ARANCEL REFERENCIAL 2023 HOSPITAL NAVAL ALMIRANTE NEF
| CODIGO PRESTACIÓN | CODIGO PABELLÓN | DIGITO VERIFICADOR | DENOMINACIÓN | TARIFA INSTITUCIONAL | TARIFA PARTICULAR | TARIFA FONASA |
|---|---|---|---|---|---|---|
| 101007 | 0 | 3 | ATENC.MED RECIEN NACIDO SALA DE PARTO O PAB.C/S REAN.CARD.RE | $37.325 | $180.800 | $180.800 |
| 101015 | 0 | 6 | CONSULTA URGENCIA | $36.238 | $50.199 | $50.199 |
| 101019 | 0 | 8 | CONSULTA NUTRICIONISTA | $17.400 | $27.696 | $27.696 |
| 101020 | 0 | 6 | ATENCION MEDICA INTEGRAL | $2.817 | $3.155 | $3.155 |
| 101024 | 0 | 8 | EVALUAC.DESARR.PSICOMOT.DEL LACTANTE P/ENFERMERA | $11.831 | $13.251 | $13.251 |
| 101034 | 0 | 7 | CONSULTA OBESIDAD ADULTO | $12.913 | $30.873 | $30.873 |
| 101201 | 0 | 2 | CONSULTA MEDICA DE ESPECIALIDAD EN DERMATOLOGIA | $20.878 | $29.098 | $24.880 |
| 101203 | 0 | 8 | CONSULTA MEDICA DE ESPECIALIDAD EN NEUROCIRUGIA | $20.250 | $29.098 | $24.880 |
| 101204 | 0 | 6 | CONSULTA MEDICA DE ESPEC. OFTALMOLOGIA (INCL. EXP. VITREORE) | $24.894 | $39.640 | $39.640 |
| 101205 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN OTORRINOLARINGOLOGIA | $20.250 | $29.098 | $24.880 |
| 101206 | 0 | 1 | CONSULTA MEDICA EN REUMATOLOGIA | $20.250 | $35.965 | $24.880 |
| 101207 | 0 | 9 | CONSULTA MEDICA DE ESPECIALIDAD EN ENDOCRINOLOGIA ADULTO | $20.878 | $29.098 | $24.880 |
| 101208 | 0 | 7 | CONSULTA MEDICA ESPECIALIDAD EN ENDOCRINOLOGIA PEDIATRICA | $20.878 | $29.098 | $24.880 |
| 101209 | 0 | 5 | CONSULTA MEDICA DE ESPECIALIDAD EN NERUROLOGIA ADULTOS | $20.250 | $29.098 | $24.880 |
| 101210 | 0 | 3 | CONSULTA MEDICA ESPECIALIDAD NEUROLOGIA PEDIATRICA | $20.250 | $29.098 | $24.880 |
| 101211 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN ONCOLOGIA MEDICA | $20.250 | $29.098 | $24.880 |
| 101301 | 0 | 0 | CONSULTA MEDICA DE ESPECIALIDAD EN CARDIOLOGIA | $20.250 | $29.098 | $29.098 |
| 101302 | 0 | 8 | CONSULTA MEDICA DE ESPECIALIDAD EN HEMATOLOGIA | $20.250 | $29.098 | $29.098 |
| 101307 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN MEDICINA INTERNA | $20.250 | $29.098 | $29.098 |
| 101308 | 0 | 5 | CONSULTA MEDICA DE ESPECIALIDAD EN OBSTETRICIA Y GINECOLOGIA | $20.250 | $29.098 | $29.098 |
| 101309 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN PEDIATRIA | $20.250 | $29.098 | $29.098 |
| 101310 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN TRAUMAT. Y ORTOPEDIA | $20.250 | $29.098 | $29.098 |
| 101311 | 0 | 9 | CONSULTA MEDICA DE ESPECIALIDAD EN UROLOGIA | $20.250 | $29.098 | $24.880 |
| 101312 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA GENERAL | $20.250 | $29.098 | $29.098 |
| 101313 | 0 | 5 | CONSULTA MEDICA DE ESPEC. EN CIRUGIA DE CABEZA, CUELLO, MAXI | $20.250 | $29.098 | $29.098 |
| 101314 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA CARDIOVASCULAR | $20.250 | $29.098 | $29.098 |
| 101317 | 0 | 6 | CONSULTA MEDICA DE ESPECIALIDAD EN CIRUGIA PEDIATRICA | $20.250 | $29.098 | $29.098 |
| 101319 | 0 | 2 | CONSULTA MEDICA DE ESPECIALIDAD EN COLOPROCTOLOGIA | $20.250 | $29.098 | $29.098 |
| 101321 | 0 | 8 | CONSULTA MEDICA ESPEC.ENFERMEDADES RESPIRATORIAS ADULTO | $20.250 | $29.098 | $29.098 |
| 101322 | 0 | 6 | CONSULTA MEDICA ESPEC.ENFERMEDADES RESPIRATORIAS PEDIATRICAS | $20.250 | $29.098 | $29.098 |
| 101323 | 0 | 4 | CONSULTA MEDICA ESPEC. EN GASTROENTEROLOGIA ADULTO | $20.250 | $29.098 | $29.098 |
| 101324 | 0 | 2 | CONSULTA MEDICA ESPEC. EN GASTROENTEROLOGIA PEDIATRICO | $20.250 | $29.098 | $29.098 |
| 101326 | 0 | 7 | CONSULTA MEDICA DE ESPECIALIDAD EN NEFROLOGIA ADULTO | $20.250 | $29.098 | $29.098 |
| 101328 | 0 | 3 | CONSULTA MEDICA DE ESPECIALIDAD EN NEONATOLOGIA | $20.250 | $29.098 | $29.098 |
| 101329 | 0 | 1 | CONSULTA MEDICA DE ESPECIALIDAD EN ANESTESIOLOGIA | $20.250 | $29.098 | $29.098 |
| 101334 | 0 | 1 | CONSULTA LEY R.SOTO | $20.250 | $49.396 | $49.396 |
| 101507 | 0 | 2 | CURACION EXTENSA (COMPLEJA) | $8.148 | $9.871 | $9.871 |
| 101508 | 0 | 0 | CURACION SIMPLE | $6.059 | $7.338 | $7.338 |
| 101511 | 0 | 4 | HEMOGLUCOTEST (INCLUYE PROCEDIMIENTO E INSUMOS) | $1.245 | $4.534 | $4.534 |
| 101512 | 0 | 2 | INYECCION INTRAMUSCULAR (INCL. PROCED. E INSUMOS, SIN FARM.) | $329 | $6.361 | $6.361 |
| 101514 | 0 | 8 | INYECCION INTRAVENOSA (INCL. PROCED. E INSUMOS, SIN FARM.) | $747 | $10.176 | $10.176 |
| 101520 | 0 | 5 | INSTALACION DE FLEBOCLISIS | $6.283 | $7.620 | $7.620 |
| 101536 | 0 | 1 | CONSULTA PROFESIONAL DE SALUD | $5.374 | $6.919 | $6.919 |
| 101574 | 0 | 2 | TRATAMIENTO ANTICOAGULANTE (TACO) | $10.837 | $17.979 | $17.979 |
| 101900 | 0 | 9 | CUIDADO DEL PIE DIABETICO | $12.022 | $20.960 | $20.960 |
| 110194 | 0 | 8 | TOMA E INFORME ELEC. DIGITAL URGENCIA | $176.440 | $242.942 | $242.942 |
| DERECHO DE PABELLON | ||||||
| 201111 | 0 | 2 | DERECHO PABELLON NIVEL 1 | $88.147 | $100.619 | $100.619 |
| 201112 | 0 | 0 | DERECHO PABELLON NIVEL 2 | $88.147 | $100.619 | $100.619 |
| 201003 | 3 | 1 | DERECHO PABELLON NIVEL 3 | $88.147 | $117.315 | $117.315 |
| 201004 | 4 | 9 | DERECHO PABELLON NIVEL 4 | $177.640 | $214.179 | $214.179 |
| 201005 | 5 | 6 | DERECHO PABELLON NIVEL 5 | $240.172 | $274.143 | $274.143 |
| 201006 | 6 | 4 | DERECHO PABELLON NIVEL 6 | $321.929 | $367.460 | $367.460 |
| 201007 | 7 | 2 | DERECHO PABELLON NIVEL 7 | $440.153 | $502.405 | $502.405 |
| 201008 | 8 | 0 | DERECHO PABELLON NIVEL 8 | $634.591 | $724.338 | $724.338 |
| 201009 | 9 | 8 | DERECHO PABELLON NIVEL 9 | $846.534 | $966.253 | $966.253 |
| 201010 | 10 | 6 | DERECHO PABELLON NIVEL 10 | $913.527 | $1.042.719 | $1.042.719 |
| 201011 | 11 | 4 | DERECHO PABELLON NIVEL 11 | $1.047.828 | $1.196.012 | $1.196.012 |
| 201012 | 12 | 2 | DERECHO PABELLON NIVEL 12 | $1.132.115 | $1.292.218 | $1.292.218 |
| 201013 | 13 | 0 | DERECHO PABELLON NIVEL 13 | $1.255.485 | $1.433.037 | $1.433.037 |
| 201014 | 14 | 8 | DERECHO PABELLON NIVEL 14 | $1.445.278 | $1.649.667 | $1.649.667 |
| 201015 | 1 | 5 | SALA DE PROCEDIMIENTOS NIVEL 1 | $85.166 | $100.134 | $100.134 |
| 201016 | 2 | 3 | SALA DE PROCEDIMIENTOS NIVEL 2 | $75.527 | $100.619 | $100.619 |
| 201017 | 3 | 1 | SALA DE PROCEDIMIENTOS NIVEL 3 | $88.147 | $117.315 | $117.315 |
| 201018 | 4 | 9 | SALA DE PROCEDIMIENTOS NIVEL 4 | $177.640 | $214.179 | $214.179 |
| 201020 | 0 | 5 | DERECHO PABELLON DENTAL | $55.239 | $69.798 | $69.798 |
| DIA CAMA | ||||||
| 201001 | 0 | 5 | DIA CAMA HOSPITALIZACION INTEGRAL CUIDADOS BASICOS (SALA 1 CA | $171.896 | $225.380 | $225.380 |
| 201002 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADOS BASICOS (SALA 2 | $139.121 | $166.946 | $166.946 |
| 201101 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADEOS MEDIOS (SALA 1 | $76.093 | $186.252 | $186.252 |
| 201102 | 0 | 1 | DIA CAMA DE HOSPITALIZACION INTEGRAL CUIDADOS MEDIOS (SALA 2 | $202.100 | $329.736 | $329.736 |
| 201201 | 0 | 1 | DIA CAMA HOSPITALIZACION INTEGRAL ADULTO EN UNIDAD DE CUIDADO | $484.253 | $700.281 | $700.281 |
| 201203 | 0 | 7 | DIA CAMA HOSPITALIZACION INTEGRAL NEONATAL EN UNIDAD DE CUIDA | $383.518 | $599.706 | $599.706 |
| 201301 | 0 | 9 | DIA CAMA HOSPITALIZACION INTEGRAL ADULTO EN UNIDAD DE TRATAMI | $247.596 | $466.876 | $466.876 |
| 201303 | 0 | 5 | DIA CAMA HOSPITALIZACION INTEGRAL NEONATAL EN UNIDAD DE TRATA | $182.797 | $329.205 | $329.205 |
| 201401 | 0 | 7 | DIA CAMA DE HOSPITALIZACION INTEGRAL OBSTETRICIA (SALA 1 CAMA | $60.877 | $199.083 | $199.083 |
| 201402 | 0 | 5 | DIA CAMA DE HOSPITALIZACION INTEGRAL OBSTETRICIA (SALA 2 O MA | $59.181 | $129.664 | $129.664 |
| 201403 | 0 | 3 | DIA CAMA DE HOSPITALIZACION INTEGRAL SALA CUNA | $76.093 | $113.088 | $113.088 |
| 201404 | 0 | 1 | DIA CAMA DE HOSPITALIZACION INCUBADORA | $162.320 | $214.490 | $214.490 |
| 201405 | 0 | 8 | DIA CAMA DE HOSPITALIZACION INTEGRAL PSIQUIATRIA CUIDADOS BAS | $61.015 | $115.531 | $115.531 |
| 201407 | 0 | 4 | DIA CAMA DE HOSPITALIZACION INTEGRAL DE OBSERVACION - AMBULAT | $76.200 | $207.480 | $207.480 |
| 202110 | 0 | 3 | DIA CAMA DE HOSPITALIZACION PEDIATRIA (SALA 2 CAMAS | $54.333 | $120.872 | $120.872 |
| 202112 | 0 | 9 | DIA CAMA DE HOSPITALIZACION PEDIATRIA (SALA 1 CAMA | $57.170 | $206.614 | $206.614 |
| EXÁMENES DE LABORATORIO | ||||||
| 301001 | 0 | 4 | TEST DE HAM, ACIDIFICACION DEL SUE | $2.153 | $3.146 | $3.146 |
| 301002 | 0 | 2 | ACIDO FOLICO | $7.632 | $8.484 | $8.484 |
| 301003 | 0 | 0 | ADENOGRAMA, MIELOGRAMA, C/U | $5.578 | $13.176 | $12.370 |
| 301007 | 0 | 1 | ANTICOAGULANTES CIRCULANTES O ANTICOAGULANTE LUPICO | $11.405 | $13.034 | $13.034 |
| 301008 | 0 | 9 | ANTITROMBINA III | $8.190 | $10.144 | $10.144 |
| 301012 | 0 | 1 | COAGULO, TIEMPO DE RETRACCION DEL | $1.177 | $2.180 | $2.180 |
| 301014 | 0 | 7 | PRUEBA ANTIGLOBULINA DIRECTA, COOMBS DIRECTO/FRACCIONADA | $7.563 | $14.645 | $14.645 |
| 301015 | 0 | 4 | COOMBS INDIRECTO, TEST DE (PRUEBA | $8.778 | $10.326 | $10.326 |
| 301021 | 0 | 2 | FIBRINOGENO (FACTOR I) | $5.030 | $7.456 | $7.456 |
| 301024 | 0 | 6 | FACTOR V | $13.256 | $15.152 | $15.152 |
| 301026 | 0 | 1 | FERRITINA | $4.850 | $9.582 | $8.990 |
| 301027 | 0 | 9 | FIBRINOGENO, PRODUCTOS DE DEGRADACION DEL | $13.349 | $15.724 | $15.724 |
| 301028 | 0 | 7 | FIERRO SERICO | $3.302 | $3.806 | $3.806 |
| 301029 | 0 | 5 | FIERRO, CAPACIDAD DE FIJACION DEL (INCLUYE FIERRO SERICO) | $7.049 | $7.836 | $7.836 |
| 301034 | 0 | 5 | CLASIFICACION SANGUINEA ABO Y RHD | $10.926 | $12.488 | $12.488 |
| 301036 | 0 | 0 | HEMATOCRITO (PROC. AUT.) | $1.230 | $1.807 | $1.807 |
| 301038 | 0 | 6 | HEMOGLOBINA EN SANGRE TOTAL (PROC. AUT.) | $1.230 | $1.805 | $1.805 |
| 301041 | 0 | 0 | HEMOGLOBINA GLICADA A1C | $7.189 | $8.123 | $8.123 |
| 301045 | 0 | 1 | HEMOGRAMA (INCL. RECUENTO DE LEUCOCITOS Y ERITROCITOS, HEMOG | $4.679 | $5.220 | $5.220 |
| 301048 | 0 | 5 | HEMOSIDERINA MEDULAR | $6.443 | $7.367 | $7.367 |
| 301050 | 0 | 1 | ISOINMUNIZACION, DETECCION DE ANTICUERPOS IRR | $9.264 | $12.718 | $12.718 |
| 301051 | 0 | 9 | IDENTIFICACION DE ANTICUERPOS IRREGULARES ERITROCITARIOS | $5.398 | $20.602 | $7.520 |
| 301059 | 0 | 2 | TIEMPO DE PROTROMBINA (INCL. INR, RAZON INTERNAC. NORMALIZAD | $2.383 | $2.738 | $2.738 |
| 301063 | 0 | 4 | RECUENTOS DE EOSINOFILOS (ABSOLUTO) | $1.068 | $1.571 | $1.470 |
| 301064 | 0 | 2 | RECUENTO DE ERITROCITOS, ABSOLUTO (PROC. AUT.) | $553 | $1.209 | $1.140 |
| 301065 | 0 | 9 | RECUENTO DE LEUCOCITOS, ABSOLUTO (PROC. AUT.) | $1.230 | $1.813 | $1.813 |
| 301066 | 0 | 7 | RECUENTO DE LINFOCITOS (ABSOLUTO) | $1.157 | $2.023 | $1.900 |
| 301067 | 0 | 5 | RECUENTO DE PLAQUETAS (ABSOLUTO) | $2.163 | $2.477 | $2.477 |
| 301068 | 0 | 3 | RECUENTO DE RETICULOCITOS (ABSOLUTO O PORCENTUAL) | $2.829 | $3.413 | $3.413 |
| 301069 | 0 | 1 | RECUENTO DIFERENCIAL O FORMULA LEUCOCITARIA (PROC. AUT.) | $2.988 | $3.379 | $3.170 |
| 301070 | 0 | 9 | RESISTENCIA GLOBULAR OSMOTICA | $32.173 | $38.079 | $38.079 |
| 301072 | 0 | 5 | TIEMPO DE SANGRIA (NO INCLUYE DISPOSITIVO ASOCIADO) | $7.902 | $9.034 | $9.034 |
| 301075 | 0 | 8 | SUBGRUPO AB0 Y RH FENOTIPO - GENOTIPO RH, C/U | $12.935 | $15.213 | $15.213 |
| 301082 | 0 | 4 | TRANSFERRINA | $5.050 | $8.769 | $8.220 |
| 301085 | 0 | 7 | TROMBOPLASTINA, TIEMPO PARCIAL DE (TTPA, TTPK O SIMILARES) | $3.676 | $4.200 | $4.200 |
| 301086 | 0 | 5 | VELOCIDAD DE ERITROSEDIMENTACION (PROC.AUT.) | $2.618 | $2.999 | $2.999 |
| 301087 | 0 | 3 | VITAMINA B12 | $11.174 | $12.828 | $12.828 |
| 301091 | 0 | 5 | PROTEINA C FUNCIONAL | $35.159 | $49.697 | $46.620 |
| 301092 | 0 | 3 | PROTEINA S | $27.800 | $58.783 | $55.140 |
| 301093 | 0 | 1 | RESISTENCIA A LA PROTEINA C ACTIVADA | $18.117 | $37.030 | $34.740 |
| 301094 | 0 | 9 | FACTOR "VII" | $8.968 | $15.707 | $71.620 |
| 301095 | 0 | 6 | DOSIFICACION DE FACTOR "X" | $11.343 | $15.707 | $17.900 |
| 301096 | 0 | 4 | ANTICUERPOS ANTICARDIOLIPINAS IGG-IGM C/U | $16.233 | $20.577 | $20.577 |
| 301097 | 0 | 2 | DIMERO D | $11.504 | $19.097 | $19.097 |
| 301098 | 0 | 0 | MIELOGRAMA | $6.408 | $13.176 | $13.176 |
| 301100 | 0 | 4 | FACTOR VIII (ANTI HEMOFILICO) | $2.885 | $15.707 | $15.707 |
| 301101 | 0 | 2 | FACTOR IX (ANTI HEMOFILICO B) | $9.109 | $15.707 | $15.707 |
| 301900 | 0 | 7 | DERIVADOS DE HEMOGLOBINA | $3.545 | $21.470 | $21.470 |
| 301901 | 0 | 5 | DOSIFICACION FACTOR XI | $11.471 | $15.707 | $15.707 |
| 301902 | 0 | 3 | DOSIFICACION FACTOR XII | $14.595 | $16.680 | $16.680 |
| 301904 | 0 | 9 | PANEL UPC EXAMENES URGENCIA | $7.536 | $28.714 | $28.714 |
| 301945 | 0 | 2 | RECUENTOS HEMATOLOGICOS | $2.494 | $5.875 | $5.875 |
| 302001 | 0 | 3 | CUERPOS CETONICOS EN SANGRE | $1.284 | $1.480 | $1.390 |
| 302004 | 0 | 7 | LACTATO EN SANGRE | $6.045 | $6.888 | $6.100 |
| 302005 | 0 | 4 | ACIDO URICO, EN SANGRE | $2.334 | $2.675 | $2.675 |
| 302006 | 0 | 2 | ALCOHOL EN SANGRE | $5.842 | $25.800 | $25.800 |
| 302008 | 0 | 8 | AMILASA, EN SANGRE | $3.735 | $4.278 | $4.278 |
| 302010 | 0 | 4 | AMONIO | $4.030 | $4.818 | $4.818 |
| 302011 | 0 | 2 | BICARBONATO (PROC. AUT.) | $4.025 | $4.815 | $4.815 |
| 302012 | 0 | 0 | BILIRRUBINA TOTAL (PROC. AUT.) | $2.182 | $2.475 | $2.320 |
| 302013 | 0 | 8 | BILIRRUBINA TOTAL Y CONJUGADA | $2.217 | $2.563 | $2.563 |
| 302015 | 0 | 3 | CALCIO EN SANGRE | $2.054 | $2.340 | $2.060 |
| 302017 | 0 | 9 | CAROTENO | $2.041 | $3.526 | $3.310 |
| 302018 | 0 | 7 | CAROTENO PRUEBA DE SOBRECARGA DE, ADEMAS COD 307011 O 307012 | $4.585 | $7.650 | $7.170 |
| 302023 | 0 | 7 | CREATININA EN SANGRE | $1.879 | $2.147 | $2.020 |
| 302024 | 0 | 5 | CLEARENCE DE CREATININA (PROC. AUT.) | $4.621 | $5.272 | $5.272 |
| 302025 | 0 | 2 | CREATINQUINASA CK - MB ACTIVIDAD | $7.819 | $8.988 | $7.940 |
| 302026 | 0 | 0 | CREATINQUINASA CK - TOTAL | $4.159 | $6.079 | $5.700 |
| 302027 | 0 | 8 | TROPONINA | $24.992 | $31.640 | $31.640 |
| 302030 | 0 | 2 | DESHIDROGENASA LACTICA TOTAL (LDH) | $3.466 | $4.032 | $3.570 |
| 302032 | 0 | 8 | ELECTROLITOS PLASMATICOS (SODIO, POTASIO, CLORO) C/U | $1.995 | $2.275 | $2.275 |
| 302034 | 0 | 4 | PERFIL LIPIDICO (INCL. MEDICIONES DE COLESTEROL TOTAL, HDL | $9.932 | $11.179 | $11.179 |
| 302035 | 0 | 1 | FARMACOS Y/O DROGAS; NIVELES PLASMATICOS DE (ALCOHOL, ANOREX | $5.202 | $25.800 | $9.360 |
| 302037 | 0 | 7 | FOSF.ACIDOS | $4.527 | $8.593 | $8.593 |
| 302038 | 0 | 5 | FOSFATASAS ACIDAS TOTALES Y FRACCION PROSTATI | $3.394 | $7.087 | $7.087 |
| 302040 | 0 | 1 | FOSFATASAS ALCALINAS TOTALES | $1.995 | $2.304 | $2.304 |
| 302042 | 0 | 7 | FOSFORO (FOSFATOS) EN SANGRE | $2.719 | $3.108 | $2.750 |
| 302045 | 0 | 0 | GAMMA GLUTAMILTRANSPEPTIDASA (GGT) | $3.501 | $4.036 | $4.036 |
| 302046 | 0 | 8 | GASES Y EQUILIBRIO ACIDO BASE EN SANGRE (INCL. PH, O2, CO2, | $5.928 | $6.624 | $6.624 |
| 302047 | 0 | 6 | GLUCOSA EN SANGRE | $1.902 | $2.200 | $2.200 |
| 302048 | 0 | 4 | GLUCOSA, PRUEBA DE TOLERANCIA A LA GLUCOSA ORAL (PTGO) | $9.243 | $10.428 | $10.428 |
| 302053 | 0 | 4 | LIPASA EN SANGRE | $3.431 | $4.215 | $3.950 |
| 302054 | 0 | 2 | ELECTROFORESIS DE LIPOPROTEINAS | $8.004 | $12.597 | $12.597 |
| 302055 | 0 | 9 | LITIO EN SANGRE | $2.580 | $4.644 | $4.350 |
| 302056 | 0 | 7 | MAGNESIO EN SANGRE | $4.679 | $5.400 | $4.770 |
| 302057 | 0 | 5 | NITROGENO UREICO Y/O UREA, EN SANGRE | $1.232 | $2.113 | $1.980 |
| 302059 | 0 | 1 | PROTEINAS FRACCIONADAS ALBUMINA/GL | $1.533 | $2.495 | $2.495 |
| 302060 | 0 | 9 | PROTEINAS TOTALES EN SANGRE | $2.241 | $2.575 | $2.575 |
| 302061 | 0 | 7 | PROTEINAS, ELECTROFORESIS (INCL. COD. 302060) | $10.322 | $16.966 | $16.966 |
| 302063 | 0 | 3 | TRANSAMINASAS, OXALACETICA (GOT/AST), PIRUVICA (GPT/ALT) C/U | $1.644 | $2.949 | $2.770 |
| 302064 | 0 | 1 | TRIGLICERIDOS EN SANGRE (PROC.AUT.) | $2.742 | $3.125 | $3.125 |
| 302067 | 0 | 4 | COLESTEROL TOTAL (PROC.AUT.) | $1.621 | $2.170 | $2.030 |
| 302068 | 0 | 2 | COLESTEROL HDL (PROC. AUT.) | $3.115 | $3.604 | $3.604 |
| 302075 | 0 | 7 | PERFIL BIOQUIMICO (DETERMINACION AUTOMATIZADA DE 12 PARAMETRO | $13.979 | $20.142 | $20.142 |
| 302078 | 0 | 1 | 25 OH VITAMINA D TOTAL POR INMUNOENSAYO | $25.816 | $30.436 | $30.436 |
| 302080 | 0 | 7 | VITAMINA B6 POR HPLC | $1.190 | $82.513 | $77.410 |
| 302087 | 0 | 2 | DROGA CIRCULANTE ACIDO VALPROICO | $11.277 | $27.374 | $27.374 |
| 302088 | 0 | 0 | DROGA CIRCULANTE FENOBARBITAL | $15.622 | $27.374 | $27.374 |
| 302089 | 0 | 8 | DROGA CIRCULANTE FENITOINA | $8.342 | $13.711 | $13.711 |
| 302090 | 0 | 6 | TROPONINA I | $6.833 | $18.114 | $18.114 |
| 302092 | 0 | 2 | DROGA CIRCULANTE CICLOSPORINA | $26.639 | $30.281 | $30.281 |
| 302093 | 0 | 0 | DROGA CIRCULANTE DIGOXINA | $15.540 | $27.374 | $27.374 |
| 302094 | 0 | 8 | ALBUMINA EN SANGRE | $1.276 | $2.328 | $2.328 |
| 302096 | 0 | 3 | TRANSAMINASA PIRUVICA | $1.283 | $2.949 | $2.949 |
| 302097 | 0 | 1 | NITROGENO UREICO Y/O UREA, EN SANGRE | $1.261 | $2.113 | $1.870 |
| 302100 | 0 | 3 | TRANSAMINASA OXALOACETICA | $1.340 | $2.949 | $2.190 |
| 302107 | 0 | 8 | POTASEMIA | $1.533 | $2.057 | $2.057 |
| 302108 | 0 | 6 | GLICEMIA POST-PRANDIAL | $1.241 | $1.989 | $1.989 |
| 302113 | 0 | 6 | DROGA CIRCULANTE CARBAMAZEPINA | $12.024 | $27.374 | $27.374 |
| 302357 | 0 | 9 | PERFIL BIOQUIMICO | $13.979 | $20.142 | $20.142 |
| 302507 | 0 | 9 | PREALBUMINA | $4.302 | $30.284 | $30.284 |
| 302509 | 0 | 5 | PEPTIDO NATRIURETICO (PNP) | $22.205 | $27.786 | $27.786 |
| 302934 | 0 | 5 | SODIO (PLASMATICO) | $1.078 | $2.057 | $2.057 |
| 302937 | 0 | 8 | CALCIO IONICO | $3.071 | $3.978 | $3.978 |
| 302960 | 0 | 0 | PROTEINA CUALITATIVA EN ORINA | $3.391 | $6.456 | $6.456 |
| 302965 | 0 | 9 | TEST HIPOGLICEMIA REACTIVA | $18.006 | $29.933 | $29.933 |
| 302986 | 0 | 5 | NIVEL PLASM DE AMIKACINA | $30.191 | $33.814 | $33.814 |
| 303001 | 0 | 2 | ADENOCORTICOTROFINA (ACTH) | $11.683 | $13.684 | $12.830 |
| 303006 | 0 | 1 | CORTISOL | $8.531 | $9.838 | $9.838 |
| 303008 | 0 | 7 | DEHIDROEPIANDROSTERONA SULFATO (DHEA-S) | $10.181 | $14.662 | $10.430 |
| 303014 | 0 | 5 | GONADOTROFINA CORIONICA, SUB UNIDAD BETA (CUANTIFICACION) | $8.286 | $9.475 | $9.475 |
| 303015 | 0 | 2 | HORMONA FOLICULO ESTIMULANTE (FSH) | $8.286 | $9.312 | $9.312 |
| 303016 | 0 | 0 | HORMONA LUTEINIZANTE (LH) | $8.286 | $9.336 | $9.336 |
| 303017 | 0 | 8 | INSULINA | $8.135 | $9.192 | $9.192 |
| 303018 | 0 | 6 | PARATHORMONA, HORMONA PARATIROIDEA O PTH | $5.761 | $13.379 | $12.540 |
| 303019 | 0 | 4 | PROGESTERONA | $8.286 | $9.346 | $9.346 |
| 303020 | 0 | 2 | PROLACTINA (PRL) | $8.286 | $9.312 | $9.312 |
| 303022 | 0 | 8 | TESTOSTERONA EN SANGRE | $8.531 | $9.672 | $8.540 |
| 303023 | 0 | 6 | TESTOSTERONA LIBRE EN SANGRE | $11.175 | $16.093 | $16.093 |
| 303024 | 0 | 4 | TIROESTIMULANTE (TSH),HORMONA (ADULTO, NINO O R.N.) | $7.000 | $8.123 | $8.123 |
| 303026 | 0 | 9 | TIROXINA LIBRE (T4L) | $8.286 | $9.346 | $9.346 |
| 303027 | 0 | 7 | TIROXINA O TETRAYODOTIRONINA (T4) | $7.189 | $8.123 | $8.123 |
| 303028 | 0 | 5 | TRIYODOTIRONINA (T3) | $7.189 | $8.300 | $8.300 |
| 303029 | 0 | 3 | 17 HIDROXIPROGESTERONA | $9.088 | $11.277 | $10.580 |
| 303030 | 0 | 1 | ESTRADIOL (17 BETA) | $8.135 | $9.120 | $9.120 |
| 303031 | 0 | 9 | INSULINA, CURVA DE (MINIMO DOS DETERMINACIONES E INCLUYE TOD | $13.300 | $22.001 | $20.640 |
| 303035 | 0 | 0 | CORTISOL LIBRE URINARIO | $2.602 | $9.017 | $8.460 |
| 303039 | 0 | 2 | GONADOTROFINA CORIONICA, SUB UNIDAD BETA; TITULACION POR (EL | $7.156 | $8.554 | $8.020 |
| 303046 | 0 | 7 | SHBG (SEX HORMONE BINDING GLOBULIN) | $19.513 | $22.363 | $22.363 |
| 303047 | 0 | 5 | IGF1 O SOMATOMEDINA C (INSULINE LIKE GROWTH FACTOR) | $17.512 | $21.764 | $20.420 |
| 303502 | 0 | 9 | PROCALCITONINA | $16.599 | $43.426 | $43.426 |
| 303919 | 0 | 5 | PROCALCITONINA | $39.905 | $64.682 | $64.682 |
| 304001 | 0 | 1 | CARIOTIPO EN SANGRE POR CULTIVO DE LINFOSITOS (INCL. MINIMO | $176.008 | $220.994 | $220.994 |
| 304803 | 0 | 0 | EST.CITOGENETICO DE PLACENTA | $203.676 | $330.131 | $330.131 |
| 305001 | 0 | 0 | ALFA 1 ANTITRIPSINA CUANTITATIVA | $13.042 | $15.625 | $15.625 |
| 305003 | 0 | 6 | ALFA FETOPROTEINAS | $8.286 | $9.346 | $9.346 |
| 305004 | 0 | 4 | ANTICUERPO ANTI ENA (SCREENING Y P | $8.444 | $17.176 | $16.110 |
| 305005 | 0 | 1 | ANTICUERPOS ANTICELULA PARIETAL GA | $11.591 | $13.363 | $13.363 |
| 305006 | 0 | 9 | ANTICUERPOS ATIPICOS PANNEL DE IDE | $19.814 | $22.790 | $22.790 |
| 305007 | 0 | 7 | ANTICUERPOS ESPECIFICOS Y OTROS ANTICUERPOS (ANTITIROIDEOS | $9.592 | $10.901 | $10.901 |
| 305008 | 0 | 5 | ANTIESTREPTOLISINA O, POR TECNICA DE LATEX | $4.513 | $7.469 | $7.010 |
| 305009 | 0 | 3 | ANTIGENO CARCINOEMBRIONARIO (CEA) | $10.831 | $12.475 | $12.475 |
| 305010 | 0 | 1 | BETA-2 MICROGLOBULINA | $11.624 | $13.608 | $12.030 |
| 305012 | 0 | 7 | COMPLEMENTO C1Q, C2, C3, C4, ETC., C/U | $7.422 | $8.416 | $8.416 |
| 305014 | 0 | 3 | CRIOGLOBULINAS, PRECIPITACION EN FRIO (CUALIT.) O CUANT. C/U | $1.380 | $2.045 | $1.920 |
| 305019 | 0 | 2 | FACTOR REUMATOIDEO POR TECNICA DE LATEX U OTRAS SIMILARES | $2.230 | $7.345 | $4.000 |
| 305020 | 0 | 0 | FACTOR REUMATOIDEO POR TECNICA SCAT, WAALER R | $10.767 | $13.274 | $13.274 |
| 305025 | 0 | 9 | INMUNOFIJACION DE INMUNOGLOBULINAS, C/U | $91.755 | $106.272 | $106.272 |
| 305027 | 0 | 5 | INMUNOGLOBULINAS IGA, IGG, IGM, C/U | $7.422 | $8.712 | $7.700 |
| 305029 | 0 | 1 | INMUNOGLOBULINAS IGE, IGG ESPECIFICA, C/U | $2.185 | $8.430 | $7.900 |
| 305030 | 0 | 9 | PROTEINA C REACTIVA POR TECNICA DE LATEX U OTRAS SIMILARES | $10.230 | $14.304 | $14.304 |
| 305031 | 0 | 7 | PROTEINA C REACTIVA POR TECNICAS AUTOMATIZADAS | $9.664 | $10.898 | $10.898 |
| 305035 | 0 | 8 | DETECCION, IDENTIFICACION Y TITULACION DE CRIOAGLUTININAS | $2.256 | $4.226 | $3.970 |
| 305048 | 0 | 1 | REACCION CUTANEA 16 ALERGENOS POR | $7.123 | $11.662 | $11.662 |
| 305049 | 0 | 9 | TRANSFORMACION LINFOBLASTICA A DROGAS, ANALISIS DE | $85.176 | $102.032 | $102.032 |
| 305070 | 0 | 5 | ANTIGENO PROSTATICO ESPECIFICO | $7.565 | $14.521 | $13.620 |
| 305080 | 0 | 4 | ANTICUERPOS ANTINUCLEARES | $6.356 | $12.080 | $30.210 |
| 305082 | 0 | 0 | ANTICUERPOS ANTIMITOCONDRIALES EN | $12.450 | $13.883 | $24.270 |
| 305084 | 0 | 6 | ANTICUERPOS ANTI MUSCULO LISO,ANTI | $12.108 | $13.883 | $19.300 |
| 305085 | 0 | 3 | ANTICUERPO ANTICITOPLASMA DE NEUTR | $15.430 | $25.877 | $34.460 |
| 305090 | 0 | 3 | COMPLEMENTO C4 CUANTITATIVO | $4.651 | $43.052 | $43.052 |
| 305517 | 0 | 5 | ANTICUERPOS ANTI PROTEINASA 3 (PR3) | $12.671 | $14.332 | $14.332 |
| 305518 | 0 | 3 | ANTICUERPOS ANTI MIELOPEROXIDASA (MPO) | $11.701 | $13.188 | $13.188 |
| 305519 | 0 | 1 | ANTICUERPOS ANTI PEPTIDO CITRULINADO (ANTI CCP) | $17.571 | $38.018 | $38.018 |
| 305520 | 0 | 9 | ANTICUERPOS ANTITRANSGLUTAMINASA TTG | $7.310 | $19.346 | $19.346 |
| 305925 | 0 | 0 | INMUNOFIJACION DE INMUNOGLOBULINAS EN ORINA C/U | $95.902 | $112.855 | $112.855 |
| 305949 | 0 | 0 | TEST CUTANEO DE ALIMENTOS | $4.417 | $7.443 | $7.443 |
| 305970 | 0 | 6 | ANTIGENO CA 125 | $10.505 | $15.040 | $15.040 |
| 305971 | 0 | 4 | ANTIGENO PROSTATICO TOTAL | $6.277 | $14.521 | $14.521 |
| 305972 | 0 | 2 | ANTIGENO CA 19-9 | $10.505 | $15.040 | $15.040 |
| 305973 | 0 | 0 | ANTIGENO CA 15-3 | $5.468 | $15.040 | $15.040 |
| 305981 | 0 | 3 | ANTICUERPO ANTIENDOMISIO (EMA) | $11.831 | $27.347 | $27.347 |
| 305983 | 0 | 9 | ANTICUERPOS ANTI N -DNA | $7.018 | $12.080 | $12.080 |
| 305999 | 0 | 5 | IGE ESPECIFICA 36 ALERGENOS | $124.063 | $201.089 | $201.089 |
| 306001 | 0 | 9 | BACILOSCOPIA POR METODO DE CONCENTRACION | $3.045 | $4.192 | $3.940 |
| 306002 | 0 | 7 | BACILOSCOPIA ZIEHL-NEELSEN, C/U | $7.774 | $9.154 | $9.154 |
| 306003 | 0 | 5 | CLAMIDIAS POR INMUNOFLUORESCENCIA, PEROXIDASA, ELISA O SIM. | $29.571 | $33.791 | $33.791 |
| 306004 | 0 | 3 | EXAMEN DIRECTO AL FRESCO,C/S TINCION (INCL.TRICHOMONAS) | $12.405 | $14.464 | $14.464 |
| 306005 | 0 | 0 | TINCION DE GRAM | $3.387 | $3.875 | $3.875 |
| 306007 | 0 | 6 | COPROCULTIVO, C/U (INC. SALMONELLA, SHI) | $7.273 | $8.457 | $8.457 |
| 306008 | 0 | 4 | CULTIVO CORRIENTE (EXCEPTO COPRO., HEMO. Y UROCULTIVO) C/U | $17.780 | $20.819 | $20.819 |
| 306009 | 0 | 2 | HEMOCULTIVO AUT- AEROBIO INCLUYE ANTIBIOGRAMA POR CIM (NO IN | $20.866 | $28.171 | $28.171 |
| 306010 | 0 | 0 | HEMOCULTIVO AUT- ANAEROBIO, INCLUYE ANTIBIOGRAMA POR CIM (NO | $20.382 | $28.171 | $28.171 |
| 306011 | 0 | 8 | UROCULTIVO, RECUENTO DE COLONIAS Y ANTIBIOGRAMA (CUALQUIER T | $10.804 | $12.823 | $12.823 |
| 306012 | 0 | 6 | CULTIVO PARA ANAEROBIOS (INCLUYE COD. 306008) | $7.613 | $14.125 | $13.250 |
| 306013 | 0 | 4 | CULTIVO BORDETELLA PERTUSSI | $3.458 | $11.187 | $10.500 |
| 306014 | 0 | 2 | CULTIVO PARA CAMPYLOBACTER, YERSINIA, VIBRIO, C/U | $16.963 | $19.386 | $19.386 |
| 306017 | 0 | 5 | CULTIVO PARA HONGOS (LEVADURAS Y FILAMENTOSOS) | $15.494 | $18.006 | $18.006 |
| 306018 | 0 | 3 | CULTIVO PARA MICOBACTERIAS (INCLUYE BACILO DE KOCH) | $10.934 | $12.274 | $12.274 |
| 306023 | 0 | 3 | CULTIVO MYCOPLASMA Y UREAPLASMA, C/U | $15.366 | $18.259 | $18.259 |
| 306031 | 0 | 6 | PREPARACION VACUNAS | $6.813 | $11.893 | $11.893 |
| 306036 | 0 | 5 | MONONUCLEOSIS, REACCION DE PAUL BUNNELL, ANTICUERPOS HETEROF | $11.603 | $13.261 | $13.261 |
| 306037 | 0 | 3 | MYCOPLASMA IGG, IGM, C/U | $9.962 | $11.507 | $11.507 |
| 306038 | 0 | 1 | R.P.R. | $15.789 | $18.044 | $18.044 |
| 306041 | 0 | 5 | TREPONEMA PALLIDUM FTA-ABS, MHA-TP C/U (SIFILIS) | $8.196 | $9.371 | $9.371 |
| 306042 | 0 | 3 | V.D.R.L. | $4.773 | $5.463 | $5.463 |
| 306043 | 0 | 1 | ARTRÓPODOS MACRO Y MICROSCÓPICOS (IMAGOS Y/O PUPAS Y/O LARVA | $4.668 | $5.400 | $4.770 |
| 306048 | 0 | 0 | COPROPARASITARIO SERIADO SIMPLE (INCLUYE DIAGNOSTICO DE GUSA | $5.874 | $6.853 | $6.853 |
| 306051 | 0 | 4 | GRAHAM, EXAMEN DE (INCLUYE DIAGNOSTICO DE GUSANOS MACROSCOPI | $3.267 | $3.769 | $3.769 |
| 306061 | 0 | 3 | PARASITOS IGG-IGM (CHAGAS, HIDATIDOSIS Y OTROS) C/U | $16.227 | $19.102 | $19.102 |
| 306064 | 0 | 7 | HEMAGLUTINACION IND. HTLV (TOXOPLASMIA CHAGAS HIDATIDOSIS) | $17.492 | $20.492 | $20.492 |
| 306067 | 0 | 0 | REACCION INTRADERMICA (TEST DE SEN | $3.157 | $6.625 | $6.625 |
| 306069 | 0 | 6 | ANTICUERPOS VIRALES, DETERM.DE (SARS COV2)(ADENOV., CITOMEG. | $20.844 | $28.250 | $28.250 |
| 306070 | 0 | 4 | ROTAVIRUS EN DEPOSICIÓN, TEST RÁPIDO | $8.379 | $9.575 | $9.575 |
| 306074 | 0 | 6 | VIRUS HEPATITIS A, ANTICUERPOS IGG, IGM O TOTALES C/U | $17.042 | $19.476 | $19.476 |
| 306076 | 0 | 1 | VIRUS HEPATITIS B, ANTICORE TOTAL DEL (ANTI HBC TOTAL) | $6.782 | $12.227 | $11.470 |
| 306079 | 0 | 5 | VIRUS HEPATITIS B, ANTIGENO DE SUPERFICIE (HBSAG) | $18.319 | $20.935 | $20.935 |
| 306081 | 0 | 1 | VIRUS HEPATITIS C, ANTICUERPOS DE (ANTI HCV) | $26.433 | $30.205 | $30.205 |
| 306082 | 0 | 9 | REACCION DE POLIMERASA EN CADENA (PCR) SARS COV2, INCL. TOMA | $25.000 | $25.000 | $25.000 |
| 306083 | 0 | 7 | PARASITOS IGG-IGM (CHAGAS, HIDATIDOSIS Y OTROS) ELISA C/U | $3.223 | $8.950 | $8.950 |
| 306085 | 0 | 2 | HEPATITIS C, CARGA VIRAL | $3.129 | $125.611 | $125.611 |
| 306089 | 0 | 4 | TOXINA CLOSTRIDIUM DIFFICILE EN DEPOSICIONES TEST RÁPIDO | $38.939 | $44.276 | $44.276 |
| 306090 | 0 | 2 | TEST RAPIDO DE DETECCION DE STREPTOCOCCUS GRUPO A (PYOGENES) | $8.776 | $10.296 | $9.090 |
| 306092 | 0 | 8 | VIRUS SINCICIAL RESPIRATORIO TEST RÁPIDO | $17.698 | $20.910 | $20.910 |
| 306093 | 0 | 6 | ADENOVIRUS RESPIRATORIO, TEST RÁPIDO | $18.630 | $54.319 | $27.860 |
| 306094 | 0 | 4 | PARAINFLUENZA 1, 2 Y 3 INMUNOFLUORESCENCIA | $38.386 | $54.319 | $40.030 |
| 306095 | 0 | 1 | INFLUENZA A Y B TEST RÁPIDO | $56.055 | $63.753 | $60.900 |
| 306097 | 0 | 7 | BORDETELLA PERTUSSIS, PCR | $5.444 | $11.187 | $11.187 |
| 306100 | 0 | 9 | CULTIVO ACELERADO PARA MYCOBACTERIAS | $19.536 | $25.877 | $25.877 |
| 306101 | 0 | 7 | CULTIVO LIQUIDOS ESTERILES AUTOMATIZADO | $14.911 | $21.515 | $21.515 |
| 306114 | 0 | 0 | V.D.R.L. EN LIQUIDO CEFALORAQUIDEO | $5.602 | $6.403 | $6.403 |
| 306115 | 0 | 7 | EXAMEN DIRECTO AL FRESCO,C/S TINCION (INCL.TRICHOMONAS) | $12.788 | $14.464 | $14.464 |
| 306119 | 0 | 9 | INTERFERON GAMMA TBC | $65.247 | $73.077 | $73.077 |
| 306271 | 0 | 8 | TEST RAPIDO DETECCION DE ANTIGENOS SARS-COV2 (INCL. TOMA MUE | $8.080 | $9.436 | $9.436 |
| 306567 | 0 | 9 | VIRUS EPSTEIN BARR IG M | $8.841 | $9.967 | $9.967 |
| 306568 | 0 | 7 | VIRUS EPSTEIN BARR IG G | $8.832 | $9.967 | $9.967 |
| 306570 | 0 | 3 | DETERMINACION DE ANTIGENO DE LEGIONELLA EN ORINA | $18.813 | $48.645 | $48.645 |
| 306572 | 0 | 9 | DETERMINACION DE ANTIGENO DE NEUMOCOCO EN ORINA | $14.620 | $36.483 | $36.483 |
| 306969 | 0 | 7 | CITOMEGALOVIRUS, ANTICUERPOS IG G | $3.917 | $9.967 | $9.967 |
| 306970 | 0 | 5 | CITOMEGALOVIRUS, ANTICUERPOS IG M | $3.917 | $9.967 | $9.967 |
| 306971 | 0 | 3 | TEST RAPIDO DE HIV | $9.440 | $12.647 | $12.647 |
| 306972 | 0 | 1 | TEST RAPIDO DE HEPATITIS "B" | $12.727 | $14.533 | $14.533 |
| 306973 | 0 | 9 | TEST RAPIDO DE HEPATITIS "C" | $12.499 | $14.274 | $14.274 |
| 306975 | 0 | 4 | ADENOVIRUS EN DEPOSICION, TEST RÁPIDO | $3.326 | $8.893 | $8.893 |
| 306982 | 0 | 0 | VIRUS HEPATITIS B, ANTICUERPO ANTI ANTIGENO DE SUPERF (AUSAB | $22.077 | $25.206 | $25.206 |
| 306983 | 0 | 8 | PRUEBA RAP DETECCION AG HELICOBACTTER PILORY DEPOSICION | $11.931 | $13.363 | $13.363 |
| 306984 | 0 | 6 | ANTICUERPO IGG COVID-19 | $20.106 | $28.250 | $28.250 |
| 306985 | 0 | 3 | TEST RAPIDO ANTIGENOS COVID 19/SERVICIO ACTIVO | $8.800 | $10.000 | $10.000 |
| 306987 | 0 | 9 | ESTUDIO DE SUSCEPTIBILIDAD AUT POR CIM HONGOS Y LEVADURA | $11.422 | $19.921 | $19.921 |
| 306988 | 0 | 7 | ESTUDIO DE CARBAPENEMASAS | $36.120 | $62.990 | $62.990 |
| 306989 | 0 | 5 | PCR MYCOBACTERIUM TUBERCULOSIS | $49.345 | $81.103 | $81.103 |
| 306990 | 0 | 3 | PCR PANEL ITS | $65.599 | $107.821 | $107.821 |
| 306991 | 0 | 1 | TEST R?PIDO DE MENINGITIS | $4.645 | $11.576 | $11.576 |
| 306992 | 0 | 9 | PCR PANEL VIRAL RESPIRATORIO | $54.673 | $89.863 | $89.863 |
| 306993 | 0 | 7 | PCR CLOSTRIDIUM DIFFICILE | $43.837 | $72.052 | $72.052 |
| 306994 | 0 | 5 | PCR CITOMEGALOVIRUS (CMV)CARGA VIRAL | $74.049 | $118.005 | $118.005 |
| 306995 | 0 | 2 | PCR PANEL VIRAL EN LCR | $63.286 | $104.021 | $104.021 |
| 306996 | 0 | 0 | TEST RAPIDO PARA IDENTIFICACION DE MYCOBACTERIAS | $16.514 | $28.799 | $28.799 |
| 306997 | 0 | 8 | PCR BORDETELLA PETUSSIS | $41.319 | $72.056 | $72.056 |
| 306998 | 0 | 6 | PCR HPV(GENOTIPOS DE ALTO RIESGO) | $66.293 | $108.963 | $108.963 |
| 307009 | 0 | 1 | TOMA DE MUESTRA ARTERIAL EN ADULTO | $1.844 | $2.052 | $2.052 |
| 307010 | 0 | 9 | TOMA DE MUESTRA ARTERIAL EN NINOS Y LACTANTES | $2.661 | $3.036 | $2.670 |
| 307011 | 0 | 7 | TOMA DE MUESTRA VENOSA EN ADULTOS | $1.370 | $1.538 | $1.538 |
| 307012 | 0 | 5 | TOMA DE MUESTRA VENOSA EN NINOS Y LACTANTES | $1.213 | $1.380 | $1.220 |
| 307013 | 0 | 3 | TOMA DE MUESTRA CON TECNICA ASEPTICA PARA HEMOCULTIVO AUTOMA | $2.054 | $2.364 | $2.080 |
| 307015 | 0 | 8 | TOMA DE MUESTRA ORINA ASEPTICA | $1.321 | $2.236 | $2.236 |
| 307017 | 0 | 4 | PUNCION VESICAL EN RECIEN NACIDOS | $2.065 | $4.181 | $3.920 |
| 307018 | 0 | 2 | PUNCION MEDULAR OSEA | $11.266 | $22.453 | $21.070 |
| 308001 | 0 | 7 | AZUCARES REDUCTORES (BENEDICT FEHLING) EN DEPOSIC. CUALIT. | $2.533 | $2.900 | $2.900 |
| 308003 | 0 | 3 | GRASAS NEUTRAS (SUDAN III) | $2.481 | $2.842 | $2.842 |
| 308004 | 0 | 1 | HEMORRAGIAS OCULTAS, (BENCIDINA, GUAYACO O TEST W) C/MUESTRA | $2.702 | $3.388 | $3.388 |
| 308005 | 0 | 8 | LEUCOCITOS FECALES | $1.785 | $1.992 | $1.992 |
| 308006 | 0 | 6 | PH EN DEPOSICION | $1.428 | $1.638 | $1.638 |
| 308010 | 0 | 8 | CITOLOGICO C/S TINCION (INCL. EXAMEN AL FRESCO, RECUENTO CEL | $4.960 | $5.640 | $4.990 |
| 308013 | 0 | 2 | EOSINOFILOS EN SECRECIONES | $1.946 | $2.231 | $2.231 |
| 308014 | 0 | 0 | FISICO-QUIMICO (INCL. ASPECTO, COLOR, PH, GLUCOSA, PROTEINA, | $4.200 | $4.764 | $4.210 |
| 308023 | 0 | 1 | ESTUDIO DE CRISTALES (CON LUZ POLARIZADA) | $2.461 | $2.802 | $2.620 |
| 308029 | 0 | 8 | ESPERMIOGRAMA (FISICO Y MICROSCOPICO | $7.674 | $8.680 | $8.680 |
| 308047 | 0 | 0 | L.C.R. CITOLOGICO Y QUIMICO | $4.300 | $4.963 | $4.963 |
| 308049 | 0 | 6 | CALPROTECTINA CAUNT POR ELISA | $18.701 | $44.879 | $44.879 |
| 308050 | 0 | 4 | SEPARACION ESPERMATICA | $148.902 | $173.139 | $173.139 |
| 308090 | 0 | 0 | HEMORRAGIAS OCULTAS, C/MUESTRA | $1.273 | $1.876 | $1.876 |
| 309003 | 0 | 2 | FENILALANINA | $2.065 | $4.125 | $4.125 |
| 309004 | 0 | 0 | ACIDO URICO EN ORINA (CUANTITATIVO) | $3.302 | $3.744 | $3.310 |
| 309006 | 0 | 5 | AMILASA CUANTITATIVA EN ORINA | $1.772 | $4.317 | $4.050 |
| 309008 | 0 | 1 | CALCIO CUANTITATIVO EN ORINA | $3.034 | $3.456 | $3.060 |
| 309009 | 0 | 9 | CALCULO URINARIO (EXAMEN FISICO Y QUIMICO) | $3.976 | $7.741 | $7.260 |
| 309010 | 0 | 7 | CREATININA CUANTITATIVA EN ORINA | $2.287 | $2.628 | $2.320 |
| 309011 | 0 | 5 | CUERPOS CETONICOS | $1.624 | $2.554 | $2.380 |
| 309012 | 0 | 3 | ELECTROLITOS (SODIO, POTASIO, CLORO) C/U, EN ORINA | $2.345 | $2.688 | $2.370 |
| 309013 | 0 | 1 | MICROALBUMINURIA CUANTITATIVA | $4.458 | $5.093 | $5.093 |
| 309015 | 0 | 6 | FOSFORO CUANTITATIVO EN ORINA | $3.034 | $3.456 | $3.060 |
| 309016 | 0 | 4 | GLUCOSA (CUANTITATIVO), EN ORINA | $2.170 | $2.508 | $2.508 |
| 309020 | 0 | 6 | NITROGENO UREICO O UREA EN ORINA (CUANTITATIVO) | $1.330 | $1.528 | $1.528 |
| 309022 | 0 | 2 | ORINA COMPLETA (INCLUYE COD. 309023 Y 309024) | $2.848 | $4.077 | $2.860 |
| 309023 | 0 | 0 | ORINA FISICO-QUIMICO (ASPECTO, COLOR, DENSIDAD, PH, PROTEINA | $669 | $2.226 | $2.080 |
| 309024 | 0 | 8 | SEDIMENTO DE ORINA (PROC. AUT.) | $1.715 | $1.910 | $1.910 |
| 309028 | 0 | 9 | PROTEINA (CUANTITATIVA), EN ORINA | $2.661 | $3.036 | $2.670 |
| 309040 | 0 | 4 | HEMOGLOBINURIA | $2.091 | $2.364 | $2.364 |
| 309043 | 0 | 8 | HEMOSIDERINURIA | $6.972 | $7.970 | $7.970 |
| 309060 | 0 | 2 | DROGAS DE ABUSO EN ORINA | $26.638 | $30.409 | $30.409 |
| 309100 | 0 | 6 | ELECTROFERESIS DE PROTEINAS EN ORINA O LCR | $46.049 | $52.615 | $52.615 |
| 310001 | 0 | 3 | ACIDO VALPROLICO LIBRE | $11.845 | $19.200 | $19.200 |
| IMAGENOLOGÍA | ||||||
| 401002 | 0 | 1 | RADIOGRAFIA DE PARTES BLANDAS, LARINGE LATERAL, CAVUM RINOFA | $15.172 | $17.035 | $17.035 |
| 401005 | 0 | 4 | PROYECCION COMPLEMENTARIA DEL CORA | $9.395 | $17.396 | $17.396 |
| 401006 | 0 | 2 | ESTUDIO RADIOLOGICO DE CORAZON (IN | $19.841 | $35.787 | $35.787 |
| 401009 | 0 | 6 | RADIOGRAFIA DE TORAX SIMPLE FRONTAL O LATERAL | $16.600 | $19.000 | $19.000 |
| 401010 | 0 | 4 | MAMOGRAFIA BILATERAL (4 EXP.) | $34.500 | $38.784 | $38.784 |
| 401011 | 0 | 2 | MARCACION PREOPERATORIA LESIONES DE LA MAMA | $42.165 | $50.138 | $47.020 |
| 401012 | 0 | 0 | RADIOGRAFIA DE MAMA, PIEZA OPERATORIA | $6.617 | $14.713 | $13.810 |
| 401013 | 0 | 8 | RADIOGRAFIA DE ABDOMEN SIMPLE | $14.565 | $16.728 | $14.770 |
| 401014 | 0 | 6 | RADIOGRAFIA DE ABDOMEN SIMPLE, PROYECCION COMP | $11.626 | $13.289 | $13.289 |
| 401015 | 0 | 3 | COLANGIOGRAFIA INTRA O POSTOPERATORIA (POR SONDA T, O SIMIL | $17.835 | $36.702 | $34.430 |
| 401017 | 0 | 9 | COLECISTOGRAFIA C/S SERIOGRAFIA (3-4 EXP.) | $15.578 | $31.647 | $31.647 |
| 401019 | 0 | 5 | ENEMA BARITADO DEL COLON O INTESTINO DELGADO, DOBLE CONTRAST | $38.173 | $72.591 | $68.100 |
| 401020 | 0 | 3 | ESOFAGOGRAMA (INCLUYE PESQUISA DE CUERPO EXTRANO) PROC. AUT. | $15.115 | $34.420 | $32.290 |
| 401021 | 0 | 1 | RADIOGRAFIA DE ESOFAGO, ESTOMAGO Y DUODENO, DOBLE CON | $58.975 | $67.812 | $59.900 |
| 401023 | 0 | 7 | ESTUDIO RADIOLOGICO DEL INTESTINO DELGADO | $26.951 | $53.178 | $49.870 |
| 401024 | 0 | 5 | RADIOGRAFIA DE ESOFAGO, ESTOMAGO Y DUODENO, SIMPLE NINOS | $16.435 | $52.918 | $49.650 |
| 401028 | 0 | 6 | RADIOGRAFIA RENAL SIMPLE (PROC. AUT.) | $11.608 | $14.487 | $13.580 |
| 401029 | 0 | 4 | RADIOGRAFIA VESICAL SIMPLE O PERIVESICAL (PROC. AUT.) | $11.609 | $13.248 | $11.700 |
| 401031 | 0 | 0 | RADIOGRAFIA DE CAVIDADES PERINASALES, ORBITAS, ARTIC | $16.280 | $18.108 | $18.108 |
| 401032 | 0 | 8 | RADIOGRAFIA DE CRANEO FRONTAL Y LATERAL | $17.179 | $19.725 | $19.725 |
| 401033 | 0 | 6 | RADIOGRAFIA DE CRANEO PROYECCION ESPECIAL DE BASE DE CRANEO | $11.605 | $13.272 | $11.710 |
| 401034 | 0 | 4 | GLOBO OCULAR, ESTUDIO DE CUERPO EX | $16.296 | $30.564 | $30.564 |
| 401037 | 0 | 7 | OIDO, UNO O AMBOS (3 PROY.) (3 EXP | $20.737 | $25.965 | $25.965 |
| 401040 | 0 | 1 | RADIOGRAFIA DE SILLA TURCA FRONTAL Y LATERAL | $13.980 | $19.922 | $18.690 |
| 401042 | 0 | 7 | RADIOGRAFIA DE COLUMNA CERVICAL O ATLAS AXIS (FRONTAL Y LAT | $16.280 | $18.240 | $18.240 |
| 401043 | 0 | 5 | RADIOGRAFIA DE COLUMNA CERVICAL (FRONTAL, LATERAL Y OBLICUA | $19.664 | $28.905 | $27.120 |
| 401044 | 0 | 3 | RADIOGRAFIA DE COLUMNA CERVICAL FLEXION Y EXTENSION | $13.982 | $16.216 | $15.220 |
| 401045 | 0 | 0 | RADIOGRAFIA DE COLUMNA DORSAL O DORSOLUMBAR LOCALIZADA | $19.175 | $22.138 | $22.138 |
| 401046 | 0 | 8 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA (F. L. Y FOCALIZADA | $16.589 | $29.617 | $27.780 |
| 401047 | 0 | 6 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA FLEXION Y EXTENSION | $13.984 | $24.080 | $22.590 |
| 401048 | 0 | 4 | RADIOGRAFIA COLUMNA LUMBAR O LUMBOSACRA, OBLICUAS ADICIONAL | $13.987 | $16.216 | $15.220 |
| 401049 | 0 | 2 | RADIOGRAFIA DE COLUMNA TOTAL, PANORAMICA CON FOLIO GRADUAD | $27.992 | $32.371 | $32.371 |
| 401051 | 0 | 8 | RADIOGRAFIA DE PELVIS, CADERA O COXOFEMORAL | $12.800 | $14.538 | $14.538 |
| 401052 | 0 | 6 | RADIOGRAFIA DE PELVIS, CADERA O COXOFEMORAL, PROY. ESPECIAL | $11.998 | $13.508 | $13.508 |
| 401053 | 0 | 4 | RADIOGRAFIA DE SACROCOXIS O ARTICULACIONES SACROILIACAS | $18.148 | $20.346 | $20.346 |
| 401054 | 0 | 2 | RADIOGRAFIA DE BRAZO, ANTEBR.,CODO, MUNECA, MANO, DEDOS, PIE | $14.900 | $17.043 | $17.043 |
| 401055 | 0 | 9 | RADIOGRAFIA DE CLAVICULA | $13.990 | $17.515 | $16.430 |
| 401056 | 0 | 7 | RADIOGRAFIA EDAD OSEA: CARPO Y MANO | $11.998 | $13.825 | $13.825 |
| 401057 | 0 | 5 | RADIOGRAFIA EDAD OSEA: RODILLA FRONTAL | $11.331 | $13.040 | $12.220 |
| 401058 | 0 | 3 | ESTUDIO RADIOLOGICO DE ESCAFOIDES | $18.746 | $21.675 | $21.675 |
| 401059 | 0 | 1 | ESTUDIO RADIOLOGICO DE MUNECA O TOBILLO FRONT LAT Y OBLICUA | $19.674 | $22.078 | $22.078 |
| 401060 | 0 | 9 | RADIOGRAFIA HOMBRO, FEMUR, RODILLA, PIERNA, COSTILLA F Y L | $14.200 | $17.718 | $16.620 |
| 401062 | 0 | 5 | RADIOGRAFIA DE PROYECCIONES ESPECIALES OBLICUAS HOMBRO, BRAZ | $10.400 | $12.328 | $11.570 |
| 401063 | 0 | 3 | RADIOGRAFIA DE TUNEL INTERCONDILEO O RADIO CARPIANO | $10.099 | $11.989 | $11.250 |
| 401064 | 0 | 1 | APOYO FLUOROSCOPICO A PROCEDIMIENTOS INTRAOPERATORIOS Y/O BI | $99.694 | $113.902 | $113.902 |
| 401070 | 0 | 8 | RADIOGRAFIA DE TORAX FRONTAL Y LATERAL | $14.000 | $30.951 | $29.040 |
| 401090 | 0 | 6 | MAMOGRAFIA BILAT. EN APS (4 EXP.)(EFOS) | $33.988 | $38.784 | $38.784 |
| 401102 | 0 | 9 | SESAMOIDEOS AXIAL | $11.856 | $13.638 | $13.638 |
| 401107 | 0 | 8 | PODOGRAMA (F) | $5.101 | $7.997 | $7.997 |
| 401110 | 0 | 2 | MAMOGRAFIA UNILATERAL (2 EXP) | $28.481 | $32.545 | $32.545 |
| 401130 | 0 | 0 | MAMOGRAFIA PROYECCION COMPLEMENTARIA (AXILAR U OTRAS) | $28.454 | $33.488 | $33.488 |
| 402008 | 0 | 7 | COLANGIOPANCREATOGRAFIA ENDOSCOPICA (A.C.18-01-018; 5-7 EXP) | $32.331 | $49.110 | $46.060 |
| 402011 | 0 | 1 | HISTEROSALPINGOGRAFIA (A.C. 20-01-013) (4 EXP., INCL. PRUEBA | $288.449 | $342.440 | $342.440 |
| 402014 | 0 | 5 | URETRO Y/O CISTOURETROGRAFIA MICCIONAL RETROGRADA AC.1901016 | $22.856 | $40.917 | $38.380 |
| 402022 | 0 | 8 | ANGIOPLASTIA INTRALUMINAL CORONARIA. PROCEDIMIENTO RADIOLOGI | $54.835 | $109.587 | $102.800 |
| 402023 | 0 | 6 | ANGIOPLASTIA INTRALUMINAL PERIFERICA. PROCEDIMIENTO RADIOLOG | $39.195 | $76.332 | $71.600 |
| 402024 | 0 | 4 | AORTOGRAFIA CON AOT O CINEANGIOGRAFIA (A.C. 1701022) | $42.726 | $80.004 | $75.060 |
| 402025 | 0 | 1 | ARTERIOGRAFIA DE MIEMBROS SUP. E INF. UNILAT. (AC 1701023) | $28.244 | $50.556 | $47.420 |
| 402027 | 0 | 7 | ARTERIOGRAFIA SELECTIVA CON AOT O CINEANGIOGRAF (AC 1701024) | $46.668 | $93.982 | $88.160 |
| 402029 | 0 | 3 | ARTERIOGRAFIA VASOS DE CUELLO CAROTID Y VERTEB (AC 1101013) | $31.395 | $68.704 | $64.450 |
| 402030 | 0 | 1 | CINECORONARIOGRAFIA (A.C. 17-01-019) | $40.270 | $85.451 | $80.160 |
| 402032 | 0 | 7 | INSTALACION DE CATETER O SONDA INTRACARDIACA, CONTROL POR RA | $20.307 | $37.482 | $35.150 |
| 402033 | 0 | 5 | VENTRICULOGRAFIA DERECHA Y/O IZQUIERDA (AC 1701011-1701020- | $41.835 | $85.451 | $80.160 |
| 402038 | 0 | 4 | FLEBOGRAFIA EXTREMIDAD INFERIOR O SUPERIOR, UNILATERAL | $19.237 | $42.737 | $40.100 |
| 402041 | 0 | 8 | FLEBOGRAFIA SELECTIVA DE VENAS HEPATICAS, RENALES, GONADALES | $22.320 | $48.341 | $45.340 |
| 402050 | 0 | 9 | MIELOGRAFIA POR PUNCION LUMBAR CON CONTRASTE HIDROSOLUBLE | $28.972 | $58.670 | $55.040 |
| 402060 | 0 | 8 | AORTOGRAFIA ABDOMINAL Y FEMORAL BILATERAL POR TRASLACION | $123.117 | $284.866 | $284.866 |
| 402111 | 3 | 9 | BIOPSIA ESTEREOTAXICA DE MAMA | $736.676 | $955.747 | $955.747 |
| 403001 | 0 | 1 | TC DE CRANEO ENCEFALICA | $33.639 | $108.333 | $101.630 |
| 403002 | 0 | 9 | TC DE HIPOTALAMO - HIPOFISIS | $27.367 | $113.994 | $106.930 |
| 403003 | 0 | 7 | TC DE FOSA POSTERIOR | $70.606 | $97.903 | $91.840 |
| 403006 | 0 | 0 | TC DE TEMPORAL - OIDO | $33.703 | $94.016 | $88.190 |
| 403007 | 0 | 8 | TC DE ORBITAS MAXILOFACIAL | $35.488 | $125.724 | $117.940 |
| 403008 | 0 | 6 | TC DE COLUMNA CERVICAL | $50.072 | $137.713 | $129.180 |
| 403009 | 0 | 4 | TC DE COLUMNA DORSAL O LUMBAR (CORTE | $67.202 | $120.661 | $120.661 |
| 403011 | 0 | 0 | TC CON MIELOGRAFIA (A.C. 11-01-025) | $25.998 | $165.910 | $165.910 |
| 403012 | 0 | 8 | TC DE CUELLO, PARTES BLANDAS | $35.869 | $101.768 | $95.470 |
| 403013 | 0 | 6 | TC DE TORAX INCL. ESTERNON, CLAVICULAS | $46.048 | $160.754 | $150.780 |
| 403014 | 0 | 4 | TC DE ABDOMEN (HIGADO, VIAS Y VESICU | $35.900 | $96.785 | $90.780 |
| 403016 | 0 | 9 | TC DE PELVIS INCL. SACRO, COXIS, CADER | $35.900 | $99.259 | $93.100 |
| 403017 | 0 | 7 | TC MUSCULOESQUELETICA POR ZONA ANATOMI | $45.600 | $86.637 | $81.280 |
| 403101 | 0 | 9 | TC ANGIO DE ENCEFALO | $39.958 | $131.295 | $123.170 |
| 403102 | 0 | 7 | TC ANGIO DE TORAX | $54.857 | $197.671 | $185.420 |
| 403103 | 0 | 5 | TC ANGIO DE ABDOMEN | $48.440 | $183.026 | $171.680 |
| 403106 | 0 | 8 | TC DE ANGIO CARDIACO MIN 64 CORTES | $54.390 | $103.146 | $96.750 |
| 403517 | 0 | 6 | URO-TC (INCLUYE RINONES, SISTEMA EXCRETOR Y VEJIGA, Y RESTO | $264.938 | $304.942 | $304.942 |
| 403902 | 0 | 0 | ENTEROCLISIS POR TC | $59.004 | $394.232 | $394.232 |
| 404002 | 0 | 8 | ECOGRAFIA OBSTETRICA | $7.255 | $13.560 | $12.720 |
| 404003 | 0 | 6 | ECOGRAFIA ABDOMINAL (INCL. HIGADO, VIA BILIAR, VESICULA, PAN | $21.300 | $42.850 | $40.190 |
| 404004 | 0 | 4 | ECOGRAFIA COMO APOYO A CIRUGIA, O A PROCEDIMIENTO (DE TORAX, | $40.273 | $45.938 | $45.938 |
| 404005 | 0 | 1 | ECOGRAFIA TRANSVAGINAL O TRANSRECTAL | $13.347 | $23.933 | $22.450 |
| 404006 | 0 | 9 | ECOGRAFIA GINECOLOGICA, PELVIANA FEMENINA U OBSTETRICA CON | $22.100 | $25.200 | $25.200 |
| 404007 | 0 | 7 | ECOGRAFIA TRANSVAGINAL PARA SEGUIMIENTO DE OVULACION, PROC. | $17.675 | $33.290 | $31.220 |
| 404009 | 0 | 3 | ECOGRAFIA PELVICA MASCULINA (INCLUYE VEJIGA Y PROSTATA) | $20.757 | $23.809 | $22.340 |
| 404010 | 0 | 1 | ECOGRAFIA RENAL (BILATERAL), O DE BAZO | $20.728 | $29.685 | $27.860 |
| 404011 | 0 | 9 | ECOGRAFIA ENCEFALICA (RN O LACTANTE) | $16.228 | $32.058 | $30.060 |
| 404012 | 0 | 7 | ECOGRAFIA MAMARIA BILATERAL (INCLUYE DOPPLER) | $21.200 | $29.866 | $28.020 |
| 404014 | 0 | 3 | ECOGRAFIA TESTICULAR (UNILATERAL O BILATERAL)(INCL. DOPPLER) | $20.686 | $29.470 | $27.650 |
| 404015 | 0 | 0 | ECOGRAFIA TIROIDEA (INCLUYE DOPPLER) | $21.200 | $29.866 | $28.020 |
| 404016 | 0 | 8 | ECOGRAFIA PARTES BLANDAS O MUSCULOESQUELETICA (CADA ZONA ANA | $21.500 | $29.866 | $28.020 |
| 404017 | 0 | 6 | ECOGRAFIA DE HIGADO, BILIAR, VESICULA | $21.633 | $43.443 | $43.443 |
| 404019 | 0 | 2 | ECOGRAFIA VASCULAR PERIFERICA U OTROS ORG. | $37.937 | $97.960 | $97.960 |
| 404025 | 0 | 9 | ECOGRAFIA DE CADERAS | $21.607 | $28.969 | $28.969 |
| 404030 | 0 | 9 | ECOTOMOGRAFIA PROSTATICA | $15.389 | $27.667 | $27.667 |
| 404218 | 0 | 0 | ELASTOGRAFIA HEPATICA | $72.978 | $81.735 | $81.735 |
| RESONANCIA MAGNÉTICA | ||||||
| 405001 | 0 | 9 | R.M CRANEO-CEREBRO U OIDOS, BILATERAL | $141.030 | $292.812 | $196.200 |
| 405002 | 0 | 7 | RM DE HIPOTALAMO-HIPOFISIS | $143.554 | $304.915 | $204.300 |
| 405003 | 0 | 5 | R.M.ORBITAS | $136.961 | $273.306 | $183.130 |
| 405004 | 0 | 3 | R.M.ARTICULACIONES TEMPOROMANDIBULARES | $141.254 | $293.888 | $196.920 |
| 405005 | 0 | 0 | R.M. COLUMNA CERVICAL | $146.827 | $292.812 | $196.200 |
| 405006 | 0 | 8 | R.M. COLUMNA DORSAL | $149.272 | $304.535 | $204.050 |
| 405007 | 0 | 6 | R.M. COLUMNA LUMBAR | $146.827 | $292.812 | $196.200 |
| 405008 | 0 | 4 | ANGIOGRAFIA POR RESONANCIA | $144.000 | $212.072 | $212.072 |
| 405009 | 0 | 2 | RM TORAX (CORAZON, CLAVICULA,COSTILLAS, OTRAS ARTIC.) | $151.203 | $313.790 | $210.250 |
| 405010 | 0 | 0 | R.M. ABDOMEN | $146.827 | $292.812 | $196.200 |
| 405011 | 0 | 8 | RM PELVIS (PROSTATA, SACROILIACAS, GENITALES, Y GASTROINT | $146.827 | $292.812 | $196.200 |
| 405012 | 0 | 6 | RM ABDOMEN Y PELVIS | $188.956 | $439.195 | $294.280 |
| 405013 | 0 | 4 | R.M. RODILLA | $124.235 | $240.084 | $160.870 |
| 405014 | 0 | 2 | R.M. EXTREMIDAD SUPERIOR | $135.500 | $184.434 | $184.434 |
| 405015 | 0 | 9 | R.M. EXTREMIDAD INFERIOR | $135.500 | $184.434 | $184.434 |
| 405016 | 0 | 7 | R.M.COLUMNA TOTAL(CERVICAL,DORSAL,LUMBAR) | $228.613 | $518.152 | $347.180 |
| 405017 | 0 | 5 | RM ANGIOGRAFIA DE ENCEFALO | $139.610 | $313.790 | $210.250 |
| 405018 | 0 | 3 | RM ANGIOGRAFIA DE CUELLO | $141.461 | $322.665 | $216.200 |
| 405019 | 0 | 1 | R.M ANGIOGRAFIA DE TORAX | $146.185 | $317.523 | $212.750 |
| 405020 | 0 | 9 | RM ANGIOGRAFIA DE ABDOMEN | $128.914 | $296.530 | $198.690 |
| 405021 | 0 | 7 | RM ANGIOGRAFIA DE PELVIS | $130.504 | $304.915 | $204.300 |
| 405022 | 0 | 5 | RM ANGIOGRAFIA DE EXTREMIDAD SUPERIOR UNILATERAL | $148.606 | $301.339 | $201.910 |
| 405023 | 0 | 3 | RM ANGIOGRAFIA DE EXTREMIDAD INFERIOR BILATERAL | $133.479 | $292.812 | $196.200 |
| 405024 | 0 | 1 | RM.MANO O MUNECA | $139.418 | $257.296 | $172.400 |
| 405025 | 0 | 8 | RM DE ANTEBRAZO O BRAZO | $137.066 | $246.017 | $164.840 |
| 405026 | 0 | 6 | RM DE CODO | $137.897 | $250.003 | $167.510 |
| 405027 | 0 | 4 | RM.DE HOMBRO | $135.828 | $240.084 | $160.870 |
| 405028 | 0 | 2 | RM.PIE,ANTEPIE O TOBILLO | $135.828 | $240.084 | $160.870 |
| 405029 | 0 | 0 | RM.DE PIERNA | $137.290 | $247.093 | $165.560 |
| 405030 | 0 | 8 | RM MUSLO O CADERA UNILATERAL | $137.897 | $250.003 | $167.510 |
| 405031 | 0 | 6 | RM DE MAMA (BILATERAL) | $147.422 | $240.084 | $160.870 |
| 405032 | 0 | 4 | RM FETAL | $143.131 | $288.130 | $193.060 |
| 405098 | 0 | 5 | COLANGIORESONANCIA | $115.071 | $196.152 | $131.430 |
| 405507 | 0 | 5 | R.M. DE CUELLO | $139.437 | $209.152 | $209.152 |
| 405519 | 0 | 0 | R.M. MAMAS | $139.437 | $171.489 | $171.489 |
| MEDICINA NUCLEAR | ||||||
| 501100 | 0 | 2 | CAPTACION I-131 A LAS 2 Y 24 HORAS | $37.010 | $55.888 | $37.020 |
| 501101 | 0 | 0 | CINTIGRAFIA TIROIDEA, CUALQUIER RADIOISOTOPO | $37.010 | $67.920 | $37.020 |
| 501102 | 0 | 8 | CINTIGRAFIA GLANDULAS PARATIROIDES NO INCLUYE MIBI | $55.560 | $160.550 | $55.570 |
| 501104 | 0 | 4 | CINTIGRAFIA OSEA TRIFASICA(INCLUYE MEDICIONES FASE PRECOZ | $148.170 | $211.222 | $148.180 |
| 501105 | 0 | 1 | SPECT PERF MIOCARDICA (STRESS Y REPOSO) NO INCLUYE HONORA | $269.290 | $395.897 | $269.300 |
| 501106 | 0 | 9 | VENTRICULOGRAFÍA CARDIACA ISOTOPICA DE EQUILIBRIO CON GL | $73.770 | $120.885 | $85.420 |
| 501107 | 0 | 7 | POOL SANGUINEO, ARTERIOGRAFIA ISOTOPICA C/U | $29.037 | $69.103 | $38.540 |
| 501108 | 0 | 5 | LINFOCINTIGRAFIA ISOTOPICA NO INCLUY PROC | $114.092 | $200.698 | $115.660 |
| 501111 | 0 | 9 | ESTUDIO MOTILIDAD ESOFAGICA Y/O REFLUJO GASTROESOFAGICO | $82.365 | $149.416 | $83.360 |
| 501112 | 0 | 7 | VACIAMIENTO GASTRICO LIQUIDO O SOLIDO | $143.318 | $216.487 | $167.500 |
| 501113 | 0 | 5 | CINTIGRAFIA VESICULA Y VIA BILIAR | $160.488 | $303.380 | $183.760 |
| 501114 | 0 | 3 | DETECCION DE SITIO DE SANGRAMIENTO DIGESTIVO CON GLOBULOS RO | $156.090 | $254.730 | $192.860 |
| 501115 | 0 | 0 | DETECCION DIVERTICULO MECKEL | $57.405 | $88.005 | $62.190 |
| 501116 | 0 | 8 | SPECT HEPATOESPLENICO,EVAL HEMANGIOMA O HIPERPLASIA | $140.498 | $242.355 | $171.260 |
| 501117 | 0 | 6 | CINTIGRAMA RENAL CON D.M.S.A. | $55.560 | $96.139 | $55.570 |
| 501118 | 0 | 4 | ESTUDIO DINAMICO RENAL CON TC 99 -DTPA (RENOGRAMA) | $82.020 | $163.271 | $82.030 |
| 501119 | 0 | 2 | ESTUDIO DINAMICO RENAL CON TC 99-MAG3 O EC | $144.410 | $280.243 | $144.420 |
| 501120 | 0 | 0 | CISTOGRAFIA ISOTOPICA INDIRECTA | $49.186 | $85.200 | $56.450 |
| 501121 | 0 | 8 | CISTOGRAFIA ISOTOPICA DIRECTA,A.C.19-01-022 | $55.560 | $94.356 | $55.570 |
| 501122 | 0 | 6 | CINTIGRAFIA PULMON PERFUSION O VENTILACION ODIFUSION C/U | $55.560 | $120.758 | $55.570 |
| 501123 | 0 | 4 | CINTIGRAFIA Y EST.ASPIRACION PULMONAR | $41.421 | $84.000 | $59.360 |
| 501124 | 0 | 2 | SPECT CEREBRAL DE PERFUSION(NO INCLUYE RADIOFARMACOS) | $114.092 | $165.240 | $116.770 |
| 501125 | 0 | 9 | ESTUDIO DINAMICO SISTEMA NERVIOSO RADIOCISTERNOGRADIA | $108.266 | $170.336 | $112.850 |
| 501128 | 0 | 3 | DETECCION Y/O MARCACION GANGLIO CENTINELA | $116.500 | $388.950 | $119.060 |
| 501129 | 0 | 1 | CINTIGRAMA C/GALIO 67 PLANAR Y SPECT,PARA ESTUDIO DE TUM | $234.119 | $382.530 | $270.320 |
| 501130 | 0 | 9 | EXPLORACION SISTEMICA CON l -131 (INCL MEDICIONES FASE PREC | $166.500 | $272.545 | $166.660 |
| 501132 | 0 | 5 | ESTUDIO TUMORES ANTICUERPOS MONOCLONALES,OCTREOSCAN | $211.961 | $314.445 | $222.210 |
| 501136 | 0 | 6 | CINTIGRAFIA OSEA COMPLETA PLANAR | $99.990 | $190.622 | $100.000 |
| 501138 | 0 | 2 | CINTIGRAFIA GLANDULAS SALIVALES | $54.669 | $98.398 | $54.670 |
| 501901 | 0 | 3 | TEST AIRE ESPIRADO HELICOBACTER PYLORI | $73.839 | $157.366 | $157.366 |
| 502001 | 0 | 1 | DOSIS TERAPEUTICA CON I-131 HASTA 30 MCI. | $127.895 | $200.753 | $129.540 |
| 502002 | 0 | 9 | DOSIS TERAPEUTICA CON I-131 ENTRE 31 A 100 MCI. | $241.211 | $450.258 | $250.000 |
| 502003 | 0 | 7 | DOSIS TERAPEUTICAS I-131 ENTRE 101MCI A 200MCl. | $424.181 | $903.401 | $451.460 |
| KINESIOLOGÍA | ||||||
| 601101 | 0 | 9 | EVALUACION KINESIOLOGICA INTEGRAL | $7.394 | $8.281 | $7.395 |
| 601103 | 0 | 5 | ATENCION KINESIOLOGICA INTEGRAL EN PACIENTES HOSPITALIZADOS | $7.961 | $12.738 | $11.380 |
| 601104 | 0 | 3 | ATENCION KINESIOLOGICA INTEGRAL UPC (INTENSIVO E INTERMEDIO) | $23.453 | $32.834 | $23.454 |
| 601105 | 0 | 0 | ATENCION KINESIOLOGICA INTEGRAL AMBULATORIA | $7.961 | $8.916 | $10.380 |
| 601106 | 0 | 8 | ATENCION KINESIOLOGICA INTEGRAL DOMICILIARIA | $7.961 | $8.916 | $13.040 |
| 602001 | 0 | 0 | ATENCION INTEGRAL DE TERAPIA OCUPACIONAL | $6.370 | $10.003 | $9.180 |
| 602002 | 0 | 8 | INTERVENCION DE TERAPIA OCUPACIONAL AYUDAS TEC. Y TECNO ASIS | $9.754 | $10.924 | $9.755 |
| 602006 | 0 | 9 | TERAPIAS DE GRUPO EN NINOS Y ADULTOS POR SESION | $2.895 | $5.520 | $5.520 |
| BANCO DE SANGRE | ||||||
| 702001 | 0 | 9 | PREPARACION DE HEMODERIVADOS | $17.972 | $30.171 | $30.171 |
| 702002 | 0 | 7 | PLAQUETOFERESIS | $302.594 | $374.911 | $374.911 |
| 702003 | 0 | 5 | SET EXAMEN X UNID.GLOBULOS ROJOS TRANSFUNDIDOS | $96.242 | $171.760 | $171.760 |
| 702004 | 0 | 3 | SET EXAMEN X UNID.TRANSFUN.DE PLASMA PLAQUETAS O CRIOPRECI | $94.677 | $132.552 | $132.552 |
| 702005 | 0 | 0 | PRUEBA DE COMPATIBILIDAD | $8.815 | $11.076 | $11.076 |
| 702006 | 0 | 8 | TRANSFUSION DE SANGRE EN ADULTOS | $24.993 | $31.387 | $31.387 |
| 702007 | 0 | 6 | TRANSFUSION DE SANGRE EN NINOS | $25.378 | $33.036 | $33.036 |
| 702008 | 0 | 4 | TRANSF.SANGRE ADULTO O NINO EN PABELLON | $29.345 | $61.745 | $61.745 |
| 702009 | 0 | 2 | EXSANG.TRANSF.POR VIA UMBILICAL EN R.NACIDO | $39.401 | $91.707 | $91.707 |
| 702010 | 0 | 0 | EXSANG.TRANSF.EN ADULTO O NINO | $58.974 | $81.833 | $81.833 |
| 702012 | 0 | 6 | SANGRIA, (CADA UNIDAD) | $14.849 | $26.495 | $26.495 |
| 702014 | 0 | 2 | PLASMAFERESIS AUTOMATIZADA POR CEN | $367.805 | $449.702 | $449.702 |
| ANATOMÍA PATOLÓGICA | ||||||
| 801001 | 0 | 9 | CITODIAGNOSTICO CORRIENTE, EXFOLIA PAPANICOLAU | $16.406 | $18.777 | $18.777 |
| 801004 | 0 | 3 | ESTUDIO HISTOPAT C/TEC INMUNOHISTOQCA O INMUNO | $78.538 | $92.947 | $92.947 |
| 801005 | 0 | 0 | ESTUDIO HISTOPATOLOGICO C/ TEC HISTOQCA ESPECIALES | $52.793 | $62.480 | $62.480 |
| 801006 | 0 | 8 | ESTUDIO HISTOPATOLOGICO DE BIOPSIA RAPIDA | $67.716 | $80.138 | $80.138 |
| 801007 | 0 | 6 | ESTUDIO HISTOPATOLOGICO CORRIENTE | $65.886 | $75.276 | $75.276 |
| 801008 | 0 | 4 | ESTUDIO HISTOPAT C/TINCION CTE DE BIOPSIA DIFERIDA | $26.491 | $30.271 | $30.271 |
| 801090 | 0 | 2 | CITODIAGNOST.CTE.PAPANICOLAU APS (HISTOTEC LTDA) | $5.931 | $10.302 | $10.302 |
| PSIQUIATRÍA Y PSICOLOGÍA CLÍNICA | ||||||
| 901003 | 0 | 4 | ELECTROSHOCKS E INSULINO-TERAPIA | $181.046 | $294.903 | $294.903 |
| 901005 | 0 | 9 | ATENCION PSIQUIATRICA O PSICOTERAPIA FAMILIAR O INDIV. | $25.100 | $45.200 | $42.530 |
| 901014 | 0 | 1 | INTERVENCION PSICOSOCIAL | $21.655 | $38.896 | $38.896 |
| 901030 | 0 | 7 | TEST P.E.D.E. (PRUEBA EXPLORATORIA DISLEXIA ESPECIFICA) | $32.228 | $65.650 | $65.650 |
| 901031 | 0 | 5 | TRATAMIENTO DE LUMINOTERAPIA | $3.708 | $7.779 | $7.779 |
| 902001 | 0 | 7 | CONSULTA PSICOLOGO CLINICO (SESIONES 45') | $15.544 | $19.775 | $18.610 |
| 902002 | 0 | 5 | PSICOTERAPIA INDIVIDUAL | $23.530 | $35.725 | $35.725 |
| 902003 | 0 | 3 | PSICOTERAPIA DE PAREJA CON AMBOS MIEMBROS | $21.085 | $32.665 | $32.665 |
| 902005 | 0 | 8 | TEST DE WAIS | $77.108 | $130.538 | $130.538 |
| 902010 | 0 | 8 | TEST RORSCHACH | $56.064 | $86.852 | $86.852 |
| 902011 | 0 | 6 | TEST DE RELACIONES OBJETALES | $25.709 | $39.392 | $37.060 |
| 902012 | 0 | 4 | TEST DE APERCEPCION TAT, CAT, HOCAT | $37.840 | $42.614 | $42.614 |
| 902013 | 0 | 2 | TEST EDWARDS | $17.116 | $19.656 | $17.420 |
| 902014 | 0 | 0 | TEST M.M.P.I. | $23.018 | $35.658 | $35.658 |
| 902016 | 0 | 5 | TEST DE DOMINO Y RABEN | $14.021 | $18.509 | $17.420 |
| 902017 | 0 | 3 | TEST DE BENDER | $22.869 | $35.428 | $35.428 |
| 902018 | 0 | 1 | BENDER BIP | $22.869 | $36.491 | $36.491 |
| 902903 | 0 | 4 | ENTREVISTA DIAGNOSTICA | $32.291 | $54.666 | $54.666 |
| 902905 | 0 | 9 | PSICOTERAPIA DE GRUPO (POR PSICOLOGO) | $18.078 | $37.933 | $37.933 |
| 902906 | 0 | 7 | IPEC (INTERVENCION PSICOLOGICA EN CRISIS) | $76.771 | $156.238 | $156.238 |
| OTRAS PRESTACIONES O PROCEDIMIENTOS | ||||||
| 1101006 | 0 | 3 | ELECTROENCEFALOGRAMA (E.E.G.) STANDARD ACTIVADO (INCLUYE | $28.893 | $35.550 | $33.340 |
| 1101010 | 0 | 5 | ELECTROMIOGRAFIA CUALQUIER REGION | $19.377 | $25.165 | $23.620 |
| 1101012 | 0 | 1 | VELOCIDAD DE CONDUCCION | $16.291 | $20.589 | $19.310 |
| 1101025 | 0 | 3 | MIELOGRAFIA LUMBAR, C/CONTRASTE AC 402050 | $13.775 | $26.001 | $24.380 |
| 1101027 | 0 | 9 | BLOQUEO NERVIO TRONCULAR | $11.860 | $28.657 | $26.880 |
| 1101031 | 0 | 1 | INFILTRACION O BLOQUEO INTERCOSTALES CUALQ. NUMERO | $10.713 | $21.549 | $21.549 |
| 1101043 | 0 | 6 | E.E.G. DIGITAL 32 CANALES | $52.048 | $62.613 | $58.740 |
| 1101045 | 0 | 1 | POLISOMNOGRAFEA | $344.000 | $459.226 | $459.226 |
| 1101943 | 0 | 7 | E.E.G.DIGITAL ESTANDAR CON PRIVACION DE SUENO | $63.223 | $100.391 | $100.391 |
| 1101945 | 0 | 2 | INFORME ELEC DIGITAL URGENCIA | $66.437 | $115.747 | $115.747 |
| 1101946 | 0 | 0 | TEST DE ESTIMULACION REPETITIVA | $66.078 | $122.362 | $122.362 |
| 1101947 | 0 | 8 | FUNCION AUTONOMICA | $83.376 | $144.826 | $144.826 |
| 1101949 | 0 | 4 | TEST DE NEOSTIGMINA | $13.612 | $26.298 | $26.298 |
| 1101951 | 0 | 0 | TEST FUNCION PUPILAR | $23.373 | $41.819 | $41.819 |
| 1101952 | 0 | 8 | TEST DE HIPOTENSION EN EL EJERCICIO | $16.950 | $31.237 | $31.237 |
| 1101953 | 0 | 6 | TEST DE HIPOTENSION POSTPRANDIAL | $36.546 | $78.981 | $78.032 |
| 1101954 | 0 | 4 | NEUROMONITOREO | $1.033.331 | $1.791.665 | $1.791.665 |
| 1101955 | 0 | 1 | TEST DE MULTIPLES LATENCIAS DE SUENO | $128.365 | $232.392 | $232.392 |
| 1101956 | 0 | 9 | APLICACION TOXINA BOTULINICA (S/MEDICAMENTO) | $25.477 | $44.256 | $44.256 |
| 1101960 | 0 | 1 | EEG VIDEO MONITOREO SESION POR HORA | $15.228 | $21.152 | $21.152 |
| 1101961 | 0 | 9 | EEG VIDEO MONITOREO SESION DE 6 A 24 HRAS | $365.315 | $789.499 | $789.499 |
| 1103013 | 0 | 7 | - HONORARIOS C/U DE LOS OTROS 1ROS. CIRUJANOS Y AYUDANTES | $71.562 | $702.295 | $660.660 |
| 1201001 | 0 | 3 | & CAMPIMETRIA DE PROYECCION (C/OJO) | $10.922 | $19.654 | $11.020 |
| 1201003 | 0 | 9 | CUANTIF. DE LAGRIMACION(TEST SCHIRMER),UNO O AMBOS OJOS | $2.938 | $3.650 | $3.420 |
| 1201004 | 0 | 7 | & CURVA DE TENSION APLANATICA (C/DIA Y C/OJO) | $14.067 | $21.685 | $21.685 |
| 1201005 | 0 | 4 | & DIPLOSCOPIA CUANTITATIVA. | $5.356 | $8.771 | $8.771 |
| 1201009 | 0 | 6 | & EXPLORACION SENSORIOMOTORA: ESTRABISMO, ESTUDIO COMPLE | $27.323 | $42.122 | $42.122 |
| 1201010 | 0 | 4 | PERIMETRIA GOLDMAN POR OJO | $12.084 | $18.227 | $17.090 |
| 1201011 | 0 | 2 | & PRUEBAS DE PROVOCACION PARA GLAUCOMA. | $15.024 | $29.711 | $29.711 |
| 1201012 | 0 | 0 | RETINOGRAFIA OCULAR DIGITAL | $53.672 | $61.058 | $61.058 |
| 1201014 | 0 | 6 | & TONOMETRIA APLANATICA. | $8.862 | $10.135 | $10.135 |
| 1201015 | 0 | 3 | & TRATAMIENTO ORTOPTICO Y/ O PLEOPTICO (POR SESION). | $8.604 | $9.827 | $9.827 |
| 1201016 | 0 | 1 | ANGIOGRAFIA DE RETINA O DE IRIS DIGITAL C/OJO | $31.231 | $46.748 | $46.748 |
| 1201019 | 0 | 5 | EXPLORACION VITREORRETINAL | $3.964 | $11.006 | $10.340 |
| 1201020 | 0 | 3 | ECOBIOMETRIA C/CALCULO LENTE INTRAOCULAR(AMBOS OJOS) | $58.669 | $65.570 | $65.570 |
| 1201027 | 0 | 8 | EXAMEN OPTOMETRICO C/S PRESCRIPCION DE LENTES | $19.634 | $22.372 | $22.372 |
| 1201030 | 0 | 2 | CUERPO EXTRANO CONJUNTIVAL/CORNEAL EN NINOS | $10.039 | $22.125 | $20.750 |
| 1201031 | 0 | 0 | VIA LAGRIMAL/CATETERISMO/SONDAJE -EN ADULTOS | $33.452 | $38.044 | $38.044 |
| 1201042 | 0 | 7 | CAMPIMETRIA COMPUTARIZADA, CADA OJO | $40.605 | $46.177 | $46.177 |
| 1201043 | 0 | 5 | & TOPOGRAFIA CORNEAL COMPUTARIZADA C/OJO | $43.285 | $48.672 | $48.672 |
| 1201046 | 0 | 8 | CURACION CON ASEO DE CAVIDADES | $1.442 | $2.670 | $2.670 |
| 1201099 | 0 | 7 | ECOGRAFIA OCULAR (C/U) | $76.214 | $119.935 | $119.935 |
| 1201910 | 0 | 5 | MICROSCOPIA ESPECULAR | $19.241 | $55.570 | $55.570 |
| 1201912 | 0 | 1 | INFORME RETINOGRAFIA AMBOSOJOS | $9.408 | $16.341 | $16.341 |
| 1201950 | 0 | 1 | OCT CORRIENTE (CORNEA, RETINA, GLAUCOMA, ETC) | $69.687 | $79.230 | $79.230 |
| 1201951 | 0 | 9 | PAQUIMETRIA | $55.292 | $62.856 | $62.856 |
| 1201952 | 0 | 7 | REHABILITACION VISUAL | $12.138 | $19.421 | $19.421 |
| 1201953 | 0 | 5 | TEST DE TELLER | $11.909 | $19.054 | $19.054 |
| 1301003 | 0 | 8 | NASOFARINGOLARINGOFIBROSCOPIA | $39.915 | $61.535 | $61.535 |
| 1301004 | 0 | 6 | RINOSCOPIA POSTERIOR, CON NASOFARINGOSCOPIA C/S TOMA | $8.164 | $16.550 | $16.550 |
| 1301009 | 0 | 5 | & IMPEDANCIOMETRIA | $14.290 | $22.033 | $22.033 |
| 1301011 | 0 | 1 | & POTENCIALES EVOCADOS AUDITIVOS DE TRONCO CEREBRAL | $40.891 | $63.042 | $63.042 |
| 1301016 | 0 | 0 | & FUNCION TUBARIA | $10.156 | $15.660 | $15.660 |
| 1301018 | 0 | 6 | RINOMANOMETRIA C/S VASO CONSTRICTOR | $8.493 | $69.755 | $69.755 |
| 1301020 | 0 | 2 | & EXAMEN FUNCIONAL DE VIII PAR | $36.490 | $56.258 | $56.258 |
| 1301021 | 0 | 0 | & AUDIOMETRIA ADULTOS | $15.601 | $23.573 | $23.573 |
| 1301025 | 0 | 1 | TAPONAMIENTO NASAL ANTERIOR (PROC. AUT.) | $23.671 | $37.623 | $37.623 |
| 1301026 | 0 | 9 | TAPONAMIENTO NASAL POSTERIOR | $26.892 | $45.567 | $45.567 |
| 1301029 | 0 | 3 | CUERPO EXTR.FOSAS NASALES EN ADULTOS, EXTRACCION DE | $11.168 | $18.925 | $18.925 |
| 1301030 | 1 | 1 | CUERPO EXTR.FOSAS NASALES EN NINOS, EXTRACCION DE | $20.119 | $23.414 | $21.970 |
| 1301031 | 0 | 9 | HUESOS DE LA NARIZ, REDUCCION DE FRACTURA CERRADA. | $34.994 | $50.583 | $50.583 |
| 1301034 | 0 | 3 | REEDUCACION DE LA VOZ (PROC. AUT.) (POR SESION) | $11.333 | $19.096 | $19.096 |
| 1301040 | 0 | 0 | LESIONES DEL OIDO EXTERNO Y/O MEDIO, CURACION BAJO MICRO | $13.090 | $20.181 | $20.181 |
| 1301042 | 0 | 6 | CUERPO EXTR.EN OIDO EN ADULTOS, EXTRACCION DE CERUMEN | $7.726 | $12.713 | $12.713 |
| 1301043 | 0 | 4 | CUERPO EXTR.EN OIDO EN NINOS, EXTRACCION DE | $10.611 | $21.549 | $20.220 |
| 1301045 | 0 | 9 | AUDIOMETRIA BARRIDO TONAL, EMISIONES OTOACUSTICAS | $2.758 | $11.831 | $11.831 |
| 1301920 | 0 | 3 | POSTUROGRAFIA BRU POR SESION | $48.561 | $55.463 | $55.463 |
| 1301921 | 0 | 1 | OTOEMISIONES ACUSTICAS | $12.691 | $14.819 | $14.819 |
| 1301922 | 0 | 9 | MANIOBRA DE REPOSICION CANALÉTICO, (POR SESI N) | $9.658 | $12.572 | $12.572 |
| 1301923 | 0 | 7 | CONTROL VESTIBULAR, (POR SESION) | $8.550 | $11.129 | $11.129 |
| 1303003 | 0 | 6 | EVALUACION DEL LENGUAJE (INCLUYE 3 SESIONES) | $44.248 | $68.216 | $68.216 |
| 1303005 | 0 | 1 | REHABILITACION DEL HABLA Y/O LENGUAJE | $28.142 | $42.520 | $42.520 |
| 1601110 | 0 | 8 | CURETAJES DE LESIONES VIRALES Y SIMILARES HASTA 10 LESIONES | $21.649 | $42.906 | $40.240 |
| 1601115 | 0 | 7 | IMPLANTES SUBCUTANEOS | $14.960 | $34.137 | $32.020 |
| 1601116 | 0 | 5 | CRIOTERAPIA HASTA 5 LESIONES POR SESION | $15.838 | $28.860 | $27.070 |
| 1601117 | 0 | 3 | CRIOTERAPIA 6 A 10 LESIONES POR SESION | $22.409 | $45.132 | $42.340 |
| 1601119 | 0 | 9 | INYECCION INTRACUTANEA EN AREAS HASTA 9 CMS.2 POR SESION | $15.838 | $30.069 | $28.210 |
| 1701001 | 0 | 8 | E.C.G. DE REPOSO (INCLUYE MINIMO 12 DERIVACIONES Y 4 COM | $5.843 | $11.029 | $11.120 |
| 1701003 | 0 | 4 | E.C.G. DE ESFUERZO | $24.793 | $45.257 | $44.960 |
| 1701006 | 0 | 7 | ECG CONTINUO (TEST HOLTER O SIMILARES) 20 A 24 HORAS | $25.120 | $52.466 | $52.130 |
| 1701007 | 0 | 5 | ECOCARDIOGRAMA DOPPLER (INCLUYE COD.1701008) | $46.519 | $104.265 | $105.230 |
| 1701008 | 0 | 3 | ECOCARDIOGRAMA BIDIMENSIONAL (INCLUYE REGISTRO MODO M ) | $28.812 | $65.178 | $65.790 |
| 1701009 | 0 | 1 | MONITOREO DE PRESION ARTERIAL CONTINUO | $24.806 | $36.646 | $36.420 |
| 1701013 | 0 | 3 | CATETERISMO EN RECIEN NACIDO POR ARTERIA UMBILICAL | $61.115 | $94.219 | $94.219 |
| 1701024 | 0 | 0 | ARTERIOGRAFIA PULMONAR, RENAL, ETC C/U AC 0402019-20-27 | $36.556 | $59.732 | $59.732 |
| 1701037 | 0 | 2 | PUNCION SUBCLAVIA O YUGULAR CON COLOCACION DE CATETER | $86.715 | $133.687 | $133.687 |
| 1701045 | 0 | 5 | ECOCARDIOGRAMA BIDIMENSIONAL DOPPLER COLOR | $61.289 | $111.576 | $110.850 |
| 1701523 | 0 | 1 | ESTUDIO DE OPTIMIZACION DE RESINCRONIZADORES | $12.333 | $185.503 | $185.503 |
| 1701901 | 0 | 9 | ECOCARDIOG.DE STRESS CON DOBUTAMINA (INC.ECO DOPPLER COL | $67.295 | $185.503 | $185.503 |
| 1701903 | 0 | 5 | ECOCARDIOGRAMA DOPPLER CON CONTRASTE | $121.744 | $213.421 | $213.421 |
| 1701967 | 0 | 0 | TILT TEST | $57.646 | $83.014 | $83.014 |
| 1707001 | 0 | 2 | ESPIROMETRIA BASAL | $6.259 | $11.594 | $10.860 |
| 1707002 | 0 | 0 | ESPIROMETRIA BASAL Y CON BRONCODILATADOR | $17.512 | $20.544 | $18.140 |
| 1707004 | 0 | 6 | PROVOCACION CON EJERCICIO, TEST DE | $29.440 | $54.614 | $54.614 |
| 1707005 | 0 | 3 | PROVOCACION CON METACOLINA,TEST DE (INCL.ESPIROMETRIA) | $20.138 | $32.182 | $30.190 |
| 1707008 | 0 | 7 | CAPACIDAD DE DIFUSION, ESTUDIO DE | $14.356 | $21.312 | $20.000 |
| 1707009 | 0 | 5 | CAPACIDAD FISICA DEL TRABAJO | $77.255 | $98.179 | $98.179 |
| 1707011 | 0 | 1 | CURVA DE RELACION FLUJO-VOLUMEN BASAL | $11.475 | $14.679 | $13.780 |
| 1707013 | 0 | 7 | MEDICION DE PRESION DE OCLUSION | $7.058 | $22.080 | $20.700 |
| 1707014 | 0 | 5 | MEDICION DE PRESION INSPIRATORIA MAXIMA (PROC. AUT) | $4.613 | $9.198 | $8.640 |
| 1707020 | 0 | 2 | VOLUMENES PULMONARES POR LAVADO DE NITROGENO | $25.445 | $40.883 | $38.350 |
| 1707025 | 0 | 1 | PROC. DETERMINAR GASOMETRIA ARTERIAL (X 2 COD.0302046) | $9.232 | $12.450 | $12.450 |
| 1707028 | 0 | 5 | PLEUROTOMIA MINIMA CON DRENAJE PLE | $46.327 | $80.841 | $80.841 |
| 1707030 | 0 | 1 | AEROSOLTERAPIA (NEBULIZ) POR SESION (C/AIRE COMP.,O2) | $3.308 | $3.678 | $3.678 |
| 1707039 | 0 | 2 | TEST INMUNOLOGICO RAPIDO PARA EL DIAGNOSTICO DE | $8.704 | $12.092 | $12.092 |
| 1707054 | 0 | 1 | SATURACION DE O2 EN REPOSO Y/O EJERC.(C/OXIMETRO) | $4.289 | $5.876 | $5.520 |
| 1707939 | 0 | 3 | TEST DE CAMINATA 6 MINUTOS | $14.956 | $25.199 | $25.199 |
| 1707940 | 0 | 1 | TEST DE EJERCICIO CARDIOPULMONAR | $96.633 | $201.776 | $201.776 |
| 1707941 | 0 | 9 | POLIGRAFIA RESPIRATORIA PARA ESTUDIO DE APNEA DEL SUENO | $129.869 | $228.398 | $228.398 |
| 1711009 | 0 | 9 | ECOCARDIOGRAFIA TRANSESOFAGICA (INCLUYE ECO DOPPLER) | $129.799 | $278.379 | $278.379 |
| 1801023 | 0 | 1 | INTUBACION ENDOSCOPICA DE SONDA NASOGASTRICA | $2.731 | $5.763 | $5.410 |
| 1801024 | 0 | 9 | INTUBACION ENDOSCOPICA DE SONDA ENTERAL | $8.312 | $12.814 | $12.814 |
| 1801037 | 0 | 1 | TEST DE UREASA (PARA HELICOBACTER PYLORI) | $5.862 | $10.362 | $9.710 |
| 1801041 | 0 | 3 | PUNCION DE LIQUIDO ASCITICO, DIAGNOSTICA | $45.308 | $54.012 | $54.012 |
| 1801050 | 0 | 4 | P.H. METRIA ESOFAGICA (24 HORAS) ADULTO | $130.301 | $264.152 | $264.152 |
| 1801922 | 0 | 4 | CAMBIO SONDA DE GASTROSTOMIA | $12.589 | $20.406 | $20.406 |
| 1901011 | 0 | 5 | UROFLUJOMETRIA (PROC. AUT.) | $19.241 | $21.948 | $19.390 |
| 1901019 | 0 | 8 | INSTILACION VESICAL (INCLUYE COLOCACION DE SONDA) | $19.241 | $37.080 | $37.080 |
| 1901020 | 0 | 6 | INYECCION DE MEDICAMENTOS EN EL PENE | $18.599 | $30.597 | $30.597 |
| 1901022 | 0 | 2 | VAC. VESICAL POR SONDA URETRAL, (PROC. AUT.) | $23.089 | $37.080 | $37.080 |
| 1901024 | 0 | 8 | HEMODIALISIS SIN INSUMOS | $102.975 | $117.080 | $117.080 |
| 1901025 | 0 | 5 | PERITONEODIALISIS | $504.112 | $651.935 | $651.935 |
| 1901026 | 0 | 3 | PERITONEODIALISIS AMBULATORIA CONTINUA | $109.910 | $1.115.310 | $1.049.180 |
| 1901501 | 0 | 5 | INSTALACION SONDA FOLEY (INSTALACION DE SONDAS URINARIAS) | $17.472 | $25.315 | $25.315 |
| 1901902 | 0 | 5 | INSTALACION Y/O RETIRO DE CATETER TENKOFF | $29.922 | $51.978 | $51.978 |
| 1902902 | 0 | 4 | USO EQUIPO LASER HO YAG | $172.853 | $243.127 | $243.127 |
| 1902903 | 0 | 2 | PROGRAMA UNIDAD CUIDADO RENAL AVANZADO UCRA ETAPA 4 | $29.789 | $33.364 | $33.364 |
| 1902904 | 0 | 0 | PROGRAMA UNIDAD CUIDADO RENAL AVANZADO UCRA ETAPA 5 | $35.528 | $39.791 | $39.791 |
| 2001002 | 0 | 1 | COLPOSCOPIA | $15.246 | $23.503 | $23.503 |
| 2001006 | 0 | 2 | AMNIOCENTESIS | $16.215 | $22.148 | $20.780 |
| 2001009 | 0 | 6 | MONITOREO BASAL CON INFORME | $20.002 | $30.835 | $30.835 |
| 2001010 | 0 | 4 | MONITOREO FETAL ESTRESANTE, CON CONTROL PERMANENTE | $62.494 | $96.343 | $96.343 |
| 2001015 | 2 | 3 | COLOCACION O EXTRACCION DE DISPOSITIVO INTRAUTERINO | $18.121 | $21.603 | $21.603 |
| 2001021 | 0 | 1 | HISTEROSONOGRAFIA | $35.002 | $49.053 | $46.020 |
| 2001022 | 0 | 9 | PUNCION EVACUADORA DE QUISTES MAMARIOS,C/S TOMA DE MUEST | $20.514 | $31.624 | $31.624 |
| 2004009 | 0 | 3 | FOTOTERAPIA A RECIEN NACIDOS | $46.692 | $71.775 | $71.775 |
| 2101001 | 0 | 2 | INFILTRACION LOCAL MEDICAMENTOS (BURSAS, TENDONES, YUXTA | $20.930 | $33.269 | $33.269 |
| 2101004 | 0 | 6 | EXTRACCION DE MATERIAL DE OSTEOSISTESIS | $3.945 | $7.711 | $7.711 |
| 2105004 | 0 | 2 | RODILLERA, BOTA LARGA O CORTA DE YESO | $15.204 | $28.261 | $26.510 |
| 2105005 | 0 | 9 | VELPEAU | $13.028 | $28.261 | $26.510 |
| 2105006 | 0 | 7 | YESO ANTEBRAQUIAL C/S FERULA DIGITAL | $15.204 | $28.261 | $26.510 |
| 2105007 | 0 | 5 | YESO BRAQUICARPIANO | $15.204 | $28.261 | $26.510 |
| 2105009 | 0 | 1 | YESO PELVIPEDIO UNILATERAL | $10.487 | $53.732 | $50.400 |
| 2105010 | 0 | 9 | YESO TORACOBRAQUIAL | $26.542 | $49.483 | $46.420 |
| 2105011 | 0 | 7 | CORSETS MILWAUKEE (TOMA DE MOLDE ) | $14.834 | $58.195 | $54.590 |
| 2201001 | 0 | 1 | ANESTESIA GRAL O REGIONAL OTORGADA POR MEDICO DIF PRIMER CIR | $31.233 | $60.681 | $57.070 |
| 2201002 | 0 | 9 | ANESTESIA PERIDURAL CONTINUA, PROC. AUT. | $64.593 | $73.043 | $68.720 |
| 2201005 | 0 | 2 | ANESTESIA GENERAL Y PERFUSION CON C.E.C. | $147.646 | $195.871 | $195.871 |
| 2201006 | 0 | 0 | ANESTESIA GENERAL | $78.126 | $99.746 | $99.746 |
| 2201008 | 0 | 6 | ASISTENCIA ANESTESIOLOGICA A TERAPIA ELECTROCONVULSIVA | $39.135 | $54.352 | $54.352 |
| 2201904 | 0 | 6 | BLOQUEO GANGLIO ESTRELLADO | $26.606 | $37.878 | $37.878 |
| 2201905 | 0 | 3 | RECUPERACION ANESTESICA | $9.979 | $53.478 | $53.478 |
| 2201910 | 0 | 3 | ANESTESIA RESONADOR | $90.278 | $408.634 | $408.634 |
| CÁMARA HIPERBÁRICA | ||||||
| 2302001 | 0 | 9 | TABLA 9 (OXIGENOTERAPIA) | $64.271 | $85.060 | $85.060 |
| 2302008 | 0 | 4 | TABLA 6 (DESCOMPRESIÓN) | $1.263.880 | $1.898.006 | $1.898.006 |
| 2302009 | 0 | 2 | TABLA 6 A (DESCOMPRESIÓN) | $1.632.652 | $2.454.415 | $2.454.415 |
| 2302010 | 0 | 0 | PRUEBA HIPERBARICA | $71.003 | $91.754 | $91.754 |
| 2302011 | 0 | 8 | TEST DE TOLERANCIA AL OXIGENO | $99.479 | $165.105 | $165.105 |
| 2302012 | 0 | 6 | TABLA 5 (DESCOMPRESIÓN) | $911.133 | $1.365.775 | $1.365.775 |