CATALOGO DE PRESTACIONES CLINICA BUPA ANTOFAGASTA … · CODIGO DESCRIPCION FONASA Habil FONASA...

CODIGO DESCRIPCION FONASA HabilFONASA

InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil30 Laboratorio

301002 Acido fólico o folatos $5.940 $5.940 $17.468 $17.468 $26.264 $26.264

301005 Aglutininas anti Rho $5.310 $5.310 $11.569 $11.569 $17.405 $17.405

301007 Anticoagulantes circulantes o anticoagulante lúpico $5.310 $5.310 $39.459 $39.459 $59.319 $59.319

301008 Antitrombina III $5.310 $5.310 $49.857 $49.857 $74.969 $74.969

301010 Células del lupus, cada muestra $3.180 $3.180 $6.895 $6.895 $10.378 $10.378

301012 Coágulo, tiempo de retracción del $1.010 $1.010 $2.519 $2.519 $3.812 $3.812

301014 Coombs directo, test de $1.460 $1.460 $3.245 $3.245 $4.898 $4.898

301015 Coombs indirecto, prueba de $2.620 $2.620 $5.279 $5.279 $7.951 $7.951

301017 Deshidrogenasa glucosa-6-fosfato en eritrocitos $5.500 $5.500 $21.413 $21.413 $32.190 $32.190

301021 Fibrinógeno $2.620 $2.620 $12.471 $12.471 $18.761 $18.761

301024 Factor V $2.620 $2.620 $12.471 $12.471 $18.761 $18.761

301025 Factores VII, VIII, IX, X, XI, XII, XIII, c/u $5.500 $5.500 $16.417 $16.417 $24.687 $24.687

301026 Ferritina $6.740 $6.740 $14.640 $14.640 $22.007 $22.007

301027 Fibrinógeno, productos de degradación del $5.500 $5.500 $11.999 $11.999 $18.061 $18.061

301028 Fierro sérico $2.620 $2.620 $5.575 $5.575 $8.397 $8.397

301030 Fierro, cinética del (cada determinación) $6.640 $6.640 $11.999 $11.999 $18.061 $18.061

301034 Grupos sanguíneos AB0 y Rho (incluye estudio de factor Du en Rh negativos)$2.960 $2.960 $4.701 $4.701 $7.072 $7.072

301035 Haptoglobina cuantitativa $4.930 $4.930 $10.114 $10.114 $15.216 $15.216

301036 Hematocrito (proc. aut.) $820 $820 $1.926 $1.926 $2.919 $2.919

301038 Hemoglobina en sangre total (proc. aut.) $820 $820 $1.776 $1.776 $2.694 $2.694

301040 Hemoglobina fetal cuantitativa en eritrocitos $5.500 $5.500 $11.569 $11.569 $17.405 $17.405

301041 Hemoglobina glicosilada $5.600 $5.600 $16.417 $16.417 $24.687 $24.687

301044 Hemoglobina, electroforesis de (incluye Hb. total) $5.940 $5.940 $24.295 $24.295 $36.537 $36.537

301045 Hemograma (incluye recuentos de leucocitos y eritrocitos, hemoglobina, hematocrito, fórmula leucocitaria, característícas de los elementos figurados y velocidad de eritrosedimentación) $3.680 $3.680 $8.794 $8.794 $13.235 $13.235

301059 Protombina, tiempo de o consumo de (incluye INR, Relación Internacional Normalizada)$1.860 $1.860 $4.255 $4.255 $6.418 $6.418

301062 Recuento de basófilos (absoluto) $1.220 $1.220 $2.504 $2.504 $3.780 $3.780

301063 Recuento de eosinófilos (absoluto) $1.200 $1.200 $2.504 $2.504 $3.780 $3.780

301064 Recuento de eritrocitos, absoluto (proc. aut.) $820 $820 $1.776 $1.776 $2.694 $2.694

301065 Recuento de leucocitos, absoluto (proc. aut.) $820 $820 $1.776 $1.776 $2.694 $2.694

301066 Recuento de linfocitos (absoluto) $1.460 $1.460 $3.245 $3.245 $4.898 $4.898

301067 Recuento de plaquetas (absoluto) $1.460 $1.460 $3.245 $3.245 $4.898 $4.898

Horario hábil: Lunes a Viernes de 08:00 horas hasta las 20:00 horas y Sábados de 08:00 horas hasta las 14:00 horas (con excepción de los días festivos).

CATALOGO DE PRESTACIONES CLINICA BUPA ANTOFAGASTA 2016

Horario Inhábil 50% recargo para prestaciones según se indica.

El valor de Isapre corresponde a un valor referencial sujeto a variación según lo que disponga para la prestación respectiva el plan de Isapre del paciente.


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

301068 Recuento de reticulocitos (absoluto o porcentual) $1.220 $1.220 $2.504 $2.504 $3.780 $3.780

301069 Recuento diferencial o fórmula leucocitaria (proc.aut.) $2.260 $2.260 $4.701 $4.701 $7.072 $7.072

301070 Resistencia globular osmótica $3.680 $3.680 $7.770 $7.770 $11.703 $11.703

301072 Sangría, tiempo de (Ivy) (no incluye dispositivo asociado ) $1.860 $1.860 $4.255 $4.255 $6.418 $6.418

301075 Subgrupo ABO y Rh fenotipo - genotipo Rh, c/u $3.230 $3.230 $6.020 $6.020 $9.053 $9.053

301082 Transferrina $6.530 $6.530 $14.640 $14.640 $22.007 $22.007

301083 Trombina, tiempo de $2.260 $2.260 $4.701 $4.701 $7.072 $7.072

301085 Tromboplastina, tiempo parcial de (TTPA,TTPK o similares) $2.910 $2.910 $6.895 $6.895 $10.378 $10.378

301086 Velocidad de eritosedimentación, (proc. aut.) $690 $690 $1.926 $1.926 $2.919 $2.919

301087 Vitamina B12, absorción de (Co 57 o similar) $14.300 $14.300 $32.255 $32.255 $48.511 $48.511

301089 Von Willebrand, Ag de (factor VIII Ag.) $10.690 $10.690 $46.570 $46.570 $70.026 $70.026

301091 Proteína C $35.890 $35.890 $59.379 $59.379 $89.263 $89.263

301092 Proteína S $39.660 $39.660 $55.673 $55.673 $83.709 $83.709

301501 Anfetaminas $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

301502 Benzodiazepinas Orina $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

301504 Bordetella Pertussis Por If $51.426 $51.426 $36.941 $36.941 $51.426 $51.426

301505 Bordetella Pertussis Igg $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

301506 Bordetella Pertussis Igm $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

301507 Canabinoides Determinacion De ( Thc) $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

301509 Citraturia $34.125 $34.125 $22.693 $22.693 $34.125 $34.125

301510 Clonazepan ( Ravotril) $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

301511 Cobre Orina (Cupruria) $32.846 $32.846 $21.831 $21.831 $32.846 $32.846

301512 Cocaina $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

301513 Raspado de piel, examen microscópico de ("Acarotest"): de 6 a 10 preparaciones$4.930 $4.930 $6.087 $6.087 $9.380 $9.380

301514 Dehidroepiandrosterona sulfato (DHA, DHEA) $8.620 $8.620 $18.302 $18.302 $27.516 $27.516

301520 Antigeno Urinario Pneumococo $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

301523 Estudio Von Willebrand $175.994 $175.994 $117.073 $117.073 $175.994 $175.994

301524 Factor V Leiden $90.573 $90.573 $60.240 $60.240 $90.573 $90.573

301525 Filtracion De Leucocitos $52.738 $52.738 $35.083 $35.083 $52.738 $52.738

301526 Resistencia A Proteina C Actv. $78.154 $78.154 $51.984 $51.984 $78.154 $78.154

301534 Htlv-1/2 $63.445 $63.445 $42.193 $42.193 $63.445 $63.445

301536 Igg4 Especifica C/U $43.776 $43.776 $29.104 $29.104 $43.776 $43.776

301541 Oxaluria $34.125 $34.125 $22.693 $22.693 $34.125 $34.125

301543 Peptido C $54.704 $54.704 $36.375 $36.375 $54.704 $54.704

301546 Phadiatop Adulto ( Inhalante) $119.473 $119.473 $79.471 $79.471 $119.473 $119.473

301547 Phadiatop Pediatrico ( Inhalante - Alimentos ) $119.473 $119.473 $79.471 $79.471 $119.473 $119.473

301548 Plomo ( Sangre ) $73.287 $73.287 $48.751 $48.751 $73.287 $73.287


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

301550 Pregnantriol (Orina) $30.941 $30.941 $22.221 $22.221 $30.941 $30.941

301553 Urobilinógeno (cuantitativo) $2.420 $2.420 $5.698 $5.698 $7.951 $7.951

301554 Screening Enf. Metabolica ( Incluye Aminoaciduria ). $118.446 $118.446 $78.784 $78.784 $118.446 $118.446

301556 Subclases Igg 1,2,3,4 $141.778 $141.778 $94.299 $94.299 $141.778 $141.778

301557 Test De Clonidina (5 Muestras) $154.108 $154.108 $102.423 $102.423 $154.108 $154.108

301560 Test Pack Clostridium Difficile A+B $33.130 $33.130 $22.032 $22.032 $33.130 $33.130

301569 Zinc ( Sangre ) $32.846 $32.846 $21.831 $21.831 $32.846 $32.846

301572 Orina, sedimento (proc. aut.) $3.991 $3.991 $2.639 $2.639 $3.991 $3.991

301579 Magnesio $11.703 $11.703 $7.770 $7.770 $11.703 $11.703

301580 Proteínas, electroforesis (incluye cód. 03-02-060) $18.687 $18.687 $12.416 $12.416 $18.687 $18.687

301581 TEST DE HOMA $26.949 $26.949 $26.949 $26.949 $26.949 $26.949

301585 Bartonella Henselae Serologia Igg $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

301588 Bartonella Henselae Serologia Igm $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

301589 Zinc Urinario $32.846 $32.846 $21.831 $21.831 $32.846 $32.846

302001 Acetona cualitativa $1.010 $1.010 $3.245 $3.245 $4.898 $4.898

302004 Acido láctico $4.720 $4.720 $7.756 $7.756 $11.688 $11.688

302005 Acido úrico, en sangre $1.940 $1.940 $3.973 $3.973 $5.985 $5.985

302008 Amilasa, en sangre $2.940 $2.940 $4.701 $4.701 $7.072 $7.072

302009 Aminoácidos, cualitativo en sangre $6.940 $6.940 $22.922 $22.922 $34.484 $34.484

302010 Amonio $2.620 $2.620 $5.279 $5.279 $7.951 $7.951

302011 Bicarbonato (proc.aut.) $820 $820 $1.926 $1.926 $2.919 $2.919

302012 Bilirrubina total (proc.aut.) $1.620 $1.620 $3.542 $3.542 $5.344 $5.344

302013 Bilirrubina total y conjugada $1.860 $1.860 $4.255 $4.255 $6.418 $6.418

302015 Calcio en sangre $1.660 $1.660 $3.393 $3.393 $5.120 $5.120

302016 Calcio iónico, incluye proteínas totales $3.230 $3.230 $8.511 $8.511 $12.805 $12.805

302017 Caroteno $2.620 $2.620 $5.279 $5.279 $7.951 $7.951

302018 Caroteno, prueba de sobrecarga de, además 2 códigos 03-07-011 o 03-07-012.$5.920 $5.920 $12.443 $12.443 $18.730 $18.730

302019 Ceruloplasmina $4.060 $4.060 $20.119 $20.119 $30.270 $30.270

302020 Cobre $1.900 $1.900 $21.831 $21.831 $32.846 $32.846

302021 Colinesterasa en plasma o sangre total $3.680 $3.680 $7.770 $7.770 $11.703 $11.703

302023 Creatinina en sangre $1.620 $1.620 $3.393 $3.393 $5.120 $5.120

302024 Creatinina, depuración de (Clearence) (proc.aut.) $3.630 $3.630 $8.349 $8.349 $12.566 $12.566

302025 Creatinquinasa CK - MB miocárdica $5.920 $5.920 $8.633 $8.633 $13.028 $13.028

302026 Creatinquinasa CK - total $4.500 $4.500 $9.508 $9.508 $14.309 $14.309

302027 Troponina $11.860 $11.860 $36.712 $36.712 $55.194 $55.194

302029 Deshidrogenasa hidroxibutírica (HBDH) $2.620 $2.620 $5.279 $5.279 $7.951 $7.951

302030 Deshidrogenasa láctica total (LDH) $2.750 $2.750 $5.279 $5.279 $7.951 $7.951


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

302032 Electrolitos plasmáticos (sodio, potasio, cloro) c/u $1.490 $1.490 $5.158 $5.158 $7.771 $7.771

302033 Enzima convertidora de angiotensina I $7.360 $7.360 $20.497 $20.497 $30.837 $30.837

302034 Perfil Lipídico (incluye: colesterol total, HDL, LDL, VLDL y triglicéridos) $7.710 $7.710 $19.177 $19.177 $28.856 $28.856

302035 Fármacos y/o drogas; niveles plasmáticos de (alcohol, anorexígenos, antiarrítmicos, antibióticos, antidepresivos, antiepilépticos, antihistamínicos, antiinflamatorios y analgésicos, estimulantes respiratorios, tranquilizantes mayores y menores, etc.) c/u$6.930 $6.930 $15.083 $15.083 $22.677 $22.677

302036 Fenilalanina $2.620 $2.620 $8.391 $8.391 $12.627 $12.627

302037 Fosfatasas ácidas totales $2.130 $2.130 $4.701 $4.701 $7.072 $7.072

302038 Fosfatasas ácidas totales y fracción prostática. $3.680 $3.680 $7.770 $7.770 $11.703 $11.703

302039 Fosfatasas alcalinas con separación de isoenzimas hepáticas, intestinales, óseas. c/u$7.100 $7.100 $52.388 $52.388 $78.766 $78.766

302040 Fosfatasas alcalinas totales $1.660 $1.660 $3.245 $3.245 $4.898 $4.898

302041 Fosfolípidos $1.860 $1.860 $3.973 $3.973 $5.985 $5.985

302042 Fósforo (fosfatos) en sangre $2.180 $2.180 $3.973 $3.973 $5.985 $5.985

302045 Gamma glutamiltranspeptidasa (GGT) $2.860 $2.860 $6.167 $6.167 $9.291 $9.291

302046 Gases y equilibrio ácido base en sangre (incluye: pH, O2, CO2, exceso de base y bicarbonato), todos o cada uno de los parámetros.$4.530 $4.530 $7.918 $7.918 $11.911 $11.911

302047 Glucosa en sangre $1.580 $1.580 $2.208 $2.208 $3.366 $3.366

302048 Glucosa, Prueba de Tolerancia a la Glucosa Oral (PTGO), (dos determinaciones; no incluye la glucosa que se administra; incluye el valor de las dos tomas de muestras)$7.390 $7.390 $9.184 $9.184 $14.190 $14.190

302050 Adenosindeaminasa en sangre u otro fluído biológico. $5.500 $5.500 $9.144 $9.144 $13.756 $13.756

302053 Lipasa $2.910 $2.910 $6.746 $6.746 $10.169 $10.169

302054 Lipoproteínas, electroforesis de (incluye lípidos totales) $8.180 $8.180 $24.295 $24.295 $36.537 $36.537

302055 Litio $3.680 $3.680 $11.730 $11.730 $17.659 $17.659

302056 Magnesio $3.680 $3.680 $7.770 $7.770 $11.703 $11.703

302057 Nitrógeno ureico y/o urea, en sangre $1.600 $1.600 $2.208 $2.208 $3.366 $3.366

302059 Proteínas fraccionadas albúmina/globulina (incluye código 03-02-060)$2.820 $2.820 $6.167 $6.167 $9.291 $9.291

302060 Proteínas totales o albúminas, c/u, en sangre $1.810 $1.810 $3.973 $3.973 $5.985 $5.985

302061 Proteínas, electroforesis (incluye cód. 03-02-060) $7.780 $7.780 $12.416 $12.416 $18.687 $18.687

302063 Transaminasas, oxalacética (GOT/AST), Pirúvica (GPT/ALT), c/u $2.370 $2.370 $5.736 $5.736 $8.650 $8.650

302064 Triglicéridos (proc.aut.) $2.190 $2.190 $4.255 $4.255 $6.418 $6.418

302066 Xilosa, prueba de absorción (no incluye la xilosa que se administra )$3.870 $3.870 $5.265 $5.265 $8.024 $8.024

302067 Colesterol total (proc.aut.) $1.700 $1.700 $5.009 $5.009 $7.563 $7.563

302068 Colesterol HDL (proc. aut.) $2.480 $2.480 $4.982 $4.982 $7.504 $7.504

302069 Lípidos totales (proc.aut.) $2.180 $2.180 $6.294 $6.294 $7.920 $7.920

302070 Apolipoproteínas (AI.B u otras) $8.020 $8.020 $20.497 $20.497 $30.837 $30.837

302075 Perfil Bioquímico (determinación automatizada de 12 parámetros)$10.400 $10.400 $23.649 $23.649 $35.557 $35.557

302076 Perfil Hepático (incluye tiempo de protrombina, bilirrubina total y conjugada, fosfatasas alcalinas totales, GGT, transaminasas GOT/AST y GPT/ALT)$12.910 $12.910 $30.140 $30.140 $45.309 $45.309

302501 Catecolaminas $8.750 $8.750 $24.752 $24.752 $37.224 $37.224

302502 Vancomicina $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

302504 Dimero D $39.398 $39.398 $26.195 $26.195 $39.398 $39.398

302505 Pro-Bnp $85.331 $85.331 $56.752 $56.752 $85.331 $85.331


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

302508 25 - Hidroxi Vitamina D $106.416 $106.416 $70.785 $70.785 $106.416 $106.416

302509 Arsenico $100.861 $100.861 $67.082 $67.082 $100.861 $100.861

302510 Pre-Albumina $22.542 $22.542 $14.989 $14.989 $22.542 $22.542

302511 Acido Acetilsalicilico $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

302512 Ciclosporina $78.111 $78.111 $51.956 $51.956 $78.111 $78.111

302513 Homocisteina $81.088 $81.088 $53.924 $53.924 $81.088 $81.088

302514 Fructosamina $24.955 $24.955 $16.590 $16.590 $24.955 $24.955

302515 Sulfaniureas Nivel Plasmatico $188.412 $188.412 $125.328 $125.328 $188.412 $188.412

302516 Tacrolimus, Nivel Plasmatico $131.252 $131.252 $87.310 $87.310 $131.252 $131.252

302519 Lamotrigina $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

302520 Catecolaminas $8.750 $8.750 $24.752 $24.752 $37.224 $37.224

302521 Haptoglobina cuantitativa $4.930 $4.930 $10.114 $10.114 $15.216 $15.216

302524 Paracetamol Niveles Plasmaticos $6.930 $6.930 $15.083 $15.083 $22.677 $22.677

302525 Peptido Natriuretico Cerebral (Bnp) $54.704 $54.704 $36.375 $36.375 $54.704 $54.704

302526 Screening Metabolico (Tandem) $118.446 $118.446 $78.784 $78.784 $118.446 $118.446

302527 Screening Metabolico Ampliado $118.446 $118.446 $78.784 $78.784 $118.446 $118.446

303001 Adenocorticotrofina (ACTH) $10.210 $10.210 $24.741 $24.741 $37.194 $37.194

303002 Aldosterona $8.750 $8.750 $20.484 $20.484 $30.822 $30.822

303003 Androstenediona $6.640 $6.640 $20.524 $20.524 $30.880 $30.880

303005 Catecolaminas $8.750 $8.750 $24.752 $24.752 $37.224 $37.224

303006 Cortisol $6.640 $6.640 $20.524 $20.524 $30.880 $30.880

303007 Crecimiento, hormona de (HGH) (somatotrofina) $8.750 $8.750 $20.484 $20.484 $30.822 $30.822

303008 Dehidroepiandrosterona sulfato (DHA, DHEA) $8.620 $8.620 $18.302 $18.302 $27.516 $27.516

303009 Eritropoyetina $6.270 $6.270 $11.999 $11.999 $18.061 $18.061

303010 Estriol en sangre $6.530 $6.530 $32.983 $32.983 $49.582 $49.582

303011 Estrona $6.640 $6.640 $20.524 $20.524 $30.880 $30.880

303012 Gastrina $8.750 $8.750 $24.752 $24.752 $37.224 $37.224

303014 Gonadotrofina coriónica, sub-unidad beta (incluye titulación si corresponde) (Elisa, RIA o IRMA, Quimioluminiscencia u otra técnica).$6.430 $6.430 $20.524 $20.524 $30.880 $30.880

303015 Hormona folículo estimulante (FSH) $6.430 $6.430 $20.524 $20.524 $30.880 $30.880

303016 Hormona luteinizante (LH) $6.430 $6.430 $17.291 $17.291 $26.011 $26.011

303017 Insulina $6.320 $6.320 $15.676 $15.676 $23.584 $23.584

303018 Parathormona, hormona Paratiroídea o PTH. $9.950 $9.950 $28.833 $28.833 $43.357 $43.357

303019 Progesterona $6.430 $6.430 $20.524 $20.524 $30.880 $30.880

303020 Prolactina (PRL) $6.430 $6.430 $20.524 $20.524 $30.880 $30.880

303021 Renina $8.750 $8.750 $20.484 $20.484 $30.822 $30.822

303022 Testosterona en sangre $6.640 $6.640 $16.106 $16.106 $24.224 $24.224

303023 Testosterona libre en sangre $7.980 $7.980 $18.746 $18.746 $28.200 $28.200


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

303024 Tiroestimulante (TSH), hormona (Adulto, niño o R.N.) $5.600 $5.600 $20.524 $20.524 $30.880 $30.880

303025 Tiroglobulina $8.750 $8.750 $10.222 $10.222 $15.887 $15.887

303026 Tiroxina libre (T4L) $6.430 $6.430 $20.524 $20.524 $30.880 $30.880

303027 Tiroxina o tetrayodotironina (T4) $5.600 $5.600 $16.417 $16.417 $24.687 $24.687

303028 Triyodotironina (T3) $5.600 $5.600 $16.417 $16.417 $24.687 $24.687

303029 17 - Hidroxiprogesterona $8.750 $8.750 $15.070 $15.070 $22.662 $22.662

303030 Estradiol (17-Beta) $6.320 $6.320 $20.524 $20.524 $30.880 $30.880

303031 Insulina, curva de (mínimo cuatro determinaciones e incluye todas las tomas de muestras necesarias. No incluye la glucosa que se administra)$17.060 $17.060 $43.903 $43.903 $66.006 $66.006

303032 Ac. vainillilmandélico, cuantitativo $6.000 $6.000 $30.356 $30.356 $45.651 $45.651

303034 Catecolaminas $8.750 $8.750 $24.752 $24.752 $37.224 $37.224

303035 Cortisol libre urinario $7.200 $7.200 $20.497 $20.497 $30.837 $30.837

303036 Estriol $6.640 $6.640 $15.083 $15.083 $22.677 $22.677

303039 Gonadotrofina coriónica, sub-unidada Beta; titulación por (Elisa; RIA o IRMA; Quimioluminiscencia u otra técnica)$6.640 $6.640 $15.083 $15.083 $22.677 $22.677

303043 17 - Cetoesteroides $6.530 $6.530 $11.407 $11.407 $17.152 $17.152

303044 17 - Hidroxicorticoesteroides $6.640 $6.640 $11.407 $11.407 $17.152 $17.152

303046 SHBG (Sex-Hormone Binding Globulin) $15.060 $15.060 $20.134 $20.134 $30.762 $30.762

303047 IGF1 o Somatomedina - C (Insuline Like Growth Factor) $15.300 $15.300 $20.134 $20.134 $30.762 $30.762

303048 IGFBP3, IGFBP1 (Insulin Like Growth Factor Binding Proteins) c/u$15.300 $15.300 $20.134 $20.134 $30.762 $30.762

303501 Trab $63.445 $63.445 $42.193 $42.193 $63.445 $63.445

303503 Tiroxina libre (T4L) $30.880 $30.880 $20.524 $20.524 $30.880 $30.880

303582 Peptido Ciclico Citrulinado $54.704 $54.704 $36.375 $36.375 $54.704 $54.704

304004 Cromatina sexual X e Y, corpúsculo de Barr y corpúsculo fluorescente de mucosa bucal, líquido amniótico, etc. c/u (análisis en 300 y 100 células respectivamente), c/u$9.200 $9.200 $15.501 $15.501 $23.331 $23.331

304008 Cariograma En Sangre $656.243 $656.243 $436.560 $436.560 $656.243 $656.243

304009 Cariograma Vellosidades Coriales $617.710 $617.710 $410.931 $410.931 $617.710 $617.710

304501 Cariograma Reg. Subtelomericas $656.243 $656.243 $436.560 $436.560 $656.243 $656.243

304502 Estudio De Paternidad $656.243 $656.243 $436.560 $436.560 $656.243 $656.243

304503 Estudio Inmunologico Para Diabetis $130.821 $130.821 $87.013 $87.013 $130.821 $130.821

305001 Alfa -1- antitripsina cuantitativa $6.640 $6.640 $18.315 $18.315 $27.529 $27.529

305003 Alfa fetoproteínas $6.430 $6.430 $18.315 $18.315 $27.529 $27.529

305004 Tamizaje de Anticuerpos anti antígenos nucleares extractables (a- ENA: Sm, RNP, Ro, La, Scl- 70 y Jo- 1)$12.800 $12.800 $18.262 $18.262 $27.620 $27.620

305005 Anticuerpos antinucleares (ANA), antimitocondriales, anti DNA (ADNA), anti músculo liso, anticentrómero, u otros, c/u.$8.980 $8.980 $20.631 $20.631 $31.029 $31.029

305007 Anticuerpos específicos y otros autoanticuerpos (anticuerpos antitiroídeos: anticuerpos antimicrosomales y antitiroglobulinas y otros anticuerpos: prostático, espermios, etc.) c/u$7.200 $7.200 $40.000 $40.000 $54.200 $54.200

305008 Antiestreptolisina O, por técnica de látex $5.790 $5.790 $9.804 $9.804 $14.755 $14.755

305009 Antígeno carcinoembrionario (CEA) $8.750 $8.750 $24.752 $24.752 $37.224 $37.224

305010 Beta-2-microglobulina $8.750 $8.750 $16.282 $16.282 $22.662 $22.662

305012 Complemento C1Q, C2, C3, C4, etc., c/u $5.790 $5.790 $16.552 $16.552 $24.894 $24.894

305013 Complemento hemolítico (CH 50) $7.200 $7.200 $12.281 $12.281 $18.492 $18.492


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

305014 Crioglobulinas, precipitación en frío (cualitativa) o cuantitativa c/u$1.390 $1.390 $3.393 $3.393 $5.120 $5.120

305020 Factor reumatoídeo por técnica de Scat, Waaler Rose, nefelométricas y/o turbidimétricas$5.700 $5.700 $13.777 $13.777 $20.726 $20.726

305021 Inhibidor de C1Q, C2 y C3, c/u $5.790 $5.790 $14.545 $14.545 $21.872 $21.872

305022 Inmunoelectroforesis de cadenas livianas Kappa o Lambda libres (Bence Jones) o unidas, c/u.$6.640 $6.640 $26.099 $26.099 $39.233 $39.233

305023 Inmunoelectroforesis de inmunoglobulinas cadenas pesadas (IgG, IgA, IgM ) c/u$5.790 $5.790 $26.099 $26.099 $39.233 $39.233

305024 Inmunoelectroforesis de inmunoglobulinas IgD e IgE c/u $6.420 $6.420 $26.099 $26.099 $39.233 $39.233

305026 Inmunoglobulina IgA secretora $5.600 $5.600 $17.291 $17.291 $26.011 $26.011

305027 Inmunoglobulinas IgA, IgG, IgM, c/u $5.790 $5.790 $16.847 $16.847 $25.357 $25.357

305028 Inmunoglobulinas IgE, IgD total, c/u $6.640 $6.640 $26.099 $26.099 $39.233 $39.233

305029 Inmunoglobulinas IgE, IgG específicas, c/u $6.530 $6.530 $15.083 $15.083 $22.677 $22.677

305031 Proteína C reactiva por técnicas nefelométricas y/o turbidimétricas$7.490 $7.490 $14.786 $14.786 $22.243 $22.243

305032 Proteínas Bence Jones por electroforesis (incluye proteinuria) $7.540 $7.540 $12.713 $12.713 $19.133 $19.133

305035 Crioaglutininas $2.910 $2.910 $5.725 $5.725 $8.635 $8.635

305037 Digestión fagocítica nitroblue-tetrazolium cualitativo y cuantitativo$7.360 $7.360 $10.976 $10.976 $16.512 $16.512

305038 Fagocitosis: ingestión y digestión (killing) de levaduras por polimorfonucleares.$15.170 $15.170 $20.134 $20.134 $30.731 $30.731

305043 Linfocitos B (inmunofluorescencia) $6.720 $6.720 $21.681 $21.681 $32.608 $32.608

305045 Linfocitos T "helper" (OKT4) o supresores (OKT8) con antisuero monoclonal, c/u.$7.360 $7.360 $16.833 $16.833 $25.311 $25.311

305046 Linfocitos T totales ( OKT3 y/o OKT11) con antisuero monoclonal o inmunofenotipificación de poblaciones y subpoblaciones celulares ( antígenos o marcadores inmunocelulares)$7.360 $7.360 $16.833 $16.833 $25.311 $25.311

305060 Tipificación HLA B-27. $20.420 $20.420 $32.255 $32.255 $48.511 $48.511

305070 Antígeno prostático específico $11.260 $11.260 $26.490 $26.490 $39.829 $39.829

305081 Anticuerpo antiendomisio (EMA, antimembrana basal glomerular (GBM), antireticulina, por IFI c/u.$13.470 $13.470 $20.631 $20.631 $31.029 $31.029

305082 Anticuerpos anticitoplasma de neutrófilos (ANCA), C-ANCA y P-ANCA, por IFI$20.050 $20.050 $27.569 $27.569 $41.972 $41.972

305084 Anticuerpos anticardiolipinas por Elisa (isotipos G-M-A), c/u. $15.310 $15.310 $43.459 $43.459 $65.335 $65.335

305086 Anticuerpos antigliadina (enfermedad celiaca), por Elisa (isotipos G-M, c/u).$13.470 $13.470 $20.631 $20.631 $31.029 $31.029

305170 Antígeno Ca 125, Ca 15-3 y Ca 19-9, c/u $11.420 $11.420 $26.490 $26.490 $39.829 $39.829

305181 Estudio de Anticuerpo Antitransglutaminsa (TTG) $13.660 $13.660 $29.104 $29.104 $43.776 $43.776

305182 Reacción de Polimerasa en cadena (P.C.R.), virus Influenza, virus Herpes, citomegalovirus, hepatitis C, mycobacteria TBC, c/u (incluye toma muestra hisopado nasofaríngeo).$23.160 $23.160 $67.336 $67.336 $101.218 $101.218

305501 Ac. Anti Lkm-1 $64.962 $64.962 $43.217 $43.217 $64.962 $64.962

305502 Ac. Anti Gad $32.846 $32.846 $21.831 $21.831 $32.846 $32.846

305503 Ac. Anti Insulina $32.846 $32.846 $21.831 $21.831 $32.846 $32.846

305504 Ac. Anti-Islotes $91.109 $91.109 $65.451 $65.451 $91.109 $91.109

305505 Ac. Anti-Plaquetarios $53.603 $53.603 $35.649 $35.649 $53.603 $53.603

305506 Anticuerpos Antineumococo $155.104 $155.104 $103.175 $103.175 $155.104 $155.104

305509 Mutac. G 20210 A Del Gen De La Protrombina Stg $90.573 $90.573 $60.240 $60.240 $90.573 $90.573

305511 Ac. Peptidos Deaminados Gliadina Iga $8.980 $8.980 $20.631 $20.631 $31.029 $31.029

305512 Ac. Peptidos Deaminados Gliadina Igg $8.980 $8.980 $20.631 $20.631 $31.029 $31.029

305513 Traslocacion 9;22 Por Pcr $153.138 $153.138 $101.867 $101.867 $153.138 $153.138


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

305516 Ac Anti Proteína P Ribosomal $8.980 $8.980 $20.631 $20.631 $31.029 $31.029

305522 TIPIFICACION HLA A Y B (CLASE 1) $221.683 $221.683 $221.683 $221.683 $221.683 $221.683

306001 Baciloscopia Ziehl-Neelsen por concentración de líquidos (orina u otros), c/u$3.120 $3.120 $5.725 $5.725 $8.635 $8.635

306002 Baciloscopia Ziehl-Neelsen, c/u $2.130 $2.130 $4.701 $4.701 $7.072 $7.072

306004 Examen directo al fresco, c/s tinción (incluye trichomonas) $1.860 $1.860 $4.255 $4.255 $6.418 $6.418

306005 Tinción de Gram $820 $820 $3.245 $3.245 $4.898 $4.898

306006 Ultramicroscopía (incluye toma de muestras) $5.500 $5.500 $11.569 $11.569 $17.405 $17.405

306007 Coprocultivo, c/u $5.120 $5.120 $8.646 $8.646 $13.028 $13.028

306008 Cultivo corriente (excepto coprocultivo, hemocultivo y urocultivo) c/u$4.240 $4.240 $6.585 $6.585 $9.916 $9.916

306009 Hemocultivo aerobio, c/u $5.220 $5.220 $9.226 $9.226 $13.876 $13.876

306010 Hemocultivo anaerobio, c/u $8.590 $8.590 $15.151 $15.151 $21.114 $21.114

306011 Urocultivo, recuento de colonias y antibiograma (cualquier técnica) (incluye toma de orina aséptica) (no incluye recolector pediátrico)$4.480 $4.480 $9.226 $9.226 $13.876 $13.876

306012 Cultivo para Anaerobios (incluye Cód. 03-06-008) $8.180 $8.180 $12.416 $12.416 $18.687 $18.687

306014 Cultivo para Campylobacter, Yersinia, Vibrio, c/u $5.500 $5.500 $15.837 $15.837 $23.822 $23.822

306016 Neisseria gonorrhoeae (gonococo) $3.660 $3.660 $7.636 $7.636 $11.494 $11.494

306017 Cultivo para Levaduras $3.310 $3.310 $5.725 $5.725 $8.635 $8.635

306018 Cultivo para bacilo de Koch, (incluye otras micobacterias) $5.340 $5.340 $11.569 $11.569 $17.405 $17.405

306020 Cultivo para Listeria $5.500 $5.500 $9.966 $9.966 $13.876 $13.876

306021 Neisseria meningitidis (meningococo) $3.660 $3.660 $6.882 $6.882 $10.363 $10.363

306022 Cultivo y Tipificación de micobacterias $5.500 $5.500 $12.498 $12.498 $17.405 $17.405

306023 Cultivo de Mycoplasma y Ureaplasma, c/u $7.570 $7.570 $11.569 $11.569 $17.405 $17.405

306026 Antibiograma Corriente (mínimo 10 fármacos) (en caso de urocultivo no corresponde su cobro; incluido en el valor 03-06-011)$3.420 $3.420 $5.725 $5.725 $8.635 $8.635

306027 Antibiograma de estudio de sensibilidad por dilución (CIM) (mínimo 6 fármacos) (en caso de urocultivo, no corresponde su cobro; incluido en el valor código 03-06-011)$9.440 $9.440 $11.622 $11.622 $17.927 $17.927

306032 Aspergilosis, candidiasis, histoplasmosis u otros hongos por inmunodiagnóstico c/u$6.060 $6.060 $12.498 $12.498 $17.405 $17.405

306034 Clamidias por inmunofluorescencia, peroxidasa, Elisa o similares $6.700 $6.700 $11.554 $11.554 $17.390 $17.390

306036 Mononucleosis, reacción de Paul Bunnell, Anticuerpos Heterófilos o similares$2.940 $2.940 $5.859 $5.859 $8.829 $8.829

306037 Mycoplasma IgG, IgM, c/u. $5.920 $5.920 $14.989 $14.989 $22.542 $22.542

306038 R.P.R. $3.220 $3.220 $6.302 $6.302 $9.484 $9.484

306039 Tíficas, reacciones de aglutinación (Eberth H y O, paratyphi A y B) (Widal)$4.510 $4.510 $9.226 $9.226 $13.876 $13.876

306041 Treponema pallidum FTA - ABS, MHA-TP c/u $6.060 $6.060 $11.569 $11.569 $17.405 $17.405

306042 V.D.R.L. $3.760 $3.760 $6.302 $6.302 $9.484 $9.484

306043 Artrópodos macroscópicos y microscópicos (imagos y/o pupas y/o larvas), diagnóstico de$3.660 $3.660 $9.252 $9.252 $13.921 $13.921

306045 Coproparasitario seriado con técnica para Cryptosporidium sp o para Diantamoeba fragilis (incluye los códigos 03-06-048 y/o 03-06-059 más aplicación de técnica de frotis con tinción tricrómica o tinción Ziehl-Neelsen en por lo menos 3 muestras, según cor$10.830 $10.830 $24.443 $24.443 $36.748 $36.748

306046 Coproparasitario seriado para Fasciola hepática (incluye diagnóstico de gusanos macroscópicos y examen microscópico de 10 muestras separadas por método de Telemann y de otras 10 muestras separadas y simultáneas con las anteriores por técnica de sedimentac$21.780 $21.780 $31.675 $31.675 $47.885 $47.885

306047 Coproparasitario seriado para Isospora y Sarcocystis (incluye diagnóstico de gusanos macroscópicos y examen microscopico de 3 muestras separadas )$5.920 $5.920 $9.211 $9.211 $13.862 $13.862

306048 Coproparasitológico seriado simple (incluye diagnóstico de gusanos macroscópicos y exámen microscópico por concentración de tres muestras separadas método Telemann ) (proc. aut.)$3.790 $3.790 $6.882 $6.882 $10.363 $10.363

306049 Diagnóstico de parásitos en jugo duodenal y/o bilis, examen macroscópico y microscópico (directo y/o concentración, c/s tinción)$3.620 $3.620 $7.179 $7.179 $10.809 $10.809


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

306051 Graham, examen de (incluye diagnóstico de gusanos macroscópicos y examen microscópico de 5 muestras separadas)$2.590 $2.590 $5.575 $5.575 $8.397 $8.397

306052 Gusanos macroscópicos, diagnóstico de (proc. aut.) $2.130 $2.130 $4.847 $4.847 $7.295 $7.295

306053 Hemoparásitos, diagnóstico microscópico de (mínimo 10 frotis y/o gotas gruesas, c/s examen directo al fresco), cada sesión.$10.980 $10.980 $15.621 $15.621 $23.644 $23.644

306056 Raspado de piel, examen microscópico de ("Acarotest"): de 6 a 10 preparaciones$4.930 $4.930 $6.087 $6.087 $9.380 $9.380

306057 Tenias post trat., diagnóstico y búsqueda de escólex de $3.620 $3.620 $9.171 $9.171 $12.789 $12.789

306059 Coproparasitológico seriado simple (incluye diagnóstico de gusanos macroscópicos y exámen microscópico por concentración de tres muestras separadas método PAFS) (proc. aut.) $4.900 $4.900 $12.739 $12.739 $19.177 $19.177

306061 Elisa indirecta (Chagas, hidatidosis, toxocariasis y otras), c/u $6.720 $6.720 $15.083 $15.083 $22.677 $22.677

306069 Anticuerpos virales, determ. de (adenovirus, citomegalovirus, herpes simple, rubéola, influenza A y B; virus varicela-zoster; virus sincicial respiratorio; parainfluenza 1, 2 y 3; Epstein Barr y otros), c/u$6.990 $6.990 $15.083 $15.083 $22.677 $22.677

306070 Antígenos virales determ. de (adenovirus, citomegalovirus, herpes simple, rubéola, influenza y otros), (por cualquier técnica ej: inmunofluorescencia), c/u$6.320 $6.320 $34.167 $34.167 $51.369 $51.369

306073 Virus hepatitis A, Anticore $6.720 $6.720 $15.083 $15.083 $22.677 $22.677

306074 Virus hepatitis A, anticuerpos IgM del $9.460 $9.460 $20.053 $20.053 $30.166 $30.166

306076 Virus hepatitis B, anticore total del (anti HBc total) $8.740 $8.740 $15.944 $15.944 $24.002 $24.002

306077 Virus hepatitis B, antígeno de superficie o antígeno australiano. $6.540 $6.540 $15.083 $15.083 $22.677 $22.677

306078 Virus hepatitis B, antígeno E del (HBEAg) $8.180 $8.180 $14.478 $14.478 $21.783 $21.783

306080 Virus hepatitis B, anticore IgM del (anti HBc IgM) $9.070 $9.070 $21.535 $21.535 $32.369 $32.369

306081 Virus hepatitis C, anticuerpos de (anti HCV) $10.050 $10.050 $15.501 $15.501 $23.331 $23.331

306090 Test rápido de detección de streptococcus. $6.820 $6.820 $20.066 $20.066 $30.181 $30.181

306117 Cultivo para hongos filamentosos $3.780 $3.780 $5.265 $5.265 $7.981 $7.981

306169 Anticuerpos virales, determ. de H.I.V. $6.670 $6.670 $15.083 $15.083 $22.677 $22.677

306170 Antígenos virales determ. de rotavirus, por cualquier técnica $6.320 $6.320 $13.319 $13.319 $20.027 $20.027

306171 Virus hepatitis A, Anticore $22.677 $22.677 $15.083 $15.083 $22.677 $22.677

306177 Virus hepatitis B, anticuerpo del antígeno E del $24.002 $24.002 $15.944 $15.944 $24.002 $24.002

306270 Antígenos virales determ. de virus sincicial, por cualquier técnica $6.900 $6.900 $34.152 $34.152 $51.353 $51.353

306503 Legionella Antigeno Urinario $246.572 $246.572 $200.718 $200.718 $246.572 $246.572

306506 Hpv Por Pcr (Pack) $133.455 $133.455 $88.764 $88.764 $133.455 $133.455

306507 Parvovirus B19 Igg $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

306508 Parvovirus B19 Igm $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

306510 Hepatitis B Carga Viral $491.520 $491.520 $326.976 $326.976 $491.520 $491.520

306511 Parotiditis Igg $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

306512 Parotiditis Igm $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

306513 Examen directo al fresco, c/s tinción (incluye trichomonas) $6.418 $6.418 $4.255 $4.255 $6.418 $6.418

306514 Hepatitis E Igm $165.885 $165.885 $110.338 $110.338 $165.885 $165.885

306516 Citomegalovirus Antigenemia $202.826 $202.826 $134.930 $134.930 $202.826 $202.826

306518 Espectrometria De Masas $56.878 $56.878 $37.831 $37.831 $56.878 $56.878

306519 Hiv Carga Viral $393.726 $393.726 $261.929 $261.929 $393.726 $393.726

306520 Latex Lcr $17.479 $17.479 $12.538 $12.538 $17.479 $17.479

306521 Leptospira Igg $116.287 $116.287 $77.344 $77.344 $116.287 $116.287


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

306522 Leptospira Igm $116.287 $116.287 $77.344 $77.344 $116.287 $116.287

306523 Panel Viral En Lcr Por Pcr (Mediflex) $371.882 $371.882 $247.384 $247.384 $371.882 $371.882

306524 Parvovirus B19 Por Pcr $102.380 $102.380 $68.106 $68.106 $102.380 $102.380

306527 Aspergillus Anticuerpos Totales $73.972 $73.972 $49.196 $49.196 $73.972 $73.972

306528 Bordetella Pertussis Por Pcr $101.218 $101.218 $67.336 $67.336 $101.218 $101.218

306529 Brucella Igg $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

306530 Brucella Igm $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

306531 Enterovirus Pcr $142.195 $142.195 $94.583 $94.583 $142.195 $142.195

306534 Hepatitis E Igg $69.742 $69.742 $46.380 $46.380 $69.742 $69.742

306536 Htlv Por Pcr $101.218 $101.218 $67.336 $67.336 $101.218 $101.218

306537 Mycoplasma Pneumoniae Por Pcr $101.218 $101.218 $67.336 $67.336 $101.218 $101.218

306538 Pneumocystis Jiroveci Pcr $101.218 $101.218 $67.336 $67.336 $101.218 $101.218

306539 Toxoplasma Por Pcr $101.218 $101.218 $67.336 $67.336 $101.218 $101.218

306566 Serologia Amebiasis $41.571 $41.571 $27.649 $27.649 $41.571 $41.571

306770 Influenza Test Pack $51.369 $51.369 $34.167 $34.167 $51.369 $51.369

307009 Arterial en adultos $1.460 $1.460 $3.112 $3.112 $4.706 $4.706

307010 Arterial en niños y lactantes $2.130 $2.130 $3.824 $3.824 $5.776 $5.776

307011 Venosa en adultos $1.020 $1.020 $1.926 $1.926 $2.919 $2.919

307012 Venosa en niños y lactantes $1.010 $1.010 $3.112 $3.112 $4.706 $4.706

307013 Con técnica aséptica para hemocultivo, c/u $1.520 $1.520 $3.112 $3.112 $4.706 $4.706

307014 Capilar ( adultos, niños y lactantes ) $820 $820 $1.926 $1.926 $2.919 $2.919

307502 Swim Up (Capacitacion Espermatica) $18.600 $18.600 $8.835 $8.835 $18.600 $18.600

307503 Test Post Coital $8.219 $8.219 $5.454 $5.454 $8.219 $8.219

308001 Azúcares reductores (Benedict-Fehling o similar) $1.440 $1.440 $3.112 $3.112 $4.706 $4.706

308003 Grasas neutras (Sudán III) $820 $820 $3.112 $3.112 $4.706 $4.706

308004 Hemorragias ocultas, (bencidina, guayaco o test de Weber y similares), cualquier método, c/muestra$1.460 $1.460 $3.112 $3.112 $4.706 $4.706

308005 Leucocitos fecales $1.460 $1.460 $3.112 $3.112 $4.706 $4.706

308006 pH $820 $820 $1.776 $1.776 $2.694 $2.694

308009 Células neoplásicas en fluídos biológicos $5.180 $5.180 $10.558 $10.558 $15.887 $15.887

308010 Citológico c/s tinción (incluye examen al fresco, recuento celular y citológico porcentual)$3.680 $3.680 $7.636 $7.636 $11.494 $11.494

308011 Directo al fresco c/s tinción, (incluye trichomonas) $1.860 $1.860 $4.255 $4.255 $6.418 $6.418

308012 Electrólitos (sodio, potasio, cloro), c/u $1.860 $1.860 $12.781 $12.781 $19.222 $19.222

308013 Eosinófilos, recuento de $1.010 $1.010 $3.112 $3.112 $4.706 $4.706

308014 Físico-químico (incluye aspecto, color, pH, glucosa, proteína, Pandy y filancia)$2.910 $2.910 $6.020 $6.020 $9.053 $9.053

308015 Glucosa en exudados, secreciones y otros líquidos $820 $820 $1.926 $1.926 $2.919 $2.919

308017 pH, (proc. aut.) $820 $820 $1.776 $1.776 $2.694 $2.694

308018 Proteínas totales o albúmina (proc. aut.) c/u $1.860 $1.860 $3.824 $3.824 $5.776 $5.776


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

308020 Bandas oligoclonales (incluye electroforesis de L.C.R., suero e inmunofijación)$26.540 $26.540 $50.933 $50.933 $76.576 $76.576

308022 Indice IgG/albúmina (incluye determ. de IgG y albúmina en L.C.R.y suero)$14.720 $14.720 $26.045 $26.045 $36.284 $36.284

308023 Estudio de cristales (con luz polarizada) $1.860 $1.860 $3.824 $3.824 $5.776 $5.776

308029 Espermiograma (físico y microscópico, con o sin observación hasta 24 horas).$4.960 $4.960 $16.417 $16.417 $24.687 $24.687

308033 Células anaranjadas (proc. aut.) $820 $820 $1.776 $1.776 $2.694 $2.694

308039 Madurez fetal completa (físico; células anaranjadas, bilirrubina, test de Clements, creatinina, contaminantes)$7.380 $7.380 $24.175 $24.175 $36.359 $36.359

308040 Test de Clements (proc. aut.) $1.460 $1.460 $3.112 $3.112 $4.706 $4.706

308043 Moco-semen, prueba de compatibilidad $2.860 $2.860 $6.020 $6.020 $9.053 $9.053

308044 Flujo vaginal o secreción uretral, estudio de (incluye toma de muestra y códigos 03-06-004, 03-06-005, 03-06-008, 03-06-017 y 03-06-026) $9.920 $9.920 $20.928 $20.928 $31.476 $31.476

308501 Test Inmunologico Deteccion Hemoglobina Humana $4.706 $4.706 $3.112 $3.112 $4.706 $4.706

308502 Esteatocrito $21.872 $21.872 $14.545 $14.545 $21.872 $21.872

308503 Helicobacter Pylori En Deposicion $10.839 $10.839 $8.167 $8.167 $10.839 $10.839

309002 Acido delta aminolevulínico $5.940 $5.940 $15.098 $15.098 $22.721 $22.721

309004 Acido úrico o urea en orina (cuantitativo) $2.620 $2.620 $4.255 $4.255 $6.418 $6.418

309005 Acido 5 hidroxiindolacético cuantitativo $6.160 $6.160 $29.467 $29.467 $44.311 $44.311

309006 Amilasa cuantitativa en orina $3.230 $3.230 $4.847 $4.847 $7.295 $7.295

309007 Aminoácidos en orina (cualitativo)(excepto fenilalanina, PKU) $5.940 $5.940 $15.098 $15.098 $22.721 $22.721

309008 Calcio cuantitativo en orina $2.420 $2.420 $5.279 $5.279 $7.951 $7.951

309009 Cálculo urinario (examen físico y químico) $5.120 $5.120 $11.420 $11.420 $17.167 $17.167

309010 Creatinina cuantitativa en orina $1.860 $1.860 $3.824 $3.824 $5.776 $5.776

309011 Cuerpos cetónicos $1.860 $1.860 $3.973 $3.973 $5.985 $5.985

309012 Electrólitos (sodio, potasio, cloro) c/u, en orina $1.860 $1.860 $3.973 $3.973 $5.985 $5.985

309013 Microalbuminuria cuantitativa $3.620 $3.620 $11.730 $11.730 $17.659 $17.659

309015 Fósforo cuantitativo en orina $2.420 $2.420 $11.743 $11.743 $17.674 $17.674

309016 Glucosa (cuantitativo), en orina $1.600 $1.600 $3.112 $3.112 $4.706 $4.706

309017 Hidroxiprolina en orina $5.500 $5.500 $11.569 $11.569 $17.405 $17.405

309020 Nitrógeno ureico o urea en orina (cuantitativo) $1.010 $1.010 $3.824 $3.824 $5.776 $5.776

309022 Orina completa, (incluye cód. 03-09-023 y 03-09-024) $2.290 $2.290 $4.255 $4.255 $6.418 $6.418

309023 Orina, físico-químico ( aspecto, color, densidad, pH, proteínas, glucosa, cuerpos cetónicos, urobilinógeno, bilirrubina, hemoglobina y nitritos) todos o cada uno de los parámetros (proc. aut.)$1.460 $1.460 $3.393 $3.393 $5.120 $5.120

309024 Orina, sedimento (proc. aut.) $1.330 $1.330 $2.639 $2.639 $3.991 $3.991

309027 Porfirinas, c/u $2.480 $2.480 $5.279 $5.279 $7.951 $7.951

309028 Proteína (cuantitativa), en orina $2.130 $2.130 $3.824 $3.824 $5.776 $5.776

309029 Proteínas de Bence-Jones prueba térmica $1.460 $1.460 $3.112 $3.112 $4.706 $4.706

309030 Urobilinógeno (cuantitativo) $2.420 $2.420 $5.698 $5.698 $7.951 $7.951

309501 Mucopolisacaridos Urinarios $101.844 $101.844 $82.906 $82.906 $101.844 $101.844

309502 Melanogenuria (test de cloruro férrico) $5.776 $5.776 $3.824 $3.824 $5.776 $5.776

302501 PROCALCITONINA $37.224 $37.224 $24.752 $24.752 $37.224 $37.224


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil4010 RX Simple

401002 Partes blandas; laringe lateral; cavum rinofaríngeo (rinofarinx). c/u.(1 exp.)$11.730 $11.730 $22.013 $22.013 $30.358 $30.358

401004 Tórax, proyección complementaria en el mismo examen (oblicuas, selectivas u otras), c/u (1 exp.)$8.450 $8.450 $15.472 $15.472 $21.337 $21.337

401006 Estudio radiológico de corazón (incluye fluoroscopia, telerradiografías frontal y lateral con esofagograma)$25.300 $25.300 $37.881 $37.881 $53.172 $53.172

401008 Tórax, radiografía con equipo móvil fuera del departamento de rayos, cada proyección (1 o más exp.)$12.560 $12.560 $24.882 $24.882 $34.305 $34.305

401009 Tórax simple (frontal o lateral) (incluye fluoroscopía) (1 proy.) ( 1 exp. panorámica).$12.560 $12.560 $17.621 $17.621 $24.940 $24.940

401010 Mamografía bilateral (4 exp.) $26.780 $26.780 $52.507 $52.507 $95.463 $95.463

401011 Marcación preoperatoria de lesiones de la mama (4 exp.) $28.000 $28.000 $51.532 $51.532 $71.039 $71.039

401012 Radiografía de mama, pieza operatoria (1 exp.) $8.450 $8.450 $15.472 $15.472 $21.337 $21.337

401013 Abdomen simple (1 proyección) (1 exp.) ( con equipo estático o móvil)$11.260 $11.260 $16.805 $16.805 $23.584 $23.584

401014 Abdomen simple, proyección complementaria en el mismo examen (1 exp.)$8.450 $8.450 $15.636 $15.636 $21.560 $21.560

401015 Colangiografía intra o postoperatoria (por sonda T, o similar) $23.420 $23.420 $39.699 $39.699 $56.667 $56.667

401018 Enema baritada del colon (incluye llene y control postvaciamiento; 8-10 exp.)$47.230 $47.230 $71.449 $71.449 $103.496 $103.496

401019 Enema baritada del colon o intestino delgado, doble contraste ( 12 exp.)$53.170 $53.170 $81.991 $81.991 $118.480 $118.480

401020 Esófago simple (incluye pesquisa de cuerpo extraño) (proc.aut.) (6 exp.)$21.020 $21.020 $31.609 $31.609 $45.851 $45.851

401021 Esófago, estómago y duodeno, doble contraste (15 exp.) $46.770 $46.770 $72.148 $72.148 $104.265 $104.265

401022 Estudio de deglución faríngea ( 6 exp.) $21.020 $21.020 $31.609 $31.609 $45.851 $45.851

401023 Estudio intestino delgado (6 exp.) $37.520 $37.520 $71.550 $71.550 $101.365 $101.365

401024 Esófago, estómago y duodeno, simple en niños (8 exp.) $34.620 $34.620 $66.280 $66.280 $93.863 $93.863

401521 Pielografia De Eliminacion Con $133.576 $133.576 $94.297 $94.297 $133.576 $133.576

401027 Pielografía de eliminación o descendente: incluye renal y vesical simples previas, 3 placas post inyección de medio de contraste, controles de pie y cistografía pre y post miccional. (7 a 9 exp.)$50.980 $50.980 $73.529 $73.529 $107.246 $107.246

401028 Renal simple (proc. aut.) (1 exp.) $10.800 $10.800 $17.812 $17.812 $24.687 $24.687

401029 Vesical simple o perivesical (proc. aut.) (1 exp.) $9.300 $9.300 $15.636 $15.636 $21.619 $21.619

401030 Agujeros ópticos, ambos lados (2 proy.) (2 exp.) $18.670 $18.670 $29.858 $29.858 $41.542 $41.542

401031 Cavidades perinasales, órbitas, articulaciones temporomandibulares, huesos propios de la nariz, malar, maxilar, arcocigomático, cara , cada una (2 exp.)$12.560 $12.560 $19.660 $19.660 $27.427 $27.427

401032 Cráneo frontal y lateral (2 exp.) $13.260 $13.260 $19.648 $19.648 $27.604 $27.604

401033 Cráneo, cada proyección especial: axial, base, Towne, tangencial, etc. (1 exp.)$9.300 $9.300 $15.459 $15.459 $21.410 $21.410

401034 Globo ocular, estudio de cuerpo extraño (4 exp.) $23.420 $23.420 $37.894 $37.894 $52.651 $52.651

401035 Oído, uno o ambos (2-4 proy.) (2-4 exp.) $16.940 $16.940 $33.366 $33.366 $46.024 $46.024

401040 Silla turca frontal y lateral (2 exp.) $15.440 $15.440 $22.993 $22.993 $32.310 $32.310

401042 Columna cervical o atlas-axis (frontal y lateral) (2 exp.) $12.560 $12.560 $18.954 $18.954 $26.561 $26.561

401043 Columna cervical (frontal, lateral y oblicuas) (4 proy.) (4 exp.) $22.430 $22.430 $34.550 $34.550 $48.316 $48.316

401044 Columna cervical funcional adicional (2 exp.) $12.560 $12.560 $22.013 $22.013 $30.358 $30.358

401045 Columna dorsal o dorsolumbar localizada ,parrilla costal adultos (frontal y lateral) (2 exp.).$14.780 $14.780 $21.999 $21.999 $30.896 $30.896

401046 Columna lumbar o lumbosacra (ambas incluyen quinto espacio) (3-4 exp.) $21.700 $21.700 $31.354 $31.354 $44.222 $44.222

401047 Columna lumbar o lumbosacra funcional (2 exp.) $18.670 $18.670 $31.722 $31.722 $43.804 $43.804

401048 Columna lumbar o lumbosacra, oblicuas adicionales (2 exp.) $12.560 $12.560 $22.013 $22.013 $30.358 $30.358


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

401049 Columna total o dorsolumbar, panorámica con folio graduado (1 proy.) (1 exp.)$16.880 $16.880 $25.670 $25.670 $35.929 $35.929

401051 Pelvis, cadera o coxofemoral,c/u (1 exp.). $9.740 $9.740 $15.623 $15.623 $21.709 $21.709

401052 Pelvis, cadera o coxofemoral, proyecciones especiales; (rotación interna, abducción, lateral, Lawenstein u otras) c/u (1 exp.)$9.300 $9.300 $15.459 $15.459 $21.410 $21.410

401053 Sacrocoxis o articulaciones sacroilíacas, c/u (2-3 exp.) $14.020 $14.020 $22.652 $22.652 $31.476 $31.476

401054 Brazo, antebrazo, codo, muñeca, mano, dedos, pie o similar (frontal y lateral) c/u. (2 exp.)$11.260 $11.260 $17.282 $17.282 $24.180 $24.180

401055 Clavícula (2 exp.) $13.040 $13.040 $19.988 $19.988 $27.947 $27.947

401056 Edad ósea : carpo y mano (1 exp.) $9.300 $9.300 $15.459 $15.459 $21.410 $21.410

401057 Edad ósea : rodilla (frontal) (1 exp.) $9.300 $9.300 $15.459 $15.459 $21.410 $21.410

401058 Estudio de escafoides $14.020 $14.020 $22.652 $22.652 $31.476 $31.476

401059 Estudio muñeca o tobillo (front.,lateral y oblicuas; 4 exp.) $13.120 $13.120 $21.307 $21.307 $29.601 $29.601

401060 Hombro, fémur, rodilla, pierna, costilla o esternón ( frontal y lateral; 2 exp.), c/u$13.120 $13.120 $21.496 $21.496 $29.837 $29.837

401062 Proyecciones especiales oblicuas u otras en hombro, brazo, codo, rodilla, rótulas, sesamoídeos, axial de ambas rótulas o similares, c/u$9.300 $9.300 $15.459 $15.459 $21.410 $21.410

401063 Túnel intercondíleo o radio-carpiano $9.300 $9.300 $15.459 $15.459 $21.410 $21.410

401064 Apoyo fluoroscópico a procedimientos intraoperatorios y/o biopsia (no incluye el proc.)$9.300 $9.300 $17.308 $17.308 $23.868 $23.868

401070 Tórax (frontal y lateral) (incluye fluoroscopía) (2 proy. panorámicas) ( 2 exp.)$23.100 $23.100 $33.366 $33.366 $47.051 $47.051

401110 Mamografía unilateral (2 exp.) $15.940 $15.940 $37.669 $37.669 $53.742 $53.742

401130 Proyección complementaria de mamas (axilar u otras), c/u $6.080 $6.080 $10.706 $10.706 $16.863 $16.863

401151 Pelvis, Cadera o Coxofemoral de RN, Lactante o niño menor de 6 años, c/u (1 exp.)$9.740 $9.740 $15.787 $15.787 $21.917 $21.9174020 RX Complejo

402005 Galactografía, un lado (a.c. 20-01-012) (3 exp.) $13.460 $13.460 $21.999 $21.999 $30.494 $30.494

402008 Colangiopancreatografía endoscópica (a.c.18-01-018; 5-7 exp) $35.970 $35.970 $60.221 $60.221 $83.336 $83.336

402009 Fistulografía (a.c. 18-01-020) (3 exp.) $9.010 $9.010 $16.209 $16.209 $22.980 $22.980

402011 Histerosalpingografía (a.c. 20-01-013) (4 exp.; incluye prueba de Cotte tardía)$27.490 $27.490 $43.046 $43.046 $62.083 $62.083

402012 Pielografía ascendente (a.c. 19-01-015) (3 exp.) $29.980 $29.980 $47.078 $47.078 $67.870 $67.870

402014 Uretro y/o cistouretrografía miccional retrógrada (a.c. 19-01-016) ( 5 exp.)$29.980 $29.980 $45.653 $45.653 $66.090 $66.090

402017 Neumoartrografía de cadera, hombro, codo, muñeca, etc., c/u (a.c. 21-01-002) (8 exp.)$35.970 $35.970 $53.204 $53.204 $77.325 $77.325

402018 Neumoartrografía de rodilla (a.c. 21-01-002) (14 exp.) $44.940 $44.940 $77.119 $77.119 $109.922 $109.922

402019 Angiografía selectiva de carótida externa o interna (a.c 17-01-024 )$39.970 $39.970 $86.314 $86.314 $119.013 $119.013

402020 Angiografía selectiva medular (a.c 17-01-024) $39.970 $39.970 $86.314 $86.314 $119.013 $119.013

402022 Angioplastia intraluminal coronaria. procedimiento radiológico. (a.c.17-01-031)$69.890 $69.890 $471.066 $471.066 $649.410 $649.410

402023 Angioplastia intraluminal periférica. procedimiento radiológico. (a.c. 17-01-032)$49.920 $49.920 $409.880 $409.880 $565.060 $565.060

402024 Aortografía con AOT o cineangiografía (a.c. 17-01-022) $54.500 $54.500 $127.838 $127.838 $176.247 $176.247

402025 Arteriografía de cada extremidad, (a.c.17-01-023) $35.970 $35.970 $77.761 $77.761 $107.204 $107.204

402027 Arteriografía selectiva con AOT o cineangiografía (pulmonar, renal, tronco celíaco o similar) c/u. (a.c. 17-01-024)$63.410 $63.410 $127.756 $127.756 $176.144 $176.144

402506 Arteriografia Carotida Por Pun $119.013 $119.013 $86.314 $86.314 $119.013 $119.013

402029 Arteriografía Carótida vertebral por cateterización (de la subclavia axilar, humeral o femoral) (a.c. 11-01-013)$39.970 $39.970 $86.314 $86.314 $119.013 $119.013

402030 Cinecoronariografía (a.c. 17-01-019) $54.500 $54.500 $168.833 $168.833 $232.740 $232.740


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

402031 Embolización o balonización (a.c. de la angiografía correspondiente) (incluye control radiológico inmediato)$29.980 $29.980 $58.264 $58.264 $80.343 $80.343

402032 Instalación de catéter o sonda intracardíaca, control por radiólogo de (a.c. 17-01-020, 17-01-021, 17-01-011 o 17-01-014, según corresponda)$27.010 $27.010 $39.418 $39.418 $55.492 $55.492

402033 Ventriculografía derecha y/o izquierda (a.c. 17-01-011, 17-01-020 ó 17-01-021 ó 17-01-041 ó 17-01-42 ó 17-01-43, según corresponda)$54.500 $54.500 $168.833 $168.833 $232.740 $232.740

402507 Vertebral Por Puncion Percutan $119.013 $119.013 $86.314 $86.314 $119.013 $119.013

402035 Cavografía (a.c. 17-01-025) $27.010 $27.010 $58.290 $58.290 $80.388 $80.388

402038 Flebografía extremidad inferior o superior, un lado (a.c. 17-01-026) cada extremidad.$24.480 $24.480 $52.906 $52.906 $72.929 $72.929

402050 Mielografía por punción lumbar con contraste hidrosoluble (a.c. 11-01-025)$39.970 $39.970 $62.886 $62.886 $87.670 $87.670

402513 Arteriografia De Cada Extremid $107.726 $107.726 $78.141 $78.141 $107.726 $107.726

402514 Carotida Por Puncion Percutane $87.223 $87.223 $63.279 $63.279 $87.223 $87.2234030 Scanner

403001 Cerebro (30 cortes 8-10 mm.) $79.340 $79.340 $213.594 $213.594 $327.332 $327.332

403002 Silla turca e hipófisis (20 cortes 2 mm) $88.430 $88.430 $204.428 $204.428 $268.712 $268.712

403003 Angulo Ponto Cerebeloso (40 Cortes 2Mm.) $72.930 $72.930 $204.596 $204.596 $268.965 $268.965

403004 Cortes Coronales Complementarios (10 Cortes 2 $26.780 $26.780 $84.984 $84.984 $111.701 $111.701

403006 Temporal-Oido (Incluye Coronales) (40 Cortes $72.930 $72.930 $200.910 $200.910 $268.965 $268.965

403007 Orbitas Maxilofacial (Incluye Coronales) (40 $88.430 $88.430 $198.903 $198.903 $268.712 $268.712

403008 Columna Cervical (4 Espacios - 5 Vertebras ) $96.850 $96.850 $244.291 $244.291 $327.034 $327.034

403009 Columna Dorsal O Lumbar (3 Espacios - 4 Verte $88.380 $88.380 $200.744 $200.744 $268.712 $268.712

403010 Cada Espacio Adicional (10 Cortes 2-4 Mm.) $25.280 $25.280 $83.467 $83.467 $111.760 $111.760

403011 Tac Con Mielografia (A.C. 11-0 $326.975 $326.975 $244.249 $244.249 $326.975 $326.975

403012 Cuello, Partes Blandas (30 Cortes, 4-8 Mm.) $72.930 $72.930 $200.910 $200.910 $268.965 $268.965

403013 Torax Total (30 Cortes 8-10 Mm.) $114.300 $114.300 $244.098 $244.098 $326.781 $326.781

403014 Abdomen (Higado, Vias Y Vesicula Biliar, Panc $106.990 $106.990 $217.587 $217.587 $326.886 $326.886

403016 Pelvis (28 Cortes, 8-10 Mm.) $68.050 $68.050 $200.979 $200.979 $269.070 $269.070

403017 Extremidades, Estudio Localizado (30 Cortes 2 $61.760 $61.760 $201.034 $201.034 $269.114 $269.114

403101 ANGIOTAC DE CEREBRO $92.350 $92.350 $468.538 $468.538 $468.538 $468.538

403102 Angiotac De Torax $131.360 $131.360 $351.786 $351.786 $454.796 $454.796

403103 Angiotac De Abdomen $125.070 $125.070 $346.195 $346.195 $447.589 $447.5894040 Ecotomografía

404002 Ecografia Obstetrica $8.580 $8.580 $17.746 $17.746 $23.257 $23.257

404003 Ecotomografia Abdominal (Incluye Higado, Via $31.490 $31.490 $47.316 $47.316 $63.533 $63.533

404004 Ecotomografia Como Apoyo A Cirugia, O A Proce $19.410 $19.410 $45.829 $45.829 $60.094 $60.094

404005 Ecotomografia Transvaginal O Transrectal $17.520 $17.520 $64.202 $64.202 $80.403 $80.403

404006 Ecotomografia Ginecologica, Pelviana Femenina $16.690 $16.690 $64.202 $64.202 $80.403 $80.403

404007 Ecotomografia Transvaginal Para Seguimiento D $24.370 $24.370 $70.608 $70.608 $92.613 $92.613

404008 Ecotomografia Para Seguimiento De Ovulacion, $24.370 $24.370 $70.608 $70.608 $92.613 $92.613

404009 Ecotomografia Pelvica Masculina (Incluye Veji $17.520 $17.520 $31.673 $31.673 $41.542 $41.542


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

404010 Ecotomografia Renal (Bilateral), O De Bazo $21.890 $21.890 $35.176 $35.176 $46.798 $46.798

404011 Ecotomografia Cerebral (R.N. O Lactante) $21.890 $21.890 $66.919 $66.919 $87.743 $87.743

404012 Ecotomografia Mamaria Bilateral $21.890 $21.890 $57.253 $57.253 $75.073 $75.073

404013 Ecotomografia Ocular Bidimensional, Uno O Amb $21.890 $21.890 $35.176 $35.176 $46.798 $46.798

404014 Ecotomografia Testicular (Uno O Ambos) $21.890 $21.890 $35.176 $35.176 $46.798 $46.798

404015 Ecotomografia Tiroidea $21.890 $21.890 $38.006 $38.006 $50.086 $50.086

404016 Ecotomografia Vascular Periferica, Articular $21.890 $21.890 $64.076 $64.076 $83.991 $83.991

404550 Ecot. Transvaginal O Gineco C/ $103.156 $103.156 $78.674 $78.674 $103.156 $103.156

404118 Ecotomografia Vascular Periferica (Bilateral) $71.740 $71.740 $110.862 $110.862 $148.300 $148.300

404119 Ecotomografia Carotidea Bilateral $71.740 $71.740 $110.862 $110.862 $148.300 $148.300

404120 Ecotomografia Trancraneal $71.740 $71.740 $110.862 $110.862 $148.300 $148.300

404121 Ecotomografia Abdominal O De Vasos Testicular $71.740 $71.740 $110.862 $110.862 $148.300 $148.300

404122 Ecotomografia Doppler De Vasos Placentarios $71.740 $71.740 $110.862 $110.862 $151.874 $151.8744050 Resonancia Magnética

405001 Resonancia Magnética De Cráneo-Cerebro $153.170 $153.170 $271.082 $271.082 $397.152 $397.152

405002 Resonancia Magnética De Silla Turca $153.170 $153.170 $286.989 $286.989 $420.463 $420.463

405003 Resonancia Magnética De Orbitas $145.280 $145.280 $255.128 $255.128 $373.784 $373.784

405004 Resonancia Magnética De Articulaciones Témporo Mandibular $145.280 $145.280 $318.922 $318.922 $467.245 $467.245

405005 Resonancia Magnética De Columna Cervical $153.170 $153.170 $286.989 $286.989 $420.463 $420.463

405006 Resonancia Magnética De Columna Dorsal $153.170 $153.170 $286.989 $286.989 $420.463 $420.463

405007 Resonancia Magnética De Columna Lumbar $153.170 $153.170 $271.082 $271.082 $397.152 $397.152

405008 Resonancia Magnética De Angiografía $153.170 $153.170 $286.989 $286.989 $420.463 $420.463

405009 Resonancia Magnética De Torax (Solo Mamas) $153.170 $153.170 $318.922 $318.922 $467.245 $467.245

405010 Resonancia Magnética De Abdomen Total $153.170 $153.170 $286.989 $286.989 $420.463 $420.463

405011 Resonancia Magnética De Pelvis $153.170 $153.170 $286.989 $286.989 $420.463 $420.463

405012 Resonancia Magnética De Abdomen+Pelvis $229.760 $229.760 $430.484 $430.484 $630.695 $630.695

405013 Resonancia Magnética De Rodilla $125.600 $125.600 $261.751 $261.751 $355.076 $355.076

405014 Resonancia Magnética De Extremidad Superior $125.600 $125.600 $275.533 $275.533 $373.784 $373.784

405015 Resonancia Magnética De Extremidad Inferior $125.600 $125.600 $261.751 $261.751 $355.076 $355.076

405016 Resonancia Magnética De Columna Total $275.690 $275.690 $524.153 $524.153 $767.929 $767.929

405557 Resonancia Magnética De Articulaciones Hombro $355.076 $355.076 $242.360 $242.360 $355.076 $355.076

405558 Resonancia Magnética De Articulaciones Codo $373.784 $373.784 $255.128 $255.128 $373.784 $373.784

405559 Resonancia Magnética De Articulacion Muneca $373.784 $373.784 $255.128 $255.128 $373.784 $373.784

405560 Resonancia Magnética De Articulacion Mano $373.784 $373.784 $255.128 $255.128 $373.784 $373.784

405561 Resonancia Magnética De Articulacion Rodilla $355.076 $355.076 $242.360 $242.360 $355.076 $355.076

405562 Resonancia Magnética De Articulacion Tobillo $355.076 $355.076 $242.360 $242.360 $355.076 $355.076

405563 Resonancia Magnética De Articulacion Pie $355.076 $355.076 $242.360 $242.360 $355.076 $355.076


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

405564 Resonancia Magnética De Partes Blandas $467.245 $467.245 $318.922 $318.922 $467.245 $467.245

405565 Resonancia Magnética De Cerebro+Angio $556.029 $556.029 $379.518 $379.518 $556.029 $556.029

405566 Resonancia Magnética De Cuello $420.463 $420.463 $286.989 $286.989 $420.463 $420.463

405567 Resonancia Magnética De Cadera $420.463 $420.463 $286.989 $286.989 $420.463 $420.463

405568 Resonancia Magnética De Mediastino $467.245 $467.245 $318.922 $318.922 $467.245 $467.245

405569 Resonancia Magnética De Escapula $373.784 $373.784 $255.128 $255.128 $373.784 $373.784

405570 Resonancia Magnética De Protocolo Stroke $307.990 $307.990 $210.224 $210.224 $307.990 $307.990

405571 Resonancia Magnética De Protocolo Stroke C/ Perfusion $344.150 $344.150 $234.902 $234.902 $344.150 $344.150

405572 Resonancia Magnética De Espectroscopia $164.266 $164.266 $112.122 $112.122 $164.266 $164.266

405573 Resonancia Magnética De Angio De Cerebro $164.266 $164.266 $112.122 $112.122 $164.266 $164.266

405098 Resonancia Magnética De Colangioresonancia $102.610 $102.610 $242.360 $242.360 $355.076 $355.07650 Densitometria

501134 Densitometria Osea A Foton Doble, Columna Y C $43.380 $43.380 $63.867 $63.867 $123.518 $123.51870 Banco Sangre

702001 Preparación de glóbulos rojos, plasma, plaquetas o crioprecipitados (incluye entrevista, selección del donante y la preparación del respectivo hemocomponente)$9.740 $9.740 $33.668 $33.668 $46.008 $46.008

702505 Filtracion De Leucocitos $52.738 $52.738 $36.566 $36.566 $52.738 $52.738

702003 Set De Exs Por Unidad G. Rojos $13.350 $13.350 $58.645 $58.645 $84.589 $84.589

702004 Set De Exs Por Unidad Plasma, Criopp L $11.070 $11.070 $58.660 $58.660 $84.602 $84.602

702005 Prueba De Compatibilidad Por Unidad De Globul $2.380 $2.380 $4.898 $4.898 $7.072 $7.072

702006 Transfusion En Adulto (Atencion Ambulatoria $7.570 $7.570 $14.626 $14.626 $21.114 $21.114

702007 Transfusion En Nino (Atencion Ambulatoria, At $8.800 $8.800 $18.150 $18.150 $26.190 $26.190

702008 Transfusion En Adulto O Nino En Pabellon (Con $12.960 $12.960 $21.785 $21.785 $31.446 $31.446

702009 Exsanguineo Transfusion En Recien Nacido Por $58.860 $58.860 $95.717 $95.717 $138.056 $138.056

702010 Exsanguineo Transfusion En Adulto O Nino (Inc $33.910 $33.910 $105.276 $105.276 $151.843 $151.843

702011 Autotransfusion-Predeposito (Incluye Proc. Co $49.510 $49.510 $110.316 $110.316 $159.110 $159.110

702012 Sangria (Considera El Cobro De Una Prestacion $7.050 $7.050 $14.654 $14.654 $21.157 $21.157

702013 Hemaferesis Procedimiento Manual (Incluye Pro $17.310 $17.310 $23.891 $23.891 $34.870 $34.87080 Biopsia

801001 Citodiagnostico Corriente, Exf $7.970 $7.970 $11.204 $11.204 $16.795 $16.795170 Electrocardiograma

1701001 E.C.G. de reposo (incluye mínimo 12 derivaciones y 4 complejos por derivación)$8.560 $8.560 $18.276 $18.276 $24.106 $24.106170 Test de Esfuerzo

1701003 - Ergometría (incluye E.C.G antes, durante y después del ejercicio, con monitoreo continuo y medición de la intensidad del esfuerzo)$33.810 $33.810 $68.994 $68.994 $89.367 $89.367170 Ecocardiograma

1701007 Ecocardiograma Doppler, con registro (incluye cód. 17-01-008) $74.820 $74.820 $111.047 $111.047 $151.040 $151.040

1701008 Ecocardiograma bidimensional (incluye registro modo M, papel fotosensible y fotografía), en adultos o niños (proc.aut.)$46.770 $46.770 $94.861 $94.861 $122.958 $122.958

1701045 Ecocardiograma Doppler Color $83.380 $83.380 $117.725 $117.725 $159.720 $159.720


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

1701055DP Ecocardiagrama Doppler Color Transesofágico $98.192 $98.192 $114.802 $114.802 $123.092 $123.092170,180,190 Endoscopias

1707021DP Laringotraqueobroncoscopía con fibroscopio $80.658 $80.658 $75.891 $75.891 $92.396 $92.396

1801001DP Gastroduodenoscopia (incluye esofagoscopia). $80.658 $80.658 $75.891 $75.891 $92.396 $92.396

1801002 Esofagoscopia $80.658 $80.658 $75.891 $75.891 $92.396 $92.396

1801003 Yeyuno-ileoscopia (incluye esófago-gastro-duodenoscopia) $80.658 $80.658 $75.891 $75.891 $92.396 $92.396

1801004DP Ano-recto-sigmoidoscopia en adultos $73.040 $73.040 $52.167 $52.167 $63.528 $63.528

1801005 Ano-recto-sigmoidescopia en niños (además anestesia cód. 22-01-001 si corresponde)$73.040 $73.040 $52.167 $52.167 $63.528 $63.528

1801006DP Colonoscopia larga (incluye sigmoidoscopia y colonoscopia izquierda)$80.658 $80.658 $75.891 $75.891 $92.396 $92.396

1801007DP Sigmoidoscopia y colonoscopia izquierda con tubo flexible (incluye la ano-recto-sigmoidoscopia)$80.658 $80.658 $75.891 $75.891 $92.396 $92.396

1801018 Colangiopancreatografía retrógrada, por intubación endoscópica de la ampolla de Vater (incluye la endoscopia) (a.c. 04-02-008)$102.800 $102.800 $75.891 $75.891 $135.443 $135.443

1801026 Dilatación esofágica por bujía de Hg (Hurst o similar) $73.040 $73.040 $65.860 $65.860 $80.191 $80.191

1801027 Colocación endoscópica de tubo transtumoral en vía biliar (no incluye tubo transtumoral; incluye papilotomía)$133.586 $133.586 $125.692 $125.692 $153.045 $153.045

1801028DP Cuerpo extraño de esófago y/o estómago, extracción endoscópica (incluye la endoscopia)$73.040 $73.040 $65.860 $65.860 $80.191 $80.191

1801031DP Pólipos de esófago y/o estómago o intestino delgado, cualquier técnica (incluye endoscopia), por sesión.$133.586 $133.586 $125.897 $125.897 $153.295 $153.295

1801033DP Escleroterapia o hemostasia de várices esofágicas y/o úlcera péptica sangrante, cualquier técnica (incluye endoscopia).$133.586 $133.586 $125.897 $125.897 $153.295 $153.295

1801036 Papilotomía endoscópica c/s extracción de cálculos, c/s biopsia (a.c. 18-01-018)$160.024 $160.024 $125.692 $125.692 $210.830 $210.830

1801037 Ureasa, test de (para Helicobacter pylori) o similar $8.023 $8.023 $11.982 $11.982 $14.568 $14.568

1801038 Punción evacuadora de absceso intraabdominales (hepático u otros), c/s toma de muestra, c/s inyección de medicamentos$73.040 $73.040 $48.065 $48.065 $63.528 $63.528

1801045DP Pólipos rectales, rectosigmoídeos o de colon trat. Completo por resección endoscópica (incluye código 18-01-004 al 18-01-007 según corresponda).$133.586 $133.586 $125.897 $125.897 $153.295 $153.295

1901005DP Prostática transparietal o transrectal (además anestesia cód. 22-01-001 si corresponde)$73.687 $73.687 $48.065 $48.065 $65.925 $65.925

1901016 Uretrografía retrógrada o cistouretrografía (miccional) (a.c. 04-02-014) $17.422 $17.422 $13.812 $13.812 $17.422 $17.422190 Diálisis

1901028 Hemodiálisis con bicarbonato con insumos (por sesion) $49.600 $49.600 $158.634 $158.634 $200.596 $200.596

1901029 Hemodiálisis con bicarbonato con insumos (tratamiento mensual)$656.830 $656.830 $1.159.970 $1.159.970 $1.514.003 $1.514.003Otros

2001009 & Monitoreo basal con informe $5.940 $5.940 $26.091 $26.091 $33.651 $33.651

1602502 Uso Minimo De Pabellon $72.036 $72.036 $69.344 $69.344 $82.553 $82.553

1801522 INSTILACION BCG $286.985 $286.985 $286.985 $286.985 $286.985 $286.985

801506 FISH –HER2 $305.752 $305.752 $305.752 $305.752 $305.752 $305.752

1201035 Criocoagulación conjuntival, corneal o palpebral en adultos $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1201036 Criocoagulación conjuntival, corneal o palpebral en niños $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1201037 Glaucoma, Ciclodiatermia Y/O C $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1201040 Puntos Lagrimales; Electroterm $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1201041 Sondaje vía lagrimal en niños (bajo anestesia general) $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1202001DP Intubación $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1202002 Puntos lagrimales, plastia de $134.768 $134.768 $130.517 $130.517 $170.561 $170.561


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

1202003 Reconstitución de canalículos $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1202004 Absceso, vaciamiento y/o drenaje de $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1202005 Dacriocistorrinostomía $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1202006 Extirpación de $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1202010DP Absceso, trat. quir. $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1202011DP Biopsia de párpado y/o anexos (proc. aut.) $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1202012DP Blefarochalasis, Plastia De $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1202013 Blefarofimosis, plastia de $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202014DP Blefarorrafia con blefarotomía posterior $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1202015 Cantoplastia $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1202016DP Chalazión y otros tumores benignos (uno o más en el mismo ojo), trat. quir. Completo$102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1202017 Coloboma, plastia de $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202018DP Ectropión, plastia de $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1202019DP Entropión, plastia de $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1202020 Epicanto, plastia de $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1202021 Ptosis, trat. quir. $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202022 Quiste dermoide de la cola de la ceja, resec. plástica $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1202023 Tumor maligno, trat. quir. completo $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202024DP Xantelasma, trat. quir. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1202025DP Herida o dehiscencia, sutura de (proc.aut.) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1202026DP Pterigion Y/O Pseudopterigion $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1202027 Simbléfaron, resección de adherencias y plastia de $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202028DP Tumor benigno, extirp. de $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1202029 Absceso, trat. quir. $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1202034 Orbitotomía lateral descompresiva $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202035 Biopsia de globo ocular (proc. aut) $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202040 Lesión traumática, sutura de (proc. aut.) $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202041 Cirugía refractiva, queratotomía radial o similar con bisturí de diamante$185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202042 Crioterapia y recesión conjuntival $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1202044 Cuerpo extraño, extracción quir. de $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1202046 Herida penetrante corneal o córneo-escleral o dehiscencia de sutura.$185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202053 Iridectomía periférica y/u óptica, (proc. aut.) $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1202055DP Desgarro sin desprendimiento, diatermo y/o crio y/o fotocoagulación$389.530 $389.530 $130.517 $130.517 $389.530 $389.530

1202057DP Retinopatia Proliferativa, (Di $663.029 $663.029 $130.517 $130.517 $663.029 $663.029

1202058 Tumor, diatermo y/o crio y/o fotocoagulación de $185.656 $185.656 $130.517 $130.517 $234.960 $234.960

1202059DP Vasculopatía retinal (excepto retinopatía proliferativa) diatermo y/o crio y/o fotocoagulación$502.145 $502.145 $130.517 $130.517 $502.145 $502.145

1202066 Aspiración esferular c/s capsulotomía $185.657 $185.657 $192.068 $192.068 $234.960 $234.960


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

1202068DP Iridotomía $419.019 $419.019 $130.517 $130.517 $419.019 $419.019

1202069DP Trabeculoplastía o iridoplastía $419.019 $419.019 $130.517 $130.517 $419.019 $419.019

1202071DP Herida o dehiscencia de sutura de párpado, reparación. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1301028DP Vasos y/o cornetes, electrocauterización (uni o bilateral) $89.370 $89.370 $73.056 $73.056 $89.370 $89.370

1301035 En adultos $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1301036 En niños $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1301037 Dilatación esofágica por sesión $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1301038 En niños $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1301039 Extracci?N Cuerpo Extra?O Tubo R?Gido En Ni?O $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1302002DP Cuerpo extraño en conducto auditivo externo, extracción de, por vía retroauricular$102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1302003 Fístula preauricular complicada, trat. quir. $134.768 $134.768 $130.517 $130.517 $176.176 $176.176

1302004DP Tumor benigno, trat. quir. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1302005 Tumor maligno, trat. quir. $134.768 $134.768 $130.517 $130.517 $176.176 $176.176

1302008DP Mucositis timpánica o mixiosis uni o bilateral, trat. quir. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1302022DP Biopsia buco-faríngea (proc. aut.) $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1302023DP Sección simple y/o resección frenillo sublingual $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1302024DP Piso de la boca $89.352 $89.352 $73.056 $73.056 $89.352 $89.352

1302025DP Periamigdaliano $89.352 $89.352 $73.056 $73.056 $89.352 $89.352

1302026DP Retrofaríngeo O faringolaríngeo $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1302028 Adenoidectomia (Proc. Aut.) $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302029 Amigdalectomía c/s adenoidectomía, uni o bilateral $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302030DP Cálculos salivales, trat. quir. $89.352 $89.352 $73.056 $73.056 $89.352 $89.352

1302031DP Tumor Benigno De La Mucosa Buc $89.352 $89.352 $73.056 $73.056 $89.352 $89.352

1302038DP Abscesos y hematoma del tabique nasal, trat. quir. $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1302039 Arteria esfenopalatina, cauterización por vía nasal $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1302041 Arterias etmoidales anteriores, ligadura de $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1302042 Turbinectomía o electrocauterización de cornetes $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1302043 Conducto y/o seno lagrimal, obstrucción del, trat. quir. por vía nasal$185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302045 Fistula Buco-Sinusal, Trat. Qu $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302046DP Fract. nasal reciente, cerrada o expuesta, reducc. c/s yeso $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1302048 Perforación del tabique, trat. quir. $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1302049DP Pólipo nasal y/o coanal, trat. quir. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1302050 Rinitis atrófica, trat. por inclusión submucosa, con cualquier material, uni o bilateral$185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302054 Seno frontal, trat.quir. c/s vaciamiento etmoidal $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302056 Sinequia nasal, trat. quir. $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1302057 Tumor nasal, extirp. por rinotomía lateral $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302058 Vaciamiento etmoidal por vía nasal c/s polipectomía $185.657 $185.657 $192.068 $192.068 $234.960 $234.960


InhabilISAPRE Habil

ISAPRE

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PARTICULAR

Habil

PARTICULAR

Inhabil

1302059 Aritenoidectomia Via Endoscopi $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1302062 Cuerdas Vocales Tumor Benino Por Laringotom?A $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1302063 Por vía endoscópica $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1302064 Cordectomía laríngea o sinequia cuerdas vocales por vía ext. $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302069 Laringocele, trat. quir. $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302070 Papilomas laríngeos, trat. quir. (por sesión) $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1302071 Parálisis de cuerdas vocales, trat. quir. cualquier técnica $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1302072 Traqueostomía (proc. aut.) $185.657 $185.657 $192.068 $192.068 $234.960 $234.960

1402017 Extirpación sublingual $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

1402019DP Absceso parotídeo submaxilar y/o cervical profundo, trat.quir. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1402020 Conductos salivales de excreción, reimplantación oro-faríngea $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

1402021DP Fístula salival, trat. quir. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1402022DP Mucocele o quiste labial, trat. quir. $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1402026DP Biopsia quir., mucosa oronasofaríngea (proc. aut.) $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1402027DP Biopsia quir., piel y mucosa cara (proc. aut.) $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1402029 Resección cutánea simple (sutura primaria) $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1402032 Resección parcial y cirugía reparadora $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

1402047 Parcial $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

1402054DP Con colocación de arcos y/o férulas y/o bloqueo intermaxilar $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1402055 Con osteosíntesis múltiples,c/s ligaduras circunferenciales, c/s suspensiones, c/s injertos óseos u otros implantes$185.657 $185.657 $193.140 $193.140 $234.960 $234.960

1402056 Con osteosíntesis única c/s colocación de yeso $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1402059DP Remoción quir. de arcos y/o alambres (proc. completo) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1402060 Simple (proc.aut.) $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1502001DP Complicadas: 1 o varias de más de 5 cms. y/o ubicadas en bordes de párpados, labios o ala nasal y/o que comprometen músculos, conductos, vasos o nervios$170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502002DP Simples: 1 o varias de hasta 5 cms. que sólo comprometen piel $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1502003DP Implante de silicona facial (cualquier zona o zonas) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502004DP Cicatrices Hasta 2 $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1502005DP Cicatrices 3 y más $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502006DP Hasta 1% superficie corporal receptora $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1502007DP Hasta 5% superficie corporal receptora $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502008 Hasta 10% superficie corporal receptora $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502012DP Cartílago (auricular,costal o similares) c/u $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502013 Oseo (costal, ilíaco, tibial o similares) c/u. $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502014DP Platías en Z, hasta 3 $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502015DP Plastías en Z, 4 y más $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1502021DP Colgajo Simple Unico $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1502024 Ridectomía frontal $185.657 $185.657 $192.602 $192.602 $234.960 $234.960


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

1502025DP Aladas o en asa, corrección plástica $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502026DP Lóbulo auricular partido,corrección plástica (proc. aut) $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1502027 Malformación congénita compleja, cada plastia o plastias en tiempos diferentes$185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502028 Corrección nasal parcial (alares,alargamiento columela o similar)$185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502029 Blefaroplastia uno o ambos párpados inferiores $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502030 Blefaroplastia uno ambos párpados superiores $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502031 Corrección quirúrgica secundaria de queiloplastia $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502032 Queiloplastia primaria, un lado ( proc. quir. completo por cualquier técnica)$185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502033 Cierre de paladar duro y/o cierre de comunicación oro-nasal $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502034 Cierre mucoso vestíbulo oral $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502035 Plastia De Velo (Cualquier Tec $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502036 Cierre de macrostomía, un lado $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502039 Unilateral $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502047 Ginecomastia, corrección plástica $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502051 Reconstrucción aréola y/o pezón c/s plastia (proc. aut.) $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502056 Sindactilia, trat. quir. cada espacio con injerto $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502057 Sindactilia, trat. quir. cada espacio sin injerto $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1502058 Polidactilia, extirpación y plastia un lado $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1502061DP Escarotomia hasta 10 % superficie corporal $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502062DP Escarotomia por cada 10 % adicional (o su fracción) $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1502063DP Escarectomia hasta 1 % superficie corporal $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1502064DP Escarectomia hasta 5 % superficie corporal $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1502065 Escarectomia hasta 10% superficie corporal $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1602201DP Biopsia de piel y/o mucosa por curetaje o sección tangencial c/s electro x 1 lesión$89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602202DP Cabeza, cuello, genitales hasta 3 lesiones $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602203DP Resto del cuerpo hasta 3 lesiones $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602204DP Cabeza, cuello y genitales desde 4 y hasta 6 lesiones $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602205DP Resto del cuerpo desde 4 y hasta 6 lesiones $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602215DP Tumores vasculares profundos Cara, cuero cabelludo, cuello, genitales$102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1602216DP Tumores Vasculares Profundos Resto del cuerpo $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1602221DP Herida cortante o contusa complicada, reparación y sutura (una o múltiple de más de 5 cms. de largo total y/o que comprometa músculos y/o conductos y/o vasos o similares)$102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1602222DP Herida cortante o contusa no complicada, reparación y sutura (una o múltiple hasta 5 cms. de largo total que comprometa solo la piel)$89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602223DP Cara, Cuero Cabelludo, Cuello, Genitales $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602224DP Resto del Cuerpo $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602225DP Vaciamiento y curetaje quirúrgico de lesiones quísticas o abscesos$89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602231DP Onicectomía total o parcial simple $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1602232DP Cirugía reparadora ungueal por proceso inflamatorio $89.370 $89.370 $68.277 $68.277 $89.370 $89.370


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

1602233 Corrección quirúrgica de defecto congénito o por tumor ungueal $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

1602240DP Curación por Médico, Quemadura o Similar menor al 5% superficie corporal en pabellón$89.370 $89.370 $73.258 $73.258 $89.370 $89.370

1602241DP Curación por Médico, Quemadura o Similar 5 a 10% superficie corporal en pabellón$102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1701019 Cinecoronariografia Derecha Y/ $308.170 $308.170 $130.517 $130.517 $375.801 $375.801

1701020 Ventriculografía derecha (incluye sondeo cardíaco derecho), en adultos o niños ( a.c. 04-02-033)$308.170 $308.170 $130.517 $130.517 $375.801 $375.801

1701021 Ventriculografía izquierda (incluye el sondeo cardíaco izquierdo) , en adultos o niños (a.c.04-02-033)$307.998 $307.998 $130.517 $130.517 $375.584 $375.584

1701031 Angioplastia intraluminal coronaria procedimiento cardiológico (a.c.04-02-022)$441.978 $441.978 $446.077 $446.077 $538.986 $538.986

1701032 Angioplastia intraluminal periférica procedimiento cardiológico (a.c.04-02-023)$185.657 $185.657 $187.379 $187.379 $226.415 $226.415

1701033 Biopsia endomiocárdica (proc. completo) $205.290 $205.290 $78.676 $78.676 $250.345 $250.345

1701038 Septostomía de Rashkind $205.290 $205.290 $78.676 $78.676 $250.345 $250.345

1701039 Trombólisis arterial periférica $205.290 $205.290 $78.676 $78.676 $250.345 $250.345

1701040 Trombólisis intracoronaria $205.290 $205.290 $78.676 $78.676 $250.345 $250.345

1701041 Valvuloplastía mitral (a.c. 04-02-033) $205.384 $205.384 $130.517 $130.517 $250.461 $250.461

1701042 Valvuloplastía aórtica y/o pulmonar, c/u (a.c. 04-02-033) $205.384 $205.384 $130.517 $130.517 $250.461 $250.461

1701043 Angioplastía de coartación aórtica (a.c. 04-02-033) $205.384 $205.384 $130.517 $130.517 $250.461 $250.461

1701046 Estudio electrofisiológico endocardíaco de las arritmias $205.384 $205.384 $130.517 $130.517 $250.461 $250.461

1701050 Ablación con corriente contínua o radiofrecuencia de nódulo aurículo-ventricular$205.384 $205.384 $130.517 $130.517 $250.461 $250.461

1701051 Ablación con corriente contínua o con radiofrecuencia de vías accesorias y otros$205.384 $205.384 $130.517 $130.517 $250.461 $250.461

1703026 Ligadura cayado safena interna, unilateral $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1703027 Ligadura otros troncos venosos (poplíteo, femoral, ilíacas, humeral, axilar, otros).$185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1703034 Adenitis, trat. quir., $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1703035 Biopsia quir. ganglionar (cualquier región periférica superficial o profunda) (proc. aut.)$81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1703044 Yugular simple $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1703048 Cambio de generador de marcapaso, sin cambio de electrodo $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1703510 Implantacion Desfribilador Car $771.528 $771.528 $771.528 $771.528 $771.528 $771.528

1704027 Pleurotomía única o doble c/s biopsia con trócar $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

1707023 Mediastinoscopia c/s biopsia $80.658 $80.658 $78.676 $78.676 $101.180 $101.180

1707024 Pleuroscopia (toracoscopia) c/s biopsia $80.658 $80.658 $78.676 $78.676 $101.180 $101.180

1707027 Broncoaspiración, c/s lavado y/o colocación de medicamentos por sonda traqueobronquial (proc. aut.)$80.658 $80.658 $78.676 $78.676 $101.180 $101.180

1707034 Cuerpo extraño de bronquio, extracción por vía endoscópica (incluye la endoscopia)$80.658 $80.658 $78.676 $78.676 $101.180 $101.180

1707037 Intubación traqueal (proc. aut.) $73.040 $73.040 $68.277 $68.277 $87.816 $87.816

1801009 Peritoneoscopia transparietal (incluye el neumoperitoneo) $133.586 $133.586 $130.517 $130.517 $161.500 $161.500

1801025 Dilatación essofágica por balón neumático (de Mosher o similar) $73.040 $73.040 $68.277 $68.277 $84.622 $84.622

1801029DP Devolvulación del sigmoides por endoscopia (incluye ano-recto-sigmoidoscopia) (proc. aut.)$97.501 $97.501 $78.676 $78.676 $97.501 $97.501

1801030 Dilatación ano-rectal, por sesión $69.997 $69.997 $71.271 $71.271 $84.605 $84.605

1801032 Escleroterapia de hemorroides, cualquier número (incluye ano-recto-sigmoidoscopia)$73.040 $73.040 $68.277 $68.277 $84.622 $84.622

1801034 Extracción percutánea incruenta de cálculos biliares $133.586 $133.586 $130.517 $130.517 $161.500 $161.500


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

1801035DP Ligadura hemorroides $84.622 $84.622 $68.277 $68.277 $84.622 $84.622

1801042 Vaciamiento manual de fecaloma $133.586 $133.586 $130.517 $130.517 $161.500 $161.500

1803001DP Absceso anorrectal complejo (implica hospitalización y anestesia general)$234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1803002DP Absceso Anorrectal Simple , Tr $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1803003DP Absceso sacrocoxígeo, drenaje $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1803004DP Biopsia quirúrgica rectal (proc. aut.) $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1803005DP Criptectomía y/o papilectomía (cualquier número; proc. aut.) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1803007DP Cuerpo extraño rectal, extracción por vía anal $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1803009 Desgarros y heridas anorrectales sin compromiso del esfinter $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1803010DP Esfinterotomía (proc. aut.) $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1803017DP Fisura anal, repar. quir. $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1803019DP Hemorroides, trombectomía (proc. aut.) $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

1803026 Pólipo rectal, trat.quir. por vía anal $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1803038DP Condilomas anales, trat. quir.(para electrofulguración ver cód. 16-01-006) $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1901002 Cistoscopia con sondeo de uno o ambos uréteres $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1901003DP Cistoscopia y/o uretrocistoscopia y/o uretroscopia (proc.aut.) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1901004 Ureteronefroscopia $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1901006 Renal transparietal $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

1901015 Ureteropielografía ascendente (directa) por cateterismo ureteral uni o bilateral (incluye la endoscopia) (a.c. 04-02-012)$185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1901021DP Vac. vesical p/punción hipogástrica o cistostomía p/punción $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

1901024 Hemodiálisis Sin Insumos $99.145 $99.145 $113.620 $113.620 $113.620 $113.620

1902021DP Urétero-litotomía endoscópica c/ureteroscopia $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1902042 Glándulas de Cowper, lesiones de las ,trat. quir. $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902046 Meatotomia Mujer $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902047 Meatotomía quirúrgica c/s resección de pólipo o carúncula $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902048DP Pólipo meato,electrocoagulación $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1902050 Plastía de uretra o trat. de fístulas residuales $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902051 Uretrostomía $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902052 Uretrotomía externa (proc. aut.) $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902053 Uretrotomía interna y/o uretrolitotomía (proc. aut.) $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902054DP Absceso, trat. quir. $234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1902058 Vesiculostomía diagnóstica y/o terapéutica $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902059 Biopsia quirúrgica (uno o ambos) (proc. aut.) $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902061 Descenso testículo inguinal c/s hernioplastia $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902063 Hidatidectomia Unilat.C/S Ever $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902064 Hidrocele y/o hematocele, trat. quir. $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902065 Orquidectomía un lado $185.657 $185.657 $192.602 $192.602 $234.960 $234.960


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

1902066 Orquidopexia un lado $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902067 Prótesis testicular, (proc. aut.) $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902071 Epididimectomía parcial o total, un lado $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902073DP Quistes del cordón, y/o epididimo, extirpación ; epididimotomía diagnóstica y/o terapéutica (proc. aut.)$234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1902074 Torsión del cordón, trat. quir. (incluye la fijación del otro testículo)$185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902075 Varicocele unilateral, trat. quir. $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902076 Vasectomía bilateral, (proc. aut.) (la vasectomía como tiempo previo a una resección de próstata esta incluída en la prostatectomía)$185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902080DP Biopsia De Pene (Proc. Aut.) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

1902082DP Circuncisión (incluye sección de frenillo, y/o de sinequias bálano-prepuciales, y/o incisión dorsal c/s meatotomía)$234.960 $234.960 $192.602 $192.602 $234.960 $234.960

1902083 Lesiones del cuerpo cavernoso, trat. quir. $185.657 $185.657 $192.602 $192.602 $234.960 $234.960

1902084DP Meatotomía hombre y/o sección frenillo y/o incisión dorsal, (proc.aut.)$170.561 $170.561 $130.517 $130.517 $170.561 $170.561

2001001 Amnioscopia C/S Escalpe Fetal $73.687 $73.687 $68.277 $68.277 $89.370 $89.370

2001002 Colposcopia $36.050 $36.050 $36.050 $36.050 $36.050 $36.050

2001005 Histeroscopia diagnóstica o terapéutica (proc. aut.). $134.768 $134.768 $130.517 $130.517 $170.561 $170.561

2001006 Amniocentesis $36.783 $36.783 $36.783 $36.783 $36.783 $36.783

2001007 Culdocentesis (punción del Douglas) $81.372 $81.372 $78.676 $78.676 $102.972 $102.972

2001010 Monitoreo fetal estresante, con control permanente del especialista y tratamiento de las posibles complicaciones$20.827 $20.827 $59.607 $59.607 $59.607 $59.607

2001014DP Biopsia endometrio, vulva, vagina, cuello, c/u (proc. aut.) $103.076 $103.076 $68.277 $68.277 $103.076 $103.076

2001016DP Electrodiatermo o criocoagulación de lesiones del cuello $89.370 $89.370 $68.277 $68.277 $89.370 $89.370

2001022 Punción evacuadora de quistes mamarios, c/s toma de muestras, c/s inyección de medicamentos$25.189 $25.189 $25.189 $25.189 $25.189 $25.189

2002001DP Absceso y/o hematoma de mama, trat.quir. $102.972 $102.972 $78.676 $78.676 $102.972 $102.972

2002005 Tumor benigno y/o quiste y/o mama supernumeraria y/o aberrante o politelia, o biopsia quirúrgica extemporánea, trat. quir. (proc. aut)$185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2003012 Conización y/o amputación del cuello, diagnóstica y/o terapéutica c/s biopsia$185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2003019DP Polipectomía (uno o más) (proc. aut.) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

2003020 Sinequia y/o estenosis cervical , trat. quir. $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2003021 Colpoceliotomía $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2003025 Quiste y/o desgarro y/o tabique vaginal, trat. quir. $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2003026DP Bartolinitis, vaciamiento y drenaje (proc. aut.) $170.561 $170.561 $130.517 $130.517 $170.561 $170.561

2003027 Bartolinocistoneostomía o extirp. de la glándula $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2003030 Desgarro cervical trat. quir. $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2003040 Incompetencia cervical trat. quir. $185.657 $185.657 $193.140 $193.140 $234.960 $234.960

2004001 Aborto retenido, vaciamiento de (incluye la inducción en los casos que corresponda)$134.768 $134.768 $130.517 $130.517 $170.561 $170.561

2004002 Raspado uterino diagnóstico o terapéutico por metrorragía o por restos de Aborto$134.768 $134.768 $130.517 $130.517 $170.561 $170.561

2004009 Fototerapia recién nacido (por día) $10.576 $10.576 $12.227 $12.227 $12.227 $12.227

2101003 Movilizacion Articular Bajo An $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104001 Artroscopia Diagnostica C/S Bi $119.266 $119.266 $150.943 $150.943 $150.943 $150.943

2104002DP Exostosis u osteocondroma, trat. quir. $102.972 $102.972 $102.972 $102.972 $102.972 $102.972


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

2104003DP Quistes sinoviales de vainas flexoras, bursas $102.972 $102.972 $102.972 $102.972 $102.972 $102.972

2104004 Tracción halocraneana o estribo-craneana (proc. aut.) $81.372 $81.372 $102.972 $102.972 $102.972 $102.972

2104005 Tracción halocráneo-femoral $81.372 $81.372 $102.972 $102.972 $102.972 $102.972

2104006 Tracción transesquelética o de partes blandas en adultos o en niños (proc. aut.)$73.687 $73.687 $89.370 $89.370 $89.370 $89.370

2104007 Artrodesis de codo o muñeca, c/u $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104008 Artrodesis de hombro, cadera,rodilla, tobillo o sacroilíaca, c/u $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104009 Artrodesis de mano o pie c/u $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104011 Tratamiento completo de fracturas expuestas de mano o pie, c/u $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104012 Osteítis, raspado, c/s secuestrectomía $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104016 Artrotomía otras articulaciones, c/u $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104019 Injerto esponjoso metafisiario $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104020 Injertos esponjosos o cortico-esponjosos de cresta ilíaca $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104029 Sinovectomias Quirurgicas De C $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104033DP Biopsia ósea por punción $102.972 $102.972 $102.972 $102.972 $102.972 $102.972

2104034 Biopsia ósea quirúrgica $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104035 Biopsia sinovial o muscular por punción $73.687 $73.687 $89.370 $89.370 $89.370 $89.370

2104036 Biopsia sinovial o muscular quirúrgica $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104037 Biopsia vertebral por punción $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104038 Muñón de amputación, regularización de $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104039 Osteocondrosis o epifisitis, trat. quir. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104045 Fractura de clavícula, osteosíntesis $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104049 Luxación traumática, reducción cruenta $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104064 Luxación, reducción cruenta $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104080 Estiloides Cubital,Reseccion D $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104081 Fractura o pseudoartrosis escafoides,trat. quir. cualq.tecn. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104083 Luxación radiocarpiana,trat. quir. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104084 Luxación semilunar ,escafoidea, reducción y osteosíntesis semicruenta o cruenta$185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104087 Amputación dedos (tres o más) $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104088 Amputación dedos (uno o dos) $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104090 Amputación pulpejos (plastia Kutler o similares) $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104091 Contractura Dupuytren,trat. quir.,cada tiempo $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104092DP Contusión-compresión grave,trat. quir.incluye incisiones liberadoras y/o fasciotomía y/o escarectomía y/o injertos piel inmediatos y síntesis percutánea$234.960 $234.960 $234.960 $234.960 $234.960 $234.960

2104093DP Dedos en gatillo,trat. quir.,cualquier número $170.561 $170.561 $170.561 $170.561 $170.561 $170.561

2104094DP Flegmon Mano, Trat. Quir. $102.972 $102.972 $102.972 $102.972 $102.972 $102.972

2104095 Luxofractura metacarpofalángica o interfalángica,trat. quir. $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104099 Osteosíntesis metacarpianas o de falanges,cualquier técnica $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104100DP Panadizo, trat. quir. $89.370 $89.370 $89.370 $89.370 $89.370 $89.370


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

2104105 Rupturas cerradas cápsulo-ligament.o tendinosas, trat. quir. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104107 Tenorrafia extensores $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104108 Tenorrafia o injertos flexores $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104109 Tenosinovitis séptica, trat. quir. $81.372 $81.372 $102.972 $102.972 $102.972 $102.972

2104111 Transposiciones tendinosas flexoras o extensoras $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104118 Plastias costales,cualquier número $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104121 Resección del coxis $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104149 Ruptura y/o hernia muscular,trat.quir. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104160 Quiste poplíteo, trat.quir. $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2104166 Fasciotomía por síndrome compartamental $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104170 Osteotomía del peroné $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104177 Huesos supernumerarios,extirpación, uno o más del mismo lado$185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104183 Tenorrafia extensores o tenotomía de alargamiento de tendón de Aquiles$185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104187 Espolón calcáneo,trat.quir. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104188 Exostosis 5º metatarsiano,("juanetillo") trat.quir. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104189 Fasciotomia Plantar (Proc.Aut. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104190 Hallux valgus o rígidus,trat.quir. completo (cualquier tec.) $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104193 Neuroma de Morton,trat.quir. $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104194 Ortejos en garra,trat.quir.,cualq.número (cualq.técnica) $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104195 Ortejos,amputación,uno o más del mismo pie $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104197 Pie cavo, trat.quir. (cualquier técnica) $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104198 Pie plano, trat. quir. (cualquier técnica) $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104200 Sesamoídeos,extirpación de uno o más del mismo pie $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2104201 Tenorrafia extensores $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2106002 Retiro de placas rectas o anguladas $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2106003 Retiro de tornillos, clavos, agujas de osteosíntesis o similares $185.657 $185.657 $234.960 $234.960 $234.960 $234.960

2107001 Luxaciones de articulaciones medianas (hombro,codo,rodilla,tobillo,muñeca,tarso y esternoclavicular)$81.372 $81.372 $102.972 $102.972 $102.972 $102.972

2107002 Luxaciones de articulaciones mayores (columna,cadera,pelvis). $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2107003 Luxaciones de articulaciones menores (el resto) $81.372 $81.372 $102.972 $102.972 $102.972 $102.972

2107004 Fracturas mayores (columna, pelvis, supracondílea, codo, epífisis femorales)$134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2107005 Fracturas medianas (diáfisis humeral, radial, cubital, diáfisis femoral,tibial,peroneal,clavicular,platillos tibiales)$81.372 $81.372 $102.972 $102.972 $102.972 $102.972

2107006 Fracturas menores (el resto) $81.372 $81.372 $102.972 $102.972 $102.972 $102.972

2107007 Tratamiento funcional con técnica de Sarmiento y similares de extremidad inferior$134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2107008 Tratamiento funcional con técnica de Sarmiento y similares de extremidad superior$134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2107009 Luxación congénita de cadera, trat. ortopédico completo (uni o bilateral)$134.768 $134.768 $170.561 $170.561 $170.561 $170.561

2107010 Pie bot, cada pie, hasta 10 cambios de yeso $134.768 $134.768 $170.561 $170.561 $170.561 $170.561

202009 Recuperacion De Anestesia $24.453 $24.453 $24.453 $24.453 $24.453 $24.453


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

101402 Monitor $29.450 $29.450 $29.450 $29.450 $29.450 $29.450

202008 Dia Cama Observacion $67.133 $67.133 $69.768 $69.768 $88.072 $88.072Dental

2760000 EXAMEN INICIAL,PLAN DE TTO. Y PRESUPUESTO $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760001 CONSULTA DE URGENCIA Y/O URGENCIA SIMPLE $9.774 $9.774 $9.774 $9.774 $9.774 $9.774

2760002 HIGIENE BUCAL, EN ADULTOS $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760003 APLICACIÓN DE SELLANTE POR PIEZA $14.661 $14.661 $14.661 $14.661 $14.661 $14.661


2760005 INFORMES PERICIALES $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760006 TRATAMIENTO DE ALVEOLITIS-ALVEOLORRAGIA $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760007 FLUORACIÓN TÓPICA (GEL) TOTAL NIÑOS Y ADULTOS $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760008 CONTROL Y EXAMEN PERIÓDICO DE RIGOR $9.774 $9.774 $9.774 $9.774 $9.774 $9.774

2760009 TREPANACIÓN DE INCRUSTACIONES Y FÉRULAS $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760010 TREPANACIÓN POR URGENCIA $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760011 RETIRO ESPIGA METÁLICA DEL CONDUCTO $43.983 $43.983 $43.983 $43.983 $43.983 $43.983

2760012 RADIOGRAFÍA RETROALVEOLAR (1 PZA.) $4.887 $4.887 $4.887 $4.887 $4.887 $4.887

2760013 RADIOGRAFÍA RETROALVEOLAR TOTAL $45.938 $45.938 $45.938 $45.938 $45.938 $45.938

2760014 RADIOGRAFÍA OCLUSAL ( * ) $9.774 $9.774 $9.774 $9.774 $9.774 $9.774

2760015 RADIOGRAFÍA POR ALETA MORDIDA O BITE-WING ADULTO $12.706 $12.706 $12.706 $12.706 $12.706 $12.706

2760016 TELERADIOGRAFÍA ( * ) $14.172 $14.172 $14.172 $14.172 $14.172 $14.172

2760017 SIALOGRAFÍA ( * ) $113.378 $113.378 $113.378 $113.378 $113.378 $113.378

2760018 RADIOGRAFÍA PANORÁMICA ( * ) $30.299 $30.299 $30.299 $30.299 $30.299 $30.299

2760019 ANÁLISIS CEFALOMÉTRICO ( * ) $14.172 $14.172 $14.172 $14.172 $14.172 $14.172

2760020 RADIOGRAFÍA ATM BILATERAL ( * ) $51.802 $51.802 $51.802 $51.802 $51.802 $51.802

2760021 RADIOGRAFÍA POR ALETA MORDIDA O BITE-WING NIÑO $6.353 $6.353 $6.353 $6.353 $6.353 $6.353

2760022 RX DE MANO ( * ) $14.172 $14.172 $14.172 $14.172 $14.172 $14.172

2760023 SET DE FOTOS CLÍNICAS ( * ) $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760024 INFORME ESCRITO DE INTERPRETACION DE CADA PLACA $4.887 $4.887 $4.887 $4.887 $4.887 $4.887

2760025 EXTRACCIÓN SIMPLE $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760026 EXTRACCIÓN PIEZA SEMI-INCLUÍDA O EXTRACCIÓN A COLGAJO $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760027 EXTRACCIÓN PIEZA INCLUÍDA $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760028 REGULARIZACIÓN DE REBORDES POR HEMIARCADA $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760029 FLEGMONES $195.480 $195.480 $195.480 $195.480 $195.480 $195.480

2760030 EXTIRPACIÓN DE MUCOCELES $97.740 $97.740 $97.740 $97.740 $97.740 $97.740

2760031 CIRUGÍA APICAL Y PARARADICULAR CON / SIN RELLENO A RETRO (INCISIVOS Y CANINOS)$78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760032 BIOPSIAS DE MUCOSA $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760033 CIRUGÍA APICAL Y PARARADICULAR CON / SIN RELLENO A RETRO (PREMOLARES Y MOLARES)$97.740 $97.740 $97.740 $97.740 $97.740 $97.740


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

2760034 PLASTÍAS BUCOSINUSALES Y BUCONASALES $136.836 $136.836 $136.836 $136.836 $136.836 $136.836

2760035 CIRUGÍA PRE-PRÓTESIS FRENILLOS BRIDAS $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760036 FENESTRACIONES $68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760037 TRATAMIENTO HERIDAS MUCOSA BUCAL $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760038 RADECTOMÍA U ODONTOSECCIÓN $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760039 CONTROL POST OPERATORIO $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760040 REDUCCIÓN LUXACIÓN DENTARIA-CONTENCIÓN SIMPLE $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760041 BIOPSIAS DE HUESO $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760042 ENUCLEACIÓN DE QUISTE O TUMOR SIMPLE $136.836 $136.836 $136.836 $136.836 $136.836 $136.836

2760043 ENUCLEACIÓN DE QUISTE O TUMOR CON TTO. DEL LECHO OPERATORIO$244.350 $244.350 $244.350 $244.350 $244.350 $244.350

2760044 VACIAMIENTO DE ABSCESOS $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760045 CONSULTA Y EX. MAXILOFACIAL $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760046 TRATAMIENTO APARATOS FIJOS UNA ARCADA (ANUAL) $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760047 TRATAMIENTO APARATO REMOVIBLE DOS ARCADAS (ANUAL) $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760048 TRATAMIENTO APARATO REMOVIBLE UNA ARCADA $40.318 $40.318 $40.318 $40.318 $40.318 $40.318

2760049 ESTUDIO MODELOS Y RX, PLAN DE TTO. Y ESTIMACIÓN DE TPO. $58.644 $58.644 $58.644 $58.644 $58.644 $58.644

2760050 TRATAMIENTO DE CONTENCIÓN POR ARCADA, PRESUPUESTO ANUAL$302.994 $302.994 $302.994 $302.994 $302.994 $302.994

2760051 CONTENCIÓN RÍGIDA $37.630 $37.630 $37.630 $37.630 $37.630 $37.630

2760052 HIGIENIZACIÓN Y/O RETIRO APARATOS FIJOS UNA ARCADA $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760053 MONTAJE EN ARTICULADOR $58.644 $58.644 $58.644 $58.644 $58.644 $58.644

2760054 CONFECCIÓN Y AJUSTE DE PLANO DEPROGRAMADOR $53.757 $53.757 $53.757 $53.757 $53.757 $53.757

2760055 TRATAMIENTO ADULTOS APARATO FIJO DOS ARCADAS (ANUAL) $57.015 $57.015 $57.015 $57.015 $57.015 $57.015

2760056 TRATAMIENTO CON APTO. FIJO DOS ARCADAS (ANUAL) $44.798 $44.798 $44.798 $44.798 $44.798 $44.798

2760057 TRATAMIENTO DE CONTENCIÓN, PRESUPUESTO ANUAL $25.217 $25.217 $25.217 $25.217 $25.217 $25.217

2760058 CONSULTA DE LA ESPECIALIDAD $23.458 $23.458 $23.458 $23.458 $23.458 $23.458

2760059 CONSULTA DE ESPECIALIDAD $12.706 $12.706 $12.706 $12.706 $12.706 $12.706

2760060 AMALGAMA SIMPLE $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760061 OBTURACIÓN DE AMALGAMA COMPUESTA $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760062 IONÓMERO $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760063 COMPOSITE FOTOCURADO SIMPLE ANTERIOR $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760064 COMPOSITE FOTOCURADO COMPUESTO ANTERIOR $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760065 INCRUSTACIONES ESTÉTICAS O CARILLAS INDIRECTAS $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760066 CARILLA ESTÉTICA DIRECTA (FOTOCURADO) $43.983 $43.983 $43.983 $43.983 $43.983 $43.983

2760067 SELLANTE POR PIEZA DEFINITIVA $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760068 HIGIENE BUCAL O PROFILAXIS $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760069 INCRUSTACIÓN SIMPLE $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760070 INCRUSTACIÓN COMPUESTA $58.644 $58.644 $58.644 $58.644 $58.644 $58.644


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

2760071 ONLAY $68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760072 COMPOSITE FOTOCURADO SIMPLE POSTERIOR $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760073 COMPOSITE FOTOCURADO COMPUESTO POSTERIOR $43.983 $43.983 $43.983 $43.983 $43.983 $43.983

2760074 RECONTITUCION PACILA DE CORONAS O CARILLA $46.915 $46.915 $46.915 $46.915 $46.915 $46.915

2760075 RECEMENTACION INCRUSTACION SIN CORRECCIONES $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760076 RECEMENTACION INCRUSTACION CON AJUSTE OPERATIVO $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760077 TRATAMIENTO CONDUCTO DIENTES ANTERIORES $73.305 $73.305 $73.305 $73.305 $73.305 $73.305

2760078 TRATAMIENTO CONDUCTOS PREMOLARES $87.966 $87.966 $87.966 $87.966 $87.966 $87.966

2760079 TRATAMIENTO CONDUCTOS MOLARES INFERIORES VITALES $127.062 $127.062 $127.062 $127.062 $127.062 $127.062

2760080 RECUBRIMIENTO PULPAR $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760081 DESOBTURACIÓN PARA REPETIR TRATAMIENTO POR CONDUCTO$19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760082 PULPOTOMÍA VITAL PIEZA PERMANENTE JOVEN PARCIAL O TOTAL$48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760083 TRATAMIENTO CONDUCTO DIENTE ANTERIOR CON LESIÓN APICAL$83.079 $83.079 $83.079 $83.079 $83.079 $83.079

2760084 TRATAMIENTO CONDUCTOS PREMOLARES CON LESIÓN APICAL $102.627 $102.627 $102.627 $102.627 $102.627 $102.627

2760085 TRATAMIENTO CONDUCTOS MOLARES INFERIORES CON LESIÓN APICAL$136.836 $136.836 $136.836 $136.836 $136.836 $136.836

2760086 TRATAMIENTO INDUCCIÓN AL CIERRE APICAL POR SESIÓN $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760087 BLANQUEAMIENTO POST-ENDODÓNTICO $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760088 GINGIVECTOMÍA UNITARIA $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760089 TRATAMIENTO CONDUCTOS MOLARES SUPERIORES VITALES $146.610 $146.610 $146.610 $146.610 $146.610 $146.610

2760090 TRATAMIENTO CONDUCTOS MOLARES SUPERIORES CON LESIÓN APICAL$156.384 $156.384 $156.384 $156.384 $156.384 $156.384


2760092 APICECTOMIA $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760093 APICECTOMIA Y EBDODONCIA SUMULTANEA $112.401 $112.401 $112.401 $112.401 $112.401 $112.401

2760094 APICECTOMIA Y OBTURACION A RETRO $146.610 $146.610 $146.610 $146.610 $146.610 $146.610

2760095 APICECTOMIA Y/O HEMISECCION SIN ENDODONCIA $43.983 $43.983 $43.983 $43.983 $43.983 $43.983

2760096 IMPLANTE ENDODONTICO INTRAOSEO A/O SIN COLGAJO $102.627 $102.627 $102.627 $102.627 $102.627 $102.627

2760097 FERULIZACION POR GRUPO $97.740 $97.740 $97.740 $97.740 $97.740 $97.740

2760098 PRÓTESIS FIJA SINGULAR O INSERCION PFP $175.932 $175.932 $175.932 $175.932 $175.932 $175.932

2760099 SISTEMA ESPIGA-MUÑÓN COLADO $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760100 INTERMEDIARIO PFP $107.514 $107.514 $107.514 $107.514 $107.514 $107.514

2760101 CORONA PROVISORIA $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760102 ATACHEMENT O BROCHE $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760103 INSERCIÓN PFP (INCRUSTACIÓN) $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760104 MUÑONES PLÁSTICOS CON PERNO AL CONDUCTO $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760105 RETIRO PERNO METÁLICO DEL CONDUCTO $43.983 $43.983 $43.983 $43.983 $43.983 $43.983

2760106 CORONAS PROVISORIAS DE ACRILICO $43.983 $43.983 $43.983 $43.983 $43.983 $43.983

2760107 CORONA TEMPORAL DE ACRILICO O POLICARBONATO $34.209 $34.209 $34.209 $34.209 $34.209 $34.209


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil


2760109 CORONA METALICA COMPLETA $127.062 $127.062 $127.062 $127.062 $127.062 $127.062

2760110 CORONA METALICA TRES CUARTO $127.062 $127.062 $127.062 $127.062 $127.062 $127.062

2760111 CORONA DEFINITIVA RESINA ACRILICA TERMOPOLIMERIZADO $131.949 $131.949 $131.949 $131.949 $131.949 $131.949

2760112 CORONA PERIFERICA SOBRE CASQUETE METALICO $175.932 $175.932 $175.932 $175.932 $175.932 $175.932

2760113 CORONA DE PORCELANA PURA $141.723 $141.723 $141.723 $141.723 $141.723 $141.723

2760114 CORONA DE PORCELANA SOBRE METAL $175.932 $175.932 $175.932 $175.932 $175.932 $175.932

2760115 CORONA INSERCION PROTESIS FIJA PLURAL $146.610 $146.610 $146.610 $146.610 $146.610 $146.610

2760116 ARTIFICIO COMO ENCLAJES DE PRECISION $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760117 UNTERMEDIO PARA FUENTE MARYLAN $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760118 INSERCIONES PARA MARYLAN $87.966 $87.966 $87.966 $87.966 $87.966 $87.966

2760119 FRENTE ESTETICO MATYLAN O PORCELANA $102.627 $102.627 $102.627 $102.627 $102.627 $102.627

2760120 RECEMENTACION CORONA SIN CORRECIONES $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760121 RECEMENTACION CORONA CON AJUSTE OPERATORIO $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760122 RECEMENTACION PUENTE DEFINITIVO SIN CORRECIONES $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760123 RECEMENTACION PUENTE CON AJUSTTE OPERATORIO $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760124 JUEGO DE PRÓTESIS TOTALES $449.604 $449.604 $449.604 $449.604 $449.604 $449.604

2760125 PRÓTESIS INMEDIATA $156.384 $156.384 $156.384 $156.384 $156.384 $156.384

2760126 REBASADO TOTAL O ACONDICIONAMIENTO DE TEJIDOS $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760127 REPARACIONES CON IMPRESIÓN $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760128 REPARACIONES SIN IMPRESIÓN $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760129 CONTROL DE PRÓTESIS $9.774 $9.774 $9.774 $9.774 $9.774 $9.774

2760130 PRÓTESIS TOTAL SUPERIOR DE ACRÍLICO $219.915 $219.915 $219.915 $219.915 $219.915 $219.915

2760131 PRÓTESIS TOTAL INFERIOR DE ACRÍLICO $234.576 $234.576 $234.576 $234.576 $234.576 $234.576

2760132 PRÓTESIS SUPERIOR O INFERIOR PARCIAL ACRÍLICA $146.610 $146.610 $146.610 $146.610 $146.610 $146.610

2760133 PRÓTESIS SUPERIOR O INFERIOR PARCIAL METÁLICA $175.932 $175.932 $175.932 $175.932 $175.932 $175.932


2760135 PROTEEIS SUOERIOR O INFERIOR UNILATERAL BASE ACRILICA $146.610 $146.610 $146.610 $146.610 $146.610 $146.610

2760136 PROTESIS SUPOERIOR O INFERIOR UNILATERAL BASE METALICA $156.384 $156.384 $156.384 $156.384 $156.384 $156.384

2760137 ARTIFICIOS COMPLETAMENTE DE ANCLAJE $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760138 TRATAMIENTO GINGIVITIS ULCERO NECRÓTICA, POR SESIÓN $43.983 $43.983 $43.983 $43.983 $43.983 $43.983

2760139 DESGASTE SELECTIVO POR SESIÓN $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760140 PULIDO RADICULAR INCIPIENTES A MODERADAS POR SEXTANTE ( INCL . FLUORACIÓN)$48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760141 COLGAJO PERIODONTAL (POR SITIO QUIRÚRGICO) $68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760142 PLANO DE ALIVIO OCLUSAL $73.305 $73.305 $73.305 $73.305 $73.305 $73.305

2760143 DESTARTRAJE SUPRAGINGIVAL Y LIMPIEZA CORONARIA POR SEXTANTE$14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760144 ADIESTRAMIENTO EN TÉCNICAS DE HIGIENE ORAL $34.209 $34.209 $34.209 $34.209 $34.209 $34.209


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

2760145 GINGIVECTOMÍA UNITARIA $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760146 CONTROL PLANO DE ALIVIO $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760147 CONTROL PERIODONTAL $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760148 PULIDO RADICULAR MODERADAS A AVANZADAS POR SEXTANTE $58.644 $58.644 $58.644 $58.644 $58.644 $58.644

2760149 DESTARTRAJE SUBGINGIVAL POR SEXTANTE $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760150 TRATAMIENTO DEL ABSCESO PERIODONTAL $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760151 TRATAMIENTO QUÍMICO DEL SACO PERIODONTAL (POR SEXTANTE)$39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760152 CIRUGÍA PLÁSTICA PERIODONTAL $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760153 INJERTOS ALOPLÁSTICOS, NO INCLUYE MATERIAL NI COLGAJO $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760154 CIRUGÍA PERI-IMPLANTARIA DE MANEJO DE TEJIDOS BLANDOS. $87.966 $87.966 $87.966 $87.966 $87.966 $87.966

2760155 PLACA ACRÍLICA COBERTORA (CLÍNICA) $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760156 TERAPIA DE MANTENCIÓN PERIODONTAL DE ENFERMEDAD INACTIVA (POR SESIÓN)$48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760157 TERAPIA DE MANTENCIÓN CON PULIDO RADICULAR Y TTO.DE LA INFECCIÓN (POR SESIÓN)$68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760158 TERAPIA DE MANTENCIÓN DE IMPLANTES (POR SESIÓN) $53.757 $53.757 $53.757 $53.757 $53.757 $53.757

2760159 GINGIVECTOMÍA POR SEXTANTE $68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760160 TRATAMIENTO HIPERSENSIBILIDAD DENTINARIA POST-TERAPIA, POR SESIÓN$39.096 $39.096 $39.096 $39.096 $39.096 $39.096


2760162 PERIODONTITIS MODERADA $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760163 PERIODONTITIS INCIPIENTE $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760164 TECNICA DE CEPILLADO $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760165 INJERTOS OSEOS $97.740 $97.740 $97.740 $97.740 $97.740 $97.740

2760166 FRENECTOMIA $68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760167 CONTROL POST QUIRURGICOS CON O SIN RETIRO DE PUNTOS $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760168 AMALGAMA SIMPLE $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760169 OBTURACIÓN DE AMALGAMA COMPUESTA $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760170 PULPOTOMÍA PIEZAS TEMPORALES $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760171 TRATAMIENTO CONDUCTOS PIEZAS TEMPORALES ANTERIORES $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760172 MANTENEDOR ESPACIO FIJO $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760173 ORTODONCIA INTERCEPTIVA (DESGASTES INTERFERENCIAS CÚSPIDES)$24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760174 APLICACIÓN DE SELLANTE PIEZA TEMPORAL $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760175 IONÓMERO $24.435 $24.435 $24.435 $24.435 $24.435 $24.435

2760176 APLICACIÓN FLUOR GEL TOTAL $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760177 HIGIENE BUCAL O PROFILAXIS $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760178 TÉCNICAS DE CEPILLADO $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760179 CORONA METÁLICA EN ODONTOPEDIATRÍA $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760180 OBTURACIÓN PREVENTIVA: SELLANTE Y OBTURACIÓN PZA. DENTARIA$29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760181 FOTOCURADO PIEZA TEMPORAL SIMPLE $24.435 $24.435 $24.435 $24.435 $24.435 $24.435


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

2760182 FOTOCURADO PIEZA TEMPORAL COMPUESTA $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760183 ATENCIÓN CON PREMEDICACIÓN (MÁXIMO 4 SS) $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760184 ACONDICIONAMIENTO PARA TRATAMIENTO POR SESIÓN $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760185 TRATAMIENTO CONDUCTOS PIEZAS TEMPORALES POSTERIORES $39.096 $39.096 $39.096 $39.096 $39.096 $39.096


2760187 CORONOA DE RSINA CON ANCLAJE SECTOR ANTERIOR $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760188 DESGASTE DE INTERFERENCIAS CUSPIDEAS $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760189 PROTESIS EN NIÑOS $68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760190 MANTENEDOR ESPACIO REMOVIBLE $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760191 CORONA METALICA PREFORMADA EN PIEZA TEMPORAL $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760192 PULPECTOMIA $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760193 PULPOTOMIA $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760194 MANTENEDOR $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760195 IMPLANTE OSEOINTEGRADO (NO INCLUYE VALOR IMPLANTE) $273.672 $273.672 $273.672 $273.672 $273.672 $273.672

2760196 CONTROLES $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760197 RECONSTRUCCIÓN DE REBORDES CON HOMO O HETEROINJERTOS$195.480 $195.480 $195.480 $195.480 $195.480 $195.480

2760198 ANTROTOMÍA (ELEVACIÓN DEL SENO MAXILAR) $293.220 $293.220 $293.220 $293.220 $293.220 $293.220

2760199 TRATAMIENTO DE INFECCIÓN PERI-IMPLANTARIA $63.531 $63.531 $63.531 $63.531 $63.531 $63.531

2760200 ESTUDIO CLÍNICO- RADIOGRÁFICO DE MODELOS $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760201 PILAR MUÑÓN SOBRE IMPLANTES $58.644 $58.644 $58.644 $58.644 $58.644 $58.644

2760202 CORONA TEMPORAL SOBRE IMPLANTES $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760203 PRÓTESIS FIJA IMPLANTE SOPORTADA ATORNILLADA O CEMENTADA POR IMPLANTE$234.576 $234.576 $234.576 $234.576 $234.576 $234.576

2760204 INTERMEDIARIO $97.740 $97.740 $97.740 $97.740 $97.740 $97.740

2760205 PRÓTESIS TOTAL O PARCIAL IMPLANTOSOPORTADA POR MAXILAR$342.090 $342.090 $342.090 $342.090 $342.090 $342.090

2760206 BARRA PARA PRÓTESIS SOBRE IMPLANTE $244.350 $244.350 $244.350 $244.350 $244.350 $244.350


2760208 CONTROLES PREVENTIVOS $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760209 CHARLAS EDUCATIVAS $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760210 ENSEÑANZA DE TÉCNICA DE CEPILLADO $19.548 $19.548 $19.548 $19.548 $19.548 $19.548


2760212 HIGIENE BUCAL - DESTARTRAJE $19.548 $19.548 $19.548 $19.548 $19.548 $19.548

2760213 APLICACIÓN DE FLUOR BARNIZ $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760214 APLICACIÓN BARNIZ DE CLORHEXIDINA $39.096 $39.096 $39.096 $39.096 $39.096 $39.096

2760215 CONSULTA PREVENTIVA $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760216 CONSULTA DE LA ESPECIALIDAD $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760217 ATENCIÓN DE URGENCIA ESPECIALIDAD $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760218 EVALUACIÓN FUNCIONAL $58.644 $58.644 $58.644 $58.644 $58.644 $58.644


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

2760219 ESTUDIO DE EXÁMENES COMPLEMENTARIOS $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760220 MONTAJE EN ARTICULADOR $48.870 $48.870 $48.870 $48.870 $48.870 $48.870

2760221 SET UP DE MODELOS $68.418 $68.418 $68.418 $68.418 $68.418 $68.418

2760222 AXIOGRAFÍA $244.350 $244.350 $244.350 $244.350 $244.350 $244.350

2760223 SONOGRAFÍA $58.644 $58.644 $58.644 $58.644 $58.644 $58.644

2760224 ELECTROMIOGRAFÍA DE SUPERFICIE $78.192 $78.192 $78.192 $78.192 $78.192 $78.192

2760225 BLOQUEO ANESTÉSICO $29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760226 DIAGNÓSTICO, PLAN E TRATAMIENTO Y ESTIMACIÓN DE TIEMPO$29.322 $29.322 $29.322 $29.322 $29.322 $29.322

2760227 PROGRAMA TERAPÉUTICO NEUROMUSCULAR EJE I $293.220 $293.220 $293.220 $293.220 $293.220 $293.220

2760228 PROGRAMA TERAPÉUTICO NEUROMUSCULAR EJE I Y EJE II $879.660 $879.660 $879.660 $879.660 $879.660 $879.660

2760229 PROGRAMA TERAPÉUTICO ARTICULAR EJE I $586.440 $586.440 $586.440 $586.440 $586.440 $586.440

2760230 PROGRAMA TERAPÉUTICO ARTICULAR EJE I Y EJE II $1.172.880 $1.172.880 $1.172.880 $1.172.880 $1.172.880 $1.172.880

2760231 ARCADA DE BRAKETTS $161.271 $161.271 $161.271 $161.271 $161.271 $161.271

2760232 BANDAS PARA TÉC. ARCO RECTO $215.028 $215.028 $215.028 $215.028 $215.028 $215.028

2760233 REPOSICIÓN DE BRACKETS O BANDAS STANDARD $14.661 $14.661 $14.661 $14.661 $14.661 $14.661

2760234 BARRA PALATINA $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760235 FUERZA EXTRAORAL $34.209 $34.209 $34.209 $34.209 $34.209 $34.209

2760236 MÁSCARA DE DELAIRE $234.576 $234.576 $234.576 $234.576 $234.576 $234.576

2760237 DISYUNTOR CEMENTADO Y ESQUELÉTICO HYRAX (INSTALACIÓN) $58.644 $58.644 $58.644 $58.644 $58.644 $58.644

2760238 ARCO TRANSPALATINO O LINGUAL (INSTALACIÓN) $37.630 $37.630 $37.630 $37.630 $37.630 $37.630

2760239 QUAD - HELIX INSTALACIÓN $64.508 $64.508 $64.508 $64.508 $64.508 $64.508

2760240 REPOSICIÓN DE BANDAS CON TUBO DE ARCO RECTO $32.254 $32.254 $32.254 $32.254 $32.254 $32.254

2760357 Blanqueamiento por cuadrante $76.020 $76.020 $76.020 $76.020 $76.020 $76.020

2760358 Tratamiento fuera de lugar habitual $86.880 $86.880 $86.880 $86.880 $86.880 $86.880

2751950 Sobturacion, Diag y Tto 1 Pieza $95.785 $95.785 $95.785 $95.785 $95.785 $95.785

2751951 Obturacion, Diag y Tto 1 hasta 4 Pieza $173.326 $173.326 $173.326 $173.326 $173.326 $173.326

2751952 Obturacion, Diag y Tto 1 más de 4 piezas $255.427 $255.427 $255.427 $255.427 $255.427 $255.427

2751953 Endodoncia Insicivo 1 pieza dental $127.714 $127.714 $127.714 $127.714 $127.714 $127.714

2751954 Endodoncia pre molar 1 pieza dental $150.520 $150.520 $150.520 $150.520 $150.520 $150.520

2751955 Endodoncia molar 1 pieza dental $173.326 $173.326 $173.326 $173.326 $173.326 $173.326Prestaciones Nuevas

401530 ERCP $23.868 $23.868 $23.868 $23.868 $23.868 $23.868

403531 Biopsia Partes Blandas Abdomen bajo TC $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

403532 Biopsia Ósea Pelvis bajo TC $269.070 $269.070 $269.070 $269.070 $269.070 $269.070

403533 Biopsia Partes Blandas Pelvis bajo TC $269.070 $269.070 $269.070 $269.070 $269.070 $269.070

403534 ArtroTC Cadera Derecha $269.114 $269.114 $269.114 $269.114 $269.114 $269.114

403535 ArtroTC Cadera Izquierda $269.114 $269.114 $269.114 $269.114 $269.114 $269.114


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

403536 ArtroTC Hombro Derecho $269.114 $269.114 $269.114 $269.114 $269.114 $269.114

403537 ArtroTC Hombro Izquierdo $269.114 $269.114 $269.114 $269.114 $269.114 $269.114

403538 ArtroTC Muñeca Derecha $269.114 $269.114 $269.114 $269.114 $269.114 $269.114

403539 ArtroTC Muñeca Izquierda $269.114 $269.114 $269.114 $269.114 $269.114 $269.114

403540 Biopsia Partes Blandas Extremidad bajo TC $269.114 $269.114 $269.114 $269.114 $269.114 $269.114

403541 Biopsia Renal bajo TC $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

406501 Anestesia Fuera de Pabellón $103.598 $103.598 $103.598 $103.598 $103.598 $103.598

401531 Tilt Test $23.868 $23.868 $23.868 $23.868 $23.868 $23.868

403542 Coloclisis por TC $707.656 $707.656 $707.656 $707.656 $707.656 $707.656

401532 RX Portátil Antebrazo $64.527 $64.527 $64.527 $64.527 $64.527 $64.527

401533 RX Portátil Cadera $61.805 $61.805 $61.805 $61.805 $61.805 $61.805

401534 RX Portátil Col. Cervical $67.171 $67.171 $67.171 $67.171 $67.171 $67.171

401535 RX Portátil Col. Dorsal $71.943 $71.943 $71.943 $71.943 $71.943 $71.943

401536 RX Portátil Clavícula $70.769 $70.769 $70.769 $70.769 $70.769 $70.769

401537 RX Portátil Col. Lumbar $71.349 $71.349 $71.349 $71.349 $71.349 $71.349

401538 RX Portátil Codo $64.527 $64.527 $64.527 $64.527 $64.527 $64.527

401539 RX Portátil Cavidades Perinasales $68.111 $68.111 $68.111 $68.111 $68.111 $68.111

401540 RX Portátil Cráneo $68.313 $68.313 $68.313 $68.313 $68.313 $68.313

401541 RX Portátil Fémur $70.769 $70.769 $70.769 $70.769 $70.769 $70.769

401542 RX Portátil Hombro $70.769 $70.769 $70.769 $70.769 $70.769 $70.769

401543 RX Portátil Húmero $70.769 $70.769 $70.769 $70.769 $70.769 $70.769

401544 RX Portátil Mano $64.527 $64.527 $64.527 $64.527 $64.527 $64.527

401545 RX Portátil Muñeca $64.527 $64.527 $64.527 $64.527 $64.527 $64.527

401546 RX Portátil Pelvis $61.805 $61.805 $61.805 $61.805 $61.805 $61.805

401547 RX Portátil Pie $64.527 $64.527 $64.527 $64.527 $64.527 $64.527

401548 RX Portátil Rodilla $70.769 $70.769 $70.769 $70.769 $70.769 $70.769

401549 RX Portátil Pierna $70.769 $70.769 $70.769 $70.769 $70.769 $70.769

403543 TC Score de Calcio $111.699 $111.699 $111.699 $111.699 $111.699 $111.699

403544 Biopsia Ósea Lumbar bajo TC $268.712 $268.712 $268.712 $268.712 $268.712 $268.712

403545 Biopsia Ósea Dorsal bajo TC $268.712 $268.712 $268.712 $268.712 $268.712 $268.712

403546 Biopsia Ósea Tórax bajo TC $326.782 $326.782 $326.782 $326.782 $326.782 $326.782

403547 Biopsia Pulmonar bajo TC $326.782 $326.782 $326.782 $326.782 $326.782 $326.782

403548 Biopsia Hepática bajo TC $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

403549 Biopsia Pancreática bajo TC $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

403550 Drenaje Percutáneo bajo TC $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

403551 FístuloTC Abdomen $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

403552 Nefrostomía Bilateral Percutánea bajo TC $653.772 $653.772 $653.772 $653.772 $653.772 $653.772


InhabilISAPRE Habil

ISAPRE

Inhabil

PARTICULAR

Habil

PARTICULAR

Inhabil

403553 Nefrostomía Unilateral Percutánea bajo TC $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

403554 Enteroclisis por TC $707.656 $707.656 $707.656 $707.656 $707.656 $707.656

403555 Biopsia Ósea Extremidad bajo TC $259.202 $259.202 $259.202 $259.202 $259.202 $259.202

403556 AngioTC de Pelvis $366.745 $366.745 $366.745 $366.745 $366.745 $366.745

403557 AngioTC de Ambas EEII $949.465 $949.465 $949.465 $949.465 $949.465 $949.465

403558 Angiotac Cuello + Cerebro $576.427 $576.427 $576.427 $576.427 $576.427 $576.427

403559 Colonoscopía Virtual por TC $681.591 $681.591 $681.591 $681.591 $681.591 $681.591

403560 AngioTC Coronario $422.332 $422.332 $422.332 $422.332 $422.332 $422.332

405566 RM Cuello $420.463 $420.463 $286.989 $286.989 $420.463 $420.463

405586 RM Fetal $420.463 $420.463 $402.654 $402.654 $420.463 $420.463

405579 RM Mamaria $467.245 $467.245 $447.454 $447.454 $467.245 $467.245

405505 RM Mamaria con Prótesis $467.245 $467.245 $447.454 $447.454 $467.245 $467.245

401550 Apoyo Fluoroscópico en Pabellón $23.868 $23.868 $23.868 $23.868 $23.868 $23.868

401551 Colangiografía Intraoperatoria $56.669 $56.669 $56.669 $56.669 $56.669 $56.669

401552 Instalación de Sonda Nasoyeyunal en Pabellón $23.868 $23.868 $23.868 $23.868 $23.868 $23.868

401553 Derecho a sala de Procedimiento Intevencional $326.886 $326.886 $326.886 $326.886 $326.886 $326.886

306587 QUANTIFERON $197.652 $197.652 $197.652 $197.652 $197.652 $197.652

CATALOGO DE PRESTACIONES CLINICA BUPA ANTOFAGASTA … · CODIGO DESCRIPCION FONASA Habil FONASA...

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Transcript of CATALOGO DE PRESTACIONES CLINICA BUPA ANTOFAGASTA … · CODIGO DESCRIPCION FONASA Habil FONASA...