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.
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
InhabilISAPRE Habil
ISAPRE
Inhabil
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
2760004 APLICACIÓN DE SELLANTE POR PIEZA $19.548 $19.548 $19.548 $19.548 $19.548 $19.548
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
2760091 CONSULTA DE ESPECIALIDAD $12.706 $12.706 $12.706 $12.706 $12.706 $12.706
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
CODIGO DESCRIPCION FONASA HabilFONASA
InhabilISAPRE Habil
ISAPRE
Inhabil
PARTICULAR
Habil
PARTICULAR
Inhabil
2760108 CONSULTA DE ESPECIALIDAD $19.548 $19.548 $19.548 $19.548 $19.548 $19.548
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
2760134 CONSULTA DE ESPECIALIDAD $12.706 $12.706 $12.706 $12.706 $12.706 $12.706
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
2760161 CONSULTA DE ESPECIALIDAD $19.548 $19.548 $19.548 $19.548 $19.548 $19.548
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
2760186 CONSULTA DE ESPECIALIDAD $12.706 $12.706 $12.706 $12.706 $12.706 $12.706
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
2760207 CONSULTA DE ESPECIALIDAD $12.706 $12.706 $12.706 $12.706 $12.706 $12.706
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
2760211 APLICACIÓN DE SELLANTE POR PIEZA $14.661 $14.661 $14.661 $14.661 $14.661 $14.661
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
CODIGO DESCRIPCION FONASA HabilFONASA
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
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