULTO | $2.027 | $2.580 | $2.580 |
| 307010 | 0 | 9 | TOMA DE MUESTRA ARTERIAL EN NINOS Y LACTANTES | $2.926 | $3.818 | $3.818 |
| 307011 | 0 | 7 | TOMA DE MUESTRA VENOSA EN ADULTOS | $1.432 | $1.934 | $1.934 |
| 307012 | 0 | 5 | TOMA DE MUESTRA VENOSA EN NINOS Y LACTANTES | $1.334 | $1.735 | $1.735 |
| 307013 | 0 | 3 | TOMA DE MUESTRA CON TECNICA ASEPTICA PARA HEMOCULTIVO AUTOMA | $2.258 | $2.972 | $2.260 |
| 307015 | 0 | 8 | TOMA DE MUESTRA ORINA ASEPTICA | $1.452 | $2.465 | $2.465 |
| 307017 | 0 | 4 | PUNCION VESICAL EN RECIEN NACIDOS | $2.065 | $4.610 | $4.240 |
| 307018 | 0 | 2 | PUNCION MEDULAR OSEA | $11.266 | $24.755 | $22.720 |
| 308001 | 0 | 7 | AZUCARES REDUCTORES (BENEDICT FEHLING) EN DEPOSIC. CUALIT. | $2.665 | $3.647 | $3.647 |
| 308003 | 0 | 3 | GRASAS NEUTRAS (SUDAN III) | $2.610 | $3.574 | $3.574 |
| 308004 | 0 | 1 | HEMORRAGIAS OCULTAS, (BENCIDINA, GUAYACO O TEST W) C/MUESTRA | $2.971 | $3.736 | $3.736 |
| 308005 | 0 | 8 | LEUCOCITOS FECALES | $1.962 | $2.506 | $2.506 |
| 308006 | 0 | 6 | PH EN DEPOSICION | $1.570 | $2.060 | $2.060 |
| 308010 | 0 | 8 | CITOLOGICO C/S TINCION (INCL. EXAMEN AL FRESCO, RECUENTO CEL | $5.453 | $7.093 | $7.093 |
| 308013 | 0 | 2 | EOSINOFILOS EN SECRECIONES | $2.047 | $2.460 | $2.460 |
| 308014 | 0 | 0 | FISICO-QUIMICO (INCL. ASPECTO, COLOR, PH, GLUCOSA, PROTEINA, | $4.617 | $5.992 | $5.992 |
| 308023 | 0 | 1 | ESTUDIO DE CRISTALES (CON LUZ POLARIZADA) | $2.589 | $3.523 | $2.830 |
| 308029 | 0 | 8 | ESPERMIOGRAMA (FISICO Y MICROSCOPICO | $8.436 | $10.916 | $10.916 |
| 308047 | 0 | 0 | L.C.R. CITOLOGICO Y QUIMICO | $4.728 | $5.471 | $16.550 |
| 308049 | 0 | 6 | CALPROTECTINA CAUNT POR ELISA | $20.559 | $56.440 | $46.190 |
| 308050 | 0 | 4 | SEPARACION ESPERMATICA | $156.645 | $190.885 | $190.885 |
| 308090 | 0 | 0 | HEMORRAGIAS OCULTAS, C/MUESTRA | $1.399 | $2.068 | $2.068 |
| 309003 | 0 | 2 | FENILALANINA | $2.270 | $4.548 | $4.548 |
| 309004 | 0 | 0 | ACIDO URICO EN ORINA (CUANTITATIVO) | $3.630 | $4.709 | $4.709 |
| 309006 | 0 | 5 | AMILASA CUANTITATIVA EN ORINA | $1.948 | $5.429 | $4.370 |
| 309008 | 0 | 1 | CALCIO CUANTITATIVO EN ORINA | $3.336 | $4.346 | $4.346 |
| 309009 | 0 | 9 | CALCULO URINARIO (EXAMEN FISICO Y QUIMICO) | $3.976 | $8.535 | $7.840 |
| 309010 | 0 | 7 | CREATININA CUANTITATIVA EN ORINA | $2.514 | $3.305 | $3.305 |
| 309011 | 0 | 5 | CUERPOS CETONICOS | $1.785 | $2.816 | $2.816 |
| 309012 | 0 | 3 | ELECTROLITOS (SODIO, POTASIO, CLORO) C/U, EN ORINA | $2.578 | $3.380 | $3.380 |
| 309013 | 0 | 1 | MICROALBUMINURIA CUANTITATIVA | $4.901 | $6.404 | $6.404 |
| 309015 | 0 | 6 | FOSFORO CUANTITATIVO EN ORINA | $3.336 | $4.346 | $4.346 |
| 309016 | 0 | 4 | GLUCOSA (CUANTITATIVO), EN ORINA | $2.386 | $3.154 | $3.154 |
| 309020 | 0 | 6 | NITROGENO UREICO O UREA EN ORINA (CUANTITATIVO) | $1.462 | $1.921 | $1.921 |
| 309022 | 0 | 2 | ORINA COMPLETA (INCLUYE COD. 309023 Y 309024) | $2.976 | $5.128 | $3.090 |
| 309023 | 0 | 0 | ORINA FISICO-QUIMICO (ASPECTO, COLOR, DENSIDAD, PH, PROTEINA | $669 | $2.454 | $2.260 |
| 309024 | 0 | 8 | SEDIMENTO DE ORINA (PROC. AUT.) | $1.885 | $2.402 | $2.402 |
| 309028 | 0 | 9 | PROTEINA (CUANTITATIVA), EN ORINA | $2.926 | $3.818 | $3.818 |
| 309040 | 0 | 4 | HEMOGLOBINURIA | $2.299 | $2.606 | $2.606 |
| 309043 | 0 | 8 | HEMOSIDERINURIA | $7.335 | $8.787 | $8.787 |
| 309060 | 0 | 2 | DROGAS DE ABUSO EN ORINA | $29.285 | $33.526 | $33.526 |
| 309100 | 0 | 6 | ELECTROFERESIS DE PROTEINAS EN ORINA O LCR | $50.623 | $58.008 | $58.008 |
| 310001 | 0 | 3 | ACIDO VALPROLICO LIBRE | $11.845 | $21.168 | $21.168 |
| IMAGENOLOGÍA | ||||||
| 401002 | 0 | 1 | RADIOGRAFIA DE PARTES BLANDAS, LARINGE LATERAL, CAVUM RINOFA | $16.679 | $19.638 | $19.638 |
| 401005 | 0 | 4 | PROYECCION COMPLEMENTARIA DEL CORA | $10.329 | $19.179 | $19.179 |
| 401006 | 0 | 2 | ESTUDIO RADIOLOGICO DE CORAZON (IN | $19.841 | $39.455 | $39.455 |
| 401009 | 0 | 6 | RADIOGRAFIA DE TORAX SIMPLE FRONTAL O LATERAL | $18.249 | $21.903 | $21.903 |
| 401010 | 0 | 4 | MAMOGRAFIA BILATERAL (4 EXP.) | $42.156 | $44.711 | $44.711 |
| 401011 | 0 | 2 | MARCACION PREOPERATORIA LESIONES DE LA MAMA | $46.353 | $55.277 | $50.720 |
| 401012 | 0 | 0 | RADIOGRAFIA DE MAMA, PIEZA OPERATORIA | $6.961 | $16.221 | $14.900 |
| 401013 | 0 | 8 | RADIOGRAFIA DE ABDOMEN SIMPLE | $15.280 | $19.284 | $15.920 |
| 401014 | 0 | 6 | RADIOGRAFIA DE ABDOMEN SIMPLE, PROYECCION COMP | $12.781 | $14.651 | $14.651 |
| 401015 | 0 | 3 | COLANGIOGRAFIA INTRA O POSTOPERATORIA (POR SONDA T, O SIMIL | $18.762 | $40.464 | $37.140 |
| 401017 | 0 | 9 | COLECISTOGRAFIA C/S SERIOGRAFIA (3-4 EXP.) | $15.578 | $34.891 | $34.891 |
| 401019 | 0 | 5 | ENEMA BARITADO DEL COLON O INTESTINO DELGADO, DOBLE CONTRAST | $38.173 | $80.031 | $73.440 |
| 401020 | 0 | 3 | ESOFAGOGRAMA (INCLUYE PESQUISA DE CUERPO EXTRANO) PROC. AUT. | $15.115 | $37.948 | $34.830 |
| 401021 | 0 | 1 | RADIOGRAFIA DE ESOFAGO, ESTOMAGO Y DUODENO, DOBLE CON | $61.629 | $74.762 | $64.610 |
| 401023 | 0 | 7 | ESTUDIO RADIOLOGICO DEL INTESTINO DELGADO | $26.951 | $58.629 | $53.780 |
| 401024 | 0 | 5 | RADIOGRAFIA DE ESOFAGO, ESTOMAGO Y DUODENO, SIMPLE NINOS | $16.435 | $58.342 | $53.550 |
| 401028 | 0 | 6 | RADIOGRAFIA RENAL SIMPLE (PROC. AUT.) | $12.212 | $18.218 | $14.660 |
| 401029 | 0 | 4 | RADIOGRAFIA VESICAL SIMPLE O PERIVESICAL (PROC. AUT.) | $12.762 | $16.661 | $16.661 |
| 401031 | 0 | 0 | RADIOGRAFIA DE CAVIDADES PERINASALES, ORBITAS, ARTIC | $17.898 | $20.875 | $20.875 |
| 401032 | 0 | 8 | RADIOGRAFIA DE CRANEO FRONTAL Y LATERAL | $18.886 | $22.739 | $22.739 |
| 401033 | 0 | 6 | RADIOGRAFIA DE CRANEO PROYECCION ESPECIAL DE BASE DE CRANEO | $12.130 | $15.300 | $12.640 |
| 401034 | 0 | 4 | GLOBO OCULAR, ESTUDIO DE CUERPO EX | $16.296 | $33.697 | $33.697 |
| 401037 | 0 | 7 | OIDO, UNO O AMBOS (3 PROY.) (3 EXP | $21.670 | $28.626 | $28.626 |
| 401040 | 0 | 1 | RADIOGRAFIA DE SILLA TURCA FRONTAL Y LATERAL | $15.369 | $25.054 | $20.160 |
| 401042 | 0 | 7 | RADIOGRAFIA DE COLUMNA CERVICAL O ATLAS AXIS (FRONTAL Y LAT | $17.898 | $21.028 | $21.028 |
| 401043 | 0 | 5 | RADIOGRAFIA DE COLUMNA CERVICAL (FRONTAL, LATERAL Y OBLICUA | $21.618 | $36.350 | $29.250 |
| 401044 | 0 | 3 | RADIOGRAFIA DE COLUMNA CERVICAL FLEXION Y EXTENSION | $14.709 | $18.693 | $16.400 |
| 401045 | 0 | 0 | RADIOGRAFIA DE COLUMNA DORSAL O DORSOLUMBAR LOCALIZADA | $21.080 | $25.521 | $25.521 |
| 401046 | 0 | 8 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA (F. L. Y FOCALIZADA | $18.237 | $37.247 | $29.950 |
| 401047 | 0 | 6 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA FLEXION Y EXTENSION | $15.373 | $30.283 | $24.350 |
| 401048 | 0 | 4 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA, OBLICUAS ADICIONAL | $15.376 | $20.393 | $16.400 |
| 401049 | 0 | 2 | RADIOGRAFIA DE COLUMNA TOTAL, PANORAMICA CON FOLIO GRADUAD | $30.773 | $35.689 | $35.689 |
| 401051 | 0 | 8 | RADIOGRAFIA DE PELVIS, CADERA O COXOFEMORAL | $14.072 | $16.028 | $16.028 |
| 401052 | 0 | 6 | RADIOGRAFIA DE PELVIS, CADERA O COXOFEMORAL, PROY. ESPECIAL | $13.190 | $15.572 | $15.572 |
| 401053 | 0 | 4 | RADIOGRAFIA DE SACROCOXIS O ARTICULACIONES SACROILIACAS | $19.951 | $23.455 | $23.455 |
| 401054 | 0 | 2 | RADIOGRAFIA DE BRAZO, ANTEBR.,CODO, MUNECA, MANO, DEDOS, PIE | $16.381 | $18.790 | $18.790 |
| 401055 | 0 | 9 | RADIOGRAFIA DE CLAVICULA | $15.380 | $22.027 | $17.730 |
| 401056 | 0 | 7 | RADIOGRAFIA EDAD OSEA: CARPO Y MANO | $13.190 | $15.242 | $15.242 |
| 401057 | 0 | 5 | RADIOGRAFIA EDAD OSEA: RODILLA FRONTAL | $12.457 | $16.399 | $13.180 |
| 401058 | 0 | 3 | ESTUDIO RADIOLOGICO DE ESCAFOIDES | $20.609 | $24.987 | $24.987 |
| 401059 | 0 | 1 | ESTUDIO RADIOLOGICO DE MUNECA O TOBILLO FRONT LAT Y OBLICUA | $21.628 | $24.341 | $24.341 |
| 401060 | 0 | 9 | RADIOGRAFIA HOMBRO, FEMUR, RODILLA, PIERNA, COSTILLA F Y L | $17.200 | $22.282 | $17.920 |
| 401062 | 0 | 5 | RADIOGRAFIA DE PROYECCIONES ESPECIALES OBLICUAS HOMBRO, BRAZ | $11.970 | $15.504 | $12.460 |
| 401063 | 0 | 3 | RADIOGRAFIA DE TUNEL INTERCONDILEO O RADIO CARPIANO | $11.102 | $15.077 | $12.140 |
| 401064 | 0 | 1 | APOYO FLUOROSCOPICO A PROCEDIMIENTOS INTRAOPERATORIOS Y/O BI | $109.597 | $125.576 | $125.576 |
| 401070 | 0 | 8 | RADIOGRAFIA DE TORAX FRONTAL Y LATERAL | $30.060 | $38.924 | $31.330 |
| 401090 | 0 | 6 | MAMOGRAFIA BILAT. EN APS (4 EXP.)(EFOS) | $42.156 | $44.711 | $44.711 |
| 401102 | 0 | 9 | SESAMOIDEOS AXIAL | $11.856 | $15.036 | $15.036 |
| 401107 | 0 | 8 | PODOGRAMA (F) | $5.101 | $8.817 | $8.817 |
| 401110 | 0 | 2 | MAMOGRAFIA UNILATERAL (2 EXP) | $31.311 | $35.881 | $35.881 |
| 401130 | 0 | 0 | MAMOGRAFIA PROYECCION COMPLEMENTARIA (AXILAR U OTRAS) | $31.280 | $36.920 | $36.920 |
| 402008 | 0 | 7 | COLANGIOPANCREATOGRAFIA ENDOSCOPICA (A.C.18-01-018; 5-7 EXP) | $32.331 | $54.143 | $49.680 |
| 402011 | 0 | 1 | HISTEROSALPINGOGRAFIA (A.C. 20-01-013) (4 EXP., INCL. PRUEBA | $288.449 | $377.539 | $377.539 |
| 402014 | 0 | 5 | URETRO Y/O CISTOURETROGRAFIA MICCIONAL RETROGRADA AC.1901016 | $22.856 | $45.111 | $41.390 |
| 402022 | 0 | 8 | ANGIOPLASTIA INTRALUMINAL CORONARIA. PROCEDIMIENTO RADIOLOGI | $60.283 | $126.332 | $110.860 |
| 402023 | 0 | 6 | ANGIOPLASTIA INTRALUMINAL PERIFERICA. PROCEDIMIENTO RADIOLOG | $43.089 | $84.156 | $77.230 |
| 402024 | 0 | 4 | AORTOGRAFIA CON AOT O CINEANGIOGRAFIA (A.C. 1701022) | $46.971 | $100.613 | $80.940 |
| 402025 | 0 | 1 | ARTERIOGRAFIA DE MIEMBROS SUP. E INF. UNILAT. (AC 1701023) | $31.050 | $63.580 | $51.150 |
| 402027 | 0 | 7 | ARTERIOGRAFIA SELECTIVA CON AOT O CINEANGIOGRAF (AC 1701024) | $51.304 | $118.192 | $95.090 |
| 402029 | 0 | 3 | ARTERIOGRAFIA VASOS DE CUELLO CAROTID Y VERTEB (AC 1101013) | $34.514 | $75.746 | $69.500 |
| 402030 | 0 | 1 | CINECORONARIOGRAFIA (A.C. 17-01-019) | $44.270 | $107.464 | $86.450 |
| 402032 | 0 | 7 | INSTALACION DE CATETER O SONDA INTRACARDIACA, CONTROL POR RA | $22.324 | $43.209 | $37.920 |
| 402033 | 0 | 5 | VENTRICULOGRAFIA DERECHA Y/O IZQUIERDA (AC 1701011-1701020- | $45.991 | $98.508 | $86.450 |
| 402038 | 0 | 4 | FLEBOGRAFIA EXTREMIDAD INFERIOR O SUPERIOR, UNILATERAL | $21.148 | $47.117 | $43.250 |
| 402041 | 0 | 8 | FLEBOGRAFIA SELECTIVA DE VENAS HEPATICAS, RENALES, GONADALES | $23.481 | $53.295 | $48.900 |
| 402050 | 0 | 9 | MIELOGRAFIA POR PUNCION LUMBAR CON CONTRASTE HIDROSOLUBLE | $28.972 | $64.683 | $59.360 |
| 402060 | 0 | 8 | AORTOGRAFIA ABDOMINAL Y FEMORAL BILATERAL POR TRASLACION | $123.117 | $314.064 | $314.064 |
| 402111 | 3 | 9 | BIOPSIA ESTEREOTAXICA DE MAMA | $809.857 | $1.053.707 | $1.053.707 |
| 403001 | 0 | 1 | TC DE CRANEO ENCEFALICA | $36.981 | $136.240 | $109.600 |
| 403002 | 0 | 9 | TC DE HIPOTALAMO - HIPOFISIS | $30.086 | $143.359 | $115.330 |
| 403003 | 0 | 7 | TC DE FOSA POSTERIOR | $70.606 | $107.937 | $99.060 |
| 403006 | 0 | 0 | TC DE TEMPORAL - OIDO | $37.051 | $118.235 | $95.120 |
| 403007 | 0 | 8 | TC DE ORBITAS MAXILOFACIAL | $39.013 | $158.111 | $127.180 |
| 403008 | 0 | 6 | TC DE COLUMNA CERVICAL | $55.046 | $173.188 | $139.330 |
| 403009 | 0 | 4 | TC DE COLUMNA DORSAL O LUMBAR (CORTE | $73.878 | $133.029 | $133.029 |
| 403011 | 0 | 0 | TC CON MIELOGRAFIA (A.C. 11-01-025) | $25.998 | $182.915 | $182.915 |
| 403012 | 0 | 8 | TC DE CUELLO, PARTES BLANDAS | $39.432 | $127.984 | $102.960 |
| 403013 | 0 | 6 | TC DE TORAX INCL. ESTERNON, CLAVICULAS | $48.120 | $202.164 | $162.620 |
| 403014 | 0 | 4 | TC DE ABDOMEN (HIGADO, VIAS Y VESICU | $40.033 | $121.717 | $97.920 |
| 403016 | 0 | 9 | TC DE PELVIS INCL. SACRO, COXIS, CADER | $39.467 | $124.828 | $100.420 |
| 403017 | 0 | 7 | TC MUSCULOESQUELETICA POR ZONA ANATOMI | $84.130 | $108.955 | $87.660 |
| 403101 | 0 | 9 | TC ANGIO DE ENCEFALO | $43.927 | $165.116 | $132.830 |
| 403102 | 0 | 7 | TC ANGIO DE TORAX | $60.307 | $248.591 | $199.980 |
| 403103 | 0 | 5 | TC ANGIO DE ABDOMEN | $53.252 | $230.173 | $185.150 |
| 403106 | 0 | 8 | TC DE ANGIO CARDIACO MIN 64 CORTES | $59.794 | $129.716 | $104.350 |
| 403517 | 0 | 6 | URO-TC (INCLUYE RINONES, SISTEMA EXCRETOR Y VEJIGA, Y RESTO | $291.257 | $336.197 | $336.197 |
| 403902 | 0 | 0 | ENTEROCLISIS POR TC | $59.004 | $434.639 | $434.639 |
| 404002 | 0 | 8 | ECOGRAFIA OBSTETRICA | $7.975 | $17.053 | $13.730 |
| 404003 | 0 | 6 | ECOGRAFIA ABDOMINAL (INCL. HIGADO, VIA BILIAR, VESICULA, PAN | $41.600 | $53.888 | $43.340 |
| 404004 | 0 | 4 | ECOGRAFIA COMO APOYO A CIRUGIA, O A PROCEDIMIENTO (DE TORAX, | $44.273 | $57.772 | $57.772 |
| 404005 | 0 | 1 | ECOGRAFIA TRANSVAGINAL O TRANSRECTAL | $14.673 | $30.098 | $24.210 |
| 404006 | 0 | 9 | ECOGRAFIA GINECOLOGICA, PELVIANA FEMENINA U OBSTETRICA CON | $24.296 | $31.692 | $31.692 |
| 404007 | 0 | 7 | ECOGRAFIA TRANSVAGINAL PARA SEGUIMIENTO DE OVULACION, PROC. | $18.594 | $41.866 | $33.660 |
| 404009 | 0 | 3 | ECOGRAFIA PELVICA MASCULINA (INCLUYE VEJIGA Y PROSTATA) | $22.819 | $29.942 | $24.100 |
| 404010 | 0 | 1 | ECOGRAFIA RENAL (BILATERAL), O DE BAZO | $22.787 | $37.332 | $30.050 |
| 404011 | 0 | 9 | ECOGRAFIA ENCEFALICA (RN O LACTANTE) | $17.840 | $40.316 | $32.430 |
| 404012 | 0 | 7 | ECOGRAFIA MAMARIA BILATERAL (INCLUYE DOPPLER) | $28.990 | $37.560 | $30.210 |
| 404014 | 0 | 3 | ECOGRAFIA TESTICULAR (UNILATERAL O BILATERAL)(INCL. DOPPLER) | $22.741 | $37.062 | $29.810 |
| 404015 | 0 | 0 | ECOGRAFIA TIROIDEA (INCLUYE DOPPLER) | $28.990 | $37.560 | $30.210 |
| 404016 | 0 | 8 | ECOGRAFIA PARTES BLANDAS O MUSCULOESQUELETICA (CADA ZONA ANA | $28.990 | $37.560 | $30.210 |
| 404017 | 0 | 6 | ECOGRAFIA DE HIGADO, BILIAR, VESICULA | $23.782 | $47.895 | $47.895 |
| 404019 | 0 | 2 | ECOGRAFIA VASCULAR PERIFERICA U OTROS ORG. | $41.705 | $108.000 | $108.000 |
| 404025 | 0 | 9 | ECOGRAFIA DE CADERAS | $23.753 | $31.939 | $31.939 |
| 404030 | 0 | 9 | ECOTOMOGRAFIA PROSTATICA | $16.918 | $30.503 | $30.503 |
| 404218 | 0 | 0 | ELASTOGRAFIA HEPATICA | $80.228 | $90.112 | $195.570 |
| RESONANCIA MAGNÉTICA | ||||||
| 405001 | 0 | 9 | R.M CRANEO-CEREBRO U OIDOS, BILATERAL | $155.040 | $368.240 | $211.600 |
| 405002 | 0 | 7 | RM DE HIPOTALAMO-HIPOFISIS | $157.815 | $383.461 | $220.330 |
| 405003 | 0 | 5 | R.M.ORBITAS | $144.083 | $343.710 | $197.500 |
| 405004 | 0 | 3 | R.M.ARTICULACIONES TEMPOROMANDIBULARES | $155.286 | $369.594 | $212.370 |
| 405005 | 0 | 0 | R.M. COLUMNA CERVICAL | $161.413 | $368.240 | $211.600 |
| 405006 | 0 | 8 | R.M. COLUMNA DORSAL | $164.100 | $382.984 | $220.060 |
| 405007 | 0 | 6 | R.M. COLUMNA LUMBAR | $161.413 | $368.240 | $211.600 |
| 405008 | 0 | 4 | ANGIOGRAFIA POR RESONANCIA | $158.305 | $233.808 | $233.808 |
| 405009 | 0 | 2 | RM TORAX (CORAZON, CLAVICULA,COSTILLAS, OTRAS ARTIC.) | $166.223 | $394.622 | $226.750 |
| 405010 | 0 | 0 | R.M. ABDOMEN | $161.413 | $368.240 | $211.600 |
| 405011 | 0 | 8 | RM PELVIS (PROSTATA, SACROILIACAS, GENITALES, Y GASTROINT | $161.413 | $368.240 | $211.600 |
| 405012 | 0 | 6 | RM ABDOMEN Y PELVIS | $188.956 | $484.210 | $317.370 |
| 405013 | 0 | 4 | R.M. RODILLA | $136.577 | $264.692 | $173.490 |
| 405014 | 0 | 2 | R.M. EXTREMIDAD SUPERIOR | $142.546 | $203.338 | $203.338 |
| 405015 | 0 | 9 | R.M. EXTREMIDAD INFERIOR | $135.500 | $203.338 | $203.338 |
| 405016 | 0 | 7 | R.M.COLUMNA TOTAL(CERVICAL,DORSAL,LUMBAR) | $228.613 | $571.260 | $374.420 |
| 405017 | 0 | 5 | RM ANGIOGRAFIA DE ENCEFALO | $153.478 | $394.622 | $226.750 |
| 405018 | 0 | 3 | RM ANGIOGRAFIA DE CUELLO | $155.514 | $405.784 | $233.170 |
| 405019 | 0 | 1 | R.M ANGIOGRAFIA DE TORAX | $160.707 | $399.317 | $229.450 |
| 405020 | 0 | 9 | RM ANGIOGRAFIA DE ABDOMEN | $141.720 | $372.916 | $214.280 |
| 405021 | 0 | 7 | RM ANGIOGRAFIA DE PELVIS | $143.469 | $383.461 | $220.330 |
| 405022 | 0 | 5 | RM ANGIOGRAFIA DE EXTREMIDAD SUPERIOR UNILATERAL | $148.606 | $332.225 | $217.760 |
| 405023 | 0 | 3 | RM ANGIOGRAFIA DE EXTREMIDAD INFERIOR BILATERAL | $140.420 | $368.240 | $211.600 |
| 405024 | 0 | 1 | RM.MANO O MUNECA | $153.268 | $323.575 | $185.920 |
| 405025 | 0 | 8 | RM DE ANTEBRAZO O BRAZO | $150.682 | $309.391 | $177.780 |
| 405026 | 0 | 6 | RM DE CODO | $145.068 | $275.627 | $180.650 |
| 405027 | 0 | 4 | RM.DE HOMBRO | $149.321 | $264.692 | $173.490 |
| 405028 | 0 | 2 | RM.PIE,ANTEPIE O TOBILLO | $149.321 | $264.692 | $173.490 |
| 405029 | 0 | 0 | RM.DE PIERNA | $144.429 | $310.744 | $178.550 |
| 405030 | 0 | 8 | RM MUSLO O CADERA UNILATERAL | $151.595 | $314.404 | $180.650 |
| 405031 | 0 | 6 | RM DE MAMA (BILATERAL) | $155.088 | $301.930 | $173.490 |
| 405032 | 0 | 4 | RM FETAL | $143.131 | $317.662 | $208.210 |
| 405098 | 0 | 5 | COLANGIORESONANCIA | $126.502 | $246.680 | $141.740 |
| 405507 | 0 | 5 | R.M. DE CUELLO | $153.289 | $230.589 | $230.589 |
| 405519 | 0 | 0 | R.M. MAMAS | $139.437 | $189.065 | $189.065 |
| MEDICINA NUCLEAR | ||||||
| 501100 | 0 | 2 | CAPTACION I-131 A LAS 2 Y 24 HORAS | $37.010 | $61.617 | $39.940 |
| 501101 | 0 | 0 | CINTIGRAFIA TIROIDEA, CUALQUIER RADIOISOTOPO | $38.944 | $74.881 | $39.940 |
| 501102 | 0 | 8 | CINTIGRAFIA GLANDULAS PARATIROIDES NO INCLUYE MIBI | $58.459 | $177.005 | $59.940 |
| 501104 | 0 | 4 | CINTIGRAFIA OSEA TRIFASICA(INCLUYE MEDICIONES FASE PRECOZ | $155.884 | $243.497 | $159.810 |
| 501105 | 0 | 1 | SPECT PERF MIOCARDICA (STRESS Y REPOSO) NO INCLUYE HONORA | $283.303 | $456.390 | $290.430 |
| 501106 | 0 | 9 | VENTRICULOGRAFÍA CARDIACA ISOTOPICA DE EQUILIBRIO CON GL | $73.770 | $133.275 | $92.130 |
| 501107 | 0 | 7 | POOL SANGUINEO, ARTERIOGRAFIA ISOTOPICA C/U | $29.037 | $76.186 | $41.570 |
| 501108 | 0 | 5 | LINFOCINTIGRAFIA ISOTOPICA NO INCLUY PROC | $115.659 | $221.269 | $124.740 |
| 501111 | 0 | 9 | ESTUDIO MOTILIDAD ESOFAGICA Y/O REFLUJO GASTROESOFAGICO | $83.359 | $164.731 | $89.890 |
| 501112 | 0 | 7 | VACIAMIENTO GASTRICO LIQUIDO O SOLIDO | $154.783 | $238.676 | $180.640 |
| 501113 | 0 | 5 | CINTIGRAFIA VESICULA Y VIA BILIAR | $160.488 | $334.475 | $198.180 |
| 501114 | 0 | 3 | DETECCION DE SITIO DE SANGRAMIENTO DIGESTIVO CON GLOBULOS RO | $156.090 | $280.839 | $208.000 |
| 501115 | 0 | 0 | DETECCION DIVERTICULO MECKEL | $59.988 | $97.025 | $67.070 |
| 501116 | 0 | 8 | SPECT HEPATOESPLENICO,EVAL HEMANGIOMA O HIPERPLASIA | $140.498 | $267.195 | $184.700 |
| 501117 | 0 | 6 | CINTIGRAMA RENAL CON D.M.S.A. | $58.459 | $105.993 | $59.940 |
| 501118 | 0 | 4 | ESTUDIO DINAMICO RENAL CON TC 99 -DTPA (RENOGRAMA) | $86.285 | $180.006 | $88.460 |
| 501119 | 0 | 2 | ESTUDIO DINAMICO RENAL CON TC 99-MAG3 O EC | $144.410 | $308.967 | $155.740 |
| 501120 | 0 | 0 | CISTOGRAFIA ISOTOPICA INDIRECTA | $49.186 | $93.933 | $60.860 |
| 501121 | 0 | 8 | CISTOGRAFIA ISOTOPICA DIRECTA,A.C.19-01-022 | $55.560 | $104.027 | $59.940 |
| 501122 | 0 | 6 | CINTIGRAFIA PULMON PERFUSION O VENTILACION ODIFUSION C/U | $58.459 | $139.209 | $59.940 |
| 501123 | 0 | 4 | CINTIGRAFIA Y EST.ASPIRACION PULMONAR | $41.421 | $92.610 | $64.020 |
| 501124 | 0 | 2 | SPECT CEREBRAL DE PERFUSION(NO INCLUYE RADIOFARMACOS) | $116.769 | $182.177 | $125.920 |
| 501125 | 0 | 9 | ESTUDIO DINAMICO SISTEMA NERVIOSO RADIOCISTERNOGRADIA | $113.896 | $187.795 | $121.710 |
| 501128 | 0 | 3 | DETECCION Y/O MARCACION GANGLIO CENTINELA | $125.250 | $448.382 | $128.380 |
| 501129 | 0 | 1 | CINTIGRAMA C/GALIO 67 PLANAR Y SPECT,PARA ESTUDIO DE TUM | $234.119 | $421.737 | $291.520 |
| 501130 | 0 | 9 | EXPLORACION SISTEMICA CON l -131 (INCL MEDICIONES FASE PREC | $175.158 | $300.480 | $179.740 |
| 501132 | 0 | 5 | ESTUDIO TUMORES ANTICUERPOS MONOCLONALES,OCTREOSCAN | $211.961 | $346.674 | $239.650 |
| 501136 | 0 | 6 | CINTIGRAFIA OSEA COMPLETA PLANAR | $105.199 | $210.160 | $107.860 |
| 501138 | 0 | 2 | CINTIGRAFIA GLANDULAS SALIVALES | $54.669 | $108.483 | $58.980 |
| 501901 | 0 | 3 | TEST AIRE ESPIRADO HELICOBACTER PYLORI | $73.839 | $173.496 | $173.496 |
| 502001 | 0 | 1 | DOSIS TERAPEUTICA CON I-131 HASTA 30 MCI. | $136.275 | $427.090 | $139.700 |
| 502002 | 0 | 9 | DOSIS TERAPEUTICA CON I-131 ENTRE 31 A 100 MCI. | $262.999 | $797.460 | $269.620 |
| 502003 | 0 | 7 | DOSIS TERAPEUTICAS I-131 ENTRE 101MCI A 200MCl. | $474.935 | $1.268.664 | $486.900 |
| KINESIOLOGÍA | ||||||
| 601101 | 0 | 9 | EVALUACION KINESIOLOGICA INTEGRAL | $8.129 | $9.129 | $9.129 |
| 601103 | 0 | 5 | ATENCION KINESIOLOGICA INTEGRAL EN PACIENTES HOSPITALIZADOS | $11.780 | $16.019 | $12.270 |
| 601104 | 0 | 3 | ATENCION KINESIOLOGICA INTEGRAL UPC (INTENSIVO E INTERMEDIO) | $25.782 | $41.292 | $41.292 |
| 601105 | 0 | 0 | ATENCION KINESIOLOGICA INTEGRAL AMBULATORIA | $10.750 | $12.147 | $11.200 |
| 601106 | 0 | 8 | ATENCION KINESIOLOGICA INTEGRAL DOMICILIARIA | $8.319 | $9.830 | $14.060 |
| 602001 | 0 | 0 | ATENCION INTEGRAL DE TERAPIA OCUPACIONAL | $9.500 | $11.028 | $9.900 |
| 602002 | 0 | 8 | INTERVENCION DE TERAPIA OCUPACIONAL AYUDAS TEC. Y TECNO ASIS | $10.723 | $12.043 | $12.043 |
| 602006 | 0 | 9 | TERAPIAS DE GRUPO EN NINOS Y ADULTOS POR SESION | $2.895 | $6.086 | $6.086 |
| BANCO DE SANGRE | ||||||
| 702001 | 0 | 9 | PREPARACION DE HEMODERIVADOS | $19.758 | $33.263 | $33.263 |
| 702002 | 0 | 7 | PLAQUETOFERESIS | $318.329 | $413.338 | $413.338 |
| 702003 | 0 | 5 | SET EXAMEN X UNID.GLOBULOS ROJOS TRANSFUNDIDOS | $105.803 | $189.364 | $189.364 |
| 702004 | 0 | 3 | SET EXAMEN X UNID.TRANSFUN.DE PLASMA PLAQUETAS O CRIOPRECI | $104.082 | $146.138 | $146.138 |
| 702005 | 0 | 0 | PRUEBA DE COMPATIBILIDAD | $9.691 | $12.212 | $12.212 |
| 702006 | 0 | 8 | TRANSFUSION DE SANGRE EN ADULTOS | $27.476 | $34.604 | $34.604 |
| 702007 | 0 | 6 | TRANSFUSION DE SANGRE EN NINOS | $27.899 | $36.422 | $36.422 |
| 702008 | 0 | 4 | TRANSF.SANGRE ADULTO O NINO EN PABELLON | $32.261 | $68.074 | $68.074 |
| 702009 | 0 | 2 | EXSANG.TRANSF.POR VIA UMBILICAL EN R.NACIDO | $39.401 | $101.107 | $101.107 |
| 702010 | 0 | 0 | EXSANG.TRANSF.EN ADULTO O NINO | $58.974 | $90.221 | $90.221 |
| 702012 | 0 | 6 | SANGRIA, (CADA UNIDAD) | $15.621 | $29.211 | $29.211 |
| 702014 | 0 | 2 | PLASMAFERESIS AUTOMATIZADA POR CEN | $367.805 | $495.795 | $495.795 |
| ANATOMÍA PATOLÓGICA | ||||||
| 801001 | 0 | 9 | CITODIAGNOSTICO CORRIENTE, EXFOLIA PAPANICOLAU | $18.035 | $23.614 | $23.614 |
| 801004 | 0 | 3 | ESTUDIO HISTOPAT C/TEC INMUNOHISTOQCA O INMUNO | $86.340 | $102.473 | $102.473 |
| 801005 | 0 | 0 | ESTUDIO HISTOPATOLOGICO C/ TEC HISTOQCA ESPECIALES | $55.169 | $68.884 | $68.884 |
| 801006 | 0 | 8 | ESTUDIO HISTOPATOLOGICO DE BIOPSIA RAPIDA | $74.443 | $88.352 | $88.352 |
| 801007 | 0 | 6 | ESTUDIO HISTOPATOLOGICO CORRIENTE | $72.431 | $82.991 | $82.991 |
| 801008 | 0 | 4 | ESTUDIO HISTOPAT C/TINCION CTE DE BIOPSIA DIFERIDA | $29.123 | $33.374 | $33.374 |
| 801090 | 0 | 2 | CITODIAGNOST.CTE.PAPANICOLAU APS (HISTOTEC LTDA) | $5.931 | $11.357 | $11.357 |
| PSIQUIATRÍA Y PSICOLOGÍA CLÍNICA | ||||||
| 901003 | 0 | 4 | ELECTROSHOCKS E INSULINO-TERAPIA | $190.460 | $325.129 | $325.129 |
| 901005 | 0 | 9 | ATENCION PSIQUIATRICA O PSICOTERAPIA FAMILIAR O INDIV. | $26.230 | $49.833 | $45.870 |
| 901014 | 0 | 1 | INTERVENCION PSICOSOCIAL | $21.655 | $42.883 | $42.883 |
| 901030 | 0 | 7 | TEST P.E.D.E. (PRUEBA EXPLORATORIA DISLEXIA ESPECIFICA) | $32.228 | $72.379 | $72.379 |
| 901031 | 0 | 5 | TRATAMIENTO DE LUMINOTERAPIA | $3.708 | $8.576 | $8.576 |
| 902001 | 0 | 7 | CONSULTA PSICOLOGO CLINICO (SESIONES 45') | $17.088 | $21.802 | $20.610 |
| 902002 | 0 | 5 | PSICOTERAPIA INDIVIDUAL | $25.868 | $39.387 | $39.387 |
| 902003 | 0 | 3 | PSICOTERAPIA DE PAREJA CON AMBOS MIEMBROS | $23.180 | $36.013 | $36.013 |
| 902005 | 0 | 8 | TEST DE WAIS | $84.768 | $143.918 | $143.918 |
| 902010 | 0 | 8 | TEST RORSCHACH | $61.634 | $95.754 | $95.754 |
| 902011 | 0 | 6 | TEST DE RELACIONES OBJETALES | $25.709 | $43.430 | $43.430 |
| 902012 | 0 | 4 | TEST DE APERCEPCION TAT, CAT, HOCAT | $39.808 | $46.981 | $46.981 |
| 902013 | 0 | 2 | TEST EDWARDS | $17.116 | $21.670 | $21.670 |
| 902014 | 0 | 0 | TEST M.M.P.I. | $25.305 | $39.313 | $39.313 |
| 902016 | 0 | 5 | TEST DE DOMINO Y RABEN | $14.021 | $20.406 | $20.406 |
| 902017 | 0 | 3 | TEST DE BENDER | $25.141 | $39.060 | $39.060 |
| 902018 | 0 | 1 | BENDER BIP | $22.869 | $40.232 | $40.232 |
| 902903 | 0 | 4 | ENTREVISTA DIAGNOSTICA | $35.499 | $60.269 | $60.269 |
| 902905 | 0 | 9 | PSICOTERAPIA DE GRUPO (POR PSICOLOGO) | $19.018 | $41.821 | $41.821 |
| 902906 | 0 | 7 | IPEC (INTERVENCION PSICOLOGICA EN CRISIS) | $76.771 | $172.251 | $172.251 |
| OTRAS PRESTACIONES O PROCEDIMIENTOS | ||||||
| 1101006 | 0 | 3 | ELECTROENCEFALOGRAMA (E.E.G.) STANDARD ACTIVADO (INCLUYE | $31.763 | $48.433 | $35.970 |
| 1101010 | 0 | 5 | ELECTROMIOGRAFIA CUALQUIER REGION | $21.302 | $27.744 | $25.470 |
| 1101012 | 0 | 1 | VELOCIDAD DE CONDUCCION | $17.909 | $32.366 | $20.820 |
| 1101025 | 0 | 3 | MIELOGRAFIA LUMBAR, C/CONTRASTE AC 402050 | $13.775 | $28.666 | $26.290 |
| 1101027 | 0 | 9 | BLOQUEO NERVIO TRONCULAR | $11.860 | $31.595 | $28.990 |
| 1101031 | 0 | 1 | INFILTRACION O BLOQUEO INTERCOSTALES CUALQ. NUMERO | $10.713 | $23.757 | $21.810 |
| 1101043 | 0 | 6 | E.E.G. DIGITAL 32 CANALES | $57.218 | $78.742 | $63.340 |
| 1101045 | 0 | 1 | POLISOMNOGRAFEA | $344.000 | $506.295 | $506.295 |
| 1101943 | 0 | 7 | E.E.G.DIGITAL ESTANDAR CON PRIVACION DE SUENO | $69.504 | $110.681 | $110.681 |
| 1101945 | 0 | 2 | INFORME ELEC DIGITAL URGENCIA | $75.000 | $127.611 | $127.611 |
| 1101946 | 0 | 0 | TEST DE ESTIMULACION REPETITIVA | $69.514 | $134.903 | $134.903 |
| 1101947 | 0 | 8 | FUNCION AUTONOMICA | $87.712 | $159.670 | $159.670 |
| 1101949 | 0 | 4 | TEST DE NEOSTIGMINA | $13.612 | $28.993 | $28.993 |
| 1101951 | 0 | 0 | TEST FUNCION PUPILAR | $24.588 | $46.105 | $46.105 |
| 1101952 | 0 | 8 | TEST DE HIPOTENSION EN EL EJERCICIO | $17.831 | $34.438 | $34.438 |
| 1101953 | 0 | 6 | TEST DE HIPOTENSION POSTPRANDIAL | $36.546 | $87.076 | $87.076 |
| 1101954 | 0 | 4 | NEUROMONITOREO | $1.033.331 | $1.975.304 | $1.975.304 |
| 1101955 | 0 | 1 | TEST DE MULTIPLES LATENCIAS DE SUENO | $135.040 | $256.211 | $256.211 |
| 1101956 | 0 | 9 | APLICACION TOXINA BOTULINICA (S/MEDICAMENTO) | $28.007 | $48.792 | $48.792 |
| 1101960 | 0 | 1 | EEG VIDEO MONITOREO SESION POR HORA | $16.020 | $23.320 | $23.320 |
| 1101961 | 0 | 9 | EEG VIDEO MONITOREO SESION DE 6 A 24 HRAS | $365.315 | $870.420 | $870.420 |
| 1103013 | 0 | 7 | - HONORARIOS C/U DE LOS OTROS 1ROS. CIRUJANOS Y AYUDANTES | $71.562 | $774.277 | $712.500 |
| 1201001 | 0 | 3 | & CAMPIMETRIA DE PROYECCION (C/OJO) | $11.490 | $21.668 | $11.890 |
| 1201003 | 0 | 9 | CUANTIF. DE LAGRIMACION(TEST SCHIRMER),UNO O AMBOS OJOS | $3.091 | $4.024 | $3.680 |
| 1201004 | 0 | 7 | & CURVA DE TENSION APLANATICA (C/DIA Y C/OJO) | $15.464 | $23.908 | $23.908 |
| 1201005 | 0 | 4 | & DIPLOSCOPIA CUANTITATIVA. | $5.888 | $9.670 | $9.670 |
| 1201009 | 0 | 6 | & EXPLORACION SENSORIOMOTORA: ESTRABISMO, ESTUDIO COMPLE | $30.038 | $46.439 | $46.439 |
| 1201010 | 0 | 4 | PERIMETRIA GOLDMAN POR OJO | $13.730 | $20.095 | $18.420 |
| 1201011 | 0 | 2 | & PRUEBAS DE PROVOCACION PARA GLAUCOMA. | $15.024 | $32.756 | $32.756 |
| 1201012 | 0 | 0 | RETINOGRAFIA OCULAR DIGITAL | $59.004 | $67.316 | $67.316 |
| 1201014 | 0 | 6 | & TONOMETRIA APLANATICA. | $9.743 | $11.173 | $11.173 |
| 1201015 | 0 | 3 | & TRATAMIENTO ORTOPTICO Y/ O PLEOPTICO (POR SESION). | $9.459 | $10.835 | $10.835 |
| 1201016 | 0 | 1 | ANGIOGRAFIA DE RETINA O DE IRIS DIGITAL C/OJO | $34.333 | $51.540 | $51.540 |
| 1201019 | 0 | 5 | EXPLORACION VITREORRETINAL | $3.964 | $12.134 | $11.150 |
| 1201020 | 0 | 3 | ECOBIOMETRIA C/CALCULO LENTE INTRAOCULAR(AMBOS OJOS) | $64.497 | $72.290 | $72.290 |
| 1201027 | 0 | 8 | EXAMEN OPTOMETRICO C/S PRESCRIPCION DE LENTES | $21.585 | $24.665 | $24.665 |
| 1201030 | 0 | 2 | CUERPO EXTRANO CONJUNTIVAL/CORNEAL EN NINOS | $10.039 | $24.393 | $22.370 |
| 1201031 | 0 | 0 | VIA LAGRIMAL/CATETERISMO/SONDAJE -EN ADULTOS | $35.192 | $41.943 | $41.943 |
| 1201042 | 0 | 7 | CAMPIMETRIA COMPUTARIZADA, CADA OJO | $44.638 | $50.909 | $50.909 |
| 1201043 | 0 | 5 | & TOPOGRAFIA CORNEAL COMPUTARIZADA C/OJO | $47.585 | $53.660 | $53.660 |
| 1201046 | 0 | 8 | CURACION CON ASEO DE CAVIDADES | $1.517 | $2.943 | $2.943 |
| 1201099 | 0 | 7 | ECOGRAFIA OCULAR (C/U) | $76.214 | $132.228 | $132.228 |
| 1201910 | 0 | 5 | MICROSCOPIA ESPECULAR | $21.153 | $61.265 | $61.265 |
| 1201912 | 0 | 1 | INFORME RETINOGRAFIA AMBOSOJOS | $10.342 | $18.016 | $18.016 |
| 1201950 | 0 | 1 | OCT CORRIENTE (CORNEA, RETINA, GLAUCOMA, ETC) | $76.610 | $87.351 | $87.351 |
| 1201951 | 0 | 9 | PAQUIMETRIA | $60.785 | $69.298 | $69.298 |
| 1201952 | 0 | 7 | REHABILITACION VISUAL | $12.138 | $21.411 | $21.411 |
| 1201953 | 0 | 5 | TEST DE TELLER | $11.909 | $21.007 | $21.007 |
| 1301003 | 0 | 8 | NASOFARINGOLARINGOFIBROSCOPIA | $43.880 | $67.842 | $67.842 |
| 1301004 | 0 | 6 | RINOSCOPIA POSTERIOR, CON NASOFARINGOSCOPIA C/S TOMA | $8.589 | $18.246 | $18.246 |
| 1301009 | 0 | 5 | & IMPEDANCIOMETRIA | $15.710 | $24.292 | $24.292 |
| 1301011 | 0 | 1 | & POTENCIALES EVOCADOS AUDITIVOS DE TRONCO CEREBRAL | $44.953 | $69.504 | $69.504 |
| 1301016 | 0 | 0 | & FUNCION TUBARIA | $11.165 | $21.336 | $21.336 |
| 1301018 | 0 | 6 | RINOMANOMETRIA C/S VASO CONSTRICTOR | $8.935 | $76.904 | $76.904 |
| 1301020 | 0 | 2 | & EXAMEN FUNCIONAL DE VIII PAR | $38.387 | $62.024 | $62.024 |
| 1301021 | 0 | 0 | & AUDIOMETRIA ADULTOS | $17.151 | $25.990 | $25.990 |
| 1301025 | 0 | 1 | TAPONAMIENTO NASAL ANTERIOR (PROC. AUT.) | $24.902 | $41.479 | $41.479 |
| 1301026 | 0 | 9 | TAPONAMIENTO NASAL POSTERIOR | $28.290 | $50.237 | $50.237 |
| 1301029 | 0 | 3 | CUERPO EXTR.FOSAS NASALES EN ADULTOS, EXTRACCION DE | $11.168 | $20.864 | $20.864 |
| 1301030 | 1 | 1 | CUERPO EXTR.FOSAS NASALES EN NINOS, EXTRACCION DE | $20.119 | $25.814 | $23.700 |
| 1301031 | 0 | 9 | HUESOS DE LA NARIZ, REDUCCION DE FRACTURA CERRADA. | $34.994 | $55.768 | $55.768 |
| 1301034 | 0 | 3 | REEDUCACION DE LA VOZ (PROC. AUT.) (POR SESION) | $12.459 | $21.054 | $21.054 |
| 1301040 | 0 | 0 | LESIONES DEL OIDO EXTERNO Y/O MEDIO, CURACION BAJO MICRO | $14.390 | $22.250 | $22.250 |
| 1301042 | 0 | 6 | CUERPO EXTR.EN OIDO EN ADULTOS, EXTRACCION DE CERUMEN | $7.726 | $14.016 | $14.016 |
| 1301043 | 0 | 4 | CUERPO EXTR.EN OIDO EN NINOS, EXTRACCION DE | $10.611 | $23.757 | $21.810 |
| 1301045 | 0 | 9 | AUDIOMETRIA BARRIDO TONAL, EMISIONES OTOACUSTICAS | $2.758 | $13.044 | $11.970 |
| 1301920 | 0 | 3 | POSTUROGRAFIA BRU POR SESION | $51.086 | $61.148 | $61.148 |
| 1301921 | 0 | 1 | OTOEMISIONES ACUSTICAS | $13.952 | $16.338 | $16.338 |
| 1301922 | 0 | 9 | MANIOBRA DE REPOSICION CANALÉTICO, (POR SESI N) | $10.618 | $13.860 | $13.860 |
| 1301923 | 0 | 7 | CONTROL VESTIBULAR, (POR SESION) | $9.400 | $12.269 | $12.269 |
| 1303003 | 0 | 6 | EVALUACION DEL LENGUAJE (INCLUYE 3 SESIONES) | $48.643 | $75.207 | $75.207 |
| 1303005 | 0 | 1 | REHABILITACION DEL HABLA Y/O LENGUAJE | $30.937 | $46.878 | $46.878 |
| 1601110 | 0 | 8 | CURETAJES DE LESIONES VIRALES Y SIMILARES HASTA 10 LESIONES | $21.649 | $47.303 | $43.390 |
| 1601115 | 0 | 7 | IMPLANTES SUBCUTANEOS | $15.738 | $37.636 | $34.530 |
| 1601116 | 0 | 5 | CRIOTERAPIA HASTA 5 LESIONES POR SESION | $17.412 | $31.818 | $29.200 |
| 1601117 | 0 | 3 | CRIOTERAPIA 6 A 10 LESIONES POR SESION | $24.635 | $49.757 | $45.660 |
| 1601119 | 0 | 9 | INYECCION INTRACUTANEA EN AREAS HASTA 9 CMS.2 POR SESION | $16.662 | $47.268 | $30.430 |
| 1701001 | 0 | 8 | E.C.G. DE REPOSO (INCLUYE MINIMO 12 DERIVACIONES Y 4 COM | $11.500 | $12.714 | $11.980 |
| 1701003 | 0 | 4 | E.C.G. DE ESFUERZO | $27.256 | $61.658 | $48.480 |
| 1701006 | 0 | 7 | ECG CONTINUO (TEST HOLTER O SIMILARES) 20 A 24 HORAS | $27.615 | $71.479 | $56.220 |
| 1701007 | 0 | 5 | ECOCARDIOGRAMA DOPPLER (INCLUYE COD.1701008) | $46.519 | $114.952 | $113.490 |
| 1701008 | 0 | 3 | ECOCARDIOGRAMA BIDIMENSIONAL (INCLUYE REGISTRO MODO M ) | $28.812 | $71.859 | $70.960 |
| 1701009 | 0 | 1 | MONITOREO DE PRESION ARTERIAL CONTINUO | $27.270 | $46.086 | $39.280 |
| 1701013 | 0 | 3 | CATETERISMO EN RECIEN NACIDO POR ARTERIA UMBILICAL | $64.293 | $128.365 | $128.365 |
| 1701024 | 0 | 0 | ARTERIOGRAFIA PULMONAR, RENAL, ETC C/U AC 0402019-20-27 | $38.457 | $65.854 | $65.854 |
| 1701037 | 0 | 2 | PUNCION SUBCLAVIA O YUGULAR CON COLOCACION DE CATETER | $91.224 | $147.389 | $147.389 |
| 1701045 | 0 | 5 | ECOCARDIOGRAMA BIDIMENSIONAL DOPPLER COLOR | $64.047 | $152.012 | $119.540 |
| 1701523 | 0 | 1 | ESTUDIO DE OPTIMIZACION DE RESINCRONIZADORES | $12.333 | $204.516 | $204.516 |
| 1701901 | 0 | 9 | ECOCARDIOG.DE STRESS CON DOBUTAMINA (INC.ECO DOPPLER COL | $70.794 | $204.516 | $204.516 |
| 1701903 | 0 | 5 | ECOCARDIOGRAMA DOPPLER CON CONTRASTE | $121.744 | $235.296 | $235.296 |
| 1701967 | 0 | 0 | TILT TEST | $60.644 | $91.523 | $91.523 |
| 1707001 | 0 | 2 | ESPIROMETRIA BASAL | $6.881 | $13.366 | $11.730 |
| 1707002 | 0 | 0 | ESPIROMETRIA BASAL Y CON BRONCODILATADOR | $19.252 | $25.836 | $19.570 |
| 1707004 | 0 | 6 | PROVOCACION CON EJERCICIO, TEST DE | $30.971 | $60.211 | $60.211 |
| 1707005 | 0 | 3 | PROVOCACION CON METACOLINA,TEST DE (INCL.ESPIROMETRIA) | $20.138 | $35.481 | $32.560 |
| 1707008 | 0 | 7 | CAPACIDAD DE DIFUSION, ESTUDIO DE | $15.782 | $23.496 | $21.570 |
| 1707009 | 0 | 5 | CAPACIDAD FISICA DEL TRABAJO | $77.255 | $108.242 | $108.242 |
| 1707011 | 0 | 1 | CURVA DE RELACION FLUJO-VOLUMEN BASAL | $12.072 | $19.999 | $14.850 |
| 1707013 | 0 | 7 | MEDICION DE PRESION DE OCLUSION | $7.058 | $24.343 | $22.320 |
| 1707014 | 0 | 5 | MEDICION DE PRESION INSPIRATORIA MAXIMA (PROC. AUT) | $4.853 | $10.141 | $9.310 |
| 1707020 | 0 | 2 | VOLUMENES PULMONARES POR LAVADO DE NITROGENO | $27.973 | $45.073 | $41.360 |
| 1707025 | 0 | 1 | PROC. DETERMINAR GASOMETRIA ARTERIAL (X 2 COD.0302046) | $9.232 | $13.726 | $9.520 |
| 1707028 | 0 | 5 | PLEUROTOMIA MINIMA CON DRENAJE PLE | $48.736 | $89.126 | $89.126 |
| 1707030 | 0 | 1 | AEROSOLTERAPIA (NEBULIZ) POR SESION (C/AIRE COMP.,O2) | $3.637 | $4.055 | $4.055 |
| 1707039 | 0 | 2 | TEST INMUNOLOGICO RAPIDO PARA EL DIAGNOSTICO DE | $9.157 | $13.331 | $13.331 |
| 1707054 | 0 | 1 | SATURACION DE O2 EN REPOSO Y/O EJERC.(C/OXIMETRO) | $4.715 | $8.005 | $5.950 |
| 1707939 | 0 | 3 | TEST DE CAMINATA 6 MINUTOS | $16.442 | $27.782 | $27.782 |
| 1707940 | 0 | 1 | TEST DE EJERCICIO CARDIOPULMONAR | $96.633 | $222.457 | $222.457 |
| 1707941 | 0 | 9 | POLIGRAFIA RESPIRATORIA PARA ESTUDIO DE APNEA DEL SUENO | $142.770 | $251.808 | $251.808 |
| 1711009 | 0 | 9 | ECOCARDIOGRAFIA TRANSESOFAGICA (INCLUYE ECO DOPPLER) | $142.693 | $306.912 | $306.912 |
| 1801023 | 0 | 1 | INTUBACION ENDOSCOPICA DE SONDA NASOGASTRICA | $2.873 | $6.354 | $5.840 |
| 1801024 | 0 | 9 | INTUBACION ENDOSCOPICA DE SONDA ENTERAL | $8.744 | $26.858 | $26.858 |
| 1801037 | 0 | 1 | TEST DE UREASA (PARA HELICOBACTER PYLORI) | $10.050 | $14.117 | $10.460 |
| 1801041 | 0 | 3 | PUNCION DE LIQUIDO ASCITICO, DIAGNOSTICA | $47.664 | $73.587 | $73.587 |
| 1801050 | 0 | 4 | P.H. METRIA ESOFAGICA (24 HORAS) ADULTO | $130.301 | $291.226 | $291.226 |
| 1801922 | 0 | 4 | CAMBIO SONDA DE GASTROSTOMIA | $13.244 | $22.497 | $22.497 |
| 1901011 | 0 | 5 | UROFLUJOMETRIA (PROC. AUT.) | $21.153 | $24.198 | $24.198 |
| 1901019 | 0 | 8 | INSTILACION VESICAL (INCLUYE COLOCACION DE SONDA) | $21.153 | $50.518 | $50.518 |
| 1901020 | 0 | 6 | INYECCION DE MEDICAMENTOS EN EL PENE | $19.566 | $60.925 | $60.925 |
| 1901022 | 0 | 2 | VAC. VESICAL POR SONDA URETRAL, (PROC. AUT.) | $25.383 | $46.632 | $46.632 |
| 1901024 | 0 | 8 | HEMODIALISIS SIN INSUMOS | $113.205 | $129.080 | $129.080 |
| 1901025 | 0 | 5 | PERITONEODIALISIS | $504.112 | $718.756 | $718.756 |
| 1901026 | 0 | 3 | PERITONEODIALISIS AMBULATORIA CONTINUA | $109.910 | $1.229.625 | $1.131.510 |
| 1901501 | 0 | 5 | INSTALACION SONDA FOLEY (INSTALACION DE SONDAS URINARIAS) | $17.472 | $27.910 | $27.910 |
| 1901902 | 0 | 5 | INSTALACION Y/O RETIRO DE CATETER TENKOFF | $31.478 | $57.306 | $57.306 |
| 1902902 | 0 | 4 | USO EQUIPO LASER HO YAG | $190.024 | $268.046 | $268.046 |
| 1902903 | 0 | 2 | PROGRAMA UNIDAD CUIDADO RENAL AVANZADO UCRA ETAPA 4 | $32.749 | $36.783 | $36.783 |
| 1902904 | 0 | 0 | PROGRAMA UNIDAD CUIDADO RENAL AVANZADO UCRA ETAPA 5 | $39.058 | $43.869 | $43.869 |
| 2001002 | 0 | 1 | COLPOSCOPIA | $16.760 | $49.262 | $49.262 |
| 2001006 | 0 | 2 | AMNIOCENTESIS | $16.215 | $24.418 | $22.400 |
| 2001009 | 0 | 6 | MONITOREO BASAL CON INFORME | $21.989 | $33.995 | $33.995 |
| 2001010 | 0 | 4 | MONITOREO FETAL ESTRESANTE, CON CONTROL PERMANENTE | $68.702 | $106.217 | $106.217 |
| 2001015 | 2 | 3 | COLOCACION O EXTRACCION DE DISPOSITIVO INTRAUTERINO | $19.063 | $45.280 | $45.280 |
| 2001021 | 0 | 1 | HISTEROSONOGRAFIA | $38.479 | $54.081 | $49.630 |
| 2001022 | 0 | 9 | PUNCION EVACUADORA DE QUISTES MAMARIOS,C/S TOMA DE MUEST | $21.581 | $66.284 | $66.284 |
| 2004009 | 0 | 3 | FOTOTERAPIA A RECIEN NACIDOS | $49.120 | $79.131 | $79.131 |
| 2101001 | 0 | 2 | INFILTRACION LOCAL MEDICAMENTOS (BURSAS, TENDONES, YUXTA | $23.009 | $69.732 | $69.732 |
| 2101004 | 0 | 6 | EXTRACCION DE MATERIAL DE OSTEOSISTESIS | $3.945 | $8.501 | $8.501 |
| 2105004 | 0 | 2 | RODILLERA, BOTA LARGA O CORTA DE YESO | $15.995 | $59.236 | $28.590 |
| 2105005 | 0 | 9 | VELPEAU | $13.028 | $31.158 | $28.590 |
| 2105006 | 0 | 7 | YESO ANTEBRAQUIAL C/S FERULA DIGITAL | $16.714 | $59.236 | $28.590 |
| 2105007 | 0 | 5 | YESO BRAQUICARPIANO | $16.714 | $59.236 | $28.590 |
| 2105009 | 0 | 1 | YESO PELVIPEDIO UNILATERAL | $10.487 | $59.239 | $54.350 |
| 2105010 | 0 | 9 | YESO TORACOBRAQUIAL | $27.922 | $67.415 | $50.060 |
| 2105011 | 0 | 7 | CORSETS MILWAUKEE (TOMA DE MOLDE ) | $15.605 | $73.186 | $58.860 |
| 2201001 | 0 | 1 | ANESTESIA GRAL O REGIONAL OTORGADA POR MEDICO DIF PRIMER CIR | $59.070 | $66.901 | $61.550 |
| 2201002 | 0 | 9 | ANESTESIA PERIDURAL CONTINUA, PROC. AUT. | $71.010 | $80.530 | $74.110 |
| 2201005 | 0 | 2 | ANESTESIA GENERAL Y PERFUSION CON C.E.C. | $155.324 | $215.947 | $215.947 |
| 2201006 | 0 | 0 | ANESTESIA GENERAL | $81.642 | $109.970 | $109.970 |
| 2201008 | 0 | 6 | ASISTENCIA ANESTESIOLOGICA A TERAPIA ELECTROCONVULSIVA | $39.135 | $59.923 | $59.923 |
| 2201904 | 0 | 6 | BLOQUEO GANGLIO ESTRELLADO | $27.990 | $41.760 | $41.760 |
| 2201905 | 0 | 3 | RECUPERACION ANESTESICA | $10.970 | $58.959 | $58.959 |
| 2201910 | 0 | 3 | ANESTESIA RESONADOR | $99.247 | $450.517 | $450.517 |
| CÁMARA HIPERBÁRICA | ||||||
| 2302001 | 0 | 9 | TABLA 9 (OXIGENOTERAPIA) | $70.655 | $93.778 | $93.778 |
| 2302008 | 0 | 4 | TABLA 6 (DESCOMPRESIÓN) | $1.329.602 | $2.092.544 | $2.092.544 |
| 2302009 | 0 | 2 | TABLA 6 A (DESCOMPRESIÓN) | $1.632.652 | $2.705.983 | $2.705.983 |
| 2302010 | 0 | 0 | PRUEBA HIPERBARICA | $78.056 | $101.158 | $101.158 |
| 2302011 | 0 | 8 | TEST DE TOLERANCIA AL OXIGENO | $104.652 | $182.028 | $182.028 |
| 2302012 | 0 | 6 | TABLA 5 (DESCOMPRESIÓN) | $911.133 | $1.505.761 | $1.505.761 |
