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CATALOGO DE PRESTACIONES CLINICA BUPA ANTOFAGASTA

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CODIGO DESCRIPCION FONASA Habil FONASA

Inhabil ISAPRE Hábil

ISAPRE

Inhábil PARTICULAR Habil

PARTICULAR Inhabil

1010 Otras Atenciones

713103 Visita por médico interconsultor habil $78.043 $78.043 $77.055 $77.055 $78.043 $78.043

713102 Visita por médico interconsultor inhábil $94.371 $94.371 $93.971 $93.971 $94.371 $94.371

101001 Consulta Medica electiva o de urgencia $11.060 $11.060 n.a. n.a. n.a. n.a.

104008 Atencion de Urgencia (Horario Hábil); inc. Triage n.a. n.a. $37.363 n.a. $41.292 n.a.

104009 Atencion de Urgencia (Horario Inhábil); inc. Triage n.a. n.a. n.a. $45.162 n.a. $49.892

104017 Categorización (Triage) $18.255 $18.255 n.a. n.a. n.a. n.a.

103001 Consulta Matrona $11.495 $11.495 $10.162 $10.162 $11.495 $11.495

2603009 Curaciones Planas $12.892 $12.892 $12.451 $12.451 $12.892 $12.892

2603502 Curaciones Irrigadas Y Quemadu $16.871 $16.871 $16.282 $16.282 $16.871 $16.871

2603503 Tratamientos Inyectables $8.216 $8.216 $7.923 $7.923 $8.216 $8.216

2603504 Lavado Y Extrac.De Cuerpo Extr $29.601 $29.601 $28.576 $28.576 $29.601 $29.601

2603679 Instalacion Sonda Nasogastrica $17.893 $17.893 $13.960 $13.960 $17.893 $17.893

2603608 Nebulizaciones $11.430 $11.430 $11.029 $11.029 $11.430 $11.430

2603022 Fleboclisis $19.111 $19.111 $18.445 $18.445 $19.111 $19.111

2603509 Colocación Valva De Yeso $6.202 $6.202 $5.994 $5.994 $6.202 $6.202

2603510 Sutura Menor $36.453 $36.453 $35.193 $35.193 $36.453 $36.453

2603513 Hemoglutest $5.569 $5.569 $5.369 $5.369 $5.569 $5.569

2603514 Retiro De Yeso $7.696 $7.696 $7.431 $7.431 $7.696 $7.696

2603628 Retiro De Puntos $6.462 $6.462 $6.240 $6.240 $6.462 $6.462

2603520 Vaciamiento Vasical Por Sonda $18.689 $18.689 $18.040 $18.040 $18.689 $18.689

1010 Ambulancia

2401533 Ambulancia (Viaje Ida) $59.372 $59.372 $57.935 $57.935 $59.372 $59.372

2401534 Ambulancia (Ida/Vuelta) $122.673 $122.673 $119.706 $119.706 $122.673 $122.673

2401513 Ambulancia Cerro Moreno Y/O Medicalizada $134.936 $134.936 $131.671 $131.671 $134.936 $134.936

2401514 Traslado Calama - Antofagasta $2.290.670 $2.290.670 $2.077.015 $2.077.015 $2.290.670 $2.290.670 2401515 Traslado Chuquicamata - Antofagasta $2.455.832 $2.455.832 $2.226.772 $2.226.772 $2.455.832 $2.455.832 2401516 Traslado San Pedro - Antofagasta $2.878.630 $2.878.630 $2.610.135 $2.610.135 $2.878.630 $2.878.630 2401517 Traslado Taltal - Antofagasta $2.698.715 $2.698.715 $2.447.002 $2.447.002 $2.698.715 $2.698.715 2401518 Traslado Iquique - Antofagasta $4.488.504 $4.488.504 $4.069.853 $4.069.853 $4.488.504 $4.488.504 2401062 Rescate profesionalizado y/o traslado paciente complejo $396.619 $396.619 $387.026 $387.026 $396.619 $396.619 2401063 Rescate medicalizado y/o traslado paciente crítico $705.103 $705.103 $688.048 $688.048 $705.103 $705.103 2401531 Rescate medicalizado y/o traslado paciente crítico $859.344 $859.344 $838.559 $838.559 $859.344 $859.344

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. Horario Inhábil: Recargo para prestaciones según se indica.

(2)

Inhabil Inhábil Inhabil

30 Lab

301002 Acido fólico o folatos $5.940 $8.910 $18.991 $28.486 $27.601 $41.402

301005 Aglutininas anti Rho $5.310 $7.965 $12.577 $18.865 $18.290 $27.435

301007 Anticoagulantes circulantes o anticoagulante lúpico $5.310 $7.965 $42.902 $64.353 $62.337 $93.506

301008 Antitrombina III $5.310 $7.965 $54.205 $81.307 $78.783 $118.175

301010 Células del lupus, cada muestra $3.180 $4.770 $7.496 $11.244 $10.906 $16.359

301012 Coágulo, tiempo de retracción del $1.010 $1.515 $2.738 $4.107 $4.006 $6.009

301014 Coombs directo, test de $1.460 $2.190 $3.529 $5.293 $5.147 $7.721

301015 Coombs indirecto, prueba de $2.620 $3.930 $5.740 $8.610 $8.355 $12.533

301017 Deshidrogenasa glucosa-6-fosfato en eritrocitos $5.500 $8.250 $23.280 $34.920 $33.829 $50.744

301021 Fibrinógeno $2.620 $3.930 $13.558 $20.337 $19.714 $29.571

301024 Factor V $2.620 $3.930 $13.558 $20.337 $19.714 $29.571

301025 Factores VII, VIII, IX, X, XI, XII, XIII, c/u $5.500 $8.250 $17.849 $26.773 $25.943 $38.915

301026 Ferritina $6.740 $10.110 $15.916 $23.874 $23.125 $34.688

301027 Fibrinógeno, productos de degradación del $5.500 $8.250 $13.046 $19.569 $18.979 $28.469

301028 Fierro sérico $2.620 $3.930 $6.062 $9.093 $8.824 $13.236

301030 Fierro, cinética del (cada determinación) $6.640 $9.960 $13.046 $19.569 $18.979 $28.469

301034 Grupos sanguíneos AB0 y Rho (incluye estudio de factor Du en Rh negativos)$2.960 $4.440 $5.110 $7.665 $7.433 $11.150

301035 Haptoglobina cuantitativa $4.930 $7.395 $10.996 $16.494 $15.991 $23.987

301036 Hematocrito (proc. aut.) $820 $1.230 $2.093 $3.139 $3.067 $4.601

301038 Hemoglobina en sangre total (proc. aut.) $820 $1.230 $1.931 $2.896 $2.832 $4.248

301040 Hemoglobina fetal cuantitativa en eritrocitos $5.500 $8.250 $12.577 $18.865 $18.290 $27.435

301041 Hemoglobina glicosilada $5.600 $8.400 $17.849 $26.773 $25.943 $38.915

301044 Hemoglobina, electroforesis de (incluye Hb. total) $5.940 $8.910 $26.415 $39.622 $38.398 $57.597

301045 Hemograma (incluye recuentos de leucocitos y eritrocitos, hemoglobina, hematocrito, fórmula leucocitaria, característícas de los elementos figurados y velocidad de eritrosedimentación) $3.680 $5.520 $9.562 $14.343 $13.908 $20.862 301059 Protombina, tiempo de o consumo de (incluye INR, Relación Internacional Normalizada)$1.860 $2.790 $4.626 $6.939 $6.744 $10.116

301062 Recuento de basófilos (absoluto) $1.220 $1.830 $2.723 $4.084 $3.973 $5.960

301063 Recuento de eosinófilos (absoluto) $1.200 $1.800 $2.723 $4.084 $3.973 $5.960

301064 Recuento de eritrocitos, absoluto (proc. aut.) $820 $1.230 $1.931 $2.896 $2.832 $4.248

301065 Recuento de leucocitos, absoluto (proc. aut.) $820 $1.230 $1.931 $2.896 $2.832 $4.248

301066 Recuento de linfocitos (absoluto) $1.460 $2.190 $3.529 $5.293 $5.147 $7.721

301067 Recuento de plaquetas (absoluto) $1.460 $2.190 $3.529 $5.293 $5.147 $7.721

301068 Recuento de reticulocitos (absoluto o porcentual) $1.220 $1.830 $2.723 $4.084 $3.973 $5.960

301069 Recuento diferencial o fórmula leucocitaria (proc.aut.) $2.260 $3.390 $5.110 $7.665 $7.433 $11.150

301070 Resistencia globular osmótica $3.680 $5.520 $8.448 $12.672 $12.299 $18.449

301072 Sangría, tiempo de (Ivy) (no incluye dispositivo asociado ) $1.860 $2.790 $4.626 $6.939 $6.744 $10.116

301075 Subgrupo ABO y Rh fenotipo - genotipo Rh, c/u $3.230 $4.845 $6.546 $9.819 $9.513 $14.270

(3)

Inhabil Inhábil Inhabil

301083 Trombina, tiempo de $2.260 $3.390 $5.110 $7.665 $7.433 $11.150

301085 Tromboplastina, tiempo parcial de (TTPA,TTPK o similares) $2.910 $4.365 $7.496 $11.244 $10.906 $16.359

301086 Velocidad de eritosedimentación, (proc. aut.) $690 $1.035 $2.093 $3.139 $3.067 $4.601

301087 Vitamina B12, absorción de (Co 57 o similar) $14.300 $21.450 $35.068 $52.602 $50.979 $76.469

301089 Von Willebrand, Ag de (factor VIII Ag.) $10.690 $16.035 $50.632 $75.948 $73.588 $110.382

301091 Proteína C $35.890 $53.835 $64.558 $96.837 $93.803 $140.705

301092 Proteína S $39.660 $59.490 $60.529 $90.793 $87.968 $131.952

301501 Anfetaminas $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

301502 Benzodiazepinas Orina $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

301504 Bordetella Pertussis Por If $54.044 $81.066 $40.163 $60.244 $54.044 $81.066

301505 Bordetella Pertussis Igg $54.044 $81.066 $30.060 $45.090 $54.044 $81.066

301506 Bordetella Pertussis Igm $54.044 $81.066 $30.060 $45.090 $54.044 $81.066

301507 Canabinoides Determinacion De ( Thc) $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

301509 Citraturia $35.863 $53.795 $24.672 $37.008 $35.863 $53.795

301510 Clonazepan ( Ravotril) $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

301511 Cobre Orina (Cupruria) $34.517 $51.776 $23.735 $35.602 $34.517 $51.776

301512 Cocaina $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

301513 Raspado de piel, examen microscópico de ("Acarotest"): de 6 a 10 preparaciones$9.857 $14.786 $6.618 $9.927 $9.857 $14.786

301514 Dehidroepiandrosterona sulfato (DHA, DHEA) $28.916 $43.374 $19.899 $29.848 $28.916 $43.374

301520 Antigeno Urinario Pneumococo $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

301523 Estudio Von Willebrand $184.950 $277.425 $127.284 $190.926 $184.950 $277.425

301524 Factor V Leiden $95.182 $142.773 $65.494 $98.241 $95.182 $142.773

301525 Filtracion De Leucocitos $55.421 $83.132 $38.143 $57.214 $55.421 $83.132

301526 Resistencia A Proteina C Actv. $82.131 $123.197 $56.518 $84.777 $82.131 $123.197

301534 Htlv-1/2 $66.672 $100.008 $45.874 $68.811 $66.672 $100.008

301536 Igg4 Especifica C/U $148.992 $223.488 $31.642 $47.463 $148.992 $223.488

301541 Oxaluria $35.863 $53.795 $24.672 $37.008 $35.863 $53.795

301543 Peptido C $57.486 $86.229 $39.548 $59.322 $57.486 $86.229

301546 Phadiatop Adulto ( Inhalante) $125.552 $188.328 $86.402 $129.603 $125.552 $188.328

301547 Phadiatop Pediatrico ( Inhalante - Alimentos ) $125.552 $188.328 $86.402 $129.603 $125.552 $188.328

301548 Plomo ( Sangre ) $77.015 $115.523 $53.004 $79.506 $77.015 $115.523

301550 Pregnantriol (Orina) $32.515 $48.773 $24.159 $36.238 $32.515 $48.773

301553 Urobilinógeno (cuantitativo) $8.355 $12.533 $6.194 $9.291 $8.355 $12.533

301554 Screening Enf. Metabolica ( Incluye Aminoaciduria ). $124.473 $186.710 $85.655 $128.482 $124.473 $186.710

301556 Subclases Igg 1,2,3,4 $148.992 $223.488 $102.523 $153.784 $148.992 $223.488

301557 Test De Clonidina (5 Muestras) $161.949 $242.924 $111.355 $167.032 $161.949 $242.924

301560 Test Pack Clostridium Difficile A+B $34.814 $52.221 $23.954 $35.931 $34.814 $52.221

(4)

Inhabil Inhábil Inhabil

301572 Orina, sedimento (proc. aut.) $4.193 $6.290 $2.869 $4.303 $4.193 $6.290

301579 Magnesio $12.299 $18.449 $8.448 $12.672 $12.299 $18.449

301580 Proteínas, electroforesis (incluye cód. 03-02-060) $19.636 $29.454 $13.499 $20.248 $19.636 $29.454

301281 TEST DE HOMA $28.321 $42.482 $28.321 $42.482 $28.321 $42.482

301585 Bartonella Henselae Serologia Igg $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

301588 Bartonella Henselae Serologia Igm $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

301589 Zinc Urinario $34.517 $51.776 $23.735 $35.602 $34.517 $51.776

302001 Acetona cualitativa $1.010 $1.515 $3.529 $5.293 $5.147 $7.721

302004 Acido láctico $4.720 $7.080 $8.434 $12.651 $12.283 $18.425

302005 Acido úrico, en sangre $1.940 $2.910 $4.320 $6.480 $6.289 $9.434

302008 Amilasa, en sangre $2.940 $4.410 $5.110 $7.665 $7.433 $11.150

302009 Aminoácidos, cualitativo en sangre $6.940 $10.410 $24.921 $37.381 $36.240 $54.360

302010 Amonio $2.620 $3.930 $5.740 $8.610 $8.355 $12.533

302011 Bicarbonato (proc.aut.) $820 $1.230 $2.093 $3.139 $3.067 $4.601

302012 Bilirrubina total (proc.aut.) $1.620 $2.430 $3.851 $5.776 $5.617 $8.426

302013 Bilirrubina total y conjugada $1.860 $2.790 $4.626 $6.939 $6.744 $10.116

302015 Calcio en sangre $1.660 $2.490 $3.690 $5.535 $5.382 $8.073

302016 Calcio iónico, incluye proteínas totales $3.230 $4.845 $9.253 $13.879 $13.457 $20.186

302017 Caroteno $2.620 $3.930 $5.740 $8.610 $8.355 $12.533

302018 Caroteno, prueba de sobrecarga de, además 2 códigos 03-07-011 o 03-07-012.$5.920 $8.880 $13.529 $20.293 $19.684 $29.526

302019 Ceruloplasmina $4.060 $6.090 $21.874 $32.811 $31.811 $47.717

302020 Cobre $1.900 $2.850 $23.735 $35.602 $34.517 $51.776

302021 Colinesterasa en plasma o sangre total $3.680 $5.520 $8.448 $12.672 $12.299 $18.449

302023 Creatinina en sangre $1.620 $2.430 $3.690 $5.535 $5.382 $8.073

302024 Creatinina, depuración de (Clearence) (proc.aut.) $3.630 $5.445 $9.076 $13.614 $13.205 $19.808

302025 Creatinquinasa CK - MB miocárdica $5.920 $8.880 $9.385 $14.077 $13.690 $20.535

302026 Creatinquinasa CK - total $4.500 $6.750 $10.337 $15.505 $15.037 $22.556

302027 Troponina $11.860 $17.790 $39.913 $59.869 $61.133 $91.700

302029 Deshidrogenasa hidroxibutírica (HBDH) $2.620 $3.930 $5.740 $8.610 $8.355 $12.533

302030 Deshidrogenasa láctica total (LDH) $2.750 $4.125 $5.740 $8.610 $8.355 $12.533

302032 Electrolitos plasmáticos (sodio, potasio, cloro) c/u $1.490 $2.235 $5.608 $8.412 $8.167 $12.251

302033 Enzima convertidora de angiotensina I $7.360 $11.040 $22.284 $33.426 $32.406 $48.609

302034 Perfil Lipídico (incluye: colesterol total, HDL, LDL, VLDL y triglicéridos) $7.710 $11.565 $20.849 $31.273 $30.323 $45.485

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 $10.395 $16.398 $24.597 $23.831 $35.747

302036 Fenilalanina $2.620 $3.930 $9.123 $13.684 $13.269 $19.904

302037 Fosfatasas ácidas totales $2.130 $3.195 $5.110 $7.665 $7.433 $11.150

302038 Fosfatasas ácidas totales y fracción prostática. $3.680 $5.520 $8.448 $12.672 $12.299 $18.449

(5)

Inhabil Inhábil Inhabil

302040 Fosfatasas alcalinas totales $1.660 $2.490 $3.529 $5.293 $5.147 $7.721

302041 Fosfolípidos $1.860 $2.790 $4.320 $6.480 $6.289 $9.434

302042 Fósforo (fosfatos) en sangre $2.180 $3.270 $4.320 $6.480 $6.289 $9.434

302045 Gamma glutamiltranspeptidasa (GGT) $2.860 $4.290 $6.706 $10.059 $9.762 $14.643

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 $6.795 $8.609 $12.913 $12.518 $18.777

302047 Glucosa en sangre $1.580 $2.370 $2.401 $3.601 $3.536 $5.304

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 $11.085 $9.984 $14.976 $14.912 $22.368 302050 Adenosindeaminasa en sangre u otro fluído biológico. $5.500 $8.250 $9.942 $14.913 $14.457 $21.686

302053 Lipasa $2.910 $4.365 $7.335 $11.002 $10.687 $16.031

302054 Lipoproteínas, electroforesis de (incluye lípidos totales) $8.180 $12.270 $26.415 $39.622 $38.398 $57.597

302055 Litio $3.680 $5.520 $12.754 $19.131 $18.558 $27.837

302056 Magnesio $3.680 $5.520 $8.448 $12.672 $12.299 $18.449

302057 Nitrógeno ureico y/o urea, en sangre $1.600 $2.400 $2.401 $3.601 $3.536 $5.304

302059 Proteínas fraccionadas albúmina/globulina (incluye código 03-02-060)$2.820 $4.230 $6.706 $10.059 $9.762 $14.643

302060 Proteínas totales o albúminas, c/u, en sangre $1.810 $2.715 $4.320 $6.480 $6.289 $9.434

302061 Proteínas, electroforesis (incluye cód. 03-02-060) $7.780 $11.670 $13.499 $20.248 $19.636 $29.454 302063 Transaminasas, oxalacética (GOT/AST), Pirúvica (GPT/ALT), c/u $2.370 $3.555 $6.237 $9.355 $9.091 $13.637

302064 Triglicéridos (proc.aut.) $2.190 $3.285 $4.626 $6.939 $6.744 $10.116

302066 Xilosa, prueba de absorción (no incluye la xilosa que se administra )$3.870 $5.805 $5.725 $8.587 $8.433 $12.650

302067 Colesterol total (proc.aut.) $1.700 $2.550 $5.446 $8.169 $7.947 $11.921

302068 Colesterol HDL (proc. aut.) $2.480 $3.720 $5.417 $8.125 $7.884 $11.826

302069 Lípidos totales (proc.aut.) $2.180 $3.270 $6.843 $10.264 $30.323 $45.485

302070 Apolipoproteínas (AI.B u otras) $8.020 $12.030 $22.284 $33.426 $32.406 $48.609

302075 Perfil Bioquímico (determinación automatizada de 12 parámetros)$10.400 $15.600 $25.712 $38.568 $37.365 $56.048 302076 Perfil Hepático (incluye tiempo de protrombina, bilirrubina total y conjugada, fosfatasas alcalinas totales, GGT, transaminasas GOT/AST y GPT/ALT)$12.910 $19.365 $32.768 $49.152 $47.615 $71.423

302501 Catecolaminas $39.118 $58.677 $26.912 $40.368 $39.118 $58.677 302502 Vancomicina $23.831 $35.747 $16.398 $24.597 $23.831 $35.747 302504 Dimero D $41.403 $62.105 $28.479 $42.718 $41.403 $62.105 302505 Pro-Bnp $89.673 $134.510 $61.702 $92.553 $89.673 $134.510 302508 25 - Hidroxi Vitamina D $111.830 $167.745 $76.959 $115.438 $111.830 $167.745 302509 Arsenico $105.993 $158.990 $72.933 $109.399 $105.993 $158.990 302510 Pre-Albumina $23.689 $35.534 $16.296 $24.444 $23.689 $35.534 302511 Acido Acetilsalicilico $23.831 $35.747 $16.398 $24.597 $23.831 $35.747 302512 Ciclosporina $82.085 $123.128 $56.488 $84.732 $82.085 $123.128 302513 Homocisteina $85.215 $127.823 $58.627 $87.940 $85.215 $127.823 302514 Fructosamina $26.225 $39.338 $18.038 $27.057 $26.225 $39.338

302515 Sulfaniureas Nivel Plasmatico $197.998 $296.997 $136.259 $204.388 $197.998 $296.997

(6)

Inhabil Inhábil Inhabil

302519 Lamotrigina $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

302520 Catecolaminas $39.118 $58.677 $26.912 $40.368 $39.118 $58.677

302521 Haptoglobina cuantitativa $15.991 $23.987 $10.996 $16.494 $15.991 $23.987

302524 Paracetamol Niveles Plasmaticos $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

302525 Peptido Natriuretico Cerebral (Bnp) $57.486 $86.229 $39.548 $59.322 $57.486 $86.229

302526 Screening Metabolico (Tandem) $124.473 $186.710 $85.655 $128.482 $124.473 $186.710

302527 Screening Metabolico Ampliado $124.473 $186.710 $85.655 $128.482 $124.473 $186.710

303001 Adenocorticotrofina (ACTH) $10.210 $15.315 $26.899 $40.348 $39.086 $58.629

303002 Aldosterona $8.750 $13.125 $22.271 $33.406 $32.390 $48.585

303003 Androstenediona $6.640 $9.960 $22.314 $33.471 $32.452 $48.678

303005 Catecolaminas $8.750 $13.125 $26.912 $40.368 $39.118 $58.677

303006 Cortisol $6.640 $9.960 $22.314 $33.471 $32.452 $48.678

303007 Crecimiento, hormona de (HGH) (somatotrofina) $8.750 $13.125 $22.271 $33.406 $32.390 $48.585

303008 Dehidroepiandrosterona sulfato (DHA, DHEA) $8.620 $12.930 $19.899 $29.848 $28.916 $43.374

303009 Eritropoyetina $6.270 $9.405 $13.046 $19.569 $18.979 $28.469

303010 Estriol en sangre $6.530 $9.795 $35.859 $53.788 $52.104 $78.156

303011 Estrona $6.640 $9.960 $22.314 $33.471 $32.452 $48.678

303012 Gastrina $8.750 $13.125 $26.912 $40.368 $39.118 $58.677

303014 Gonadotrofina coriónica, sub-unidad beta (incluye titulación si corresponde) (Elisa, RIA o IRMA, Quimioluminiscencia u otra técnica).$6.430 $9.645 $22.314 $33.471 $32.452 $48.678

303015 Hormona folículo estimulante (FSH) $6.430 $9.645 $22.314 $33.471 $32.452 $48.678

303016 Hormona luteinizante (LH) $6.430 $9.645 $18.799 $28.198 $27.335 $41.003

303017 Insulina $6.320 $9.480 $17.043 $25.564 $24.784 $37.176

303018 Parathormona, hormona Paratiroídea o PTH. $9.950 $14.925 $31.349 $47.023 $45.563 $68.345

303019 Progesterona $6.430 $9.645 $22.314 $33.471 $32.452 $48.678

303020 Prolactina (PRL) $6.430 $9.645 $22.314 $33.471 $32.452 $48.678

303021 Renina $8.750 $13.125 $22.271 $33.406 $32.390 $48.585

303022 Testosterona en sangre $6.640 $9.960 $17.511 $26.266 $25.457 $38.186

303023 Testosterona libre en sangre $7.980 $11.970 $20.382 $30.573 $29.635 $44.453

303024 Tiroestimulante (TSH), hormona (Adulto, niño o R.N.) $5.600 $8.400 $22.314 $33.471 $32.452 $48.678

303025 Tiroglobulina $8.750 $13.125 $11.113 $16.669 $16.695 $25.043 303026 Tiroxina libre (T4L) $6.430 $9.645 $22.314 $33.471 $32.452 $48.678 303027 Tiroxina o tetrayodotironina (T4) $5.600 $8.400 $17.849 $26.773 $25.943 $38.915 303028 Triyodotironina (T3) $5.600 $8.400 $17.849 $26.773 $25.943 $38.915 303029 17 - Hidroxiprogesterona $8.750 $13.125 $16.385 $24.577 $23.815 $35.723 303030 Estradiol (17-Beta) $6.320 $9.480 $22.314 $33.471 $32.452 $48.678

303031 Insulina, curva de (mínimo cuatro determinaciones e incluye todas las tomas de muestras necesarias. No incluye la glucosa que se administra)$17.060 $25.590 $47.732 $71.598 $69.364 $104.046

303032 Ac. vainillilmandélico, cuantitativo $6.000 $9.000 $33.003 $49.504 $47.974 $71.961

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Inhabil Inhábil Inhabil

303035 Cortisol libre urinario $7.200 $10.800 $22.284 $33.426 $32.406 $48.609

303036 Estriol $6.640 $9.960 $16.398 $24.597 $23.831 $35.747

303039 Gonadotrofina coriónica, sub-unidada Beta; titulación por (Elisa; RIA o IRMA; Quimioluminiscencia u otra técnica)$6.640 $9.960 $16.398 $24.597 $23.831 $35.747

303043 17 - Cetoesteroides $6.530 $9.795 $12.402 $18.603 $18.025 $27.038

303044 17 - Hidroxicorticoesteroides $6.640 $9.960 $12.402 $18.603 $18.025 $27.038

303046 SHBG (Sex-Hormone Binding Globulin) $15.060 $22.590 $21.890 $32.835 $32.328 $48.492

303047 IGF1 o Somatomedina - C (Insuline Like Growth Factor) $15.300 $22.950 $21.890 $32.835 $32.328 $48.492 303048 IGFBP3, IGFBP1 (Insulin Like Growth Factor Binding Proteins) c/u $15.300 $22.950 $21.890 $32.835 $32.328 $48.492

303501 Trab $66.672 $100.008 $45.874 $68.811 $66.672 $100.008

303503 Tiroxina libre (T4L) $32.452 $48.678 $22.314 $33.471 $32.452 $48.678

303582 Peptido Ciclico Citrulinado $57.486 $86.229 $39.548 $59.322 $57.486 $86.229

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 $13.800 $16.852 $25.278 $24.519 $36.779

304008 Cariograma En Sangre $689.634 $1.034.451 $474.636 $711.954 $689.634 $1.034.451

304009 Cariograma Vellosidades Coriales $649.140 $973.710 $446.773 $670.159 $649.140 $973.710

304501 Cariograma Reg. Subtelomericas $689.634 $1.034.451 $474.636 $711.954 $689.634 $1.034.451

304502 Estudio De Paternidad $689.634 $1.034.451 $474.636 $711.954 $689.634 $1.034.451

304503 Estudio Inmunologico Para Diabetis $137.477 $206.216 $94.603 $141.904 $137.477 $206.216

305001 Alfa -1- antitripsina cuantitativa $6.640 $9.960 $19.912 $29.868 $28.930 $43.395

305003 Alfa fetoproteínas $6.430 $9.645 $19.912 $29.868 $28.930 $43.395

305004 Tamizaje de Anticuerpos anti antígenos nucleares extractables (a- ENA: Sm, RNP, Ro, La, Scl- 70 y Jo- 1)$12.800 $19.200 $19.855 $29.782 $29.024 $43.536 305005 Anticuerpos antinucleares (ANA), antimitocondriales, anti DNA (ADNA), anti músculo liso, anticentrómero, u otros, c/u.$8.980 $13.470 $22.431 $33.646 $32.608 $48.912

305007 Anticuerpos específicos y otros autoanticuerpos (anticuerpos antitiroídeos: anticuerpos antimicrosomales y antitiroglobulinas y otros anticuerpos: prostático, espermios, etc.) c/u$7.200 $10.800 $17.673 $26.509 $54.200 $81.300

305008 Antiestreptolisina O, por técnica de látex $5.790 $8.685 $10.659 $15.988 $15.506 $23.259

305009 Antígeno carcinoembrionario (CEA) $8.750 $13.125 $26.912 $40.368 $39.118 $58.677

305010 Beta-2-microglobulina $8.750 $13.125 $17.702 $26.553 $23.815 $35.723

305012 Complemento C1Q, C2, C3, C4, etc., c/u $5.790 $8.685 $17.995 $26.992 $26.162 $39.243

305013 Complemento hemolítico (CH 50) $7.200 $10.800 $13.353 $20.029 $19.433 $29.150

305014 Crioglobulinas, precipitación en frío (cualitativa) o cuantitativa c/u $1.390 $2.085 $3.690 $5.535 $5.382 $8.073 305020 Factor reumatoídeo por técnica de Scat, Waaler Rose, nefelométricas y/o turbidimétricas$5.700 $8.550 $14.979 $22.468 $21.780 $32.670

305021 Inhibidor de C1Q, C2 y C3, c/u $5.790 $8.685 $15.813 $23.719 $36.801 $55.202

305022 Inmunoelectroforesis de cadenas livianas Kappa o Lambda libres (Bence Jones) o unidas, c/u.$6.640 $9.960 $28.376 $42.564 $41.230 $61.845 305023 Inmunoelectroforesis de inmunoglobulinas cadenas pesadas (IgG, IgA, IgM ) c/u$5.790 $8.685 $28.376 $42.564 $41.230 $61.845 305024 Inmunoelectroforesis de inmunoglobulinas IgD e IgE c/u $6.420 $9.630 $28.376 $42.564 $41.230 $61.845

305026 Inmunoglobulina IgA secretora $5.600 $8.400 $18.799 $28.198 $27.335 $41.003

305027 Inmunoglobulinas IgA, IgG, IgM, c/u $5.790 $8.685 $18.317 $27.475 $26.647 $39.971

305028 Inmunoglobulinas IgE, IgD total, c/u $6.640 $9.960 $28.376 $42.564 $41.230 $61.845

305029 Inmunoglobulinas IgE, IgG específicas, c/u $6.530 $9.795 $16.398 $24.597 $23.831 $35.747

(8)

Inhabil Inhábil Inhabil 305032 Proteínas Bence Jones por electroforesis (incluye proteinuria) $7.540 $11.310 $13.821 $20.731 $20.106 $30.159

305035 Crioaglutininas $2.910 $4.365 $6.224 $9.336 $9.075 $13.613

305037 Digestión fagocítica nitroblue-tetrazolium cualitativo y cuantitativo$7.360 $11.040 $11.933 $17.899 $17.352 $26.028 305038 Fagocitosis: ingestión y digestión (killing) de levaduras por polimorfonucleares.$15.170 $22.755 $21.890 $32.835 $32.294 $48.441

305043 Linfocitos B (inmunofluorescencia) $6.720 $10.080 $23.573 $35.359 $34.267 $51.401

305045 Linfocitos T "helper" (OKT4) o supresores (OKT8) con antisuero monoclonal, c/u.$7.360 $11.040 $18.302 $27.453 $26.599 $39.899

305046 Linfocitos T totales ( OKT3 y/o OKT11) con antisuero monoclonal o inmunofenotipificación de poblaciones y subpoblaciones celulares ( antígenos o marcadores inmunocelulares)$7.360 $11.040 $18.302 $27.453 $26.599 $39.899

305060 Tipificación HLA B-27. $20.420 $30.630 $35.068 $52.602 $50.979 $76.469

305070 Antígeno prostático específico $11.260 $16.890 $28.801 $43.201 $41.856 $62.784

305081 Anticuerpo antiendomisio (EMA, antimembrana basal glomerular (GBM), antireticulina, por IFI c/u.$13.470 $20.205 $22.431 $33.646 $32.608 $48.912 305082 Anticuerpos anticitoplasma de neutrófilos (ANCA), C-ANCA y P-ANCA, por IFI$20.050 $30.075 $29.972 $44.958 $44.108 $66.162 305084 Anticuerpos anticardiolipinas por Elisa (isotipos G-M-A), c/u. $15.310 $22.965 $47.249 $70.873 $68.660 $102.990 305086 Anticuerpos antigliadina (enfermedad celiaca), por Elisa (isotipos G-M, c/u).$13.470 $20.205 $22.431 $33.646 $32.608 $48.912

305170 Antígeno Ca 125, Ca 15-3 y Ca 19-9, c/u $11.420 $17.130 $28.801 $43.201 $41.856 $62.784

305181 Estudio de Anticuerpo Antitransglutaminsa (TTG) $13.660 $20.490 $31.642 $47.463 $46.002 $69.003

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 $34.740 $73.210 $109.815 $106.369 $159.554

305501 Ac. Anti Lkm-1 $68.268 $102.402 $46.986 $70.479 $68.268 $102.402

305502 Ac. Anti Gad $34.517 $51.776 $23.735 $35.602 $34.517 $51.776

305503 Ac. Anti Insulina $34.517 $51.776 $23.735 $35.602 $34.517 $51.776

305504 Ac. Anti-Islotes $95.744 $143.616 $71.160 $106.740 $95.744 $143.616

305505 Ac. Anti-Plaquetarios $56.330 $84.495 $38.758 $58.137 $56.330 $84.495

305506 Anticuerpos Antineumococo $162.996 $244.494 $112.173 $168.259 $162.996 $244.494

305509 Mutac. G 20210 A Del Gen De La Protrombina Stg $95.182 $142.773 $65.494 $98.241 $95.182 $142.773

305511 Ac. Peptidos Deaminados Gliadina Iga $32.608 $48.912 $22.431 $33.646 $32.608 $48.912

305512 Ac. Peptidos Deaminados Gliadina Igg $32.608 $48.912 $22.431 $33.646 $32.608 $48.912

305513 Traslocacion 9;22 Por Pcr $160.931 $241.397 $110.752 $166.128 $160.931 $241.397

305516 Ac Anti Proteína P Ribosomal $32.608 $48.912 $22.431 $33.646 $32.608 $48.912

305522 TIPIFICACION HLA A Y B (CLASE 1) $221.683 $332.525 $221.683 $332.525 $221.683 $332.525

306001 Baciloscopia Ziehl-Neelsen por concentración de líquidos (orina u otros), c/u$3.120 $4.680 $6.224 $9.336 $9.075 $13.613

306002 Baciloscopia Ziehl-Neelsen, c/u $2.130 $3.195 $5.110 $7.665 $7.433 $11.150

306004 Examen directo al fresco, c/s tinción (incluye trichomonas) $1.860 $2.790 $4.626 $6.939 $6.744 $10.116

306005 Tinción de Gram $820 $1.230 $3.529 $5.293 $5.147 $7.721

306006 Ultramicroscopía (incluye toma de muestras) $5.500 $8.250 $12.577 $18.865 $18.290 $27.435

306007 Coprocultivo, c/u $5.120 $7.680 $9.401 $14.101 $13.690 $20.535

306008 Cultivo corriente (excepto coprocultivo, hemocultivo y urocultivo) c/u$4.240 $6.360 $7.160 $10.740 $10.420 $15.630

306009 Hemocultivo aerobio, c/u $5.220 $7.830 $10.030 $15.045 $14.583 $21.875

306010 Hemocultivo anaerobio, c/u $8.590 $12.885 $16.474 $24.711 $22.187 $33.281

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Inhabil Inhábil Inhabil

306012 Cultivo para Anaerobios (incluye Cód. 03-06-008) $8.180 $12.270 $13.499 $20.248 $19.636 $29.454

306014 Cultivo para Campylobacter, Yersinia, Vibrio, c/u $5.500 $8.250 $17.218 $25.827 $25.034 $37.551

306016 Neisseria gonorrhoeae (gonococo) $3.660 $5.490 $8.302 $12.453 $12.080 $18.120

306017 Cultivo para Levaduras $3.310 $4.965 $6.224 $9.336 $9.075 $13.613

306018 Cultivo para bacilo de Koch, (incluye otras micobacterias) $5.340 $8.010 $12.577 $18.865 $18.290 $27.435

306020 Cultivo para Listeria $5.500 $8.250 $10.835 $16.252 $14.583 $21.875

306021 Neisseria meningitidis (meningococo) $3.660 $5.490 $7.483 $11.224 $10.890 $16.335

306022 Cultivo y Tipificación de micobacterias $5.500 $8.250 $13.588 $20.382 $18.290 $27.435

306023 Cultivo de Mycoplasma y Ureaplasma, c/u $7.570 $11.355 $12.577 $18.865 $18.290 $27.435

306026 Antibiograma Corriente (mínimo 10 fármacos) (en caso de urocultivo no corresponde su cobro; incluido en el valor 03-06-011)$3.420 $5.130 $6.224 $9.336 $9.075 $13.613

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 $14.160 $12.635 $18.952 $18.838 $28.257 306032 Aspergilosis, candidiasis, histoplasmosis u otros hongos por inmunodiagnóstico c/u$6.060 $9.090 $13.588 $20.382 $18.290 $27.435

306034 Clamidias por inmunofluorescencia, peroxidasa, Elisa o similares $6.700 $10.050 $12.562 $18.843 $18.275 $27.413 306036 Mononucleosis, reacción de Paul Bunnell, Anticuerpos Heterófilos o similares$2.940 $4.410 $6.370 $9.555 $9.279 $13.919

306037 Mycoplasma IgG, IgM, c/u. $5.920 $8.880 $16.296 $24.444 $23.689 $35.534

306038 R.P.R. $3.220 $4.830 $6.852 $10.278 $9.967 $14.951

306039 Tíficas, reacciones de aglutinación (Eberth H y O, paratyphi A y B) (Widal)$4.510 $6.765 $10.030 $15.045 $14.583 $21.875

306041 Treponema pallidum FTA - ABS, MHA-TP c/u $6.060 $9.090 $12.577 $18.865 $18.290 $27.435

306042 V.D.R.L. $3.760 $5.640 $6.852 $10.278 $9.967 $14.951

306043 Artrópodos macroscópicos y microscópicos (imagos y/o pupas y/o larvas), diagnóstico de$3.660 $5.490 $10.060 $15.090 $14.630 $21.945

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 $16.245 $26.575 $39.862 $38.617 $57.926

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 $32.670 $34.438 $51.657 $50.322 $75.483 306047 Coproparasitario seriado para Isospora y Sarcocystis (incluye diagnóstico de gusanos macroscópicos y examen microscopico de 3 muestras separadas )$5.920 $8.880 $10.014 $15.021 $14.568 $21.852

306048 Coproparasitológico seriado simple (incluye diagnóstico de gusanos macroscópicos y exámen microscópico por concentración de tres muestras separadas método Telemann ) (proc. aut.)$3.790 $5.685 $7.483 $11.224 $10.890 $16.335 306049 Diagnóstico de parásitos en jugo duodenal y/o bilis, examen macroscópico y microscópico (directo y/o concentración, c/s tinción)$3.620 $5.430 $7.804 $11.706 $11.361 $17.042

306051 Graham, examen de (incluye diagnóstico de gusanos macroscópicos y examen microscópico de 5 muestras separadas)$2.590 $3.885 $6.062 $9.093 $8.824 $13.236

306052 Gusanos macroscópicos, diagnóstico de (proc. aut.) $2.130 $3.195 $5.270 $7.905 $7.666 $11.499

306053 Hemoparásitos, diagnóstico microscópico de (mínimo 10 frotis y/o gotas gruesas, c/s examen directo al fresco), cada sesión.$10.980 $16.470 $16.984 $25.476 $24.848 $37.272 306056 Raspado de piel, examen microscópico de ("Acarotest"): de 6 a 10 preparaciones$4.930 $7.395 $6.618 $9.927 $9.857 $14.786 306057 Tenias post trat., diagnóstico y búsqueda de escólex de $3.620 $5.430 $9.971 $14.956 $13.440 $20.160

306059 Coproparasitológico seriado simple (incluye diagnóstico de gusanos macroscópicos y exámen microscópico por concentración de tres muestras separadas método PAFS) (proc. aut.) $4.900 $7.350 $13.851 $20.776 $20.153 $30.230 306061 Elisa indirecta (Chagas, hidatidosis, toxocariasis y otras), c/u $6.720 $10.080 $16.398 $24.597 $23.831 $35.747

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 $10.485 $16.398 $24.597 $23.831 $35.747 306070 Antígenos virales determ. de (adenovirus, citomegalovirus, herpes simple, rubéola, influenza y otros), (por cualquier técnica ej: inmunofluorescencia), c/u$6.320 $9.480 $37.147 $55.720 $53.982 $80.973

306073 Virus hepatitis A, Anticore $6.720 $10.080 $16.398 $24.597 $23.831 $35.747

306074 Virus hepatitis A, anticuerpos IgM del $9.460 $14.190 $21.802 $32.703 $31.701 $47.552

306076 Virus hepatitis B, anticore total del (anti HBc total) $8.740 $13.110 $17.335 $26.002 $25.222 $37.833 306077 Virus hepatitis B, antígeno de superficie o antígeno australiano. $6.540 $9.810 $16.398 $24.597 $23.831 $35.747

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Inhabil Inhábil Inhabil

306078 Virus hepatitis B, antígeno E del (HBEAg) $8.180 $12.270 $15.741 $23.611 $22.892 $34.338

306080 Virus hepatitis B, anticore IgM del (anti HBc IgM) $9.070 $13.605 $23.413 $35.119 $34.016 $51.024

306081 Virus hepatitis C, anticuerpos de (anti HCV) $10.050 $15.075 $16.852 $25.278 $24.519 $36.779

306090 Test rápido de detección de streptococcus. $6.820 $10.230 $21.816 $32.724 $31.716 $47.574

306117 Cultivo para hongos filamentosos $3.780 $5.670 $5.725 $8.587 $8.386 $12.579

306169 Anticuerpos virales, determ. de H.I.V. $6.670 $10.005 $16.398 $24.597 $23.831 $35.747

306170 Antígenos virales determ. de rotavirus, por cualquier técnica $6.320 $9.480 $14.481 $21.721 $21.045 $31.568

306171 Virus hepatitis A, Anticore $23.831 $35.747 $16.398 $24.597 $23.831 $35.747

306177 Virus hepatitis B, anticuerpo del antígeno E del $25.222 $37.833 $17.335 $26.002 $25.222 $37.833 306270 Antígenos virales determ. de virus sincicial, por cualquier técnica $6.900 $10.350 $37.132 $55.698 $53.966 $80.949

306503 Legionella Antigeno Urinario $259.117 $388.676 $218.225 $327.337 $259.117 $388.676

306506 Hpv Por Pcr (Pack) $140.246 $210.369 $96.506 $144.759 $140.246 $210.369

306507 Parvovirus B19 Igg $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

306508 Parvovirus B19 Igm $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

306510 Hepatitis B Carga Viral $516.530 $774.795 $355.494 $533.241 $516.530 $774.795

306511 Parotiditis Igg $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

306512 Parotiditis Igm $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

306513 Examen directo al fresco, c/s tinción (incluye trichomonas) $6.744 $10.116 $4.626 $6.939 $6.744 $10.116

306514 Hepatitis E Igm $174.326 $261.489 $119.962 $179.943 $174.326 $261.489

306516 Citomegalovirus Antigenemia $213.145 $319.718 $146.699 $220.048 $213.145 $319.718

306518 Espectrometria De Masas $59.771 $89.657 $41.130 $61.695 $59.771 $89.657

306519 Hiv Carga Viral $413.758 $620.637 $284.774 $427.161 $413.758 $620.637

306520 Latex Lcr $18.369 $27.554 $13.632 $20.448 $18.369 $27.554

306521 Leptospira Igg $122.204 $183.306 $84.089 $126.133 $122.204 $183.306

306522 Leptospira Igm $122.204 $183.306 $84.089 $126.133 $122.204 $183.306

306523 Panel Viral En Lcr Por Pcr (Mediflex) $390.804 $586.206 $268.960 $403.440 $390.804 $586.206

306524 Parvovirus B19 Por Pcr $107.591 $161.387 $74.045 $111.067 $107.591 $161.387

306527 Aspergillus Anticuerpos Totales $77.735 $116.603 $53.488 $80.232 $77.735 $116.603

306528 Bordetella Pertussis Por Pcr $106.369 $159.554 $73.210 $109.815 $106.369 $159.554

306529 Brucella Igg $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

306530 Brucella Igm $43.687 $65.531 $30.060 $45.090 $43.687 $65.531

306531 Enterovirus Pcr $149.430 $224.145 $102.832 $154.248 $149.430 $224.145

306534 Hepatitis E Igg $73.290 $109.935 $50.426 $75.639 $73.290 $109.935

306536 Htlv Por Pcr $106.369 $159.554 $73.210 $109.815 $106.369 $159.554

306537 Mycoplasma Pneumoniae Por Pcr $106.369 $159.554 $73.210 $109.815 $106.369 $159.554

306538 Pneumocystis Jiroveci Pcr $106.369 $159.554 $73.210 $109.815 $106.369 $159.554

306539 Toxoplasma Por Pcr $106.369 $159.554 $73.210 $109.815 $106.369 $159.554

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Inhabil Inhábil Inhabil

306770 Influenza Test Pack $53.982 $80.973 $37.147 $55.720 $53.982 $80.973

307009 Arterial en adultos $1.460 $2.190 $3.382 $5.073 $4.945 $7.418

307010 Arterial en niños y lactantes $2.130 $3.195 $4.157 $6.235 $6.071 $9.107

307011 Venosa en adultos $1.020 $1.530 $2.093 $3.139 $3.067 $4.601

307012 Venosa en niños y lactantes $1.010 $1.515 $3.382 $5.073 $4.945 $7.418

307013 Con técnica aséptica para hemocultivo, c/u $1.520 $2.280 $3.382 $5.073 $4.945 $7.418

307014 Capilar ( adultos, niños y lactantes ) $820 $1.230 $2.093 $3.139 $3.067 $4.601

307502 Swim Up (Capacitacion Espermatica) $18.600 $27.900 $9.605 $14.407 $18.600 $27.900

307503 Test Post Coital $8.637 $12.956 $5.930 $8.895 $8.637 $12.956

308001 Azúcares reductores (Benedict-Fehling o similar) $1.440 $2.160 $3.382 $5.073 $4.945 $7.418

308003 Grasas neutras (Sudán III) $820 $1.230 $3.382 $5.073 $4.945 $7.418

308004 Hemorragias ocultas, (bencidina, guayaco o test de Weber y similares), cualquier método, c/muestra$1.460 $2.190 $3.382 $5.073 $4.945 $7.418

308005 Leucocitos fecales $1.460 $2.190 $3.382 $5.073 $4.945 $7.418

308006 pH $820 $1.230 $1.931 $2.896 $2.832 $4.248

308009 Células neoplásicas en fluídos biológicos $5.180 $7.770 $11.479 $17.218 $16.695 $25.043

308010 Citológico c/s tinción (incluye examen al fresco, recuento celular y citológico porcentual)$3.680 $5.520 $8.302 $12.453 $12.080 $18.120

308011 Directo al fresco c/s tinción, (incluye trichomonas) $1.860 $2.790 $4.626 $6.939 $6.744 $10.116

308012 Electrólitos (sodio, potasio, cloro), c/u $1.860 $2.790 $13.896 $20.844 $20.201 $30.302

308013 Eosinófilos, recuento de $1.010 $1.515 $3.382 $5.073 $4.945 $7.418

308014 Físico-químico (incluye aspecto, color, pH, glucosa, proteína, Pandy y filancia)$2.910 $4.365 $6.546 $9.819 $9.513 $14.270

308015 Glucosa en exudados, secreciones y otros líquidos $820 $1.230 $2.093 $3.139 $3.067 $4.601

308017 pH, (proc. aut.) $820 $1.230 $1.931 $2.896 $2.832 $4.248

308018 Proteínas totales o albúmina (proc. aut.) c/u $1.860 $2.790 $4.157 $6.235 $6.071 $9.107

308020 Bandas oligoclonales (incluye electroforesis de L.C.R., suero e inmunofijación)$26.540 $39.810 $55.375 $83.062 $80.473 $120.710 308022 Indice IgG/albúmina (incluye determ. de IgG y albúmina en L.C.R.y suero)$14.720 $22.080 $28.317 $42.475 $38.132 $57.198

308023 Estudio de cristales (con luz polarizada) $1.860 $2.790 $4.157 $6.235 $6.071 $9.107

308029 Espermiograma (físico y microscópico, con o sin observación hasta 24 horas).$4.960 $7.440 $17.849 $26.773 $25.943 $38.915

308033 Células anaranjadas (proc. aut.) $820 $1.230 $1.931 $2.896 $2.832 $4.248

308039 Madurez fetal completa (físico; células anaranjadas, bilirrubina, test de Clements, creatinina, contaminantes)$7.380 $11.070 $26.283 $39.424 $38.209 $57.314

308040 Test de Clements (proc. aut.) $1.460 $2.190 $3.382 $5.073 $4.945 $7.418

308043 Moco-semen, prueba de compatibilidad $2.860 $4.290 $6.546 $9.819 $9.513 $14.270

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 $14.880 $22.754 $34.131 $33.076 $49.614

308501 Test Inmunologico Deteccion Hemoglobina Humana $4.945 $7.418 $3.382 $5.073 $4.945 $7.418

308502 Esteatocrito $22.984 $34.476 $15.813 $23.719 $22.984 $34.476

308503 Helicobacter Pylori En Deposicion $11.391 $17.087 $8.880 $13.320 $11.391 $17.087

309002 Acido delta aminolevulínico $5.940 $8.910 $16.414 $24.621 $23.878 $35.817

309004 Acido úrico o urea en orina (cuantitativo) $2.620 $3.930 $4.626 $6.939 $6.744 $10.116

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Inhabil Inhábil Inhabil

309006 Amilasa cuantitativa en orina $3.230 $4.845 $5.270 $7.905 $7.666 $11.499

309007 Aminoácidos en orina (cualitativo)(excepto fenilalanina, PKU) $5.940 $8.910 $16.414 $24.621 $23.878 $35.817

309008 Calcio cuantitativo en orina $2.420 $3.630 $5.740 $8.610 $8.355 $12.533

309009 Cálculo urinario (examen físico y químico) $5.120 $7.680 $12.415 $18.622 $18.041 $27.062

309010 Creatinina cuantitativa en orina $1.860 $2.790 $4.157 $6.235 $6.071 $9.107

309011 Cuerpos cetónicos $1.860 $2.790 $4.320 $6.480 $6.289 $9.434

309012 Electrólitos (sodio, potasio, cloro) c/u, en orina $1.860 $2.790 $4.320 $6.480 $6.289 $9.434

309013 Microalbuminuria cuantitativa $3.620 $5.430 $12.754 $19.131 $18.558 $27.837

309015 Fósforo cuantitativo en orina $2.420 $3.630 $12.767 $19.150 $18.573 $27.860

309016 Glucosa (cuantitativo), en orina $1.600 $2.400 $3.382 $5.073 $4.945 $7.418

309017 Hidroxiprolina en orina $5.500 $8.250 $12.577 $18.865 $18.290 $27.435

309020 Nitrógeno ureico o urea en orina (cuantitativo) $1.010 $1.515 $4.157 $6.235 $6.071 $9.107

309022 Orina completa, (incluye cód. 03-09-023 y 03-09-024) $2.290 $3.435 $4.626 $6.939 $6.744 $10.116

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 $2.190 $3.690 $5.535 $5.382 $8.073

309024 Orina, sedimento (proc. aut.) $1.330 $1.995 $2.869 $4.303 $4.193 $6.290

309027 Porfirinas, c/u $2.480 $3.720 $5.740 $8.610 $8.355 $12.533

309028 Proteína (cuantitativa), en orina $2.130 $3.195 $4.157 $6.235 $6.071 $9.107

309029 Proteínas de Bence-Jones prueba térmica $1.460 $2.190 $3.382 $5.073 $4.945 $7.418

309030 Urobilinógeno (cuantitativo) $2.420 $3.630 $6.194 $9.291 $8.355 $12.533

309501 Mucopolisacaridos Urinarios $107.026 $160.539 $90.136 $135.204 $107.026 $160.539

309502 Melanogenuria (test de cloruro férrico) $6.071 $9.107 $4.157 $6.235 $6.071 $9.107

702001 Preparación de glóbulos rojos, plasma, plaquetas o crioprecipitados (incluye entrevista, selección del donante y la preparación del respectivo hemocomponente)$9.740 $14.610 $36.604 $54.906 $50.963 $76.445

4010 RX Simple

401002 Partes blandas; laringe lateral; cavum rinofaríngeo (rinofarinx). c/u.(1 exp.)$11.730 $17.595 $23.934 $35.901 $31.903 $47.855 401004 Tórax, proyección complementaria en el mismo examen (oblicuas, selectivas u otras), c/u (1 exp.)$8.450 $12.675 $16.822 $25.233 $22.422 $33.633 401006 Estudio radiológico de corazón (incluye fluoroscopia, telerradiografías frontal y lateral con esofagograma)$25.300 $37.950 $41.185 $61.777 $55.876 $83.814 401008 Tórax, radiografía con equipo móvil fuera del departamento de rayos, cada proyección (1 o más exp.)$12.560 $18.840 $27.053 $40.579 $36.050 $54.075 401009 Tórax simple (frontal o lateral) (incluye fluoroscopía) (1 proy.) ( 1 exp. panorámica).$12.560 $18.840 $19.157 $28.735 $26.208 $39.312

401010 Mamografía bilateral (4 exp.) $26.780 $40.170 $58.972 $88.458 $95.463 $143.195

401011 Marcación preoperatoria de lesiones de la mama (4 exp.) $28.000 $42.000 $56.027 $84.040 $74.653 $111.980

401012 Radiografía de mama, pieza operatoria (1 exp.) $8.450 $12.675 $16.822 $25.233 $22.422 $33.633

401013 Abdomen simple (1 proyección) (1 exp.) ( con equipo estático o móvil)$11.260 $16.890 $18.272 $27.408 $24.784 $37.176 401014 Abdomen simple, proyección complementaria en el mismo examen (1 exp.)$8.450 $12.675 $17.000 $25.500 $22.657 $33.986 401015 Colangiografía intra o postoperatoria (por sonda T, o similar) $23.420 $35.130 $43.161 $64.741 $56.667 $85.001 401018 Enema baritada del colon (incluye llene y control postvaciamiento; 8-10 exp.)$47.230 $70.845 $77.681 $116.521 $103.496 $155.244 401019 Enema baritada del colon o intestino delgado, doble contraste ( 12 exp.)$53.170 $79.755 $89.142 $133.713 $118.480 $177.720 401020 Esófago simple (incluye pesquisa de cuerpo extraño) (proc.aut.) (6 exp.)$21.020 $31.530 $34.366 $51.549 $45.851 $68.777 401021 Esófago, estómago y duodeno, doble contraste (15 exp.) $46.770 $70.155 $78.440 $117.660 $104.265 $156.398

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Inhabil Inhábil Inhabil

401022 Estudio de deglución faríngea ( 6 exp.) $21.020 $31.530 $34.366 $51.549 $45.851 $68.777

401023 Estudio intestino delgado (6 exp.) $37.520 $56.280 $77.790 $116.685 $101.365 $152.048

401024 Esófago, estómago y duodeno, simple en niños (8 exp.) $34.620 $51.930 $72.060 $108.090 $93.863 $140.795

401521 Pielografia De Eliminacion Con $133.576 $200.364 $102.522 $153.783 $133.576 $200.364

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 $76.470 $79.942 $119.913 $107.246 $160.869

401028 Renal simple (proc. aut.) (1 exp.) $10.800 $16.200 $19.365 $29.047 $25.943 $38.915

401029 Vesical simple o perivesical (proc. aut.) (1 exp.) $9.300 $13.950 $17.000 $25.500 $22.719 $34.079 401030 Agujeros ópticos, ambos lados (2 proy.) (2 exp.) $18.670 $28.005 $32.463 $48.694 $43.654 $65.481 401031 Cavidades perinasales, órbitas, articulaciones temporomandibulares, huesos propios de la nariz, malar, maxilar, arcocigomático, cara , cada una (2 exp.)$12.560 $18.840 $21.375 $32.062 $28.821 $43.232

401032 Cráneo frontal y lateral (2 exp.) $13.260 $19.890 $21.362 $32.043 $29.008 $43.512

401033 Cráneo, cada proyección especial: axial, base, Towne, tangencial, etc. (1 exp.)$9.300 $13.950 $16.809 $25.213 $22.501 $33.752

401035 Oído, uno o ambos (2-4 proy.) (2-4 exp.) $16.940 $25.410 $36.276 $54.414 $48.366 $72.549

401040 Silla turca frontal y lateral (2 exp.) $15.440 $23.160 $24.998 $37.497 $33.954 $50.931

401042 Columna cervical o atlas-axis (frontal y lateral) (2 exp.) $12.560 $18.840 $20.607 $30.910 $27.913 $41.870 401043 Columna cervical (frontal, lateral y oblicuas) (4 proy.) (4 exp.) $22.430 $33.645 $37.564 $56.346 $50.774 $76.161

401044 Columna cervical funcional adicional (2 exp.) $12.560 $18.840 $23.934 $35.901 $31.903 $47.855

401045 Columna dorsal o dorsolumbar localizada ,parrilla costal adultos (frontal y lateral) (2 exp.).$14.780 $22.170 $23.917 $35.875 $32.468 $48.702 401046 Columna lumbar o lumbosacra (ambas incluyen quinto espacio) (3-4 exp.) $21.700 $32.550 $34.089 $51.133 $46.472 $69.708

401047 Columna lumbar o lumbosacra funcional (2 exp.) $18.670 $28.005 $34.489 $51.733 $46.033 $69.050

401048 Columna lumbar o lumbosacra, oblicuas adicionales (2 exp.) $12.560 $18.840 $23.934 $35.901 $31.903 $47.855 401049 Columna total o dorsolumbar, panorámica con folio graduado (1 proy.) (1 exp.)$16.880 $25.320 $27.909 $41.863 $37.757 $56.636

401051 Pelvis, cadera o coxofemoral,c/u (1 exp.). $9.740 $14.610 $16.985 $25.477 $22.814 $34.221

401052 Pelvis, cadera o coxofemoral, proyecciones especiales; (rotación interna, abducción, lateral, Lawenstein u otras) c/u (1 exp.)$9.300 $13.950 $16.809 $25.213 $22.501 $33.752 401053 Sacrocoxis o articulaciones sacroilíacas, c/u (2-3 exp.) $14.020 $21.030 $24.628 $36.942 $33.076 $49.614 401054 Brazo, antebrazo, codo, muñeca, mano, dedos, pie o similar (frontal y lateral) c/u. (2 exp.)$11.260 $16.890 $18.789 $28.183 $25.410 $38.115

401055 Clavícula (2 exp.) $13.040 $19.560 $21.730 $32.595 $29.369 $44.054

401056 Edad ósea : carpo y mano (1 exp.) $9.300 $13.950 $16.809 $25.213 $22.501 $33.752

401058 Estudio de escafoides $14.020 $21.030 $24.628 $36.942 $33.076 $49.614

401059 Estudio muñeca o tobillo (front.,lateral y oblicuas; 4 exp.) $13.120 $19.680 $23.166 $34.749 $31.106 $46.659 401060 Hombro, fémur, rodilla, pierna, costilla o esternón ( frontal y lateral; 2 exp.), c/u$13.120 $19.680 $23.372 $35.058 $31.356 $47.034 401062 Proyecciones especiales oblicuas u otras en hombro, brazo, codo, rodilla, rótulas, sesamoídeos, axial de ambas rótulas o similares, c/u$9.300 $13.950 $16.809 $25.213 $22.501 $33.752

401063 Túnel intercondíleo o radio-carpiano $9.300 $13.950 $16.809 $25.213 $22.501 $33.752

401064 Apoyo fluoroscópico a procedimientos intraoperatorios y/o biopsia (no incluye el proc.)$9.300 $13.950 $18.818 $28.227 $25.081 $37.622 401070 Tórax (frontal y lateral) (incluye fluoroscopía) (2 proy. panorámicas) ( 2 exp.)$23.100 $34.650 $36.276 $54.414 $49.444 $74.166

401110 Mamografía unilateral (2 exp.) $15.940 $23.910 $42.307 $63.460 $47.490 $71.235

401130 Proyección complementaria de mamas (axilar u otras), c/u $6.080 $9.120 $11.641 $17.461 $14.488 $21.732 401151 Pelvis, Cadera o Coxofemoral de RN, Lactante o niño menor de 6 años, c/u (1 exp.)$9.740 $14.610 $17.164 $25.746 $23.032 $34.548

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Inhabil Inhábil Inhabil 402005 Galactografía, un lado (a.c. 20-01-012) (3 exp.) $13.460 $20.190 $23.917 $35.875 $32.045 $48.068 402008 Colangiopancreatografía endoscópica (a.c.18-01-018; 5-7 exp) $35.970 $53.955 $65.473 $98.209 $87.576 $131.364

402009 Fistulografía (a.c. 18-01-020) (3 exp.) $9.010 $13.515 $17.623 $26.434 $22.980 $34.470

402011 Histerosalpingografía (a.c. 20-01-013) (4 exp.; incluye prueba de Cotte tardía)$27.490 $41.235 $46.800 $70.200 $62.083 $93.125 402012 Pielografía ascendente (a.c. 19-01-015) (3 exp.) $29.980 $44.970 $51.183 $76.774 $67.870 $101.805 402014 Uretro y/o cistouretrografía miccional retrógrada (a.c. 19-01-016) ( 5 exp.)$29.980 $44.970 $49.635 $74.452 $66.090 $99.135 402017 Neumoartrografía de cadera, hombro, codo, muñeca, etc., c/u (a.c. 21-01-002) (8 exp.)$35.970 $53.955 $57.843 $86.764 $77.325 $115.988 402018 Neumoartrografía de rodilla (a.c. 21-01-002) (14 exp.) $44.940 $67.410 $83.845 $125.767 $109.922 $164.883 402019 Angiografía selectiva de carótida externa o interna (a.c 17-01-024 )$39.970 $59.955 $93.842 $140.763 $125.068 $187.602 402020 Angiografía selectiva medular (a.c 17-01-024) $39.970 $59.955 $93.842 $140.763 $125.068 $187.602 402022 Angioplastia intraluminal coronaria. procedimiento radiológico. (a.c.17-01-031)$69.890 $104.835 $512.152 $768.228 $682.452 $1.023.678 402023 Angioplastia intraluminal periférica. procedimiento radiológico. (a.c. 17-01-032)$49.920 $74.880 $445.628 $668.442 $593.811 $890.717 402024 Aortografía con AOT o cineangiografía (a.c. 17-01-022) $54.500 $81.750 $138.988 $208.482 $185.215 $277.823 402025 Arteriografía de cada extremidad, (a.c.17-01-023) $35.970 $53.955 $84.544 $126.816 $112.659 $168.989 402027 Arteriografía selectiva con AOT o cineangiografía (pulmonar, renal, tronco celíaco o similar) c/u. (a.c. 17-01-024)$63.410 $95.115 $138.899 $208.348 $185.105 $277.658

402506 Arteriografia Carotida Por Pun $125.068 $187.602 $93.842 $140.763 $125.068 $187.602

402029 Arteriografía Carótida vertebral por cateterización (de la subclavia axilar, humeral o femoral) (a.c. 11-01-013)$39.970 $59.955 $93.842 $140.763 $125.068 $187.602

402030 Cinecoronariografía (a.c. 17-01-019) $54.500 $81.750 $183.558 $275.337 $244.581 $366.872

402031 Embolización o balonización (a.c. de la angiografía correspondiente) (incluye control radiológico inmediato)$29.980 $44.970 $63.345 $95.017 $84.433 $126.650 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 $40.515 $42.856 $64.284 $58.316 $87.474 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 $81.750 $183.558 $275.337 $244.581 $366.872

402507 Vertebral Por Puncion Percutan $125.068 $187.602 $93.842 $140.763 $125.068 $187.602

402035 Cavografía (a.c. 17-01-025) $27.010 $40.515 $63.374 $95.061 $84.478 $126.717

402038 Flebografía extremidad inferior o superior, un lado (a.c. 17-01-026) cada extremidad.$24.480 $36.720 $57.520 $86.280 $76.640 $114.960 402050 Mielografía por punción lumbar con contraste hidrosoluble (a.c. 11-01-025)$39.970 $59.955 $68.370 $102.555 $92.131 $138.197

402513 Arteriografia De Cada Extremid $113.207 $169.811 $84.957 $127.435 $113.207 $169.811

402514 Carotida Por Puncion Percutane $91.661 $137.492 $68.798 $103.197 $91.661 $137.492

4030 Scanner

403001 Cerebro (30 cortes 8-10 mm.) $79.340 $119.010 $236.568 $354.852 $343.986 $515.979

403002 Silla turca e hipófisis (20 cortes 2 mm) $88.430 $132.645 $218.256 $327.384 $282.384 $423.576

403003 Angulo Ponto Cerebeloso (40 Cortes 2Mm.) $72.930 $109.395 $218.437 $327.655 $282.649 $423.974

403004 Cortes Coronales Complementarios (10 Cortes 2 $26.780 $40.170 $90.733 $136.099 $117.385 $176.078 403006 Temporal-Oido (Incluye Coronales) (40 Cortes $72.930 $109.395 $218.437 $327.655 $282.649 $423.974 403007 Orbitas Maxilofacial (Incluye Coronales) (40 $88.430 $132.645 $218.256 $327.384 $282.384 $423.576 403008 Columna Cervical (4 Espacios - 5 Vertebras ) $96.850 $145.275 $265.602 $398.403 $343.674 $515.511 403009 Columna Dorsal O Lumbar (3 Espacios - 4 Verte $88.380 $132.570 $218.256 $327.384 $282.384 $423.576

403010 Cada Espacio Adicional (10 Cortes 2-4 Mm.) $25.280 $37.920 $90.748 $136.122 $117.449 $176.174

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Inhabil Inhábil Inhabil 403012 Cuello, Partes Blandas (30 Cortes, 4-8 Mm.) $72.930 $109.395 $218.437 $327.655 $282.649 $423.974

403013 Torax Total (30 Cortes 8-10 Mm.) $114.300 $171.450 $265.392 $398.088 $343.407 $515.111

403014 Abdomen (Higado, Vias Y Vesicula Biliar, Panc $106.990 $160.485 $236.568 $354.852 $343.518 $515.277

403016 Pelvis (28 Cortes, 8-10 Mm.) $68.050 $102.075 $218.511 $327.766 $282.761 $424.142

403017 Extremidades, Estudio Localizado (30 Cortes 2 $61.760 $92.640 $218.572 $327.858 $282.806 $424.209

403101 Angiotac De Cerebro $92.350 $138.525 $376.395 $564.592 $447.589 $671.384

403102 Angiotac De Torax $131.360 $197.040 $382.474 $573.711 $454.796 $682.194

403103 Angiotac De Abdomen $125.070 $187.605 $376.395 $564.592 $447.589 $671.384

404002 Ecografia Obstetrica $8.580 $12.870 $18.707 $28.060 $24.439 $36.659

4040 Ecotomografía

404003 Ecotomografia Abdominal (Incluye Higado, Via $31.490 $47.235 $49.877 $74.815 $66.766 $100.149

404004 Ecotomografia Como Apoyo A Cirugia, O A Proce $19.410 $29.115 $48.310 $72.465 $63.152 $94.728

404005 Ecotomografia Transvaginal O Transrectal $17.520 $26.280 $67.678 $101.517 $84.495 $126.743

404006 Ecotomografia Ginecologica, Pelviana Femenina $16.690 $25.035 $67.678 $101.517 $84.495 $126.743

404007 Ecotomografia Transvaginal Para Seguimiento D $24.370 $36.555 $74.431 $111.646 $97.325 $145.988

404008 Ecotomografia Para Seguimiento De Ovulacion, $24.370 $36.555 $74.431 $111.646 $97.325 $145.988

404009 Ecotomografia Pelvica Masculina (Incluye Veji $17.520 $26.280 $33.388 $50.082 $43.654 $65.481

404010 Ecotomografia Renal (Bilateral), O De Bazo $21.890 $32.835 $37.081 $55.621 $49.178 $73.767

404011 Ecotomografia Cerebral (R.N. O Lactante) $21.890 $32.835 $70.543 $105.814 $92.208 $138.312

404012 Ecotomografia Mamaria Bilateral $21.890 $32.835 $60.352 $90.528 $78.892 $118.338

404013 Ecotomografia Ocular Bidimensional, Uno O Amb $21.890 $32.835 $37.081 $55.621 $49.178 $73.767

404014 Ecotomografia Testicular (Uno O Ambos) $21.890 $32.835 $37.081 $55.621 $49.178 $73.767

404015 Ecotomografia Tiroidea $21.890 $32.835 $40.064 $60.096 $52.636 $78.954

404016 Ecotomografia Vascular Periferica, Articular $21.890 $32.835 $67.544 $101.316 $88.266 $132.399

404550 Ecot. Transvaginal O Gineco C/ $108.403 $162.605 $82.933 $124.399 $108.403 $162.605

404118 Ecotomografia Vascular Periferica (Bilateral) $71.740 $107.610 $116.862 $175.293 $155.846 $233.769

404119 Ecotomografia Carotidea Bilateral $71.740 $107.610 $116.862 $175.293 $155.846 $233.769

404120 Ecotomografia Trancraneal $71.740 $107.610 $116.862 $175.293 $155.846 $233.769

404121 Ecotomografia Abdominal O De Vasos Testicular $71.740 $107.610 $116.862 $175.293 $155.846 $233.769 404122 Ecotomografia Doppler De Vasos Placentarios $71.740 $107.610 $116.862 $175.293 $159.601 $239.402

4050 Resonancia Magnética

405001 Resonancia Magnética De Cráneo-Cerebro $153.170 $229.755 $310.953 $466.429 $426.543 $639.815

405002 Resonancia Magnética De Silla Turca $153.170 $229.755 $329.200 $493.800 $451.577 $677.366

405003 Resonancia Magnética De Orbitas $145.280 $217.920 $292.652 $438.978 $401.445 $602.168

405004 Resonancia Magnética De Articulaciones Témporo Mandibular $145.280 $217.920 $365.829 $548.743 $501.822 $752.733

405005 Resonancia Magnética De Columna Cervical $153.170 $229.755 $329.200 $493.800 $451.577 $677.366

405006 Resonancia Magnética De Columna Dorsal $153.170 $229.755 $329.200 $493.800 $451.577 $677.366

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Inhabil Inhábil Inhabil

405008 Resonancia Magnética De Angiografía $153.170 $229.755 $329.200 $493.800 $451.577 $677.366

405009 Resonancia Magnética De Torax (Solo Mamas) $153.170 $229.755 $365.829 $548.743 $501.822 $752.733

405010 Resonancia Magnética De Abdomen Total $153.170 $229.755 $329.200 $493.800 $451.577 $677.366

405011 Resonancia Magnética De Pelvis $153.170 $229.755 $329.200 $493.800 $451.577 $677.366

405012 Resonancia Magnética De Abdomen+Pelvis $229.760 $344.640 $493.799 $740.698 $677.366 $1.016.049

405013 Resonancia Magnética De Rodilla $125.600 $188.400 $300.249 $450.373 $381.352 $572.028

405014 Resonancia Magnética De Extremidad Superior $125.600 $188.400 $316.059 $474.088 $401.445 $602.168 405015 Resonancia Magnética De Extremidad Inferior $125.600 $188.400 $300.249 $450.373 $381.352 $572.028

405016 Resonancia Magnética De Columna Total $275.690 $413.535 $601.245 $901.867 $824.755 $1.237.133

405557 Resonancia Magnética De Articulaciones Hombro $381.352 $572.028 $278.006 $417.009 $381.352 $572.028 405558 Resonancia Magnética De Articulaciones Codo $401.445 $602.168 $292.652 $438.978 $401.445 $602.168 405559 Resonancia Magnética De Articulacion Muneca $401.445 $602.168 $292.652 $438.978 $401.445 $602.168 405560 Resonancia Magnética De Articulacion Mano $401.445 $602.168 $292.652 $438.978 $401.445 $602.168 405561 Resonancia Magnética De Articulacion Rodilla $381.352 $572.028 $278.006 $417.009 $381.352 $572.028 405562 Resonancia Magnética De Articulacion Tobillo $381.352 $572.028 $278.006 $417.009 $381.352 $572.028

405563 Resonancia Magnética De Articulacion Pie $381.352 $572.028 $278.006 $417.009 $381.352 $572.028

405564 Resonancia Magnética De Partes Blandas $501.822 $752.733 $365.829 $548.743 $501.822 $752.733

405565 Resonancia Magnética De Cerebro+Angio $597.175 $895.763 $435.336 $653.004 $597.175 $895.763

405566 Resonancia Magnética De Cuello $451.577 $677.366 $329.200 $493.800 $451.577 $677.366

405567 Resonancia Magnética De Cadera $451.577 $677.366 $329.200 $493.800 $451.577 $677.366

405568 Resonancia Magnética De Mediastino $501.822 $752.733 $365.829 $548.743 $501.822 $752.733

405569 Resonancia Magnética De Escapula $401.445 $602.168 $292.652 $438.978 $401.445 $602.168

405570 Resonancia Magnética De Protocolo Stroke $330.780 $496.170 $241.143 $361.714 $330.780 $496.170

405571 Resonancia Magnética De Protocolo Stroke C/ Perfusion $369.617 $554.426 $269.451 $404.176 $369.617 $554.426

405572 Resonancia Magnética De Espectroscopia $176.422 $264.633 $128.613 $192.919 $176.422 $264.633

405573 Resonancia Magnética De Angio De Cerebro $176.422 $264.633 $128.613 $192.919 $176.422 $264.633

405098 Resonancia Magnética De Colangioresonancia $102.610 $153.915 $278.006 $417.009 $381.352 $572.028

50 Densitometria

501134 Densitometria Osea A Foton Doble, Columna Y C $43.380 $65.070 $68.188 $102.282 $142.529 $213.794

70 Banco Sangre

702003 Set De Exs Por Unidad G. Rojos $13.350 $20.025 $64.130 $96.195 $88.891 $133.337

702004 Set De Exs Por Unidad Plasma, Criopp L $11.070 $16.605 $64.147 $96.220 $88.906 $133.359

702005 Prueba De Compatibilidad Por Unidad De Globul $2.380 $3.570 $5.357 $8.035 $7.433 $11.150

702006 Transfusion En Adulto (Atencion Ambulatoria $7.570 $11.355 $15.994 $23.991 $22.187 $33.281

702007 Transfusion En Nino (Atencion Ambulatoria, At $8.800 $13.200 $19.848 $29.772 $27.522 $41.283

702008 Transfusion En Adulto O Nino En Pabellon (Con $12.960 $19.440 $23.823 $35.734 $33.047 $49.571

702009 Exsanguineo Transfusion En Recien Nacido Por $58.860 $88.290 $104.671 $157.006 $145.080 $217.620 702010 Exsanguineo Transfusion En Adulto O Nino (Inc $33.910 $50.865 $115.124 $172.686 $159.569 $239.354

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Inhabil Inhábil Inhabil 702011 Autotransfusion-Predeposito (Incluye Proc. Co $49.510 $74.265 $120.635 $180.952 $167.206 $250.809

702012 Sangria (Considera El Cobro De Una Prestacion $7.050 $10.575 $16.024 $24.036 $22.235 $33.353

702013 Hemaferesis Procedimiento Manual (Incluye Pro $17.310 $25.965 $26.125 $39.187 $36.645 $54.968

80 Biopsia

801001 Citodiagnostico Corriente, Exf $7.970 $11.955 $12.181 $18.271 $17.650 $26.475

150 Cirugía Plastica y Reparadora (V)

1502002DP - Simples: 1 o varias de hasta 5 cms. que sólo comprometen piel $80.024 $80.024 $45.290 $45.290 $159.045 $159.045 160 Dermatología y Tegumentos (VI)

1602221DP Herida Cortante O Contusa Complicada, Reparación Y Sutura (Una O Múltiple De Más De 5 Cms.$88.370 $88.370 $113.362 $113.362 $101.180 $101.180 1602222DP Herida Cortante O Contusa No Complicada, Reparación Y Sutura (Una O Múltiple Hasta 5 Cms.$80.024 $80.024 $99.172 $99.172 $87.816 $87.816

170 Electrocardiograma

1701001 E.C.G. de reposo (incluye mínimo 12 derivaciones y 4 complejos por derivación)$8.560 $8.560 $21.245 $21.245 $25.332 $37.998

170 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)$35.090 $35.090 $71.418 $71.418 $93.914 $140.871

170 Ecocardiograma

1701007 Ecocardiograma Doppler, con registro (incluye cód. 17-01-008) $77.660 $116.490 $117.058 $175.587 $158.724 $238.086 1701008 Ecocardiograma bidimensional (incluye registro modo M, papel fotosensible y fotografía), en adultos o niños (proc.aut.)$48.540 $72.810 $99.996 $149.994 $129.214 $193.821

1701045 Ecocardiograma Doppler Color $86.540 $129.810 $124.098 $186.147 $167.847 $251.771

1701055DP Ecocardiagrama Doppler Color Transesofágico $88.370 $132.555 $121.016 $181.524 $129.355 $194.033

210 Ortopedía y Traumatología (XV)

2101002 Procedimiento para exploraciones radiológicas (incluye maniobra e inyección del medio de contraste)$46.058 $69.087 $36.682 $36.682 $46.058 $69.087

2105004 Rodillera, bota larga o corta de yeso $85.638 $128.457 $193.987 $193.987 $85.638 $128.457

2105006 Yeso antebraquial c/s férula digital $85.535 $128.303 $99.172 $99.172 $85.535 $128.303

2107003 Luxaciones de articulaciones menores (el resto) $88.370 $88.370 $66.975 $66.975 $122.341 $183.512 Otros

1801038 Punción evacuadora de absceso intraabdominales (hepático u otros), c/s toma de muestra, c/s inyección de medicamentos$79.321 $79.321 $52.052 $52.052 $67.038 $100.557

2001009 & Monitoreo basal con informe $6.160 $6.160 $26.314 $26.314 $34.611 $51.917

1801004DP Ano-recto-sigmoidoscopia en adultos $80.024 $80.024 $71.169 $71.169 $80.191 $120.287

1801005 Ano-recto-sigmoidescopia en niños (además anestesia cód. 22-01-001 si corresponde)$79.321 $79.321 $48.922 $48.922 $80.191 $120.287 1901005DP Prostática transparietal o transrectal (además anestesia cód. 22-01-001 si corresponde)$80.024 $80.024 $45.073 $45.073 $89.370 $134.055 1801001DP GASTRODUODENOSCOPIA (INCLUYE E $88.370 $88.370 $71.169 $71.169 $92.396 $138.594 1801002 ESOFAGOSCOPIA $87.595 $87.595 $71.169 $71.169 $92.396 $138.594 0001801003 YEYUNO-ILEOSCOPIA (INCLUYE ESO $87.595 $87.595 $71.169 $71.169 $92.396 $138.594 1801006DP COLONOSCOPIA LARGA (INCLUYE SI $88.370 $88.370 $71.169 $71.169 $92.396 $138.594 1801007DP SIGMOIDOSCOPIA Y COLONOSCOPIA $88.370 $88.370 $71.169 $71.169 $92.396 $138.594 0002001013 HISTEROSALPINGOGRAFIA (A.C. 04-02-011) $229.200 $343.800 $25.751 $25.751 $229.200 $343.800 1901016 Uretrografía retrógrada o cistouretrografía (miccional) (a.c. 04-02-014) $229.200 $343.800 $13.324 $13.324 $229.200 $343.800

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Inhabil Inhábil Inhabil

401530 ERCP $23.868 $35.802 $23.868 $35.802 $23.868 $35.802

403531 Biopsia Partes Blandas Abdomen bajo TC $326.886 $490.329 $326.886 $490.329 $326.886 $490.329

403532 Biopsia Ósea Pelvis bajo TC $269.070 $403.605 $269.070 $403.605 $269.070 $403.605

403533 Biopsia Partes Blandas Pelvis bajo TC $269.070 $403.605 $269.070 $403.605 $269.070 $403.605

403534 ArtroTC Cadera Derecha $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403535 ArtroTC Cadera Izquierda $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403536 ArtroTC Hombro Derecho $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403537 ArtroTC Hombro Izquierdo $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403538 ArtroTC Muñeca Derecha $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403539 ArtroTC Muñeca Izquierda $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403540 Biopsia Partes Blandas Extremidad bajo TC $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403541 Biopsia Renal bajo TC $326.886 $490.329 $326.886 $490.329 $326.886 $490.329

401531 Tilt Test $23.868 $35.802 $23.868 $35.802 $23.868 $35.802

403542 Coloclisis por TC $707.656 $1.061.484 $707.656 $1.061.484 $707.656 $1.061.484

401532 RX Portátil Antebrazo $64.527 $96.790 $64.527 $96.790 $64.527 $96.790

401533 RX Portátil Cadera $61.805 $92.707 $61.805 $92.707 $61.805 $92.707

401534 RX Portátil Col. Cervical $67.171 $100.756 $67.171 $100.756 $67.171 $100.756

401535 RX Portátil Col. Dorsal $71.943 $107.914 $71.943 $107.914 $71.943 $107.914

401536 RX Portátil Clavícula $70.769 $106.153 $70.769 $106.153 $70.769 $106.153

401537 RX Portátil Col. Lumbar $71.349 $107.023 $71.349 $107.023 $71.349 $107.023

401538 RX Portátil Codo $64.527 $96.790 $64.527 $96.790 $64.527 $96.790

401539 RX Portátil Cavidades Perinasales $68.111 $102.166 $68.111 $102.166 $68.111 $102.166

401540 RX Portátil Cráneo $68.313 $102.469 $68.313 $102.469 $68.313 $102.469 401541 RX Portátil Fémur $70.769 $106.153 $70.769 $106.153 $70.769 $106.153 401542 RX Portátil Hombro $70.769 $106.153 $70.769 $106.153 $70.769 $106.153 401543 RX Portátil Húmero $70.769 $106.153 $70.769 $106.153 $70.769 $106.153 401544 RX Portátil Mano $64.527 $96.790 $64.527 $96.790 $64.527 $96.790 401545 RX Portátil Muñeca $64.527 $96.790 $64.527 $96.790 $64.527 $96.790 401546 RX Portátil Pelvis $61.805 $92.707 $61.805 $92.707 $61.805 $92.707 401547 RX Portátil Pie $64.527 $96.790 $64.527 $96.790 $64.527 $96.790 401548 RX Portátil Rodilla $70.769 $106.153 $70.769 $106.153 $70.769 $106.153 401549 RX Portátil Pierna $70.769 $106.153 $70.769 $106.153 $70.769 $106.153 403543 TC Score de Calcio $111.699 $167.548 $111.699 $167.548 $111.699 $167.548

403544 Biopsia Ósea Lumbar bajo TC $268.712 $403.068 $268.712 $403.068 $268.712 $403.068

403545 Biopsia Ósea Dorsal bajo TC $268.712 $403.068 $268.712 $403.068 $268.712 $403.068

403546 Biopsia Ósea Tórax bajo TC $326.782 $490.173 $326.782 $490.173 $326.782 $490.173

403547 Biopsia Pulmonar bajo TC $326.782 $490.173 $326.782 $490.173 $326.782 $490.173

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Inhabil Inhábil Inhabil

403549 Biopsia Pancreática bajo TC $326.886 $490.329 $326.886 $490.329 $326.886 $490.329

403550 Drenaje Percutáneo bajo TC $326.886 $490.329 $326.886 $490.329 $326.886 $490.329

403551 FístuloTC Abdomen $326.886 $490.329 $326.886 $490.329 $326.886 $490.329

403552 Nefrostomía Bilateral Percutánea bajo TC $653.772 $980.658 $653.772 $980.658 $653.772 $980.658

403553 Nefrostomía Unilateral Percutánea bajo TC $326.886 $490.329 $326.886 $490.329 $326.886 $490.329

403554 Enteroclisis por TC $707.656 $1.061.484 $707.656 $1.061.484 $707.656 $1.061.484

403555 Biopsia Ósea Extremidad bajo TC $269.114 $403.671 $269.114 $403.671 $269.114 $403.671

403556 AngioTC de Pelvis $380.770 $571.155 $380.770 $571.155 $380.770 $571.155

403557 AngioTC de Ambas EEII $985.773 $1.478.659 $985.773 $1.478.659 $985.773 $1.478.659

403558 Angiotac Cuello + Cerebro $598.470 $897.705 $598.470 $897.705 $598.470 $897.705

403559 Colonoscopía Virtual por TC $707.656 $1.061.484 $707.656 $1.061.484 $707.656 $1.061.484

403560 AngioTC Coronario $438.482 $657.723 $438.482 $657.723 $438.482 $657.723

405586 RM Fetal $420.463 $630.694 $422.012 $633.018 $420.463 $630.694

405579 RM Mamaria $467.245 $700.867 $468.966 $703.449 $467.245 $700.867

405505 RM Mamaria con Prótesis $467.245 $700.867 $468.966 $703.449 $467.245 $700.867

401550 Apoyo Fluoroscópico en Pabellón $23.868 $35.802 $23.868 $35.802 $23.868 $35.802

401551 Colangiografía Intraoperatoria $56.669 $85.003 $56.669 $85.003 $56.669 $85.003

401552 Instalación de Sonda Nasoyeyunal en Pabellón $23.868 $35.802 $23.868 $35.802 $23.868 $35.802

401553 Derecho a sala de Procedimiento Intevencional $326.886 $490.329 $326.886 $490.329 $326.886 $490.329 1902031 Cistostomía c/s extracción de cuerpo extraño o cálculo $430.922 $430.922 $411.645 $411.645 $502.145 $502.145

1101003 Lumbar C/S Manometría C/S Queckensted $49.075 $49.075 $40.796 $40.796 $49.075 $49.075

2107001 Luxaciones de articulaciones medianas (hombro,codo,rodilla,tobillo,muñeca,tarso y esternoclavicular)$88.370 $88.370 $102.972 $102.972 $102.972 $102.972 2107002 Luxaciones de articulaciones mayores (columna,cadera,pelvis). $146.358 $146.358 $170.561 $170.561 $170.561 $170.561

2107003 Luxaciones de articulaciones menores (el resto) $88.370 $88.370 $66.975 $66.975 $122.341 $122.341

306587 QUANTIFERON $211.770 $317.655 $211.770 $317.655 $211.770 $317.655

306515 Adenovirus $72.008 $108.012 $72.008 $108.012 $72.008 $108.012

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