Procedimientos
| Codigo CHP | Código Fonasa | Nombre Prestación | Valor Particular | Valor Fonasa |
|---|---|---|---|---|
| 06-01-101-00 | EVALUACION KINESIOLOGICA INTEGRAL | $3.680 | $3.680 | |
| 06-01-103-00 | ATENCION KNT INTEGRAL HOSPITALIZADOS | $12.500 | $12.500 | |
| 06-01-104-00 | ATENCION KNT INTEGRAL UPC INTENSIVO | $23.580 | $23.580 | |
| 06-01-104-01 | ATENCION KNT INTEGRAL INTERMEDIO | $23.580 | $0 | |
| 06-01-105-00 | ATENCION KINESIOLOGIA INTEGRAL AMBULATOR | $11.390 | $11.390 | |
| 07-02-101-00 | PRODUCCION DE GLOBULO ROJO | $55.910 | $31.060 | |
| 07-02-102-00 | PRODUCCION DE CONCENTRADO DE PLAQUETAS E | $13.190 | $7.330 | |
| 07-02-103-00 | PRODUCCION DE PLASMA O CRIOPRECIPITADO | $11.970 | $6.650 | |
| 07-02-109-00 | IRRADIACION COMPONENTE SANGUINEO UNIDAD | $8.350 | $4.640 | |
| 07-02-110-00 | FILTRACION DE GLOBULOS ROJOS O PLAQUETAS | $78.890 | $43.830 | |
| 07-02-201-00 | CALIFICACION MICROBIOLOGICA POR DONANTE | $59.360 | $32.980 | |
| 07-02-202-00 | CALIFICACION INMUNOHEMATOLOGICA DONANTE | $28.750 | $15.970 | |
| 07-02-203-00 | PRUEBA COMPATIBILIDAD UNIDAD G ROJOS | $6.550 | $3.640 | |
| 07-02-207-00 | DETECCION ANTICUERPOS IRREGULARES ERITR | $7.360 | $4.090 | |
| 07-02-208-00 | GRUPOS MENORES. TIPIFICACION O DETERMINA | $7.870 | $4.370 | |
| 07-02-301-00 | TRANSFUSION EN ADULTOS POR UNIDAD GR-PLA | $23.310 | $12.950 | |
| 07-02-302-00 | TRANSFUSION NIÑO UNIDAD GR,PLASMA,PLAQU | $28.080 | $15.600 | |
| 07-02-303-00 | TRANSFUSION UNIDAD GR,PLASMA,PLAQUETAS | $33.660 | $18.700 | |
| 07-02-304-00 | SANGRIA | $18.320 | $10.180 | |
| 07-02-305-00 | RECAMBIO PLASMATICO POR AFERESIS TERAPEU | $664.420 | $0 | |
| 08-01-001-00 | CITODIAGNOSTICO CORRIENTE, EXFOLIATIVA ( | $11.380 | $11.380 | |
| 08-01-001-01 | PAP FASE LIQUIDA | $25.000 | $25.000 | |
| 08-01-002-00 | CITOLOGIA NO GINECOLOGICA POR CADA PLACA | $16.580 | $16.580 | |
| 08-01-003-00 | ** ESTUDIO HISTOPATOLOGICO CON MICROSCOP | $66.740 | $66.740 | |
| 08-01-004-00 | ** ESTUDIO HISTOPATOLOGICO CON TECNICAS | $49.280 | $49.280 | |
| 08-01-005-00 | ESTUDIO HISTOPATOLOGICO CON TECNICAS | $36.020 | $36.020 | |
| 08-01-006-00 | ESTUDIO HISTOPATOLOGICO DE BIOPSIA CONT | $47.860 | $47.860 | |
| 08-01-007-00 | ESTUDIO HISTOPATOLOGICO CON TINCION CORR | $47.860 | $47.860 | |
| 08-01-008-00 | ESTUDIO HISTOPATOLOGICO CORRIENTE DE BIO | $24.800 | $24.800 | |
| 08-01-009-00 | NECROPSIA DE ADULTO O NINO, CON ESTUDIO | $126.110 | $126.110 | |
| 08-01-010-00 | NECROPSIA DE FETO O RECIEN NACIDO, CON E | $107.950 | $107.950 | |
| 08-01-011-00 | PCR MARCADORES TUMORALES HISTOLOGIA | $783.010 | $489.380 | |
| 08-01-012-00 | INMUNO HISTOQUIMICA MARCADOR TUMORAL ALK | $272.220 | $170.140 | |
| 08-01-108-00 | HISTOLOGIA BIOPSIA OSEA | $0 | $267.060 | |
| 09-01-005-00 | ATENCION PSIQUIATRICA O PSICOTERAPIA DE | $50.000 | $46.690 | |
| 09-02-002-00 | PSICOTERAPIA INDIVIDUAL(SESIONES 45 MIN) | $28.000 | $20.980 | |
| 09-02-003-00 | PSICOTERAPIA DE PAREJA (CADA MIEMBRO DE | $28.000 | $20.980 | |
| 09-02-011-00 | TEST DE RELACIONES OBJETALES | $37.060 | $38.350 | |
| 09-02-012-00 | TEST T.A.T. O C.A.T. | $35.580 | $36.830 | |
| 09-02-013-00 | TEST DE EDWARDS | $17.420 | $18.030 | |
| 09-02-014-00 | TEST DE M.M.P.I. | $16.720 | $17.310 | |
| 09-02-015-00 | TEST DE WESCHLER,WISC R,WAIS | $27.250 | $28.210 | |
| 09-02-015-01 | TEST DE WESCHLER -WAIS _WISC-R | $45.580 | $28.210 | |
| 09-02-016-00 | TEST DE DOMINO Y RAVEN | $17.420 | $18.030 | |
| 09-02-017-00 | TEST DE BENDER | $16.720 | $17.310 | |
| 09-02-018-00 | BENDER BIP | $16.720 | $17.310 | |
| 09-02-019-00 | TEST DE GOLDSTEIN | $27.220 | $28.180 | |
| 09-02-020-00 | TEST DE LURIA-NEBRASKA | $46.930 | $48.580 | |
| 09-02-110-00 | TEST DE FAMILIA | $15.000 | $15.000 | |
| 11-01-001-00 | Rellenado de bombas de administración d | $34.560 | $22.210 | |
| 11-01-002-00 | PUNCION SUBDURAL | $32.690 | $21.010 | |
| 11-01-003-00 | PUNCION LUMBAR C/S MANOMETRIA /QUECKENST | $23.530 | $15.120 | |
| 11-01-004-00 | E.E.G. DE 16 O MAS CANALES (INCLUYE EL C | $65.690 | $42.210 | |
| 11-01-005-00 | ELECTROCORTICOGRAFIA | $87.500 | $56.220 | |
| 11-01-007-00 | ESTEREO-ELECTROENCEFALOGRAFIA (INCLUYE U | $100.100 | $64.320 | |
| 11-01-008-00 | MONITOREO E.E.G. (ELECTRODOS IMPLANTADOS | $43.280 | $27.810 | |
| 11-01-009-00 | ELECTROMIOGRAFIA DE FIBRA UNICA | $66.860 | $42.960 | |
| 11-01-010-00 | ELECTROMIOGRAFIAS CUALQUIER REGION, POR | $40.340 | $25.920 | |
| 11-01-010-01 | ELECTROMIOGRAFIA MUSCULOS INTERCOSTALES | $40.340 | $25.920 | |
| 11-01-011-00 | POTENCIALES EVOCADOS EN CORTEZA ( POR EJ | $52.810 | $33.940 | |
| 11-01-012-00 | VELOCIDAD DE CONDUCCION (INCLUYE REFLEJO | $32.970 | $21.180 | |
| 11-01-013-00 | CAROTIDA-VERTEBRAL POR CATETERIZACION DE | $86.900 | $55.840 | |
| 11-01-025-00 | POR PUNCION LUMBAR, CON MEDIO DE CONTRAS | $41.630 | $26.750 | |
| 11-01-026-00 | DE NERVIOS PERIFERICOS INTRAMUSCULAR (DE | $34.540 | $22.190 | |
| 11-01-027-00 | DE NERVIOS PERIFERICOS TRONCULAR | $26.270 | $29.500 | |
| 11-01-028-00 | DE RAMAS DEL TRIGEMINO O DEL FACIAL | $24.280 | $15.600 | |
| 11-01-029-00 | DEL GANGLIO ESTRELLADO | $24.900 | $16.000 | |
| 11-01-030-00 | INFILTRACION O BLOQUEO EPIDURAL ,CERVICA | $36.880 | $24.110 | |
| 11-01-031-00 | INTERCOSTALES (CUALQUIER NUMERO) | $34.540 | $22.190 | |
| 11-01-032-00 | RIZOTOMIA QUIMICA POR MEDIO DE INYECCION | $68.950 | $44.300 | |
| 11-01-033-00 | SUBOCCIPITAL U OTROS NERVIOS CERVICALES | $24.900 | $16.000 | |
| 11-01-034-00 | INTRAMUSCULAR | $33.490 | $21.520 | |
| 11-01-035-00 | INTRATECAL | $57.890 | $37.200 | |
| 11-01-036-00 | TRONCULAR | $47.190 | $30.320 | |
| 11-01-040-00 | E.E.G. POST-PRIVACION DE SUENO (INCLUYE | $91.910 | $59.060 | |
| 11-01-042-00 | E.E.G. DIGITAL (CON ACTIVACIONES) 20 CAN | $77.540 | $49.820 | |
| 11-01-043-00 | E.E.G. DIGITAL (CON ACTIVACIONES) 32 CAN | $100.320 | $64.460 | |
| 11-01-044-00 | MONITOREO E.E.G. CONTINUO DE 24 HRS. | $161.850 | $104.000 | |
| 11-01-046-00 | ELECTROENCEFALOGRAMA DIGITAL DE 32 CANAL | $109.440 | $70.320 | |
| 11-01-050-00 | POLISOMNOGRAFIA BASAL HOSPITALIZADO | $222.030 | $142.670 | |
| 11-01-052-00 | POLISOMNOGRAFIA BASAL AMBULATORIA | $222.410 | $142.910 | |
| 11-01-053-00 | POLISOMNOGRAFIA CON TITULACION CPAP/VMNI | $255.900 | $164.430 | |
| 11-01-113-00 | ANGIOGRAFIA CEREBRAL POR CATETERIZACION | $86.900 | $0 | |
| 11-01-130-00 | ANGIOGRAFIA CEREBRAL | $118.180 | $55.840 | |
| 11-01-140-00 | ANGIOGRAFIA MEDULAR | $54.860 | $54.860 | |
| 11-01-200-00 | BLOQUEO/INFILTRACION NERVIO PERIFERICO | $80.000 | $80.000 | |
| 11-01-300-00 | BLOQUEO/INFILTRACION EPIDURAL O CAUDAL | $155.000 | $155.000 | |
| 11-01-400-00 | INFILTRACION FACETARIA (RADIOFRECUENCIA) | $26.270 | $200.000 | |
| 11-01-500-00 | BLOQUEO DEL TRIGEMINO | $24.280 | $15.600 | |
| 11-03-001-00 | ANEURISMA CIRSOIDEO DE CUERO CABELLUDO, | $118.180 | $237.390 | |
| 11-03-002-00 | SINUS PERICRANI, TRAT.QUIR. | $118.180 | $230.260 | |
| 11-03-003-00 | HUNDIMIENTO SIMPLE, REPARACION DE | $314.190 | $243.680 | |
| 11-03-004-00 | CREANEOPLASTIA CON AUTOINJERTO | $314.190 | $249.980 | |
| 11-03-005-00 | CRANEOPLASTIA CON PROTESIS (NO INCLUYE E | $314.190 | $249.980 | |
| 11-03-006-00 | TUMORES DE CALOTA, EXTIRP. DE | $314.190 | $238.030 | |
| 11-03-007-00 | OSTEOMIELITIS, LIMPIEZA QUIRURGICA | $314.190 | $250.670 | |
| 11-03-008-00 | CRANIECTOMIAS DESCOMPRESIVAS | $314.190 | $331.040 | |
| 11-03-009-00 | REPARACION DE FRACTURA CRECEDORA | $314.190 | $499.580 | |
| 11-03-010-00 | CRANEOTOMIAS LINEALES | $314.190 | $515.300 | |
| 11-03-011-00 | CRANIECTOMIAS C/S REMODELACION OSEA | $530.150 | $886.140 | |
| 11-03-012-00 | - HONORARIOS DEL 1ER. CIRUJANO RESPONSAB | $530.150 | $962.620 | |
| 11-03-013-00 | - HONORARIOS C/U DE LOS OTROS 1ROS. CIRU | $1.128.440 | $725.100 | |
| 11-03-014-00 | HEMATOMA O ABSCESO EXTRADURAL, VACIAMIEN | $314.190 | $572.960 | |
| 11-03-015-00 | REPARACION DE FISTULA DE LCR | $314.190 | $383.680 | |
| 11-03-016-00 | HEMATOMA, EMPIEMA O COLECCION SUBDURAL, | $314.190 | $572.960 | |
| 11-03-017-00 | QUISTES ARACNOIDALES ENCEFALICOS, TRAT. | $530.150 | $511.620 | |
| 11-03-018-00 | VENTRICULOSTOMIA O INSTALACION DE DERIVA | $314.190 | $250.670 | |
| 11-03-018-01 | INSTALACION CAPTOR PIC EN UCI | $390.110 | $250.670 | |
| 11-03-019-00 | ABSCESO CEREBRAL, TRAT. QUIR. | $530.150 | $771.260 | |
| 11-03-020-00 | HERIDA POR BALA CRANEOENCEFALICA Y/O EXT | $314.190 | $515.300 | |
| 11-03-021-00 | HUNDIMIENTO EXPUESTO, REPAR. DE | $314.190 | $322.720 | |
| 11-03-022-00 | LOBECTOMIAS POR CONTUSION CEREBRAL | $530.150 | $642.690 | |
| 11-03-023-00 | HEMATOMA INTRACEREBRAL, VACIAMIENTO DE | $530.150 | $614.720 | |
| 11-03-024-00 | DE BASE DE CRANEO | $530.150 | $1.126.430 | |
| 11-03-025-00 | INTRAORBITARIOS | $530.150 | $1.098.110 | |
| 11-03-026-00 | ENCEFALICOS Y DE HIPOFISIS | $530.150 | $1.126.430 | |
| 11-03-027-00 | ANEURISMAS, MALFORMACIONES ARTERIOVENOSA | $530.150 | $1.040.300 | |
| 11-03-028-00 | FISTULA CAROTIDO CAVERNOSA TRATAMIENTO E | $314.190 | $508.460 | |
| 11-03-029-00 | FISTULA CAROTIDO CAVERSONA, TRAT.QUIR. | $530.150 | $636.640 | |
| 11-03-030-00 | ANASTOMOSIS Y REVASCULARIZACION CEREBRAL | $314.190 | $527.790 | |
| 11-03-031-00 | ANASTOMOSIS Y REVASCULARIZACION CEREBRAL | $530.150 | $1.084.610 | |
| 11-03-032-00 | INSTALACION DE DERIVATIVAS DE LCR (NO IN | $314.190 | $393.550 | |
| 11-03-033-00 | REVISION O EXTERIORIZACION DE DERIVATIVA | $118.180 | $250.670 | |
| 11-03-034-00 | VENTRICULOCISTERNOSTOMIA | $314.190 | $390.560 | |
| 11-03-035-00 | FENESTRACION, SEPTOSTOMIA O COAGULACION | $530.150 | $390.560 | |
| 11-03-036-00 | CIRUGIA DESCOMPRESIVA DE FOSA POSTERIOR | $530.150 | $678.910 | |
| 11-03-037-00 | MENINGO Y MENINGOENCEFALOCELE OCCIPITAL, | $530.150 | $680.540 | |
| 11-03-038-00 | CIRUGIA DESCOMPRESIVA NEUROVASCULAR. | $530.150 | $758.130 | |
| 11-03-039-00 | NEUROTOMIAS | $118.180 | $276.700 | |
| 11-03-040-00 | NEUROLISIS O MICROCOMPRESION PERCUTANEA | $118.180 | $390.560 | |
| 11-03-041-00 | CIRUGIA DE LA EPILEPSIA (CUALQUIER TECNI | $530.150 | $698.100 | |
| 11-03-042-00 | BIOPSIA | $530.150 | $759.300 | |
| 11-03-043-00 | COAGULACION DE NUCLEOS O VIAS ENCEFALICA | $530.150 | $883.170 | |
| 11-03-045-00 | IMPLANTACION DE ESTIMULADORES INTRACRANE | $530.150 | $595.860 | |
| 11-03-046-00 | INSTALACION DE ESTIMULADORES MEDULARES | $314.190 | $369.070 | |
| 11-03-047-00 | DISRRAFIAS ESPINALES: MENINGOCELE, MIELO | $530.150 | $678.910 | |
| 11-03-048-00 | INFILTRACION FACETARIA COLUMNA Y RADICUL | $118.180 | $300.420 | |
| 11-03-049-00 | HERNIA NUCLEO PULPOSO, ESTENORRAQUIS, AR | $314.190 | $784.420 | |
| 11-03-049-01 | HNP CERVICAL | $314.190 | $784.420 | |
| 11-03-050-00 | LAMINECTOMIA DESCOMPRESIVA | $314.190 | $659.260 | |
| 11-03-051-00 | HERIDAS RAQUIMEDULARES, TRAT. QUIR. | $314.190 | $506.130 | |
| 11-03-052-00 | TUMOR VERTEBRAL, TRAT. QUIR. | $314.190 | $558.540 | |
| 11-03-053-00 | TUMOR O QUISTE MEDULAR O INTRARRAQUIDEO, | $530.150 | $680.530 | |
| 11-03-054-00 | MALFORMACION ARTERIOVENOSA O FISTULA DUR | $530.150 | $776.380 | |
| 11-03-055-00 | CORDOTOMIA PERCUTANEA | $118.180 | $369.070 | |
| 11-03-056-00 | MIELOTOMIA, DREZTOMIA | $314.190 | $607.300 | |
| 11-03-057-00 | RIZOTOMIA (CUALQUIER TECNICA) | $314.190 | $467.330 | |
| 11-03-058-00 | TUMOR DE NERVIO PERIFERICO, EXTIRP. DE | $118.180 | $230.740 | |
| 11-03-059-00 | REPARACION PLEXOS C/S NEUROTIZACION CON | $314.190 | $745.280 | |
| 11-03-060-00 | SECCION DE NERVIO, REPARACION CON INJER | $314.190 | $376.050 | |
| 11-03-061-00 | SECCION DE NERVIO, REPARACION SIN INJERT | $118.180 | $333.570 | |
| 11-03-062-00 | NEUROLISIS CON TECNICA MICROQUIRURGICA | $314.190 | $356.210 | |
| 11-03-063-00 | NEUROLISIS EXTERNA | $118.180 | $250.450 | |
| 11-03-064-00 | SINDROME DEL ESCALENO, TRAT. QUIR. | $118.180 | $302.340 | |
| 11-03-065-00 | SINDROME DE COSTILLA CERVICAL,TRAT.QUIR. | $118.180 | $542.300 | |
| 11-03-066-00 | SINDROME DEL TUNEL DEL CARPO O DEL TARSO | $118.180 | $250.450 | |
| 11-03-067-00 | TRANSPOSICION CUBITAL, REPAR. DE | $118.180 | $300.510 | |
| 11-03-068-00 | NEURECTOMIA, CUALQUIER LOCALIZACION, CAD | $118.180 | $220.260 | |
| 11-03-068-01 | NEURECTOMIA POR LAPAROSCOPIA | $314.190 | $220.260 | |
| 11-03-069-00 | FIJACION DE COLUMNA (CERVICAL-DORSAL-LUM | $314.190 | $652.690 | |
| 11-03-127-00 | EMBOLIZACION ANEURISMA CEREBRAL | $2.132.000 | $1.022.210 | |
| 11-03-227-00 | EMBOLIZACION MAV | $1.022.210 | $1.022.210 | |
| 11-03-300-01 | TROMBECTOMIA MECANICA CEREBRAL CON CATET | $530.150 | $0 | |
| 11-03-300-02 | TROMBECTOMIA MECANICA CEREBRAL CON STENT | $530.150 | $0 | |
| 11-03-300-03 | TROMBECTOMIA MECANICA CEREBRAL SIST ASPI | $530.150 | $2.319.218 | |
| 11-03-400-00 | TROMBECTOMIA MECANICA TECNICA COMBINADA | $0 | $2.003.048 | |
| 12-01-001-00 | & CAMPIMETRIA DE PROYECCION, C/OJO (PROC | $18.820 | $12.100 | |
| 12-01-002-00 | & COORDIMETRIA, TEST DE HESS U OTRO, C/O | $9.610 | $6.180 | |
| 12-01-003-00 | CUANTIFICACION DE LAGRIMACION (TEST DE | $5.830 | $3.740 | |
| 12-01-004-00 | CURVA DE TENSION APLANATICA (POR CADA | $14.690 | $9.440 | |
| 12-01-005-00 | DIPLOSCOPIA CUANTITATIVA, AMBOS OJOS | $8.470 | $5.440 | |
| 12-01-006-00 | & ELECTROMIOGRAFIA MUSCULOS OCULARES ADU | $39.620 | $25.460 | |
| 12-01-007-00 | & ELECTROMIOGRAFIA MUSCULOS OCULARES NIN | $36.800 | $23.650 | |
| 12-01-008-00 | & ELECTROOCULOGRAFIA, AMBOS OJOS | $32.720 | $21.020 | |
| 12-01-009-00 | EXPLORACION SENSORIOMOTORA: ESTRABISMO | $34.140 | $21.940 | |
| 12-01-010-00 | & PERIMETRIA ESTATICA (CON CAMPIMETRIA D | $29.160 | $18.740 | |
| 12-01-011-00 | PRUEBAS DE PROVOCACION PARA GLAUCOMA ( | $19.020 | $12.220 | |
| 12-01-012-00 | & RETINOGRAFIA, AMBOS OJOS | $21.910 | $14.080 | |
| 12-01-014-00 | TONOMETRIA OCULAR CUALQUIER TE, C/OJO | $4.880 | $3.140 | |
| 12-01-015-00 | TRATAMIENTO ORTOPTICO Y/ O PLEOPTICO ( | $10.830 | $6.960 | |
| 12-01-017-00 | ANGIOSCOPIA RETINAL Y/O IRIS (CON FLUORE | $9.560 | $6.140 | |
| 12-01-018-00 | ELECTRORRETINOGRAFIA, C/OJO | $29.510 | $18.960 | |
| 12-01-019-00 | EXPLORACION VITREORRETINAL, AMBOS OJOS | $17.650 | $11.340 | |
| 12-01-020-00 | ECOBIOMETRIA CON CALCULO DE LENTE INTRAO | $60.530 | $38.900 | |
| 12-01-023-00 | & POTENCIAL VISUAL EVOCADO EN ADULTOS, A | $45.190 | $29.040 | |
| 12-01-024-00 | & POTENCIAL VISUAL EVOCADO EN NINOS, AMB | $44.720 | $28.740 | |
| 12-01-027-00 | OPTOMETRIA | $32.870 | $0 | |
| 12-01-029-00 | CUERPO EXTRANO CONJUNTIVAL Y/O CORNEAL E | $22.930 | $14.740 | |
| 12-01-030-00 | CUERPO EXTRANO CONJUNTIVAL Y/O CORNEAL E | $35.430 | $22.770 | |
| 12-01-031-00 | VIA LAGRIMAL,CATETERISMO EN ADULTOS | $34.540 | $22.190 | |
| 12-01-031-01 | VIA LAGRIMAL EN AD BILATERAL | $10.905 | $10.905 | |
| 12-01-032-00 | VIA LAGRIMAL, CATETERISMO EN LACTANTES | $57.420 | $36.900 | |
| 12-01-033-00 | VIA LAGRIMAL, CATETERISMO EN NIÑOS | $44.550 | $28.620 | |
| 12-01-034-00 | TOCACION CORNEAL C/YODO Y/O ETER U OTROS | $16.410 | $10.540 | |
| 12-01-035-00 | CRIOCOAGULACION CONJUNTIVAL, CORNEAL O P | $26.270 | $22.190 | |
| 12-01-036-00 | CRIOCOAGULACION CONJUNTIVAL, CORNEAL O P | $26.270 | $24.640 | |
| 12-01-037-00 | GLAUCOMA, CICLODIATERMIA Y/O CICLOCRIOTE | $26.270 | $82.080 | |
| 12-01-039-00 | PESTANAS, EXTIRP. POR ELECTROCOAGULACION | $38.350 | $24.640 | |
| 12-01-040-00 | PUNTOS LAGRIMALES ELECTROTERMOCOAGULACI | $34.540 | $22.190 | |
| 12-01-041-00 | SONDAJE VIA LAGRIMAL EN NINOS (BAJO ANES | $26.270 | $111.250 | |
| 12-01-042-00 | CAMPIMETRIA COMPUTARIZADA, C/OJO | $43.130 | $27.710 | |
| 12-01-043-00 | TOPOGRAFIA CORNEAL COMPUTARIZADA, C/OJ | $73.430 | $47.180 | |
| 12-01-044-01 | TOMOGRAFIA COHERENCIA OPTICA C/OJO | $139.270 | $55.930 | |
| 12-01-045-00 | PAQUIMETRIA | $89.340 | $35.880 | |
| 12-01-100-00 | MICROSCOPIA ESPECULAR | $35.000 | $35.000 | |
| 12-01-200-00 | INYECCION INTRAVITREA | $80.000 | $80.000 | |
| 12-02-001-00 | INTUBACION | $26.270 | $115.390 | |
| 12-02-002-00 | PUNTOS LAGRIMALES, PLASTIA DE | $26.270 | $80.700 | |
| 12-02-002-01 | PLASTIA LAGRIMAL BILATERAL | $39.650 | $39.650 | |
| 12-02-003-00 | RECONSTITUCION DE CANALICULOS | $26.270 | $184.660 | |
| 12-02-004-00 | ABSCESO, VACIAMIENTO Y/O DRENAJE DE | $77.960 | $50.100 | |
| 12-02-005-00 | DACRIOCISTORRINOSTOMIA | $26.270 | $283.220 | |
| 12-02-006-00 | EXTIRPACION DE | $26.270 | $153.730 | |
| 12-02-007-00 | RECONSTITUCION VIA LAGRIMAL EN AUSENCIA | $118.180 | $377.900 | |
| 12-02-008-00 | TUMOR DE GLANDULA LAGRIMAL, TRAT. QUIR. | $118.180 | $390.560 | |
| 12-02-009-00 | TUMOR MALIGNO DEL SACO, TRAT. QUIR. COM | $118.180 | $283.220 | |
| 12-02-010-00 | ABSCESO, TRAT. QUIR. | $26.270 | $46.160 | |
| 12-02-011-00 | BIOPSIA DE PARPADO Y/O ANEXOS (PROC. AUT | $104.730 | $67.300 | |
| 12-02-011-01 | BIOPSIA PARPADO BILATERAL | $42.984 | $33.065 | |
| 12-02-012-00 | BLEFAROCHALASIS, PLASTIA DE | $233.190 | $149.840 | |
| 12-02-012-01 | BLEFAROCHALASIS PLASTIA BILATERAL | $233.190 | $149.840 | |
| 12-02-013-00 | BLEFAROFIMOSIS, PLASTIA DE | $118.180 | $290.800 | |
| 12-02-014-00 | BLEFARORRAFIA CON BLEFAROTOMIA POSTERIOR | $26.270 | $80.700 | |
| 12-02-015-00 | CANTOPLASTIA | $26.270 | $115.390 | |
| 12-02-016-00 | CHALAZION Y OTROS TUMORES BENIGNOS (UNO | $139.710 | $89.780 | |
| 12-02-016-01 | CHALAZION BILATERAL | $139.710 | $89.780 | |
| 12-02-017-00 | COLOBOMA, PLASTIA DE | $118.180 | $245.940 | |
| 12-02-018-00 | ECTROPION, PLASTIA DE | $26.270 | $181.870 | |
| 12-02-019-00 | ENTROPION, PLASTIA DE | $26.270 | $181.870 | |
| 12-02-020-00 | EPICANTO, PLASTIA DE | $26.270 | $181.870 | |
| 12-02-021-00 | PTOSIS, TRAT. QUIR. | $118.180 | $294.720 | |
| 12-02-021-01 | PEXIA CILIAR | $118.180 | $294.720 | |
| 12-02-022-00 | QUISTE DERMOIDE DE LA COLA DE LA CEJA, R | $26.270 | $92.210 | |
| 12-02-023-00 | TUMOR MALIGNO, TRAT. QUIR. COMPLETO | $118.180 | $184.660 | |
| 12-02-024-00 | XANTELASMA, TRAT. QUIR. | $109.830 | $70.580 | |
| 12-02-025-00 | HERIDA O DEHISCENCIA, SUTURA DE (PROC.AU | $26.270 | $145.980 | |
| 12-02-026-00 | PTERIGION Y/O PSEUDOPTERIGION O SU RECID | $26.270 | $171.250 | |
| 12-02-027-00 | SIMBLEFARON, RESECCION DE ADHERENCIAS Y | $118.180 | $151.140 | |
| 12-02-028-00 | TUMOR BENIGNO, EXTIRP. DE | $26.270 | $89.780 | |
| 12-02-029-00 | ABSCESO, TRAT. QUIR. | $129.700 | $83.340 | |
| 12-02-030-00 | CORRECCION DE CAVIDAD ANOFTALMICA TRAT. | $118.180 | $349.890 | |
| 12-02-031-00 | CUERPO EXTRANO ORBITARIO (CON ORBITOTOMI | $118.180 | $365.380 | |
| 12-02-032-00 | EXANTERACION ORBITARIA O TUMOR ORBITARIO | $314.190 | $673.700 | |
| 12-02-033-00 | ORBITOTOMIA ANTERIOR | $118.180 | $189.820 | |
| 12-02-034-00 | ORBITOTOMIA LATERAL DESCOMPRESIVA | $118.180 | $292.930 | |
| 12-02-035-00 | BIOPSIA DE GLOBO OCULAR (PROC. AUT) | $118.180 | $138.430 | |
| 12-02-036-00 | ENUCLEACION O IMPLANTE DE PROTESIS OCULA | $118.180 | $253.810 | |
| 12-02-037-00 | ENUCLEACION CON IMPLANTE | $118.180 | $346.020 | |
| 12-02-038-00 | ESTRABISMO, TRAT. QUIR. COMPLETO (UNO O | $118.180 | $413.220 | |
| 12-02-039-00 | EXANTERACION OCULAR (PROC. AUT.) | $118.180 | $253.810 | |
| 12-02-040-00 | LESION TRAUMATICA, SUTURA DE (PROC. AUT. | $118.180 | $179.390 | |
| 12-02-041-00 | CIRUGIA REFRACTIVA, QUERATOTOMIA RADIAL | $118.180 | $236.850 | |
| 12-02-042-00 | CRIOTERAPIA Y RECESION CONJUNTIVAL | $26.270 | $128.110 | |
| 12-02-044-00 | CUERPO EXTRANO, EXTRACCION QUIR. DE | $26.270 | $53.790 | |
| 12-02-045-00 | GLAUCOMA, TRAT. QUIR. POR CUALQUIER TECN | $314.190 | $356.210 | |
| 12-02-046-00 | HERIDA PENETRANTE CORNEAL O CORNEO-ESCLE | $118.180 | $230.740 | |
| 12-02-047-00 | QUERATECTOMIA LAMINAR | $118.180 | $229.810 | |
| 12-02-048-00 | QUERATOPLASTIA. INJERTO LAMELAR O PENETR | $118.180 | $493.260 | |
| 12-02-049-00 | QUERATOPROTESIS, IMPLANTACION DE (NO INC | $314.190 | $538.020 | |
| 12-02-050-00 | RECUBRIMIENTO CONJUNTIVAL | $118.180 | $276.830 | |
| 12-02-051-00 | REHABILITACION SUPERFICIE OCULAR (CON IN | $118.180 | $276.830 | |
| 12-02-053-00 | IRIDECTOMIA PERIFERICA Y/U OPTICA, (PROC | $118.180 | $179.890 | |
| 12-02-054-00 | TUMOR, TRAT. QUIR. | $118.180 | $348.500 | |
| 12-02-055-00 | DESGARRO SIN DESPRENDIMIENTO, DIATERMO Y | $26.270 | $184.660 | |
| 12-02-056-00 | DESPRENDIMIENTO RETINAL, CIRUGIA CONVENC | $118.180 | $480.480 | |
| 12-02-057-00 | RETINOPATIA PROLIFERATIVA, (DIABETICA, H | $568.390 | $365.230 | |
| 12-02-058-00 | TUMOR, DIATERMO Y/O CRIO Y/O FOTOCOAGULA | $26.270 | $189.420 | |
| 12-02-059-00 | VASCULOPATIA RETINAL (EXCEPTO RETINOPATI | $26.270 | $219.740 | |
| 12-02-060-00 | VITRECTOMIA C/RETINOTOMIA (C/S INYECCION | $118.180 | $658.480 | |
| 12-02-061-00 | VITRECTOMIA CON INYECCION DE GAS O SILIC | $118.180 | $540.560 | |
| 12-02-062-00 | VITRECTOMIA CON VITREOFAGO (PROC. AUT) | $118.180 | $474.080 | |
| 12-02-063-00 | FACOERESIS INTRACAPSULAR O CATARATA SE | $118.180 | $393.570 | |
| 12-02-064-00 | FACOERESIS EXTRACAPSULAR CON IMPLANTE | $118.180 | $625.890 | |
| 12-02-065-00 | IMPLANTE SECUNDARIO DE LENTE INTRAOCULAR | $314.190 | $604.770 | |
| 12-02-066-00 | ASPIRACION ESFERULAR C/S CAPSULOTOMIA | $118.180 | $184.910 | |
| 12-02-067-00 | DISCISION DE CAPSULA POSTERIOR | $26.270 | $184.610 | |
| 12-02-067-01 | DISCISION CAPSULA POSTERIOR BILAT 50 % | $26.270 | $92.305 | |
| 12-02-068-00 | IRIDOTOMIA | $26.270 | $184.610 | |
| 12-02-068-01 | IRIDOTOMIA BILATERAL 50% | $26.270 | $92.305 | |
| 12-02-069-00 | TRABECULOPLASTIA O IRIDOPLASTIA | $26.270 | $184.610 | |
| 12-02-069-01 | TRABECULOPLASTIA BILATERAL 50% | $26.270 | $92.305 | |
| 12-02-070-00 | SINEQUIOTOMIA (PROC. AUT.) | $118.180 | $153.730 | |
| 12-02-071-00 | HERIDA O DEHISCENCIA DE SUTURA DE PARPAD | $172.530 | $110.860 | |
| 12-02-072-00 | RECONSTRUCCION DE PISO ORBITARIO. | $118.180 | $238.030 | |
| 12-02-073-00 | OPERACION TRIPLE (INJERTO, FACOERESIS E | $314.190 | $818.050 | |
| 12-02-074-00 | HERNIA DE IRIS Y/O FISTULAS,REPARACION D | $118.180 | $184.660 | |
| 12-02-075-00 | RETINOPEXIA NEUMATICA. | $118.180 | $374.580 | |
| 12-02-076-00 | EXTRACCION O CORRECCION DE DESPLAZAMIENT | $118.180 | $353.570 | |
| 12-02-077-00 | DESPRENDIMIENTO COROIDEO O HEMORRAGIA CO | $118.180 | $184.660 | |
| 12-02-078-00 | CIRUGIA FOTORREFRACTIVA (LASIK) | $118.180 | $760.960 | |
| 13-01-001-00 | ELECTROGUSTOMETRIA | $12.750 | $8.190 | |
| 13-01-003-00 | NASOFARINGOLARINGOFIBROSCOPIA | $43.550 | $27.980 | |
| 13-01-005-00 | SINUSOSCOPIA DE CADA SENO MAXILAR POR PU | $23.510 | $15.100 | |
| 13-01-006-00 | CON MICROSCOPIO | $54.230 | $34.850 | |
| 13-01-007-00 | - SIN MICROSCOPIO | $47.340 | $30.420 | |
| 13-01-008-00 | AUDIOMETRIA EN NINOS | $25.650 | $16.480 | |
| 13-01-009-00 | IMPEDANCIOMETRIA | $16.360 | $10.510 | |
| 13-01-010-00 | & PRUEBA DE AUDIFONOS | $13.750 | $8.830 | |
| 13-01-011-00 | & AUDIOMETRIA POR POTENCIALES EVOCADOS | $48.130 | $30.930 | |
| 13-01-012-00 | COCLEOVESTIBULAR CON ELECTRONISTAGMOG | $44.020 | $28.290 | |
| 13-01-015-00 | & ELECTRONISTAGMOGRAFIA C/S NISTAG.DE P | $16.090 | $10.340 | |
| 13-01-016-00 | & PERMEABILIDAD TUBARIA, ESTUDIO INSTRU | $12.380 | $7.950 | |
| 13-01-017-00 | & PRUEBA CALORICA (PROC.AUT.) | $11.480 | $7.380 | |
| 13-01-019-00 | & TEST DE GLICEROL (CON DOS AUDIOMETRIA | $43.350 | $27.860 | |
| 13-01-020-00 | VIII PAR, ESTUDIO DE ( EXAMEN COCLEOV | $48.680 | $31.280 | |
| 13-01-021-00 | AUDIOMETRIA | $21.910 | $14.080 | |
| 13-01-024-00 | SENOS PERINASALES, PUNCION EVACUADORA C/ | $17.180 | $11.040 | |
| 13-01-025-00 | TAPONAMIENTO ANTERIOR (PROC. AUT.) | $12.150 | $7.810 | |
| 13-01-026-00 | TAPONAMIENTO POSTERIOR | $35.430 | $22.770 | |
| 13-01-027-00 | VACIAMIENTO CAVID. PERINASALES (PROETZ Y | $66.460 | $42.700 | |
| 13-01-028-00 | VASOS Y/O CORNETES, ELECTROCAUTERIZACION | $26.270 | $22.770 | |
| 13-01-029-00 | CUERPO EXTRAÑO NASAL EN ADULTOS | $16.410 | $10.540 | |
| 13-01-030-00 | CUERPO EXTRAÑO NASAL EN NINOS | $37.520 | $24.110 | |
| 13-01-035-00 | EN ADULTOS | $26.270 | $42.940 | |
| 13-01-036-00 | EN NINOS | $26.270 | $50.110 | |
| 13-01-037-00 | DILATACION ESOFAGICA POR SESION | $26.270 | $11.140 | |
| 13-01-038-00 | EN NINOS | $26.270 | $45.490 | |
| 13-01-039-00 | EN ADULTOS | $26.270 | $45.490 | |
| 13-01-040-00 | LESIONES DEL OIDO EXTERNO Y/O MEDIO, CUR | $11.530 | $7.410 | |
| 13-01-041-00 | TROMPA DE EUSTAQUIO, INSUFLACION INSTRUM | $11.530 | $7.410 | |
| 13-01-042-00 | CUERPO EXTRAÑO OIDO ADULTOS | $11.530 | $7.410 | |
| 13-01-043-00 | CUERPO EXTRAÑO OIDO EN NIÑOS | $34.540 | $22.190 | |
| 13-01-044-00 | BIOPSIA OIDO (PROC. AUT.) | $34.540 | $22.190 | |
| 13-01-100-00 | EMISIONES OTOACUSTICAS | $19.700 | $19.700 | |
| 13-01-101-00 | TRATAMIENTO VESTIBULAR SESION 1 | $32.500 | $32.500 | |
| 13-01-200-00 | VIDEONASOLARINGOSCOPIA | $68.000 | $68.000 | |
| 13-02-001-00 | ABSCESO Y/O HEMATOMAS OIDO EXTERNO | $53.710 | $34.510 | |
| 13-02-002-00 | CUERPO EXTRANO EN CONDUCTO AUDITIVO EXTE | $26.270 | $75.200 | |
| 13-02-003-00 | FISTULA PREAURICULAR COMPLICADA, TRAT. Q | $369.790 | $237.620 | |
| 13-02-003-01 | FISTULA PREAURICULAR COMPLICADA, 1CIRUJ | $369.790 | $237.620 | |
| 13-02-004-00 | TUMOR BENIGNO, TRAT. QUIR. | $73.900 | $47.490 | |
| 13-02-005-00 | TUMOR MALIGNO, TRAT. QUIR. | $26.270 | $236.690 | |
| 13-02-006-00 | ESTAPEDECTOMIA | $118.180 | $280.800 | |
| 13-02-007-00 | MASTOIDECTOMIA C/S SECCION CUERDA DEL TI | $118.180 | $313.820 | |
| 13-02-008-00 | MUCOSITIS TIMPANICA O MIXIOSIS UNI O BIL | $26.270 | $184.910 | |
| 13-02-009-00 | OPERACION RADICAL DEL OIDO C/S SECCION C | $118.180 | $276.830 | |
| 13-02-011-00 | RECONSTITUCION FUNCIONAL DE OIDO RADICAL | $118.180 | $353.310 | |
| 13-02-012-00 | TIMPANOPLASTIA FUNCIONAL (CUALQUIER TIPO | $118.180 | $284.880 | |
| 13-02-013-00 | AGENESIA O ESTENOSIS, RECONSTITUCION PLA | $118.180 | $354.530 | |
| 13-02-014-00 | EXOSTOSIS, RESECCION RETRO O ENDOAURAL | $118.180 | $251.280 | |
| 13-02-015-00 | NEURECTOMIA DE JACOBSON | $118.180 | $230.740 | |
| 13-02-016-00 | RECONSTITUCION DE CONDUCTO AUDITIVO EXTE | $118.180 | $304.980 | |
| 13-02-017-00 | TUMOR GLOMICO, TRAT. QUIR. | $118.180 | $363.940 | |
| 13-02-018-00 | LABERINTECTOMIA | $118.180 | $292.930 | |
| 13-02-019-00 | NEURINOMA DEL ACUSTICO, TRAT. QUIR. VIA. | $118.180 | $514.640 | |
| 13-02-020-00 | DESCOMPRESION INTRAOSEA C/S PLASTIA | $118.180 | $276.830 | |
| 13-02-021-00 | LESIONES A NIVEL DEL CONDUCTO AUDITIVO I | $118.180 | $448.430 | |
| 13-02-022-00 | BIOPSIA BUCO-FARINGEA (PROC. AUT.) | $56.700 | $36.430 | |
| 13-02-023-00 | ** SECCION SIMPLE Y/O RESECCION FRENILLO | $53.710 | $34.510 | |
| 13-02-024-00 | PISO DE LA BOCA | $26.270 | $35.390 | |
| 13-02-025-00 | DRENAJE ABCESO PERIAMIGDALIANO | $97.630 | $62.740 | |
| 13-02-026-00 | RETROFARINGEO O FARINGOLARINGEO | $26.270 | $62.740 | |
| 13-02-027-00 | VESTIBULO BUCAL | $56.800 | $36.500 | |
| 13-02-028-00 | ADENOIDECTOMIA (PROC. AUT.) | $118.180 | $200.720 | |
| 13-02-029-00 | AMIGDALECTOMIA C/S ADENOIDECTOMIA, UNI O | $118.180 | $210.560 | |
| 13-02-030-00 | CALCULOS SALIVALES, TRAT. QUIR. | $58.320 | $37.470 | |
| 13-02-031-00 | TUMOR BENIGNO DE LA MUCOSA BUCAL, EXTIR | $53.710 | $34.510 | |
| 13-02-032-00 | TUMOR MALIGNO DE LAS AMIGDALAS, TRAT. QU | $118.180 | $230.740 | |
| 13-02-033-00 | TUMOR BENIGNO DE LAS AMIGDALAS, TRAT. QU | $118.180 | $237.620 | |
| 13-02-034-00 | - MALIGNO, C/S DISECCION RADICAL DE CUEL | $314.190 | $515.300 | |
| 13-02-035-00 | FARINGOPLASTIA (CUALQ.TECN.), C/S DESPLA | $118.180 | $358.830 | |
| 13-02-036-00 | FIBROANGIOMA DEL RINOFARINX, TRAT. QUIR. | $314.190 | $474.080 | |
| 13-02-037-00 | GLOSECTOMIA TOTAL C/S DISECCION RADICAL | $314.190 | $512.500 | |
| 13-02-038-00 | ABSCESOS Y HEMATOMA DEL TABIQUE NASAL, T | $26.270 | $55.580 | |
| 13-02-039-00 | ARTERIA ESFENOPALATINA, CAUTERIZACION PO | $26.270 | $250.670 | |
| 13-02-040-00 | ARTERIA MAXILAR INTERNA, LIGADURA DE (PO | $118.180 | $230.740 | |
| 13-02-041-00 | ARTERIAS ETMOIDALES ANTERIORES, LIGADURA | $26.270 | $184.910 | |
| 13-02-042-00 | TURBINECTOMIA O ELECTROCAUTERIZACION DE | $26.270 | $62.740 | |
| 13-02-043-00 | CONDUCTO Y/O SENO LAGRIMAL, OBSTRUCCION | $118.180 | $230.740 | |
| 13-02-044-00 | ETMOIDECTOMIA ENDO O EXONASAL | $118.180 | $243.570 | |
| 13-02-045-00 | FISTULA BUCO-SINUSAL, TRAT. QUIR. | $118.180 | $250.670 | |
| 13-02-046-00 | FRACT. NASAL RECIENTE, CERRADA O EXPUEST | $79.950 | $51.380 | |
| 13-02-047-00 | NERVIO VIDIANO, SECCION DEL (POR CUALQUI | $118.180 | $283.970 | |
| 13-02-048-00 | PERFORACION DEL TABIQUE, TRAT. QUIR. | $26.270 | $195.200 | |
| 13-02-049-00 | POLIPO NASAL Y/O COANAL, TRAT. QUIR. | $26.270 | $62.180 | |
| 13-02-050-00 | RINITIS ATROFICA, TRAT. POR INCLUSION SU | $118.180 | $184.910 | |
| 13-02-051-00 | RINOFIMA, TRAT. QUIR. | $118.180 | $238.300 | |
| 13-02-052-00 | RINOPLASTIA Y/O SEPTOPLASTIA, CUALQUIER | $118.180 | $314.370 | |
| 13-02-053-00 | SENO ESFENOIDAL, ABERTURA (VIA TRANSETMO | $118.180 | $286.540 | |
| 13-02-054-00 | SENO FRONTAL, TRAT.QUIR. C/S VACIAMIENTO | $118.180 | $243.570 | |
| 13-02-055-00 | SENO MAXILAR, ANTROSTOMIA C/S ETMOIDECTO | $118.180 | $236.690 | |
| 13-02-056-00 | SINEQUIA NASAL, TRAT. QUIR. | $26.270 | $35.390 | |
| 13-02-057-00 | TUMOR NASAL, EXTIRP. POR RINOTOMIA LATER | $118.180 | $230.740 | |
| 13-02-058-00 | VACIAMIENTO ETMOIDAL POR VIA NASAL C/S P | $118.180 | $175.550 | |
| 13-02-059-00 | ARITENOIDECTOMIA VIA ENDOSCOPICA | $26.270 | $176.130 | |
| 13-02-060-00 | ARITENOIDECTOMIA VIA EXTERNA | $118.180 | $230.740 | |
| 13-02-061-00 | DECORTICACION DE CUERDAS VOCALES C/MICRO | $118.180 | $190.020 | |
| 13-02-062-00 | POR LARINGOTOMIA | $26.270 | $184.660 | |
| 13-02-063-00 | POR VIA ENDOSCOPICA | $26.270 | $194.940 | |
| 13-02-064-00 | CORDECTOMIA LARINGEA O SINEQUIA CUERDAS | $118.180 | $230.740 | |
| 13-02-065-00 | ESTENOSIS LARINGOTRAQUEALES Y/O FARINGEA | $118.180 | $515.300 | |
| 13-02-066-00 | LARINGECTOMIA PARCIAL O SUBTOTAL (CUALQU | $118.180 | $486.900 | |
| 13-02-067-00 | LARINGECTOMIA TOTAL MAS FARINGECTOMIA PA | $314.190 | $648.640 | |
| 13-02-068-00 | LARINGECTOMIA TOTAL MAS FARINGECTOMIA TO | $530.150 | $893.570 | |
| 13-02-069-00 | LARINGOCELE, TRAT. QUIR. | $118.180 | $224.940 | |
| 13-02-070-00 | PAPILOMAS LARINGEOS, TRAT. QUIR. (POR SE | $26.270 | $89.780 | |
| 13-02-071-00 | PARALISIS DE CUERDAS VOCALES, TRAT. QUIR | $118.180 | $237.870 | |
| 13-02-072-00 | TRAQUEOSTOMIA (PROC. AUT.) | $118.180 | $250.670 | |
| 13-02-073-00 | ESTENOSIS LARINGOTRAQUEALES Y FARINGEAS, | $26.270 | $121.810 | |
| 13-02-350-00 | RINOSEPTOPLASTIA ADULTOS | $118.180 | $0 | |
| 13-03-010-00 | EVALUACION INTEGRAL FONOAUDIOLOGIA | $30.850 | $19.820 | |
| 13-03-011-00 | REHABILITACION INTEGRAL DE FONOAUDIOLOGO | $14.270 | $9.170 | |
| 14-01-001-00 | PUNCION EVACUADORA DE QUISTE TIROIDEO C/ | $35.430 | $80.000 | |
| 14-01-001-01 | BIOPSIA CORE TIROIDES | $80.000 | $80.000 | |
| 14-01-001-03 | PUNCION PLEURAL SIMPLE | $80.000 | $80.000 | |
| 14-01-100-00 | PUNCION SEROMA BAJO ECO | $80.000 | $80.000 | |
| 14-02-001-00 | TIROIDECTOMIA BILATERAL TOTAL | $118.180 | $487.870 | |
| 14-02-002-00 | TIROIDECTOMIA BILATERAL SUBTOTAL | $118.180 | $347.010 | |
| 14-02-003-00 | BOCIO INTRATORACICO, TRAT. QUIR. POR EST | $314.190 | $515.460 | |
| 14-02-004-00 | TIROIDES LINGUAL, TRAT. QUIR. (OP.DE TRO | $314.190 | $461.260 | |
| 14-02-005-00 | LOBECTOMIA CON O SIN ISTMECTOMIA O RESEC | $118.180 | $340.860 | |
| 14-02-006-00 | TIROIDECTOMIA TOTAL AMPLIADA CON DISECCI | $314.190 | $832.740 | |
| 14-02-007-00 | AUTOINJERTO DE PARATIROIDES (OPERACION | $118.180 | $334.780 | |
| 14-02-008-00 | PARATIROIDES, EXPLORACION CERVICAL MAS E | $314.190 | $461.260 | |
| 14-02-009-00 | PARATIROIDES, EXPLORACION CERVICAL POR H | $118.180 | $353.820 | |
| 14-02-010-00 | PARATIROIDES, REINTERVENCION POR HIPERPA | $314.190 | $392.140 | |
| 14-02-011-00 | PAROTIDECTOMIA PARCIAL (SUPRAFACIAL) | $118.180 | $237.440 | |
| 14-02-012-00 | PAROTIDECTOMIA TOTAL | $118.180 | $352.370 | |
| 14-02-013-00 | PAROTIDECTOMIA TOTAL AMPLIADA (INCLUYE M | $314.190 | $763.580 | |
| 14-02-014-00 | TOTALIZACION DE PAROTIDECTOMIA PARCIAL | $314.190 | $343.490 | |
| 14-02-015-00 | SUB-MANDIBULECTOMIA AMPLIADA (INCLUYE PI | $118.180 | $763.580 | |
| 14-02-016-00 | SUB-MANDIBULECTOMIA | $118.180 | $237.440 | |
| 14-02-017-00 | EXTIRPACION SUBLINGUAL | $118.180 | $189.680 | |
| 14-02-018-00 | EXTIRPACION SUBLINGUAL AMPLIADA (INCLUYE | $118.180 | $763.580 | |
| 14-02-019-00 | ABSCESO PAROTIDEO SUBMAXILAR Y/O CERVICA | $390.110 | $250.670 | |
| 14-02-019-01 | ABCESO PAROTIDEO SUBMAXILAR 1 CIRUJANO | $390.110 | $250.670 | |
| 14-02-020-00 | CONDUCTOS SALIVALES DE EXCRECION,REIMPLA | $118.180 | $230.860 | |
| 14-02-021-00 | FISTULA SALIVAL, TRAT. QUIR. | $359.280 | $230.860 | |
| 14-02-022-00 | MUCOCELE O QUISTE LABIAL, TRAT. QUIR. | $141.310 | $90.800 | |
| 14-02-023-00 | TORTICOLIS CONGENITA, TRAT. QUIR. | $118.180 | $230.860 | |
| 14-02-024-00 | QUISTES Y/O FISTULAS DEL CONDUCTO TIROGL | $118.180 | $230.860 | |
| 14-02-025-00 | TUMORES DEL CUERPO CAROTIDEO, TRAT.QUIR. | $118.180 | $299.730 | |
| 14-02-026-00 | BIOPSIA QUIR., MUCOSA ORONASOFARINGEA (P | $26.270 | $36.500 | |
| 14-02-027-00 | BIOPSIA QUIR., PIEL Y MUCOSA CARA (PROC | $71.840 | $46.160 | |
| 14-02-028-00 | RESECCION CUTANEA AMPLIADA(INCLUYE MUSCU | $118.180 | $230.740 | |
| 14-02-029-00 | RESECCION CUTANEA SIMPLE (SUTURA PRIMARI | $26.270 | $75.200 | |
| 14-02-030-00 | TUMOR MALIGNO DE LABIO SUPERIOR O INFERI | $118.180 | $289.570 | |
| 14-02-031-00 | TUMOR MALIGNO DE LABIO SUPERIOR O INFERI | $118.180 | $230.740 | |
| 14-02-032-00 | RESECCION PARCIAL Y CIRUGIA REPARADORA | $118.180 | $236.850 | |
| 14-02-033-00 | RESECCION TOTAL Y CIRUGIA REPARADORA | $118.180 | $230.740 | |
| 14-02-034-00 | RESECCION FRONTO-NASO-ETMOIDIANA | $118.180 | $292.160 | |
| 14-02-035-00 | EXANTERACION ORBITARIA AMPLIADA (INCLUYE | $530.150 | $837.940 | |
| 14-02-036-00 | HUESO TEMPORAL, EXTIRP. RADICAL | $314.190 | $791.810 | |
| 14-02-037-00 | PARCIAL (INCLUYE PALADAR OSEO REPARACI | $118.180 | $297.060 | |
| 14-02-038-00 | PARCIAL (INCLUYE PALADAR OSEO REPARACIO | $118.180 | $361.940 | |
| 14-02-039-00 | RADICAL AMPLIADA(INCLUYE EXANTERACION OR | $530.150 | $791.810 | |
| 14-02-040-00 | RADICAL CLASICA (INCLUYE EXANTERACION OR | $314.190 | $814.750 | |
| 14-02-041-00 | RADICAL CLASICA(INCLUYE EXANTERACION ORB | $314.190 | $686.540 | |
| 14-02-042-00 | GLOSECTOMIA PARCIAL, REPARACION PRIMARIA | $118.180 | $243.500 | |
| 14-02-043-00 | RESECCION AMPLIA DE TUMOR MALIGNO Y DISE | $118.180 | $888.190 | |
| 14-02-044-00 | HEMIMANDIBULECTOMIA | $118.180 | $368.780 | |
| 14-02-045-00 | MANDIBULECTOMIA TOTAL | $314.190 | $576.510 | |
| 14-02-046-00 | OPERACION "COMANDO" (INCLUYE EXTIRP. DEL | $530.150 | $868.580 | |
| 14-02-047-00 | PARCIAL | $118.180 | $250.450 | |
| 14-02-048-00 | RESECCION TRIDIMENSIONAL INTRA-ORAL O FA | $118.180 | $883.630 | |
| 14-02-050-00 | FARINGECTOMIA PARCIAL | $118.180 | $230.740 | |
| 14-02-051-00 | ** GENIOPLASTIA | $118.180 | $250.670 | |
| 14-02-052-00 | ** OSTEOTOMIAS SEGMENTARIAS SOBRE MANDIB | $118.180 | $236.690 | |
| 14-02-053-00 | ** OSTEOTOMIAS TOTALES SOBRE LA MANDIBUL | $118.180 | $414.510 | |
| 14-02-054-00 | ** CON COLOCACION DE ARCOS Y/O FERULAS Y | $26.270 | $136.300 | |
| 14-02-055-00 | ** CON OSTEOSINTESIS MULTIPLES,C/S LIGAD | $118.180 | $300.510 | |
| 14-02-056-00 | ** CON OSTEOSINTESIS UNICA C/S COLOCACIO | $26.270 | $250.450 | |
| 14-02-057-00 | RECONSTRUCCIONES COMPLEJAS DE LA CARA SI | $314.190 | $745.280 | |
| 14-02-058-00 | RECONSTRUCCIONES DE PARTES DURAS Y BLAND | $118.180 | $508.460 | |
| 14-02-059-00 | ** REMOCION QUIR. DE ARCOS Y/O ALAMBRES | $26.270 | $83.440 | |
| 14-02-060-00 | SIMPLE (PROC.AUT.) | $119.620 | $76.860 | |
| 15-02-001-00 | COMPLICADAS: 1 O VARIAS DE MAS DE 5 CM | $389.690 | $250.400 | |
| 15-02-001-01 | SUTURA HERIDA COMPLEJA DE CARA 1 CIRUJA | $230.368 | $200.320 | |
| 15-02-002-00 | SIMPLES: 1 O VARIAS DE HASTA 5 CMS. QU | $97.630 | $62.740 | |
| 15-02-003-00 | IMPLANTE DE SILICONA FACIAL (CUALQUIER Z | $26.270 | $172.980 | |
| 15-02-004-00 | CICATRICES HASTA 2 | $26.270 | $243.500 | |
| 15-02-004-01 | CICATRICES HASTA 2 (1 CIRUJANO) | $136.192 | $194.800 | |
| 15-02-005-00 | CICATRICES 3 Y MAS | $26.270 | $278.240 | |
| 15-02-005-01 | CICATRICES 3 Y MAS (1 CIRUJANO) | $433.010 | $278.240 | |
| 15-02-006-00 | HASTA 1% SUPERFICIE CORPORAL RECEPTORA | $26.270 | $59.260 | |
| 15-02-007-00 | - HASTA 5% SUPERFICIE CORPORAL RECEPTORA | $26.270 | $97.440 | |
| 15-02-008-00 | - HASTA 10% SUPERFICIE CORPORAL RECEPTOR | $118.180 | $180.860 | |
| 15-02-009-00 | - POR CADA 10% ( O SU FRACCION) ADICIONA | $118.180 | $72.370 | |
| 15-02-010-00 | - 51% Y MAS DE SUPERFICIE CORPORAL RECEP | $530.150 | $580.380 | |
| 15-02-011-00 | PIEL TOTAL, CUALQUIER TAMANO (INCLUYE TR | $118.180 | $236.640 | |
| 15-02-012-00 | - CARTILAGO (AURICULAR,COSTAL O SIMILARE | $26.270 | $250.400 | |
| 15-02-013-00 | - OSEO (COSTAL, ILIACO, TIBIAL O SIMILAR | $118.180 | $287.760 | |
| 15-02-014-00 | PLASTIAS EN Z HASTA 3 | $378.950 | $243.500 | |
| 15-02-015-00 | PLASTIAS EN Z, 4 Y MAS | $118.180 | $230.860 | |
| 15-02-016-00 | COLGAJOS COMPLEJOS (ABBE,MUSTARDA,CONV | $118.180 | $300.510 | |
| 15-02-017-00 | - COLGAJOS LIBRES CON MICROANASTOMOSIS ( | $314.190 | $859.580 | |
| 15-02-018-00 | COLGAJOS MUSCULARES O MUSCULOCUTANEOS | $118.180 | $408.860 | |
| 15-02-019-00 | COLGAJOS OSTEOMUSCULOCUTANEOS | $118.180 | $622.980 | |
| 15-02-020-00 | COLGAJOS SIMPLES DOS O MAS | $118.180 | $243.570 | |
| 15-02-021-00 | COLGAJO SIMPLE UNICO | $118.180 | $222.480 | |
| 15-02-022-00 | PARALISIS FACIAL, TRANSPLANTES MUSCULARE | $118.180 | $343.490 | |
| 15-02-023-00 | RIDECTOMIA CERVICO-FACIAL, UN LADO | $118.180 | $263.980 | |
| 15-02-024-00 | RIDECTOMIA FRONTAL | $118.180 | $230.740 | |
| 15-02-025-00 | ALADAS O EN ASA, CORRECCION PLASTICA | $26.270 | $398.580 | |
| 15-02-026-00 | LOBULO AURICULAR PARTIDO,CORRECCION PLAS | $97.630 | $62.740 | |
| 15-02-026-01 | LOBULO AURICULAR REP BILATERAL | $97.630 | $62.740 | |
| 15-02-027-00 | MALFORMACION CONGENITA COMPLEJA, CADA PL | $118.180 | $230.740 | |
| 15-02-028-00 | CORRECCION NASAL PARCIAL (ALARES,ALARGAM | $118.180 | $230.860 | |
| 15-02-029-00 | BLEFAROPLASTIA UNO O AMBOS PARPADOS INFE | $118.180 | $230.740 | |
| 15-02-030-00 | BLEFAROPLASTIA UNO O AMBOS PARPADOS SUPE | $118.180 | $244.780 | |
| 15-02-031-01 | BLEFAROPLASTIA SUP E INFERIOR | $118.180 | $230.740 | |
| 15-02-032-00 | QUEILOPLASTIA PRIMARIA, UN LADO ( PROC. | $118.180 | $230.740 | |
| 15-02-033-00 | CIERRE DE PALADAR DURO Y/O CIERRE DE COM | $118.180 | $224.770 | |
| 15-02-034-00 | CIERRE MUCOSO VESTIBULO ORAL | $118.180 | $244.140 | |
| 15-02-035-00 | PLASTIA DE VELO (CUALQUIER TECNICA) | $118.180 | $250.450 | |
| 15-02-036-00 | CIERRE DE MACROSTOMIA, UN LADO | $118.180 | $230.860 | |
| 15-02-037-00 | SINDROME DE TREACHER COLLINS, TRAT. QUIR | $118.180 | $410.160 | |
| 15-02-038-00 | PLASTIA EN ZETA BILATERAL EN UN TIEMPO | $118.180 | $372.850 | |
| 15-02-039-00 | ** - UNILATERAL | $118.180 | $265.900 | |
| 15-02-040-00 | DISTOPLASIAS ORBITARIAS: MOVILIZACION UN | $314.190 | $686.540 | |
| 15-02-041-00 | EXPANSION O RECONSTRUCCION DE UN MICRO-O | $314.190 | $686.540 | |
| 15-02-042-00 | SINDROME DE APERT CROUZON O SIMILAR: AVA | $530.150 | $791.810 | |
| 15-02-043-00 | SINDROME DE APERT CROUZON O SIMILAR: OST | $530.150 | $791.810 | |
| 15-02-044-00 | CORRECCION TELECANTO | $118.180 | $263.980 | |
| 15-02-045-00 | MOVILIZACION ORBITARIA EXTRACRANEANA | $314.190 | $686.540 | |
| 15-02-046-00 | MOVILIZACION ORBITARIA INTRACRANEANA, TI | $530.150 | $791.810 | |
| 15-02-047-00 | GINECOMASTIA, CORRECCION PLASTICA | $118.180 | $252.270 | |
| 15-02-048-00 | MAMOPLASTIA DE AUMENTO | $118.180 | $230.860 | |
| 15-02-048-01 | IMPLANTE MAMARIO | $314.190 | $230.860 | |
| 15-02-049-00 | MAMOPLASTIA DE REDUCCION | $118.180 | $306.590 | |
| 15-02-049-01 | REDUCCION MAMARIA | $314.190 | $306.590 | |
| 15-02-050-00 | MASTOPEXIA C/S IMPLANTE DE PROTESIS (NO | $118.180 | $224.900 | |
| 15-02-050-01 | MASTOPEXIA C/S IMPLANTE | $314.190 | $224.900 | |
| 15-02-051-00 | RECONSTRUCCION AREOLA Y/O PEZON C/S PLAS | $118.180 | $250.400 | |
| 15-02-052-00 | RECONSTRUCCION MAMARIA | $118.180 | $325.940 | |
| 15-02-053-00 | LIPECTOMIA ABDOMINAL C/S TRANSPLANTE DE | $118.180 | $353.820 | |
| 15-02-053-01 | ABDOMINOPLASTIA | $314.190 | $353.820 | |
| 15-02-054-00 | CON RESECCION OSEA C/S COLGAJO DE ROTACI | $118.180 | $224.180 | |
| 15-02-055-00 | CON RESECCION OSEA Y COLGAJOS MUSCULARES | $118.180 | $410.160 | |
| 15-02-056-00 | SINDACTILIA, TRAT. QUIR. CADA ESPACIO CO | $118.180 | $236.640 | |
| 15-02-057-00 | SINDACTILIA, TRAT. QUIR. CADA ESPACIO SI | $147.860 | $95.010 | |
| 15-02-058-00 | POLIDACTILIA, EXTIRPACION Y PLASTIA UN L | $118.180 | $236.640 | |
| 15-02-059-00 | LIPECTOMIA GLUTEA, UN LADO | $118.180 | $224.700 | |
| 15-02-060-00 | LIPECTOMIA TROCANTEREA, UN LADO | $118.180 | $230.670 | |
| 15-02-060-01 | IMPLANTE PANTORRILLAS | $118.180 | $230.670 | |
| 15-02-060-02 | LIPECTOMIA TROCANTEREA (CP) | $118.180 | $0 | |
| 15-02-061-00 | ESCAROTOMIA HASTA 10 % SUPERFICIE CORPOR | $69.320 | $44.540 | |
| 15-02-062-00 | ESCAROTOMIA POR CADA 10 % ADICIONAL (O S | $26.270 | $34.510 | |
| 15-02-063-00 | ESCARECTOMIA HASTA 1 % SUPERFICIE CORPOR | $151.640 | $97.440 | |
| 15-02-064-00 | ESCARECTOMIA HASTA 5 % SUPERFICIE CORPOR | $26.270 | $139.070 | |
| 15-02-065-00 | ESCARECTOMIA HASTA 10% SUPERFICIE CORPO | $118.180 | $200.720 | |
| 15-02-066-00 | ESCARECTOMIA POR CADA 10% ADICIONAL (O S | $118.180 | $111.340 | |
| 15-02-120-00 | INFILTRACION BOTOX | $0 | $352.000 | |
| 15-02-121-00 | ADMINISTRACION BOTOX EN PAB.(TELETON) | $118.180 | $43.090 | |
| 15-02-170-00 | LIPOSUCCION GENERAL | $118.180 | $86.110 | |
| 15-02-171-00 | LIPOSUCCION UNA ZONA | $118.180 | $30.370 | |
| 15-02-172-00 | LIPOSUCCION ABDOMEN,CADERAS,ESPALDA,MUSL | $118.180 | $86.110 | |
| 15-02-173-00 | BICHATO PLASTIA | $118.180 | $60.770 | |
| 15-02-180-00 | LIFTING | $314.190 | $116.500 | |
| 15-02-181-00 | LIFTING PARCIAL | $118.180 | $60.770 | |
| 16-01-109-00 | ESCLEROTERAPIA C/SESION | $79.680 | $32.000 | |
| 16-01-110-00 | CURETAJE DE LESIONES VIRALES Y SIMILARES | $68.720 | $44.160 | |
| 16-01-111-00 | APLICACION DE INMUNOMODULADORES HASTA 10 | $46.990 | $30.190 | |
| 16-01-112-00 | FOTOTERAPIA UVB,UVA,LOCALIZADA ,POR SESI | $16.060 | $10.320 | |
| 16-01-113-00 | FOTOTERAPIA UVB BANDA ANGOSTA Y UVA POR | $23.510 | $15.100 | |
| 16-01-115-00 | IMPLANTES SUBCUTANEOS | $53.730 | $35.140 | |
| 16-01-116-00 | CRIOTERAPIA HASTA 5 LESIONES | $46.240 | $29.710 | |
| 16-01-117-00 | CRIOTERAPIA 6 A10 LESIONES | $72.340 | $46.480 | |
| 16-01-118-00 | TUMOR MALIGNO POR CRIOCIRUGIA (CADA LESI | $130.800 | $84.050 | |
| 16-01-119-00 | INYECCION INTRACUTANEA EN AREAS HASTA 9 | $48.210 | $30.980 | |
| 16-01-120-00 | TRATAMIENTO ABRASIVO CUTANEO MECANICO | $91.630 | $58.880 | |
| 16-01-121-00 | TRATAMIENTO ABRASIVO CUTANEO QUIMICO | $68.720 | $44.160 | |
| 16-02-017-01 | IMPLANTE PELLET SUBCUTANEO | $21.090 | $100.000 | |
| 16-02-201-00 | BIOPSIA DE PIEL Y/O MUCOSA POR CURETAJE | $121.210 | $77.890 | |
| 16-02-202-00 | CABEZA ,CUELLO ,GENITALES HASTA 3 LESIO | $208.560 | $134.020 | |
| 16-02-203-00 | RESTO DEL CUERPO HASTA 3 LESIONES | $142.600 | $91.630 | |
| 16-02-204-00 | CABEZA CUELLO Y GENITALES DESDE 4 -6 LES | $417.200 | $268.080 | |
| 16-02-205-00 | RESTO DEL CUERPO DESDE 4 A 6 LESIONES | $285.280 | $183.310 | |
| 16-02-206-00 | EXTIRPACION DE LESIONES BENIGNAS POR SEC | $142.600 | $91.630 | |
| 16-02-207-00 | TTO POR ELECTRO HEMANGIOMAS TELAGECTASIA | $142.600 | $91.630 | |
| 16-02-211-00 | TU MALIGNO CABEZA CUELLO GENITALES | $434.480 | $279.180 | |
| 16-02-211-01 | CABEZA CUELLO GENIT 1 CIRUJANO | $434.480 | $223.344 | |
| 16-02-212-00 | RESTO DEL CUERPO | $347.630 | $223.380 | |
| 16-02-212-01 | RESTO DEL CUERPO 1 CIRUJANO | $219.066 | $178.704 | |
| 16-02-213-00 | CABEZA CUELLO GENITALES O MELANOMA CUALQ | $347.630 | $223.380 | |
| 16-02-213-01 | CABEZA,CUELLO O GENITALES MELANOMA 1 CIR | $183.640 | $178.704 | |
| 16-02-214-00 | RESTO DEL CUERPO | $267.480 | $171.870 | |
| 16-02-214-01 | RESTO DEL CUERPO 1 CIRUJANO | $137.730 | $137.496 | |
| 16-02-215-00 | TUMORES VASCULARES PROFUNDOS CARA,CUELLO | $421.880 | $271.090 | |
| 16-02-215-01 | TUMORES VASCULARES PROFUNDOS CARA 1CIRUJ | $421.880 | $271.090 | |
| 16-02-216-00 | TUMORES VASCULARES PROFUNDOS RESTO CUERP | $337.520 | $216.880 | |
| 16-02-216-01 | TU VASCULARES PROFUNDOS RESTO CUERPO 1 C | $183.640 | $173.504 | |
| 16-02-221-00 | HERIDA CORTANTE O CONTUSA COMPLICADA ,RE | $203.610 | $130.830 | |
| 16-02-221-01 | SUTURA HERIDA CORTANTE O CONT COMPLICADA | $203.610 | $130.830 | |
| 16-02-222-00 | HERIDA CORTANTE O CONTUSA NO COMPLICADA | $57.970 | $37.250 | |
| 16-02-222-01 | SUTURA HERIDA CORTANTE O CONT NO COMPLIC | $57.970 | $37.250 | |
| 16-02-223-00 | EXTIRPACION LESION BENIGNA CARA CUELLO G | $260.730 | $167.540 | |
| 16-02-223-01 | CARA,CUELLO,CAB.GEN LESION BENIGNA 1 CIR | $260.730 | $134.032 | |
| 16-02-223-02 | CABEZA CUELLO EXTIRPACION LESION 50% | $260.730 | $167.540 | |
| 16-02-224-00 | RESTO DEL CUERPO | $217.100 | $139.500 | |
| 16-02-224-01 | RESTO DEL CUERPO 1 CIRUJANO | $217.100 | $111.600 | |
| 16-02-224-02 | RESTO DEL CUERPO EXTIRPACION LESION 50% | $0 | $54.820 | |
| 16-02-225-00 | VACIAMIENTO Y CURETAJE QUIRURGICO DE LES | $142.600 | $91.630 | |
| 16-02-231-00 | ONISECTOMIA TOTAL O PARCIAL SIMPLE | $55.600 | $35.730 | |
| 16-02-231-01 | ONISECTOMIA PARCIAL/TOTAL EN URGENCIAS | $55.600 | $0 | |
| 16-02-232-00 | CIRUGIA REPARADORA UNGEAL POR PROCESO IN | $173.800 | $111.680 | |
| 16-02-233-00 | CORRECCION DEFECTO CONGENITO O TU UNGEAL | $278.060 | $178.670 | |
| 16-02-240-00 | CURACION POR MEDICO QUEMADURA 5% | $38.600 | $24.800 | |
| 16-02-241-00 | CURACION POR MEDICO QUEMADURA 5-10% | $75.520 | $48.530 | |
| 16-02-242-00 | CURACION POR MEDICO QUEMADURA MAYOR 10% | $118.180 | $82.480 | |
| 17-01-001-00 | E.C.G. DE REPOSO (INCLUYE MINIMO 12 DERI | $12.190 | $12.190 | |
| 17-01-001-01 | ECG EN SERVICIO DE URGENCIA | $12.190 | $12.190 | |
| 17-01-003-00 | ELECTROCARDIOGRAMA DE ESFUERZO | $49.340 | $49.340 | |
| 17-01-004-00 | EN ADULTOS O NINOS | $66.370 | $66.370 | |
| 17-01-006-00 | E.C.G. CONTINUO (TEST HOLTER O SIMILARES | $57.220 | $57.220 | |
| 17-01-009-00 | MONITOREO CONTINUO DE PRESION ARTERIAL | $39.970 | $39.970 | |
| 17-01-010-00 | SONDEO CARDIACO DERECHO C/S TERMODILUCIO | $71.230 | $71.230 | |
| 17-01-011-00 | SONDEO CARDIACO IZQUIERDO Y DERECHO, EN | $89.120 | $89.120 | |
| 17-01-011-01 | SONDEO CARDIACO DERECHO DETER. GASTO | $89.120 | $0 | |
| 17-01-012-00 | SONDEO CARDIACO IZQUIERDO: EN ADULTOS O | $75.630 | $75.630 | |
| 17-01-013-00 | CATETERISMO EN RECIEN NACIDO POR ARTERIA | $31.940 | $31.940 | |
| 17-01-014-00 | INSTALACION DE CATETER SWAN-GANZ O SIMIL | $80.050 | $80.050 | |
| 17-01-014-03 | INSTALACION SIST PICCO FEM-BRAQUIAL ARTE | $80.050 | $80.050 | |
| 17-01-015-00 | DOPPLER CON ERGOMETRIA (POR SESION) | $19.600 | $19.600 | |
| 17-01-016-00 | DOPPLER SIMPLE DE VASOS PERIFERICOS (POR | $7.900 | $7.900 | |
| 17-01-017-00 | PLETISMOGRAFIA EN REPOSO, ESFUERZO C/U ( | $25.460 | $25.460 | |
| 17-01-018-00 | REGISTRO ECOARTERIAL O ECOVENOSO PERIFER | $35.230 | $35.230 | |
| 17-01-019-00 | CINECORONARIOGRAFIA DERECHA Y/O IZQUIERD | $16.880 | $115.660 | |
| 17-01-019-01 | CORONARIOGRAFIA ABORDAJE RADIAL | $16.880 | $115.660 | |
| 17-01-019-02 | CORONARIOGRAFIA ABORDAJE FEMORAL | $16.880 | $0 | |
| 17-01-020-00 | VENTRICULOGRAFIA DERECHA (INCLUYE SONDEO | $71.230 | $71.230 | |
| 17-01-021-00 | VENTRICULOGRAFIA IZQUIERDA (INCLUYE EL S | $16.880 | $80.050 | |
| 17-01-022-00 | AORTOGRAFIA, EN ADULTOS O NINOS (A.C. 04 | $47.280 | $48.110 | |
| 17-01-025-00 | CAVOGRAFIA (A.C. 04-02-035) | $43.680 | $43.680 | |
| 17-01-026-00 | FLEBOGRAFIA DE CADA EXTREMIDAD (A.C.04-0 | $25.150 | $25.150 | |
| 17-01-027-00 | FLEBOGRAFIA SELECTIVA | $43.680 | $43.680 | |
| 17-01-030-00 | PUNCION EVACUADORA DE PERICARDIO, C/S TO | $26.750 | $26.750 | |
| 17-01-030-01 | PERICARDIOCENTESIS | $26.750 | $0 | |
| 17-01-031-00 | ANGIOPLASTIA INTRALUMINAL CORONARIA PROC | $75.940 | $160.260 | |
| 17-01-031-01 | ANGIOPLASTIA CORONARIA 1 VASO | $75.940 | $160.260 | |
| 17-01-031-02 | ANGIOPLASTIA CORONARIA DE 2 VASOS | $75.940 | $160.260 | |
| 17-01-031-03 | ANGIOPLASTIA CORONARIA DE TRONCO | $75.940 | $0 | |
| 17-01-032-00 | ANGIOPLASTIA INTRALUMINAL PERIFERICA PRO | $75.940 | $130.220 | |
| 17-01-033-00 | BIOPSIA ENDOMIOCARDICA (PROC. COMPLETO) | $16.880 | $117.020 | |
| 17-01-034-00 | CARDIOVERSION | $40.050 | $40.050 | |
| 17-01-035-00 | COLOCACION MARCAPASO TRANSITORIO, SONDA | $56.380 | $56.380 | |
| 17-01-037-00 | PUNCION SUBCLAVIA O YUGULAR CON COLOCACI | $31.940 | $31.940 | |
| 17-01-038-00 | SEPTOSTOMIA DE RASHKIND | $16.880 | $178.030 | |
| 17-01-039-00 | TROMBOLISIS ARTERIAL PERIFERICA | $133.540 | $133.540 | |
| 17-01-039-01 | TROMBOLISIS EN SERVICIO URGENCIA | $133.540 | $133.540 | |
| 17-01-040-00 | TROMBOLISIS INTRACORONARIA | $284.690 | $284.690 | |
| 17-01-041-00 | VALVULOPLASTIA MITRAL (A.C. 04-02-033) | $16.880 | $342.500 | |
| 17-01-041-01 | VALVULOPLASTIA MITRAL | $16.880 | $0 | |
| 17-01-042-00 | VALVULOPLASTIA AORTICA Y PULMONAR, (A.C. | $16.880 | $221.840 | |
| 17-01-043-00 | ANGIOPLASTIA DE COARTACION AORTICA (A.C. | $16.880 | $221.840 | |
| 17-01-045-00 | ECOCARDIOGRAMA DOPPLER COLOR ADULTOS | $121.650 | $121.650 | |
| 17-01-045-01 | ECOCARDIO DOPPLER NIÑOS | $121.650 | $121.650 | |
| 17-01-046-00 | ESTUDIO ELECTROFISIOLOGICO ENDOCARDIACO | $16.880 | $115.660 | |
| 17-01-050-00 | ABLACION CON CORRIENTE CONTINUA O RADIOF | $16.880 | $115.660 | |
| 17-01-051-00 | ABLACION CON CORRIENTE CONTINUA O CON RA | $16.880 | $184.940 | |
| 17-01-055-00 | ECOCARDIOGRAMA DOPPLER COLOR TRANSESOFAG | $140.140 | $140.140 | |
| 17-01-078-00 | INSTALACION CATETER CON RESERVORIO SUBCU | $440.380 | $0 | |
| 17-01-079-00 | RETIRO CATETER CON RESERVORIO SUBCUTANEO | $220.180 | $220.180 | |
| 17-01-101-00 | INSTALACION PICCLINE | $80.050 | $80.050 | |
| 17-01-102-00 | FISTULOGRAFIA (AV) | $63.570 | $63.570 | |
| 17-01-114-00 | INSTALACION CVC EN SERVICIO DE URGENCIA | $80.050 | $80.050 | |
| 17-01-117-00 | BIOPSIA CORE TORAXICA | $80.000 | $80.000 | |
| 17-01-119-00 | CORONARIOGRAFIA DIAGNOSTICA COMPLEJA | $16.880 | $115.660 | |
| 17-01-122-00 | AORTOGRAFIA | $16.880 | $48.110 | |
| 17-01-123-00 | ARTERIOGRAFIA SELECTIVA EXTREMIDADES | $16.880 | $43.680 | |
| 17-01-130-00 | PERICARDIOCENTESIS | $16.880 | $26.750 | |
| 17-01-135-00 | INSTALACION SONDA MARCAPASO TRANSITORIO | $75.940 | $56.380 | |
| 17-01-139-00 | TRATAMIENTO VASOESPASMO CEREBRAL | $131.220 | $131.220 | |
| 17-01-140-00 | TROMBOLISIS INTRACEREBRAL URGENCIAS | $133.540 | $0 | |
| 17-01-161-00 | ARTERIOGRAFIA PULMONAR | $16.880 | $64.210 | |
| 17-01-162-00 | ARTERIOGRAFIA RENAL | $16.880 | $64.210 | |
| 17-01-163-00 | ARTERIOGRAFIA TRONCO CELIACO | $16.880 | $64.210 | |
| 17-01-164-00 | ARTERIOGRAFIA ARTERIA GLUTEA | $16.880 | $64.210 | |
| 17-01-165-00 | ARTERIOGRAFIA HIPOGASTRICA | $16.880 | $64.210 | |
| 17-01-166-00 | ARTERIOGRAFIA HEPATICA | $16.880 | $64.210 | |
| 17-01-167-00 | ARTERIOGRAFIA MESENTERICA | $16.880 | $64.210 | |
| 17-01-168-00 | ARTERIOGRAFIA ARTERIA LUMBAR | $16.880 | $64.210 | |
| 17-01-169-00 | ARTERIOGRAFIA ARTERIA VESICAL | $16.880 | $64.210 | |
| 17-01-200-00 | INSTALACION CATETER ARTERIAL MPI | $80.000 | $0 | |
| 17-01-210-00 | MEDICION FLUJO RESERVA CORONARIO | $250.000 | $250.000 | |
| 17-01-240-00 | ESCLEROTERAPIA VASCULAR BAJO FLUJO | $300.000 | $300.000 | |
| 17-01-300-00 | ULTRASONIDO INTRACORONARIO | $250.000 | $250.000 | |
| 17-01-400-00 | EXTRACCION CUERPO EXTRAÑO INTRACAVITARIO | $279.740 | $279.740 | |
| 17-01-450-00 | INSTALACION BALON CONTRAPULSACION INTRA | $300.000 | $300.000 | |
| 17-01-510-00 | ALCOHOLIZACION SEPTAL PARA MIOCARDIOPATI | $1.300.000 | $1.300.000 | |
| 17-03-001-00 | EMBOLECTOMIA Y/O TROMBECTOMIA, UNILATERA | $201.890 | $250.450 | |
| 17-03-002-00 | FISTULA ARTERIOVENOSA CONGENITA O TRAUMA | $201.890 | $446.320 | |
| 17-03-003-00 | FISTULA ARTERIOVENOSA (DE BRESCIA O SIMI | $75.940 | $607.860 | |
| 17-03-005-00 | REPAR. QUIR. DE VASOS ARTERIALES Y/O VEN | $201.890 | $572.960 | |
| 17-03-006-00 | REPARACION QUIR. DE VASOS ARTERIALES Y/O | $75.940 | $376.940 | |
| 17-03-007-00 | ANEURISMA AORTICO ABDOMINAL TRAT. QUIR. | $340.660 | $904.060 | |
| 17-03-008-00 | ANEURISMAS PERIFERICOS, TRAT. QUIR. | $75.940 | $462.480 | |
| 17-03-009-00 | ANEURISMAS TORACO-ABDOMINAL TRAT. QUIR. | $340.660 | $1.173.740 | |
| 17-03-010-00 | PUENTES AORTO-BIFEMORAL | $201.890 | $793.840 | |
| 17-03-011-00 | PUENTES AORTO-UNIFEMORAL | $201.890 | $607.300 | |
| 17-03-012-00 | PUENTES AORTO-VISCERAL (RENAL, MESENTERI | $340.660 | $710.500 | |
| 17-03-013-00 | PUENTES AORTO-ILIACO | $340.660 | $676.930 | |
| 17-03-014-00 | ENDARTERECTOMIA CAROTIDEA, SUBCLAVIA, VE | $201.890 | $642.690 | |
| 17-03-015-00 | ENDARTERECTOMIA FEMORAL COMUN, SUPERFICI | $201.890 | $392.940 | |
| 17-03-016-00 | ENDARTERECTOMIA RENAL, C/S INJERTO (PROC | $201.890 | $461.260 | |
| 17-03-017-00 | FEMORO-TIBIAL O DISTALES | $201.890 | $607.300 | |
| 17-03-018-00 | FEMORO-POPLITEO | $201.890 | $607.300 | |
| 17-03-019-00 | LIGADURA TRONCOS ARTERIALES, (PROC. AUT. | $75.940 | $237.820 | |
| 17-03-020-00 | OTRAS DERIVACIONES: FEMORO-FEMORAL, AXIL | $201.890 | $491.680 | |
| 17-03-021-00 | ANASTOMOSIS PORTOCAVA U OTRAS PORTOSISTE | $340.660 | $808.060 | |
| 17-03-022-00 | ANASTOMOSIS VENOSAS INTRAABDOMINALES | $340.660 | $607.300 | |
| 17-03-023-00 | DENUDACION VENOSA (PROC. AUT.) | $95.010 | $95.010 | |
| 17-03-024-00 | DERIVACIONES VENOSAS DE EXTREMIDADES | $201.890 | $433.650 | |
| 17-03-025-00 | IMPLANTE FILTROS VENOSOS | $75.940 | $488.140 | |
| 17-03-026-00 | LIGADURA CAYADO SAFENA INTERNA, UNILATER | $75.940 | $230.860 | |
| 17-03-027-00 | LIGADURA OTROS TRONCOS VENOSOS (POPLITEO | $75.940 | $230.670 | |
| 17-03-028-00 | LIGADURA VENA CAVA INFERIOR | $75.940 | $444.560 | |
| 17-03-029-00 | RESECCION CUTANEO-APONEUROTICA UNILATERA | $75.940 | $268.770 | |
| 17-03-030-00 | SAFENECTOMIA INTERNA Y/O EXTERNA, UNILAT | $75.940 | $230.860 | |
| 17-03-031-00 | TROMBECTOMIA DE VENAS PROFUNDAS | $75.940 | $243.570 | |
| 17-03-032-00 | ANASTOMOSIS LINFOVENOSAS | $75.940 | $352.320 | |
| 17-03-033-00 | LINFEDEMA, TRAT. QUIR. UNA EXTREMIDAD | $75.940 | $486.320 | |
| 17-03-034-00 | ADENITIS, TRAT. QUIR., | $16.880 | $92.100 | |
| 17-03-035-00 | BIOPSIA QUIR. GANGLIONAR (CUALQUIER REGI | $192.130 | $192.130 | |
| 17-03-035-01 | BIOPSIA QX GANGLIONAR HM | $192.130 | $192.130 | |
| 17-03-036-00 | AXILO-SUPRACLAVICULAR | $201.890 | $527.790 | |
| 17-03-037-00 | CERVICO-TORACICA | $201.890 | $436.290 | |
| 17-03-038-00 | ILEOINGUINAL | $201.890 | $540.540 | |
| 17-03-039-00 | INGUINOESCROTALES | $201.890 | $447.390 | |
| 17-03-040-00 | LUMBO-AORTICOS | $201.890 | $655.490 | |
| 17-03-041-00 | MEDIASTINICOS | $201.890 | $624.980 | |
| 17-03-042-00 | POPLITEOS | $75.940 | $340.780 | |
| 17-03-043-00 | RADICAL CLASICA O MODIFICADA DE CUELLO | $75.940 | $474.700 | |
| 17-03-044-00 | YUGULAR SIMPLE | $75.940 | $237.620 | |
| 17-03-045-00 | CERVICO-TORACICA | $201.890 | $500.750 | |
| 17-03-045-01 | CERVICO TORAXICA POR VIDEOTORACOSCOPIA | $201.890 | $500.750 | |
| 17-03-046-00 | LUMBAR | $201.890 | $379.680 | |
| 17-03-047-00 | ANASTOMOSIS VASCULARES SISTEMICOPULMONAR | $340.660 | $763.580 | |
| 17-03-048-00 | CAMBIO DE GENERADOR DE MARCAPASO, SIN CA | $75.940 | $250.450 | |
| 17-03-049-00 | COARTACION AORTICA INFANTIL (PREDUCTAL) | $340.660 | $717.490 | |
| 17-03-050-00 | COARTACION AORTICA, TRAT. QUIR. | $340.660 | $763.580 | |
| 17-03-051-00 | CONDUCTO ARTERIOSO PERSISTENTE, TRAT. QU | $201.890 | $726.530 | |
| 17-03-052-00 | FISTULA CORONARIA, TRAT. QUIR. | $201.890 | $686.540 | |
| 17-03-053-00 | IMPLANTACION DE MARCAPASO C/ELECTROD. IN | $75.940 | $279.550 | |
| 17-03-053-01 | IMPLANTE MARCAPASO CON RESINCRONISACION | $75.940 | $0 | |
| 17-03-054-00 | OPERACION SOBRE ANILLOS VALVULARES O VAS | $201.890 | $558.540 | |
| 17-03-055-00 | OPERACIONES SOBRE ARTERIA PULMONAR, CONS | $201.890 | $527.790 | |
| 17-03-056-00 | PERICARDIECTOMIA Y/O EXTIRP. DE QUISTES | $201.890 | $796.400 | |
| 17-03-057-00 | PERICARDIORRAFIA O MIOPERICARDIORRAFIA E | $201.890 | $686.540 | |
| 17-03-058-00 | PERICARDIOTOMIA | $201.890 | $414.510 | |
| 17-03-059-00 | SINEQUIAS PERICARDICAS, TRAT.QUIR. ( PRO | $201.890 | $549.700 | |
| 17-03-061-00 | DE COMPLEJIDAD MAYOR: INCLUYE REEMPLAZ | $340.660 | $1.503.920 | |
| 17-03-062-00 | DE COMPLEJIDAD MEDIANA: INCLUYE COMUNI | $340.660 | $1.084.620 | |
| 17-03-063-00 | DE COMPLEJIDAD MENOR:INCLUYE COMUNICACI | $340.660 | $862.620 | |
| 17-03-066-00 | INSTALACION CATETER VENOSO TUNELIZADO | $432.720 | $440.380 | |
| 17-03-074-00 | RETIRO CATETER VENOSO LARGA DURACION TUN | $286.234 | $220.180 | |
| 17-03-101-00 | EMBOLIZACION VASOS PERIFERICOS | $75.940 | $250.450 | |
| 17-03-109-00 | ENDOPROTESIS AORTICA TORAXICA-ABDOMINAL | $1.300.000 | $1.300.000 | |
| 17-03-114-00 | TROMBECTOMIA MECANICA CEREBRAL | $201.890 | $642.690 | |
| 17-03-115-00 | ANGIOPLASTIA CEREBRAL | $340.660 | $642.690 | |
| 17-03-116-00 | ANGIOPLASTIA CAROTIDEA | $340.660 | $642.690 | |
| 17-03-124-00 | ANGIOPLASTIA FARMACOLOGICA | $631.500 | $631.500 | |
| 17-03-145-00 | CIRUGIA HIPERHIDROSIS | $340.660 | $213.200 | |
| 17-03-148-00 | CAMBIO GENERADOR MARCAPASO | $75.940 | $250.450 | |
| 17-03-153-01 | IMPLANTE MARCAPASO UNICAMERAL | $201.890 | $279.550 | |
| 17-03-153-02 | IMPLANTE MARCAPASO BICAMERAL | $201.890 | $279.550 | |
| 17-03-155-00 | MARCAPASO ESTIMULACION FISIOLOGICA | $75.940 | $279.550 | |
| 17-03-156-00 | ESTIMULACION FISIOLOGICA RAMA IZQUIERDA | $300.000 | $300.000 | |
| 17-03-172-00 | IMPLANTE DESFRIB.RESINCRONIZADOR VVI | $600.000 | $600.000 | |
| 17-03-173-00 | IMPLANTE DESFRIB.RESINCRONIZADOR DDD | $600.000 | $600.000 | |
| 17-03-177-00 | EXTRACCION MARCAPASO | $219.752 | $219.752 | |
| 17-03-910-00 | REPOSICIONAMIENTO DE ELECTRODO | $450.000 | $450.000 | |
| 17-04-001-00 | CIRUGIA DEL OPERCULO TORACICO | $201.890 | $353.090 | |
| 17-04-002-00 | CIRUGIA TORAX ABIERTO TRAUMATICO Y/O FIJ | $201.890 | $597.950 | |
| 17-04-003-00 | FENESTRACION O TORACOPLASTIA | $201.890 | $358.770 | |
| 17-04-004-00 | REPARACION PECTUM EXCAVATUM O CARINATUM, | $201.890 | $369.970 | |
| 17-04-005-00 | RESECCION DE COSTILLAS Y/O PARED COSTAL | $75.940 | $272.800 | |
| 17-04-006-00 | RESECCION DE PARED COSTAL C/PLASTIA (TOR | $75.940 | $340.780 | |
| 17-04-007-00 | TORACOFRENOLAPARATOMIA EXPLORADORA C/S | $201.890 | $474.080 | |
| 17-04-008-00 | TORACOFRENOTOMIA EXPLORADORA | $201.890 | $381.820 | |
| 17-04-009-00 | TORACOTOMIA EXPLORADORA, C/S BIOPSIA, C/ | $201.890 | $322.720 | |
| 17-04-009-01 | VIDEOTORACOSCOPIA POR LAPARASCOPIA | $201.890 | $322.720 | |
| 17-04-010-00 | TORACOTOMIA MINIMA C/S RESECCION COSTAL, | $75.940 | $236.640 | |
| 17-04-011-00 | MEDIASTINOTOMIA EXPLORADORA ANT.O POST.C | $75.940 | $252.190 | |
| 17-04-012-00 | VIA CERVICAL | $75.940 | $230.860 | |
| 17-04-013-00 | VIA TORACICA | $75.940 | $347.060 | |
| 17-04-014-00 | TIMECTOMIA VIA CERVICAL | $75.940 | $340.780 | |
| 17-04-015-00 | TIMECTOMIA VIA TORACICA MEDIOESTERNAL | $75.940 | $417.920 | |
| 17-04-016-00 | CONDUCTO TORACICO, LIGADURA QUIRURGICA | $201.890 | $393.630 | |
| 17-04-017-00 | TUMORES O QUISTES DE MEDIASTINO (ANTERIO | $201.890 | $680.540 | |
| 17-04-018-00 | CIRUGIA DEL DIAFRAGMA CON CIRUGIA DE VIS | $201.890 | $501.100 | |
| 17-04-019-00 | HERIDAS TRAUMATICAS, TRAT. QUIR. | $201.890 | $330.540 | |
| 17-04-020-00 | HERNIOPLASTIA DIAFRAGMATICA POR VIA TORA | $201.890 | $404.060 | |
| 17-04-021-00 | HERNIOPLASTIA DIAFRAGMATICA POR VIA TORA | $201.890 | $356.210 | |
| 17-04-022-00 | TUMORES, MALFORMACIONES O QUISTES DEL DI | $201.890 | $381.820 | |
| 17-04-023-00 | CUERPO EXTRANO PLEURAL, EXTRAC. QUIR. | $201.890 | $322.720 | |
| 17-04-024-00 | DECORTICACION PLEUROPULMONAR (PLEURECTOM | $201.890 | $344.910 | |
| 17-04-024-01 | DECORTICACION PLEUROPULMONAR LAPAROSCOPI | $340.660 | $344.910 | |
| 17-04-025-00 | PLEURODESIS POR PLEUROTOMIA | $75.940 | $135.580 | |
| 17-04-025-01 | PLEURODESIS | $128.000 | $128.000 | |
| 17-04-026-00 | PLEURODESIS POR TORACOTOMIA | $201.890 | $322.720 | |
| 17-04-026-01 | PLEURODESIS POR TORACOSCOPIA | $201.890 | $322.720 | |
| 17-04-027-00 | PLEUROTOMIA UNICA O DOBLE C/S BIOPSIA CO | $16.880 | $97.440 | |
| 17-04-027-01 | PLEUROTOMIA EN URGENCIAS | $97.440 | $97.440 | |
| 17-04-028-00 | TUMORES PLEURALES, TRAT. QUIR. | $201.890 | $336.210 | |
| 17-04-029-00 | BRONCOTOMIA O TRAQUEOBRONCOTOMIA EXPLORA | $201.890 | $381.820 | |
| 17-04-030-00 | CIRUGIA RUPTURA TRAQUEOBRONQUIAL O TRATA | $201.890 | $732.700 | |
| 17-04-031-00 | PLASTIA DE TRAQUEA Y/O BRONQUIOS C/S RES | $201.890 | $763.580 | |
| 17-04-032-00 | TRATAMIENTO QUIRURGICO FISTULA BRONQUIAL | $201.890 | $502.220 | |
| 17-04-033-00 | TUMORES TRAQUEALES, EXTIRPACION | $201.890 | $808.060 | |
| 17-04-034-00 | ABSCESO PULMONAR, DRENAJE POR TORACOTOMI | $201.890 | $304.980 | |
| 17-04-035-00 | BIOPSIA PULMONAR POR TORACOTOMIA | $201.890 | $314.400 | |
| 17-04-036-00 | BULAS, TRAT. QUIR. | $201.890 | $331.040 | |
| 17-04-036-01 | BULAS TTO POR VIDEOTORACOSCOPIA | $201.890 | $331.040 | |
| 17-04-037-00 | CIRUGIA DE QUISTE HIDATIDICO SIN RESECCI | $201.890 | $607.300 | |
| 17-04-038-00 | CUERPO EXTRANO INTRAPULMONAR, EXTIRP. QU | $201.890 | $369.070 | |
| 17-04-039-00 | HERIDAS DE PULMON, TRAT. QUIR. (PROC. AU | $75.940 | $317.700 | |
| 17-04-040-00 | LOBECTOMIA O BILOBECTOMIA | $201.890 | $659.260 | |
| 17-04-041-00 | METASTASIS BILATERAL, TRAT. QUIR. POR ES | $201.890 | $622.980 | |
| 17-04-042-00 | METASTASIS UNILATERAL | $201.890 | $420.430 | |
| 17-04-043-00 | NEUMONECTOMIA C/S RESECCION DE PARED COS | $201.890 | $787.230 | |
| 17-04-045-00 | QUISTECTOMIA SIMPLE | $201.890 | $420.430 | |
| 17-04-046-00 | RESECCIONES SEGMENTARIAS | $201.890 | $572.960 | |
| 17-04-046-01 | RESECCION SEGMENTARIAS POR VIDEOTORACOSC | $340.660 | $572.960 | |
| 17-04-047-00 | VIA CERVICAL | $75.940 | $238.300 | |
| 17-04-048-00 | VIA TORACICA | $201.890 | $381.820 | |
| 17-04-049-00 | ESOFAGOSTOMIA CERVICAL (PROC. AUT.) | $75.940 | $252.190 | |
| 17-04-050-00 | VIA CERVICAL | $201.890 | $230.740 | |
| 17-04-051-00 | VIA TORACICA | $201.890 | $371.970 | |
| 17-04-052-00 | VIA CERVICAL | $75.940 | $230.740 | |
| 17-04-053-00 | VIA TORACICA | $75.940 | $404.060 | |
| 17-04-054-00 | ACHALASIA, TRAT. QUIR. | $75.940 | $488.140 | |
| 17-04-055-00 | ATRESIA ESOFAGICA, TRAT. QUIR. | $340.660 | $680.540 | |
| 17-04-056-00 | ESOFAGECTOMIA CON RESTITUCION DEL TRANSI | $340.660 | $889.410 | |
| 17-04-057-00 | ESOFAGECTOMIA TOTAL CON ESOFAGOSTOMIA, G | $340.660 | $655.920 | |
| 17-04-058-00 | ESOFAGOGASTRECTOMIA PROXIMAL | $340.660 | $735.380 | |
| 17-04-059-00 | PROTESIS O TUBO ENDOESOFAGICO, COLOCACIO | $75.940 | $353.920 | |
| 17-04-060-00 | RECONSTITUCION DE TRANSITO EN SEGUNDO TI | $201.890 | $479.170 | |
| 17-04-061-00 | SUTURA HERIDA O PERFORACION ESOFAGO CERV | $201.890 | $502.220 | |
| 17-04-062-00 | SUTURA HERIDA O PERFORACION ESOFAGO TORA | $201.890 | $607.300 | |
| 17-04-063-00 | VARICES, LIGADURA DIRECTA | $75.940 | $444.560 | |
| 17-04-064-00 | FRENOPARALISIS TRAT. QUIR. | $201.890 | $510.780 | |
| 17-07-001-00 | ESPIROMETRIA- BASAL | $11.940 | $11.940 | |
| 17-07-002-00 | ESPIROMETRIA BASAL Y CON BRONCODILATADOR | $19.920 | $19.920 | |
| 17-07-003-00 | PROVOCACION CON ANTIGENO (INCLUYE EL ANT | $35.890 | $35.890 | |
| 17-07-004-00 | PROVOCACION CON EJERCICIO, TEST DE | $30.530 | $30.530 | |
| 17-07-005-00 | PROVOCACION CON HISTAMINA (PD 20),TEST D | $33.140 | $33.140 | |
| 17-07-007-00 | ANALISIS DE GAS ESPIRADO | $13.710 | $13.710 | |
| 17-07-008-00 | CAPACIDAD DE DIFUSION, ESTUDIO DE | $21.950 | $21.950 | |
| 17-07-009-00 | CAPACIDAD FISICA DEL TRABAJO | $29.940 | $29.940 | |
| 17-07-010-00 | CURVA DE LAVADO DE NITROGENO (N) | $29.520 | $29.520 | |
| 17-07-011-00 | CURVA DE RELAJACION FLUJOVOLUMEN BASAL | $15.100 | $15.100 | |
| 17-07-012-00 | DISTENSIBILIDAD PULMONAR, ("COMPLIANCE") | $26.290 | $26.290 | |
| 17-07-013-00 | MEDICION DE PRESION DE OCLUSION | $22.720 | $22.720 | |
| 17-07-014-00 | MEDICION DE PRESION INSPIRATORIA MAXIMA | $9.470 | $9.470 | |
| 17-07-015-00 | MEDICION DE PRESION TRANS-DIAFRAGMATICA | $25.460 | $25.460 | |
| 17-07-016-00 | REGISTRO FLUJOMETRICO, POR SEMANA | $9.950 | $9.950 | |
| 17-07-017-00 | RESPUESTA RESPIRATORIA AL CO2 | $48.140 | $48.140 | |
| 17-07-018-00 | TIEMPO DE TOLERANCIA A LA FATIGA RESPIRA | $13.150 | $13.150 | |
| 17-07-019-00 | VENTILACION ALVEOLAR, ESTUDIO DE (INCLUY | $76.620 | $76.620 | |
| 17-07-020-00 | VOLUMEN RESIDUAL, ESTUDIO DE MEDICION DE | $42.100 | $42.100 | |
| 17-07-021-00 | LARIGOTRAQUEOSCOPIA CON FIBROSCOPIO | $75.860 | $75.860 | |
| 17-07-022-00 | LARIGOTRAQUEOSCOPIA CON TUBO RIGIDO | $16.880 | $30.420 | |
| 17-07-023-00 | MEDIASTINOSCOPIA C/S BIOPSIA | $16.880 | $69.600 | |
| 17-07-024-00 | PLEUROSCOPIA (TORACOSCOPIA) C/S BIOPSIA | $16.880 | $42.190 | |
| 17-07-025-00 | PROCEDIM.PARA DETERMINAR GASOMETRIA ARTE | $9.700 | $9.700 | |
| 17-07-026-00 | PROCEDIM.PARA DETERMINAR GASOMETRIA ARTE | $6.530 | $6.530 | |
| 17-07-027-00 | BRONCOASPIRACION, C/S LAVADO Y/O COLOCAC | $16.880 | $22.690 | |
| 17-07-027-01 | BRONCO ASPIRACION C/LAVADO PAB | $22.690 | $22.690 | |
| 17-07-029-00 | TORACOCENTESIS EVACUADORA,C/S TOMA DE MU | $25.390 | $25.390 | |
| 17-07-030-00 | AEROSOLTERAPIA CON AIRE COMPRIMIDO Y OXI | $3.180 | $3.180 | |
| 17-07-032-00 | BIOPSIA PLEURAL (CON AGUJA) | $28.770 | $28.770 | |
| 17-07-033-00 | BIOPSIA PULMONAR (CON AGUJA) NO INCLUYE | $29.540 | $29.540 | |
| 17-07-034-00 | CUERPO EXTRANO DE BRONQUIO, EXTRACCION P | $16.880 | $102.590 | |
| 17-07-035-00 | INMUNOTERAPIA POR BCG | $12.450 | $12.450 | |
| 17-07-036-00 | INMUNOTERAPIA POR SESION (INCLUYE EL TRA | $13.630 | $13.630 | |
| 17-07-037-00 | INTUBACION TRAQUEAL (PROC. AUT.) | $16.880 | $21.060 | |
| 17-07-038-00 | MONITOREO O ESTUDIO DE APNEA DURANTE EL | $44.450 | $44.450 | |
| 17-07-051-00 | CURVA DOSIS RESPUESTA A BRONCODILATADORE | $27.950 | $27.950 | |
| 17-07-052-00 | SATUROMETRIA NOCTURNA DEL SUEÑO | $28.960 | $28.960 | |
| 17-07-053-00 | TITULACION AUTOMATICA CPAP | $38.110 | $38.110 | |
| 17-07-054-00 | SATURACION DE O2 EN REPOSO Y/O EJERCICIO | $6.060 | $6.060 | |
| 17-07-055-00 | SATURACION DE O2 EN REPOSO Y/O EJERCICIO | $6.780 | $6.780 | |
| 17-07-102-00 | TEST DE MARCHA | $12.000 | $12.000 | |
| 17-07-110-00 | FRACCION EXPIRADA OXIDO NITRICO (FENO) | $43.190 | $43.190 | |
| 17-07-129-00 | INSTALACION DRENAJE PLEURAL | $100.000 | $0 | |
| 18-01-001-00 | GASTRODUODENOSCOPIA (INCLUYE ESOFAGOSCOP | $101.570 | $65.260 | |
| 18-01-002-00 | ESOFAGOSCOPIA | $39.490 | $25.380 | |
| 18-01-003-00 | ENTEROSCOPIA | $124.000 | $79.680 | |
| 18-01-004-00 | ANO-RECTO-SIGMOIDOSCOPIA EN ADULTOS | $38.350 | $24.640 | |
| 18-01-006-00 | COLONOSCOPIA LARGA (INCLUYE SIGMOIDOSCOP | $137.600 | $88.420 | |
| 18-01-007-00 | SIGMOIDOSCOPIA Y COLONOSCOPIA IZQUIERDA | $114.790 | $73.760 | |
| 18-01-008-00 | - COLEDOCOSCOPIA INTRAOPERATORIA C/S EXT | $20.120 | $12.930 | |
| 18-01-009-00 | - PERITONEOSCOPIA TRANSPARIETAL (INCLUYE | $76.270 | $49.010 | |
| 18-01-011-00 | MANOMETRIA ESOFAGICA | $67.230 | $43.200 | |
| 18-01-012-00 | - REFLUJO ACIDO, TEST DE (GROSSMAN O SIM | $46.340 | $29.780 | |
| 18-01-015-00 | BIOPSIA DE INTESTINO DELGADO, POR CAPSUL | $57.420 | $36.900 | |
| 18-01-016-00 | PUNCION BIOPSIA TRANSPARIETAL DE ORGAN | $58.240 | $37.420 | |
| 18-01-018-00 | COLANGIOPANCREATOGRAFIA RETROGRADA, POR | $167.950 | $107.920 | |
| 18-01-019-00 | DRENAJE DE LA VIA BILIAR TRANSHEPATICA Y | $76.270 | $49.010 | |
| 18-01-020-00 | FISTULOGRAFIA (A.C. 04-02-009) | $24.280 | $15.600 | |
| 18-01-021-00 | NEUMOPERITONEO POR PUNCION TRANSPARIETAL | $24.280 | $15.600 | |
| 18-01-022-00 | INSTALACION SONDA DE SENGSTAKEN | $24.250 | $15.580 | |
| 18-01-023-00 | INTUBACION CON SONDA GASTRICA | $9.240 | $5.940 | |
| 18-01-023-01 | INSTALACION SONDA GASTRICA (URGENCIAS | $9.240 | $5.940 | |
| 18-01-024-00 | INTUBACION CON SONDA DE MILLER-ABBOT O D | $10.160 | $6.530 | |
| 18-01-025-00 | DILATACION ESSOFAGICA POR BALON NEUMATIC | $48.410 | $31.100 | |
| 18-01-026-00 | DILATACION ESOFAGICA POR BUJIA DE HG (HU | $20.090 | $12.910 | |
| 18-01-027-00 | INSTALACION PROTESIS PLASTICA EN VIA BIL | $166.180 | $106.780 | |
| 18-01-028-00 | CUERPO EXTRANO DE ESOFAGO Y/O ESTOMAGO, | $121.260 | $77.920 | |
| 18-01-028-02 | CUERPO EXTRAÑO EXTRACCION ENDOSCOPICA | $121.260 | $77.920 | |
| 18-01-028-03 | CUERPO EXTRAÑO EXTRACCION ENDOSCOP PAB | $121.260 | $77.920 | |
| 18-01-029-00 | DEVOLVULACION DEL SIGMOIDES POR ENDOSCOP | $69.250 | $44.500 | |
| 18-01-030-00 | DILATACION ANO-RECTAL, POR SESION | $10.310 | $6.620 | |
| 18-01-031-00 | POLIPECTOMIA ENDOSCOPICA ALTA | $132.000 | $84.820 | |
| 18-01-031-01 | MUCOSECTOMIA | $132.000 | $84.820 | |
| 18-01-032-00 | ESCLEROTERAPIA DE HEMORROIDES, CUALQUIER | $60.380 | $38.800 | |
| 18-01-033-00 | INYECTOTERAPIA HEMOSTATICA ,HEMOSTASIA | $177.240 | $113.890 | |
| 18-01-035-00 | LIGADURA HEMORROIDES | $76.640 | $49.250 | |
| 18-01-036-00 | PAPILOTOMIA ENDOSCOPICA C/S EXTRACCION D | $78.860 | $50.670 | |
| 18-01-037-00 | UREASA, TEST DE (PARA HELICOBACTER PYLOR | $16.580 | $10.660 | |
| 18-01-038-00 | PUNCION ORG INTRAABDOMINAL ,HEPATICA | $63.200 | $40.610 | |
| 18-01-038-01 | PUNCION TORAXICA | $63.200 | $40.610 | |
| 18-01-041-00 | PUNCION EVACUADORA DE LIQUIDO ASCITICO, | $55.400 | $35.600 | |
| 18-01-042-00 | VACIAMIENTO MANUAL DE FECALOMA | $89.990 | $57.820 | |
| 18-01-043-00 | MANOMETRIA ANORRECTAL | $65.760 | $42.260 | |
| 18-01-045-00 | POLIPECTOMIA ENDOSCOPICA BAJA | $228.930 | $147.100 | |
| 18-01-100-00 | TEST INTOLERANCIA LACTOSA | $52.000 | $52.000 | |
| 18-01-116-00 | BIOPSIA CORE ABDOMINAL | $186.750 | $120.000 | |
| 18-01-117-00 | BIOPSIA CORE HEPATICA | $186.750 | $120.000 | |
| 18-01-118-00 | COLANGIOGRAFIA RETROGRADA PERCUTANEA | $165.040 | $0 | |
| 18-01-119-00 | DRENAJE BILIAR | $74.950 | $49.010 | |
| 18-01-120-00 | BIOPSIA CORE PARTES BLANDAS | $186.750 | $120.000 | |
| 18-01-127-00 | STENT VIA BILIAR | $163.990 | $0 | |
| 18-02-001-00 | HERNIA ABDOMINAL POR LAPAROTOMIA | $118.180 | $551.420 | |
| 18-02-001-01 | HERNIA DIAFRAGMATICA VIA LAPAROSCOPICA | $314.190 | $551.420 | |
| 18-02-004-00 | LAPAROTOMIA EXPLORADORA, C/S LIBERACION | $118.180 | $250.670 | |
| 18-02-004-01 | LAPAROTOMIA EXPLORADORA POR LAPAROSCOPIA | $314.190 | $250.670 | |
| 18-02-005-00 | ONFALOCELE (HASTA 5 CMS.) TRAT. QUIR. | $118.180 | $259.040 | |
| 18-02-006-00 | ONFALOCELE (MAS DE 5 CMS.) TRAT. QUIR. | $118.180 | $315.200 | |
| 18-02-007-00 | PERITONITIS DIFUSA AGUDA, TRAT. QUIR. (P | $118.180 | $353.920 | |
| 18-02-007-01 | PERITONITIS POR LAPAROSCOPIA | $314.190 | $353.920 | |
| 18-02-008-00 | TUMOR Y/O QUISTE PERITONEAL (PARIETAL) | $118.180 | $251.280 | |
| 18-02-009-00 | TUMOR Y/O QUISTE RETROPERITONEAL | $118.180 | $421.300 | |
| 18-02-010-00 | ANTRECTOMIA Y VAGOTOMIA TRONCULAR O SELE | $314.190 | $489.260 | |
| 18-02-011-00 | DESGASTRECTOMIA Y NEOANASTOMOSIS, C/S VA | $314.190 | $614.720 | |
| 18-02-012-00 | GASTROENTEROANASTOMOSIS, CUALQUIER TECNI | $118.180 | $414.510 | |
| 18-02-013-00 | GASTROSQUISIS | $314.190 | $429.280 | |
| 18-02-014-00 | GASTROTOMIA Y/O GASTROSTOMIA (PROC. AUT. | $389.760 | $250.450 | |
| 18-02-015-00 | PERFORACION GASTRICA AGUDA, TRAT. QUIR. | $118.180 | $363.070 | |
| 18-02-015-01 | PERFORACION GASTRICA POR LAPAROSCOPIA | $471.991 | $363.070 | |
| 18-02-016-00 | PILOROPLASTIA (PROC.AUT.) | $118.180 | $283.970 | |
| 18-02-017-00 | GASTRECTOMIA SUBTOTAL CON DISECCION GANG | $314.190 | $595.860 | |
| 18-02-018-00 | GASTRECTOMIA SUBTOTAL SIN DISECCION GANG | $314.190 | $503.060 | |
| 18-02-019-00 | DUMPING Y/O SINDROME ASA AFERENTE, TRAT. | $314.190 | $566.300 | |
| 18-02-022-00 | GASTRECTOMIA TOTAL | $314.190 | $706.560 | |
| 18-02-023-00 | GASTRECTOMIA TOTAL O SUBTOTAL AMPLIADA ( | $530.150 | $817.440 | |
| 18-02-024-00 | GASTROPEXIA Y/U OTRA CIRUGIA ANTIRREFLUJ | $118.180 | $441.730 | |
| 18-02-024-01 | BANDA GASTRICA POR LAPAROSCOPIA | $314.190 | $441.730 | |
| 18-02-024-02 | GASTROPEXIA VIA LAPAROSCOPICA | $314.190 | $441.730 | |
| 18-02-025-00 | VAGOTOMIA SELECTIVA Y SUPERSELECTIVA C/S | $118.180 | $420.180 | |
| 18-02-026-00 | ABSCESO HEPATICO, TRAT. QUIR. | $118.180 | $392.940 | |
| 18-02-027-00 | COLANGIOENTEROANASTOMOSIS INTRAHEPATICA | $314.190 | $771.340 | |
| 18-02-028-00 | COLECISTECTOMIA C/S COLANGIOGRAFIA OPERA | $118.180 | $422.750 | |
| 18-02-029-00 | COLECISTECTOMIA Y COLEDOCOSTOMIA (SONDA | $118.180 | $474.080 | |
| 18-02-030-00 | COLECISTOGASTROANASTOMOSIS O COLECISTOEN | $118.180 | $599.230 | |
| 18-02-031-00 | COLECISTOSTOMIA (PROC. AUT.) | $118.180 | $251.280 | |
| 18-02-032-00 | COLEDOCO O HEPATOENTEROANASTOMOSIS | $314.190 | $607.300 | |
| 18-02-033-00 | COLEDOCOSTOMIA SUPRADUODENAL O HEPATICOS | $118.180 | $388.080 | |
| 18-02-034-00 | COLOCACION DE VALVULA PERITONEOYUGULAR D | $118.180 | $230.860 | |
| 18-02-035-00 | DESCONEXION ACIGOPORTAL CON TRANSECCION | $530.150 | $763.580 | |
| 18-02-036-00 | DESCONEXION ACIGOPORTAL SIN TRANSECCION | $530.150 | $607.300 | |
| 18-02-037-00 | DRENAJE VIA BILIAR TRANSHEPATICO | $118.180 | $392.940 | |
| 18-02-038-00 | ESFINTEROPLASTIA TRANSDUODENAL, (PROC. A | $314.190 | $506.130 | |
| 18-02-039-00 | HEPATECTOMIA SEGMENTARIA (PROC. AUT.) | $314.190 | $642.690 | |
| 18-02-040-00 | HERIDA TRAUMATICA DE HIGADO Y/O VIA BILI | $118.180 | $449.380 | |
| 18-02-041-00 | LOBECTOMIA HEPATICA (PROC. AUT.) | $530.150 | $859.580 | |
| 18-02-042-00 | QUISTE HIDATIDICO, UNICO O MULTIPLE, Y/O | $314.190 | $424.270 | |
| 18-02-043-00 | ABSCESOS, QUISTES, PSEUDOQUISTES O SIMIL | $118.180 | $444.560 | |
| 18-02-044-00 | HERIDAS, TRAUMATISMOS DE PANCREAS, TRAT. | $118.180 | $334.340 | |
| 18-02-045-00 | PANCREATECTOMIA PARCIAL | $314.190 | $641.150 | |
| 18-02-046-00 | PANCREATECTOMIA TOTAL C/S ESPLENECTOMIA | $530.150 | $973.420 | |
| 18-02-047-00 | PANCREATODUODENECTOMIA | $530.150 | $919.170 | |
| 18-02-048-00 | SECUESTRECTOMIA EN PANCREATITIS AGUDA | $118.180 | $591.200 | |
| 18-02-049-00 | AUTOIMPLANTE DE BAZO (INCLUYE ESPLENECTO | $314.190 | $444.560 | |
| 18-02-050-00 | ESPLENECTOMIA TOTAL O PARCIAL (PROC. AUT | $118.180 | $414.510 | |
| 18-02-051-00 | OPERACION DE ETAPIFICACION (INCLUYE ESPL | $314.190 | $514.180 | |
| 18-02-052-00 | SUTURA ESPLENICA (PROC. AUT.) | $118.180 | $334.340 | |
| 18-02-053-00 | APENDICECTOMIA Y/O DREN. ABSCESO APENDIC | $118.180 | $296.180 | |
| 18-02-053-01 | APENDICECTOMIA POR LAPAROSCOPIA | $314.190 | $296.180 | |
| 18-02-054-00 | CIERRE DE COLOSTOMIA (PROC. AUT.) | $118.180 | $258.610 | |
| 18-02-055-00 | COLOSTOMIA (PROC. AUT.) | $118.180 | $300.510 | |
| 18-02-056-00 | COLOSTOMIA,COMPLICACIONES TARDIAS,TRAT. | $118.180 | $299.730 | |
| 18-02-057-00 | DIVERTICULO DE MECKEL, TRAT. QUIR. | $118.180 | $236.690 | |
| 18-02-058-00 | ENTERO-ENTEROANASTOMOSIS O ENTEROCOLOANA | $118.180 | $359.600 | |
| 18-02-059-00 | ENTEROTOMIA O ENTEROSTOMIA (YEYUNOSTOMIA | $118.180 | $236.690 | |
| 18-02-060-00 | ILEOSTOMIA TERMINAL O EN ASA (PROC. AUT. | $118.180 | $300.510 | |
| 18-02-061-00 | INVAGINACION INTESTINAL, TRAT. QUIR. | $118.180 | $250.450 | |
| 18-02-062-00 | PERSISTENCIA CONDUCTO ONFALOMESENTERICO, | $118.180 | $230.740 | |
| 18-02-063-00 | QUISTE URACO, TRAT. QUIR. | $118.180 | $237.870 | |
| 18-02-065-00 | OCLUSION INTESTINAL CON RESECCION | $118.180 | $414.780 | |
| 18-02-066-00 | OCLUSION INTESTINAL SIN RESECCION | $118.180 | $353.920 | |
| 18-02-067-00 | COLECTOMIA PARCIAL O HEMICOLECTOMIA | $314.190 | $659.260 | |
| 18-02-067-01 | COLOSTOMIA POR LAPAROSCOPIA | $314.190 | $659.260 | |
| 18-02-067-02 | COLECTOMIA PARCIAL LAPAROSCOPICA | $314.190 | $659.260 | |
| 18-02-068-00 | COLECTOMIA TOTAL ABDOMINAL | $314.190 | $808.060 | |
| 18-02-069-00 | DESCENSO DE COLON C/CONSERVACION DEL ESF | $314.190 | $780.940 | |
| 18-02-070-00 | HARTMANN, OPERACION DE (O SIMILAR) | $314.190 | $641.150 | |
| 18-02-071-00 | PERFORACION Y/O HERIDA DE INTESTINO, UNI | $118.180 | $317.170 | |
| 18-02-072-00 | QUISTE Y/O TUMOR DEL MESENTERIO Y/O EPIP | $118.180 | $292.160 | |
| 18-02-073-00 | RECONSTITUCION TRANSITO POST OPERACION | $314.190 | $642.690 | |
| 18-02-074-00 | RESECCION DE INTESTINO Y ENTEROANASTOMOS | $118.180 | $473.950 | |
| 18-02-075-00 | RESECCION INTESTINAL MASIVA POR TROMBOSI | $314.190 | $771.200 | |
| 18-02-076-00 | DUPLICACION INTESTINAL, TRAT. QUIR. | $118.180 | $381.820 | |
| 18-02-077-00 | MAL ROTACION INTESTINAL, TRAT. QUIR. | $118.180 | $404.060 | |
| 18-02-079-00 | GASTRECTOMIA TOTAL CON OSTOMIAS PROXIMAL | $314.190 | $530.480 | |
| 18-02-080-00 | RECONSTITUCION DE TRANSITO EN 2ø TIEMPO | $314.190 | $416.860 | |
| 18-02-081-00 | COLECISTECTOMIA POR VIDEOLAPAROSCOPIA, P | $314.190 | $569.420 | |
| 18-02-082-00 | RESECCION INTESTINAL CON OSTOMIAS PROXIM | $118.180 | $392.240 | |
| 18-02-100-00 | TRASPLANTE HEPATICO | $530.150 | $1.503.920 | |
| 18-02-124-00 | BANDING GASTRICO | $2 | $0 | |
| 18-02-141-00 | RETIRO GASTROTOMIA | $50.000 | $50.000 | |
| 18-02-148-00 | YEYUNOPANCREATOSTOMIA | $314.190 | $686.540 | |
| 18-02-154-00 | HERNIA ABDOMINAL POR ACCESO MINIINVASIVO | $118.180 | $620.370 | |
| 18-02-155-00 | HERNIA DIAFRAG ,HIATAL,VENTRAL(RETROMUSC | $118.180 | $689.280 | |
| 18-02-158-00 | CIRUGIA BARIATRICA BY PASS GASTRICO LAPA | $1.649.130 | $0 | |
| 18-02-159-00 | CIRUGIA BARIATRICA MANGA GASTRICA POR LA | $1.425.100 | $0 | |
| 18-02-802-00 | HERNIA INGUINAL CON MALLA (ADULTOS) | $2 | $0 | |
| 18-03-001-00 | ABSCESO ANORRECTAL COMPLEJO (IMPLICA HOS | $118.180 | $250.670 | |
| 18-03-002-00 | ABSCESO ANORRECTAL SIMPLE , TRAT. QUIR. | $151.640 | $97.440 | |
| 18-03-003-00 | ABSCESO SACROCOXIGEO, DRENAJE | $84.240 | $54.130 | |
| 18-03-004-00 | BIOPSIA QUIRURGICA RECTAL (PROC. AUT.) | $118.180 | $54.130 | |
| 18-03-004-01 | BIOPSIA CORE TRANSRECTAL O PROSTATICA | $80.000 | $80.000 | |
| 18-03-006-00 | CUERPO EXTRANO RECTAL, EXTRACCION POR VI | $118.180 | $304.980 | |
| 18-03-007-00 | CUERPO EXTRANO RECTAL, EXTRACCION POR VI | $143.320 | $92.100 | |
| 18-03-008-00 | DESGARROS Y HERIDAS ANORRECTALES CON COM | $118.180 | $260.670 | |
| 18-03-009-00 | DESGARROS Y HERIDAS ANORRECTALES SIN COM | $118.180 | $227.570 | |
| 18-03-010-00 | ESFINTEROTOMIA (PROC. AUT.) | $118.180 | $108.830 | |
| 18-03-011-00 | ESTENOSIS ANAL, PLASTIA | $118.180 | $230.670 | |
| 18-03-012-00 | ESTENOSIS RECTAL, PLASTIA | $118.180 | $230.670 | |
| 18-03-013-00 | FECALOMA, TRAT. QUIR. | $118.180 | $347.010 | |
| 18-03-014-00 | FISTULA RECTOVESICAL, TRAT.QUIR. | $118.180 | $381.820 | |
| 18-03-015-00 | FISTULA RECTOVAGINAL, RECTOURETRAL O URE | $118.180 | $304.980 | |
| 18-03-016-00 | FISTULA ANORRECTAL, TRAT.QUIR.DE CUALQUI | $118.180 | $237.620 | |
| 18-03-017-00 | FISURA ANAL, REPAR. QUIR. | $118.180 | $128.110 | |
| 18-03-018-00 | HEMORROIDECTOMIA (INCLUYE OTRAS OPERACIO | $118.180 | $286.540 | |
| 18-03-019-00 | HEMORROIDES, TROMBECTOMIA (PROC. AUT.) | $59.980 | $38.540 | |
| 18-03-020-00 | IMPERFORACION ANAL,RECONSTITUCION TRANSI | $314.190 | $381.820 | |
| 18-03-021-00 | IMPERFORACION ANAL, RECONSTITUCION TRANS | $118.180 | $230.740 | |
| 18-03-023-00 | INCONTINENCIA ANAL, TRAT.QUIR. CON CERCL | $118.180 | $230.860 | |
| 18-03-024-00 | INCONTINENCIA ANAL, TRAT.QUIR. CON PLAST | $118.180 | $297.090 | |
| 18-03-025-00 | POLIPO RECTAL, TRAT.QUIR. POR VIA ABDOMI | $118.180 | $304.980 | |
| 18-03-026-00 | POLIPO RECTAL, TRAT.QUIR. POR VIA ANAL | $118.180 | $230.860 | |
| 18-03-027-00 | PROLAPSO RECTAL, TRAT.QUIR. POR VIA ABDO | $118.180 | $389.620 | |
| 18-03-028-00 | PROLAPSO RECTAL, TRAT.QUIR. POR VIA ANAL | $118.180 | $250.450 | |
| 18-03-029-00 | PANPROCTOCOLECTOMIA (2 EQUIPOS) | $530.150 | $896.850 | |
| 18-03-030-00 | PRURITO ANAL, TRAT. QUIR. POR DENERVACIO | $118.180 | $115.390 | |
| 18-03-031-00 | QUISTE SACROCOXIGEO, TRAT. QUIR. | $118.180 | $237.440 | |
| 18-03-032-00 | RESECCION ABDOMINO-PERINEAL DE ANO Y REC | $314.190 | $607.300 | |
| 18-03-033-00 | RESECCION ABDOMINO-PERINEAL DE ANO Y REC | $530.150 | $686.540 | |
| 18-03-034-00 | RESECCION ANTERIOR DE RECTO | $314.190 | $543.170 | |
| 18-03-035-00 | RESECCION PERINEAL DE ANO Y RECTO | $314.190 | $379.820 | |
| 18-03-036-00 | A LOS CIRUJANOS DEL EQUIPO PERINEAL EN C | $633.180 | $406.860 | |
| 18-03-038-00 | CONDILOMAS ANALES, TRAT. QUIR.(PARA ELEC | $118.180 | $187.780 | |
| 18-50-011-00 | BALON GASTRICO | $26.270 | $0 | |
| 18-50-012-00 | RETIRO BALON GASTRICO | $26.270 | $0 | |
| 19-01-001-00 | EXPLORACION DE URETRA ANTERO-POSTERIOR C | $15.460 | $9.940 | |
| 19-01-002-00 | CISTOSCOPIA CON SONDEO DE UNO O AMBOS UR | $118.180 | $69.840 | |
| 19-01-003-00 | CISTOSCOPIA Y/O URETROCISTOSCOPIA Y/O UR | $99.130 | $63.700 | |
| 19-01-004-00 | URETERONEFROSCOPIA | $118.180 | $108.640 | |
| 19-01-005-00 | BIOPSIA TRANSRECTAL DE PROSTATA | $108.690 | $69.840 | |
| 19-01-006-00 | RENAL TRANSPARIETAL | $39.520 | $25.390 | |
| 19-01-007-00 | CISTOMETRIA (PROC.AUT.) | $50.750 | $32.610 | |
| 19-01-011-00 | UROFLUJOMETRIA (PROC.AUT.) | $33.120 | $21.280 | |
| 19-01-012-00 | CISTOGRAFIA POR SONDA (DE RELLENO) O POR | $34.710 | $22.300 | |
| 19-01-013-00 | INYECCION DE MEDIO DE CONTRASTE EN CUERP | $32.000 | $20.560 | |
| 19-01-015-00 | URETEROPIELOGRAFIA ASCENDENTE (DIRECTA) | $124.580 | $80.050 | |
| 19-01-016-00 | URETROGRAFIA RETROGRADA O CISTOURETROGRA | $22.880 | $14.700 | |
| 19-01-018-00 | DILATACION URETRA C/S MASAJE, C/S INSTIL | $26.640 | $17.120 | |
| 19-01-019-00 | INSTILACION VESICAL (INCLUYE COLOCACION | $21.740 | $13.970 | |
| 19-01-020-00 | INYECCION DE MEDICAMENTOS EN EL PENE | $22.880 | $14.700 | |
| 19-01-022-00 | VAC. VESICAL POR SONDA URETRAL, (PROC. A | $25.170 | $16.180 | |
| 19-01-025-00 | PERITONEODIALISIS POR SESION | $350.000 | $350.000 | |
| 19-01-030-00 | ESTUDIO URODINAMICO (INCLUYE CISTOMETRIA | $175.820 | $112.980 | |
| 19-01-100-00 | NEFROSTOMIA PERCUTANEA | $900.000 | $900.000 | |
| 19-01-102-00 | RETIRO CATETER PIG TAIL | $118.180 | $69.840 | |
| 19-01-123-00 | HEMODIALISIS EN UNIDAD PACIENTE CRITICO | $434.050 | $434.050 | |
| 19-01-124-00 | DIALISIS CONTINUA X HORA | $109.070 | $109.070 | |
| 19-01-125-00 | HORA ADICIONAL HEMODIALISIS EN UPC | $99.000 | $99.000 | |
| 19-02-002-00 | ARTERIAS RENALES, OPERACIONES SOBRE (PRO | $314.190 | $745.810 | |
| 19-02-003-00 | AUTO O HETEROTRANSPLANTE | $530.150 | $1.131.060 | |
| 19-02-004-00 | CIRUGIA DE BANCO, (PROC. COMPLETO)(MICRO | $530.150 | $1.084.430 | |
| 19-02-005-00 | LITIASIS RENAL, TRAT. QUIR. PERCUTANEO C | $118.180 | $661.330 | |
| 19-02-006-00 | LITIASIS RENAL, TRAT. QUIR. POR NEFROTOM | $118.180 | $510.180 | |
| 19-02-008-00 | LUMBOTOMIA EXPLORADORA C/S DREN., C/S BI | $118.180 | $344.780 | |
| 19-02-009-00 | NEFRECTOMIA PARCIAL Y/O CIRUGIA DE TRAUM | $314.190 | $794.030 | |
| 19-02-009-01 | NEFRECTOMIA PARCIAL LAPAROSCOPICA | $314.190 | $794.030 | |
| 19-02-010-00 | NEFRECTOMIA RADICAL AMPLIADA (INCLUYE GA | $314.190 | $771.550 | |
| 19-02-010-01 | NEFRECTOMIA RADICAL LAPAROSCOPICA | $314.190 | $0 | |
| 19-02-011-00 | NEFRECTOMIA POR PATOLOGIA BENIGNA O MALF | $118.180 | $404.060 | |
| 19-02-012-00 | DRENAJE PERCUTANEO O ENDOSCOPICO DE HIDR | $118.180 | $372.850 | |
| 19-02-013-00 | PIELOTOMIA EXPLORADORA Y/O TERAPEUTICA ( | $118.180 | $550.960 | |
| 19-02-015-00 | SUPRARRENALECTOMIA UNILATERAL | $118.180 | $525.460 | |
| 19-02-016-00 | ANASTOMOSIS DE LOS URETERES | $314.190 | $544.100 | |
| 19-02-017-00 | FISTULA URETERO-VAGINAL, TRAT. QUIR. | $118.180 | $461.260 | |
| 19-02-018-00 | NEFROURETERECTOMIA EN PATOLOGIA TUMORAL | $314.190 | $709.920 | |
| 19-02-019-00 | URETERECTOMIA | $118.180 | $474.350 | |
| 19-02-020-00 | URETERO-LITOTOMIA ABIERTA | $118.180 | $369.070 | |
| 19-02-021-00 | URETERO-LITOTOMIA ENDOSCOPICA C/URETEROS | $118.180 | $631.500 | |
| 19-02-022-00 | URETEROPLASTIAS, PROC. COMPLETO | $314.190 | $572.960 | |
| 19-02-023-00 | URETERORRAFIA Y/O URETEROLISIS C/U | $118.180 | $414.510 | |
| 19-02-024-00 | URETEROSTOMIA BILATERAL:VESICAL,CUTANEA | $314.190 | $764.670 | |
| 19-02-025-00 | URETEROSTOMIA UNILATERAL: VESICAL, CUTAN | $118.180 | $581.650 | |
| 19-02-027-00 | CISTECTOMIA PARCIAL Y/O TRAT. QUIR. DE D | $118.180 | $356.210 | |
| 19-02-028-00 | CISTECTOMIA RADICAL, PROC COMPLETO. | $314.190 | $1.090.800 | |
| 19-02-029-00 | CISTOPLASTIA, PROC. COMPLETO | $314.190 | $722.560 | |
| 19-02-030-00 | CISTORRAFIA, PROC. COMPLETO | $118.180 | $230.740 | |
| 19-02-031-00 | CISTOSTOMIA C/S EXTRACCION DE CUERPO EXT | $118.180 | $230.740 | |
| 19-02-032-00 | EXTROFIA VESICAL, PROC. COMPLETO | $118.180 | $502.220 | |
| 19-02-033-00 | FISTULA VESICO-CUTANEA, Y/O VAGINAL, Y/O | $118.180 | $369.070 | |
| 19-02-034-00 | LESIONES DEL CUELLO VESICAL, TRAT. QUIR. | $118.180 | $276.830 | |
| 19-02-035-00 | LIGADURA DE ARTERIAS HIPOGASTRICAS (PROC | $118.180 | $292.910 | |
| 19-02-036-00 | OPERACION DE BRICKER | $314.190 | $826.080 | |
| 19-02-037-00 | RESECCION ENDOSCOPICA DE CANCER VESICAL | $314.190 | $333.150 | |
| 19-02-038-00 | RESERVORIO CONTINENTE INTESTINAL EXTERNO | $314.190 | $722.560 | |
| 19-02-040-00 | DIVERTICULECTOMIA POR VIA VAGINAL,PERINE | $118.180 | $381.820 | |
| 19-02-041-00 | FLEGMON URINOSO, DRENAJE Y CISTOSTOMIA | $118.180 | $263.980 | |
| 19-02-043-00 | HIPOSPADIA DISTAL O PLASTIA DE URETRA (C | $118.180 | $299.730 | |
| 19-02-044-00 | HIPOSPADIA PROXIMAL, TRAT. QUIR. EN UN T | $118.180 | $389.620 | |
| 19-02-045-00 | INCONTINENCIA URINARIA, TRAT. QUIR. POR | $118.180 | $366.400 | |
| 19-02-047-00 | MEATOTOMIA QUIRURGICA C/S RESECCION DE P | $118.180 | $184.910 | |
| 19-02-049-00 | URETRECTOMIA C/S CISTOSTOMIA | $118.180 | $859.420 | |
| 19-02-050-00 | PLASTIA DE URETRA O TRAT. DE FISTULAS RE | $118.180 | $230.740 | |
| 19-02-051-00 | URETROSTOMIA | $118.180 | $184.660 | |
| 19-02-052-00 | URETROTOMIA EXTERNA (PROC. AUT.) | $118.180 | $230.740 | |
| 19-02-053-00 | URETROTOMIA INTERNA Y/O URETROLITOTOMIA | $118.180 | $263.980 | |
| 19-02-054-00 | ABSCESO, TRAT. QUIR. | $118.180 | $236.850 | |
| 19-02-055-00 | ADENOMA O CANCER PROSTATICO, RESECCION E | $118.180 | $371.540 | |
| 19-02-055-01 | HEMOSTASIA POR HEMOVEJIGA | $578.200 | $371.540 | |
| 19-02-056-00 | ADENOMA PROSTATICO, TRAT. QUIR. CUALQUIE | $118.180 | $435.740 | |
| 19-02-057-00 | TUMORES MALIGNOS DE PROSTATA O VESICULAS | $314.190 | $771.550 | |
| 19-02-059-00 | BIOPSIA QUIRURGICA (UNO O AMBOS) (PROC. | $118.180 | $243.760 | |
| 19-02-060-00 | DESCENSO TESTICULO ABDOMINAL C/S HERNIOP | $118.180 | $324.350 | |
| 19-02-061-00 | DESCENSO TESTICULO INGUINAL C/S HERNIOPL | $118.180 | $300.510 | |
| 19-02-062-00 | ESCROTO, PLASTIA DE, PROC. COMPLETO | $118.180 | $236.850 | |
| 19-02-063-00 | HIDATIDECTOMIA UNILAT.C/S EVERSION DE LA | $118.180 | $236.850 | |
| 19-02-064-00 | HIDROCELE Y/O HEMATOCELE, TRAT. QUIR. | $118.180 | $230.860 | |
| 19-02-065-00 | ORQUIDECTOMIA UN LADO | $118.180 | $230.860 | |
| 19-02-066-00 | ORQUIDOPEXIA UN LADO | $118.180 | $250.670 | |
| 19-02-067-00 | PROTESIS TESTICULAR, (PROC. AUT.) | $118.180 | $244.380 | |
| 19-02-068-00 | TUMORES MALIGNOS DEL TESTICULO, ORQUIDEC | $118.180 | $276.830 | |
| 19-02-069-00 | TUMORES MALIGNOS DEL TESTICULO, ORQUIDEC | $314.190 | $666.560 | |
| 19-02-070-00 | ANASTOMOSIS DE LOS DEFERENTES | $118.180 | $354.080 | |
| 19-02-071-00 | EPIDIDIMECTOMIA PARCIAL O TOTAL, UN LADO | $118.180 | $251.280 | |
| 19-02-072-00 | PLASTIA EPIDIDIMO-DEFERENTE (OPERACION D | $118.180 | $343.490 | |
| 19-02-073-00 | QUISTES DEL CORDON, Y/O EPIDIDIMO, EXTIR | $118.180 | $230.860 | |
| 19-02-074-00 | TORSION DEL CORDON, TRAT. QUIR. (INCLUYE | $118.180 | $243.570 | |
| 19-02-075-00 | VARICOCELE UNILATERAL, TRAT. QUIR. | $118.180 | $230.860 | |
| 19-02-075-01 | VARICOCELE POR LAPAROSCOPIA | $118.180 | $230.860 | |
| 19-02-076-00 | VASECTOMIA BILATERAL, (PROC. AUT.) (LA V | $118.180 | $250.670 | |
| 19-02-078-00 | AMPUTACION PARCIAL DEL PENE (PROC.AUT.) | $118.180 | $276.830 | |
| 19-02-079-00 | AMPUTACION TOTAL DEL PENE, PROC. COMPLET | $118.180 | $422.750 | |
| 19-02-080-00 | BIOPSIA DE PENE (PROC. AUT.) | $89.910 | $57.780 | |
| 19-02-081-00 | CAVERNOSOSTOMIA Y/O CAVERNO-ESPONGIOSTOM | $118.180 | $268.770 | |
| 19-02-082-00 | CIRCUNCISION (INCLUYE SECCION DE FRENILL | $118.180 | $250.450 | |
| 19-02-083-00 | LESIONES DEL CUERPO CAVERNOSO, TRAT. QUI | $118.180 | $257.780 | |
| 19-02-084-00 | MEATOTOMIA HOMBRE Y/O SECCION FRENILLO Y | $26.270 | $35.520 | |
| 19-02-085-00 | PLASTIA DE PENE, PROC. COMPLETO (NO INCL | $118.180 | $486.320 | |
| 19-02-090-00 | LITIASIS RENAL TRAT. POR ONDA DE CHOQUE | $314.190 | $647.810 | |
| 19-02-112-00 | INSTALACION CATETER DOBLE J ANTEROGRADO | $118.180 | $0 | |
| 19-02-131-00 | LITOTRIPSIA ENDOSCOPICA TEC LASER | $118.180 | $86.110 | |
| 20-01-002-00 | COLPOSCOPIA | $23.780 | $15.280 | |
| 20-01-005-00 | HISTEROSCOPIA DIAGNOSTICA O TERAPEUTICA | $26.270 | $36.800 | |
| 20-01-006-00 | AMNIOCENTESIS | $35.480 | $22.800 | |
| 20-01-007-00 | CULDOCENTESIS (PUNCION DEL DOUGLAS) | $43.430 | $27.900 | |
| 20-01-009-00 | MONITOREO BASAL CON INFORME | $15.610 | $10.030 | |
| 20-01-010-00 | MONITOREO FETAL ESTRESANTE, CON CONTROL | $44.570 | $28.640 | |
| 20-01-012-00 | GALACTOGRAFIA Y NEUMOCISTOGRAFIA (A.C.04 | $37.520 | $24.110 | |
| 20-01-013-00 | HISTEROSALPINGOGRAFIA (A.C. 04-02-011) | $45.770 | $29.410 | |
| 20-01-013-01 | HISTEROSONOGRAFIA | $45.770 | $29.410 | |
| 20-01-014-00 | BIOPSIA ENDOMETRIO, VULVA, VAGINA, CUELL | $44.600 | $28.660 | |
| 20-01-015-00 | COLOCACION O EXTRACCION DE DISPOSITIVO | $28.060 | $18.030 | |
| 20-01-015-01 | INSERCION NORPLANT | $30.000 | $30.000 | |
| 20-01-015-02 | INSERCION / EXTRACCION NORPLANT | $50.000 | $50.000 | |
| 20-01-016-01 | CRIOTERAPIA | $45.770 | $29.410 | |
| 20-01-020-00 | TEST POSTCOITAL | $45.770 | $29.410 | |
| 20-01-021-00 | CORDOCENTESIS | $78.610 | $50.510 | |
| 20-01-022-00 | PUNCION EVACUADORA DE QUISTES MAMARIOS, | $31.520 | $20.260 | |
| 20-01-022-01 | PUNCION QUISTE MAMARIO BAJO ECO | $31.520 | $20.260 | |
| 20-01-120-00 | PUNCION MAMARIA | $60.000 | $60.000 | |
| 20-01-122-00 | BIOPSIA CORE MAMARIA 1 | $120.000 | $120.000 | |
| 20-01-123-00 | BIOPSIA CORE MAMARIA 2 | $180.000 | $180.000 | |
| 20-01-124-00 | BIOPSIA CORE MAMARIA 3 | $240.000 | $240.000 | |
| 20-02-001-00 | ABSCESO Y/O HEMATOMA DE MAMA, TRAT.QUIR. | $26.270 | $64.220 | |
| 20-02-002-00 | MASTECTOMIA PARCIAL (CUADRANTECTOMIA O S | $118.180 | $338.850 | |
| 20-02-003-00 | MASTECTOMIA RADICAL O TUMORECTOMIA C/VAC | $118.180 | $607.300 | |
| 20-02-005-00 | TUMOR BENIGNO Y/O QUISTE Y/O MAMA SUPERN | $118.180 | $230.860 | |
| 20-03-001-00 | OOFORECTOMIA PARCIAL O TOTAL, UNI O BILA | $118.180 | $237.620 | |
| 20-03-001-01 | OOFORECTOMIA POR LAPAROSCOPIA | $314.190 | $237.620 | |
| 20-03-002-00 | ANEXECTOMIA Y/O VAC. DE ABSCESO TUBO-OVA | $118.180 | $292.160 | |
| 20-03-002-01 | ANEXECTOMIA POR LAPAROSCOPIA | $314.190 | $292.160 | |
| 20-03-003-00 | EMBARAZO TUBARIO, TRAT. QUIR. | $118.180 | $342.180 | |
| 20-03-003-01 | EMBARAZO TUBARIO POR LAPAROSCOPIA | $314.190 | $342.180 | |
| 20-03-004-00 | LIGADURA O SECCION UNI O BILATERAL DE LA | $118.180 | $230.860 | |
| 20-03-004-01 | POMEROY POR LAPAROSCOPIA | $314.190 | $230.860 | |
| 20-03-005-00 | SALPINGECTOMIA UNI O BILATERAL | $118.180 | $250.670 | |
| 20-03-005-01 | SALPINGECTOMIA POR LAPAROSCOPIA | $314.190 | $250.670 | |
| 20-03-006-00 | ESTERILIDAD TUBARIA, OPERACION PLAST C/M | $314.190 | $502.220 | |
| 20-03-006-01 | ESTERILIDAD TUBARIA LAPAROSCOPICA | $314.190 | $502.220 | |
| 20-03-007-00 | ESTERILIDAD TUBARIA, OPERACION PLAST S/M | $118.180 | $330.540 | |
| 20-03-007-01 | ESTERILIDAD TUBARIA POR LAPAROSCOPIA | $314.190 | $330.540 | |
| 20-03-008-00 | MIOMECTOMIA | $118.180 | $278.580 | |
| 20-03-008-01 | MIOMECTOMIA LAPAROSCOPICA | $314.190 | $278.580 | |
| 20-03-009-00 | HISTERECTOMIA SUBTOTAL POR VIA ABDOMINAL | $118.180 | $334.340 | |
| 20-03-010-00 | HISTERECTOMIA TOTAL O AMPLIADA POR VIA A | $118.180 | $758.020 | |
| 20-03-010-01 | HISTERECTOMIA LAPAROSCOPICA | $314.190 | $758.020 | |
| 20-03-011-00 | LIGAMENTO ANCHO: ABSCESOS Y/O HEMATOMAS | $118.180 | $336.210 | |
| 20-03-011-01 | LIGAMENTO ANCHO POR LAPAROSCOPIA | $314.190 | $336.210 | |
| 20-03-012-00 | CONIZACION Y/O AMPUTACION DEL CUELLO, DI | $118.180 | $230.860 | |
| 20-03-013-00 | EXANTERACION PELVIANA ANTERIOR Y/O POSTE | $530.150 | $1.129.890 | |
| 20-03-014-00 | HISTERECTOMIA POR VIA VAGINAL | $118.180 | $599.940 | |
| 20-03-015-00 | HISTERECTOMIA RADICAL CON DISECCION PELV | $314.190 | $953.220 | |
| 20-03-016-00 | HISTERECTOMIA TOTAL C/INTERVENCION INCON | $118.180 | $799.440 | |
| 20-03-017-00 | HISTEROPEXIA | $118.180 | $230.740 | |
| 20-03-018-00 | PLASTIA UTERINA (OPERACION DE STRASSMAR | $118.180 | $304.980 | |
| 20-03-019-00 | POLIPECTOMIA (UNO O MAS) (PROC. AUT.) | $26.270 | $70.580 | |
| 20-03-020-00 | SINEQUIA Y/O ESTENOSIS CERVICAL , TRAT. | $118.180 | $131.440 | |
| 20-03-021-00 | COLPOCELIOTOMIA | $118.180 | $124.830 | |
| 20-03-022-00 | INCONTINENCIA URINARIA DE ESFUERZO, TRAT | $118.180 | $292.220 | |
| 20-03-023-00 | PROLAPSO ANTERIOR Y/O POSTERIOR CON REPA | $118.180 | $422.750 | |
| 20-03-024-00 | PROLAPSO ANTERIOR Y/O POSTERIOR C/S TRAT | $118.180 | $276.830 | |
| 20-03-025-00 | QUISTE Y/O DESGARRO Y/O TABIQUE VAGINAL, | $118.180 | $128.110 | |
| 20-03-026-00 | BARTOLINITIS, VACIAMIENTO Y DRENAJE (PRO | $84.240 | $54.130 | |
| 20-03-027-00 | BARTOLINOCISTONEOSTOMIA O EXTIRP. DE LA | $118.180 | $243.760 | |
| 20-03-028-00 | VULVECTOMIA RADICAL | $118.180 | $722.560 | |
| 20-03-029-00 | VULVECTOMIA SIMPLE | $118.180 | $397.300 | |
| 20-03-030-00 | DESGARRO CERVICAL TRAT. QUIR. | $118.180 | $230.860 | |
| 20-03-031-00 | VIDEOLAPAROSCOPIA GINECOLOGICA EXPLORADO | $118.180 | $199.180 | |
| 20-03-040-00 | INCOMPETENCIA CERVICAL TRAT. QUIR. | $118.180 | $260.820 | |
| 20-03-041-00 | EXTRACCION DE DIU INCRUSTADO, POR VIA AB | $118.180 | $279.250 | |
| 20-03-100-00 | HIPERTROFIA NINFAS | $118.180 | $30.370 | |
| 20-04-001-00 | ABORTO RETENIDO, VACIAMIENTO DE (INCLU | $26.270 | $194.660 | |
| 20-04-002-00 | RASPADO UTERINO DIAGNOSTICO O TERAPEUT | $26.270 | $173.550 | |
| 20-04-003-00 | PARTO PRESENTACION CEFALICA O PODALICA, | $118.180 | $284.690 | |
| 20-04-003-01 | PARTO PABELLON CENTRAL | $118.180 | $284.690 | |
| 20-04-003-02 | PARTO (SAIP) | $118.180 | $0 | |
| 20-04-005-00 | CESAREA CON HISTERECTOMIA | $118.180 | $421.540 | |
| 20-04-006-00 | CESAREA C/S SALPINGOLIGADURA O SALPINGEC | $118.180 | $377.680 | |
| 20-04-006-01 | CESAREA PABELLON CENTRAL | $118.180 | $377.680 | |
| 20-04-007-00 | ASPIRACION MANUAL ENDOUTERINA (AMEU) | $26.270 | $95.680 | |
| 20-04-009-00 | FOTOTERAPIA RECIEN NACIDO (POR DIA) | $3.460 | $2.220 | |
| 20-04-010-00 | HONORARIO MATRONA PREPARTO | $58.890 | $0 | |
| 20-04-011-00 | HONORARIO MATRONA ATENCION INTEGRAL | $155.870 | $0 | |
| 20-04-012-00 | HONORARIO MATRONA POST PARTO | $93.520 | $0 | |
| 20-04-100-00 | INSEMINACION BAJA COMPLEJIDAD | $80.000 | $80.000 | |
| 20-05-001-00 | SESION REHABILITACION PISO PELVICO | $25.000 | $25.000 | |
| 20-05-101-00 | EVALUACION PISO PELVICO | $5.000 | $5.000 | |
| 21-01-001-00 | INFILTRACION LOCAL MEDICAMENTOS (BURSAS, | $19.470 | $12.510 | |
| 21-01-001-01 | INFILTRACION LOCAL /PUNCION EVACUADORA B | $19.120 | $12.290 | |
| 21-01-002-00 | PROCEDIM. PARA EXPLORACIONES RADIOLOGICA | $21.140 | $13.580 | |
| 21-01-003-00 | MOVILIZACION ARTICULAR BAJO ANESTESIA GE | $118.180 | $69.100 | |
| 21-01-100-00 | ARTROCENTESIS EN SERV DE URGENCIA | $19.470 | $0 | |
| 21-04-001-00 | ARTROSCOPIA DIAGNOSTICA C/S BIOPSIA, C/S | $26.270 | $313.010 | |
| 21-04-002-00 | EXOSTOSIS U OSTEOCONDROMA, TRAT. QUIR. | $26.270 | $243.760 | |
| 21-04-003-00 | QUISTES SINOVIALES DE VAINAS FLEXORAS, B | $358.060 | $230.080 | |
| 21-04-003-01 | QUISTE SINOVIAL 1 CIRUJANO | $358.060 | $230.080 | |
| 21-04-004-00 | TRACCION HALOCRANEANA O ESTRIBO-CRANEANA | $26.270 | $57.780 | |
| 21-04-005-00 | TRACCION HALOCRANEO-FEMORAL | $26.270 | $230.670 | |
| 21-04-006-00 | TRACCION TRANSESQUELETICA O DE PARTES BL | $26.270 | $34.510 | |
| 21-04-007-00 | ARTRODESIS DE CODO O MUNECA, C/U | $26.270 | $224.940 | |
| 21-04-008-00 | ARTRODESIS DE HOMBRO, CADERA,RODILLA, TO | $118.180 | $343.090 | |
| 21-04-009-00 | ARTRODESIS DE MANO O PIE C/U | $26.270 | $250.670 | |
| 21-04-010-00 | TRATAMIENTO COMPLETO DE FRACTURAS EXPUES | $118.180 | $358.830 | |
| 21-04-011-00 | TRATAMIENTO COMPLETO DE FRACTURAS EXPUES | $118.180 | $266.400 | |
| 21-04-012-00 | OSTEITIS, RASPADO, C/S SECUESTRECTOMIA | $118.180 | $216.220 | |
| 21-04-013-00 | OSTEOMIELITIS AGUDA HEMATOGENA, DRENAJE | $118.180 | $266.400 | |
| 21-04-014-00 | OSTEOMIELITIS CRONICA HUESOS LARGOS, LEG | $118.180 | $240.960 | |
| 21-04-015-00 | ARTROTOMIA HOMBRO O CADERA C/U | $118.180 | $240.210 | |
| 21-04-016-00 | ARTROTOMIA OTRAS ARTICULACIONES, C/U | $118.180 | $250.670 | |
| 21-04-017-00 | PSEUDOARTROSIS INFECTADA HUESOS LARGOS, | $118.180 | $343.090 | |
| 21-04-018-00 | AUTOTRANSPLANTE OSEO MICROQUIRURGICO | $314.190 | $735.380 | |
| 21-04-019-00 | INJERTO ESPONJOSO METAFISIARIO | $26.270 | $230.860 | |
| 21-04-020-00 | INJERTOS ESPONJOSOS O CORTICO-ESPONJOSOS | $26.270 | $243.760 | |
| 21-04-021-00 | TRANSPLANTE OSEO (AUTO U HOMOTRANSPLANT | $118.180 | $512.500 | |
| 21-04-022-00 | LESIONES QUISTICAS CON FRACTURA PATOLOGI | $118.180 | $353.090 | |
| 21-04-023-00 | LESIONES QUISTICAS: LEGRADO OSEO, C/S RE | $118.180 | $243.760 | |
| 21-04-024-00 | METASTASIS OSEA C/S FRACTURA PATOLOGICA, | $118.180 | $343.090 | |
| 21-04-025-00 | TUMOR OSEO, RESECCION EN BLOQUE, C/S OST | $118.180 | $363.070 | |
| 21-04-026-00 | TUMORES O QUISTES O LESIONES PSEUDOQUIST | $118.180 | $244.140 | |
| 21-04-026-01 | PUNCION PARTES BLANDAS | $379.950 | $244.140 | |
| 21-04-027-00 | TUMORES OSEOS: RESECCION EN BLOQUE,EPIFI | $118.180 | $366.590 | |
| 21-04-028-00 | TUMORES PRIMARIOS O METASTASICOS VERTEBR | $314.190 | $912.350 | |
| 21-04-029-00 | SINOVECTOMIAS QUIRURGICAS DE CODO O MUNE | $118.180 | $235.600 | |
| 21-04-030-00 | SINOVECTOMIAS QUIRURGICAS DE RODILLA O C | $118.180 | $250.670 | |
| 21-04-031-00 | EPINEURORRAFIA MICROQUIRURGICA CON MAGNI | $314.190 | $309.520 | |
| 21-04-033-00 | BIOPSIA OSEA POR PUNCION | $77.960 | $50.100 | |
| 21-04-034-00 | BIOPSIA OSEA QUIRURGICA | $118.180 | $242.290 | |
| 21-04-035-00 | BIOPSIA SINOVIAL O MUSCULAR POR PUNCION | $26.270 | $50.100 | |
| 21-04-036-00 | BIOPSIA SINOVIAL O MUSCULAR QUIRURGICA | $97.630 | $62.740 | |
| 21-04-037-00 | BIOPSIA VERTEBRAL POR PUNCION | $26.270 | $100.130 | |
| 21-04-038-00 | MUNON DE AMPUTACION, REGULARIZACION DE | $26.270 | $199.180 | |
| 21-04-039-00 | OSTEOCONDROSIS O EPIFISITIS, TRAT. QUIR. | $118.180 | $199.180 | |
| 21-04-040-00 | AMPUTACION INTERESCAPULO-TORACICA | $314.190 | $511.900 | |
| 21-04-041-00 | DESARTICULACION ESCAPULO-HUMERAL | $314.190 | $334.460 | |
| 21-04-042-00 | ENDOPROTESIS TOTAL DE HOMBRO,(CUALQUIER | $314.190 | $358.830 | |
| 21-04-044-00 | FRACTURA CUELLO HUMERAL, TRAT. QUIR. | $118.180 | $353.090 | |
| 21-04-045-00 | FRACTURA DE CLAVICULA, OSTEOSINTESIS | $118.180 | $236.640 | |
| 21-04-046-00 | FRACTURA ESCAPULA, OSTEOSINTESIS | $118.180 | $238.030 | |
| 21-04-047-00 | LUXACION ACROMIO-CLAVICULAR O ESTERNO CL | $118.180 | $236.850 | |
| 21-04-048-00 | LUXACION RECIDIVANTE, TRAT. QUIR. | $118.180 | $363.070 | |
| 21-04-049-00 | LUXACION TRAUMATICA, REDUCCION CRUENTA | $118.180 | $244.380 | |
| 21-04-050-00 | LUXOFRACTURA,REDUCCION Y OSTEOSINTESIS | $118.180 | $363.070 | |
| 21-04-051-00 | RUPTURA MANGUITO ROTADORES, TRAT. QUIR. | $118.180 | $363.070 | |
| 21-04-052-00 | TRANSPOSICIONES MUSCULARES | $118.180 | $250.670 | |
| 21-04-053-00 | AMPUTACION BRAZO | $118.180 | $244.140 | |
| 21-04-054-00 | FRACTURA SUPRACONDILEA NINO TRACCION ES | $118.180 | $243.570 | |
| 21-04-055-00 | OSTEOSINTESIS DIAFISIARIA (CUALQUIER TEC | $118.180 | $250.670 | |
| 21-04-056-00 | OSTEOSINTESIS SUPRA O INTERCONDILEA (CUA | $118.180 | $250.450 | |
| 21-04-057-00 | OSTEOTOMIA (CUALQUIER TECNICA) | $118.180 | $244.380 | |
| 21-04-058-00 | PSEUDOARTROSIS C/S OSTEOSINTESIS C/S YES | $118.180 | $244.380 | |
| 21-04-059-00 | ARTROPLASTIA CON FASCIA | $118.180 | $252.060 | |
| 21-04-060-00 | CUPULA RADIAL, RESECCION | $118.180 | $199.180 | |
| 21-04-061-00 | CUPULA RADIAL, RESECCION CON IMPLANTE DE | $118.180 | $238.030 | |
| 21-04-062-00 | ENDOPROTESIS TOTAL DE CODO, (CUALQUIER T | $314.190 | $358.830 | |
| 21-04-063-00 | EPICONDILITIS, TRAT. QUIR. (CUALQUIER TE | $118.180 | $234.060 | |
| 21-04-064-00 | LUXACION, REDUCCION CRUENTA | $118.180 | $259.680 | |
| 21-04-065-00 | LUXOFRACTURA, REDUCCION CRUENTA C/S RESE | $395.590 | $254.190 | |
| 21-04-066-00 | OSTEOSINTESIS EPITROCLEA-EPICONDILO (CUA | $118.180 | $236.850 | |
| 21-04-067-00 | OSTEOSINTESIS OLECRANON U OSTEOSINTESIS | $118.180 | $250.670 | |
| 21-04-068-00 | TRASLOCACION NERVIO CUBITAL (PROC. AUT.) | $118.180 | $276.830 | |
| 21-04-069-00 | OPERACION DE SALVATAJE RADIO-PROCUBITO | $118.180 | $230.740 | |
| 21-04-070-00 | AMPUTACION | $118.180 | $230.740 | |
| 21-04-071-00 | EXTIRPACION METAFISIS DISTAL DEL CUBITO | $118.180 | $236.850 | |
| 21-04-072-00 | LUXOFRACTURAS (MONTEGGIA-GALEAZZI), REDU | $118.180 | $250.670 | |
| 21-04-073-00 | OSTEOSINTESIS, FRACT.CERRADA CUBITO Y/O | $118.180 | $250.670 | |
| 21-04-074-00 | OSTEOTOMIA UNO O AMBOS HUESOS, C/S OSTES | $118.180 | $250.670 | |
| 21-04-075-00 | PSEUDOARTROSIS CUBITO Y/O RADIO C/S OST | $118.180 | $236.850 | |
| 21-04-076-00 | SINOSTOSIS RADIO-CUBITAL, TRAT. QUIR.,C/ | $118.180 | $230.740 | |
| 21-04-077-00 | TRANSPLANTES MUSCULO-TENDINOSOS | $118.180 | $363.070 | |
| 21-04-078-00 | CONTRACTURA ISQUEM.DE VOLKMANN:DESCENSO | $118.180 | $353.920 | |
| 21-04-079-00 | ENDOPROTESIS TOTAL DE MUNECA, (CUALQUIER | $314.190 | $330.540 | |
| 21-04-080-00 | ESTILOIDES CUBITAL,RADIAL,RESECCION DE | $118.180 | $204.340 | |
| 21-04-081-00 | FRACTURA O PSEUDOARTROSIS ESCAFOIDES,TRA | $118.180 | $266.400 | |
| 21-04-083-00 | LUXACION RADIOCARPIANA,TRAT. QUIR. | $118.180 | $250.670 | |
| 21-04-084-00 | LUXACION SEMILUNAR,REDUCCION Y OSTEOSINT | $118.180 | $254.190 | |
| 21-04-085-00 | OSTEOSINTESIS RADIO, (CUALQUIER TECNICA) | $118.180 | $250.670 | |
| 21-04-086-00 | TENDOVAGINOSIS DE DE QUERVAIN,TRAT. QUIR | $118.180 | $230.860 | |
| 21-04-087-00 | AMPUTACION DEDOS (TRES O MAS) | $118.180 | $254.100 | |
| 21-04-088-00 | AMPUTACION DEDOS (UNO O DOS) | $26.270 | $200.720 | |
| 21-04-089-00 | AMPUTACION MANO O DEL PULGAR | $118.180 | $276.830 | |
| 21-04-090-00 | AMPUTACION PULPEJOS (PLASTIA KUTLER O SI | $26.270 | $204.340 | |
| 21-04-091-00 | CONTRACTURA DUPUYTREN,TRAT. QUIR.,CADA T | $118.180 | $216.220 | |
| 21-04-092-00 | CONTUSION-COMPRESION GRAVE,TRAT. QUIR.IN | $118.180 | $234.180 | |
| 21-04-093-00 | DEDOS EN GATILLO,TRAT. QUIR.,CUALQUIER N | $26.270 | $210.300 | |
| 21-04-094-00 | FLEGMON MANO, TRAT. QUIR. | $26.270 | $250.670 | |
| 21-04-094-01 | FLEGMON MANO, TRAT. QUIR.1 CIRUJANO | $120.778 | $105.024 | |
| 21-04-095-00 | LUXOFRACTURA METACARPOFALANGICA O INTERF | $26.270 | $236.850 | |
| 21-04-096-00 | MANO REUMATICA EN RAFAGA: TRASLOCACIONES | $118.180 | $248.210 | |
| 21-04-097-00 | MANO REUMATICA: IMPLANT. SILASTIC, CUALQ | $118.180 | $244.460 | |
| 21-04-098-00 | MUTILACION GRAVE, ASEO.QUIR. COMPLETO C/ | $118.180 | $246.320 | |
| 21-04-099-00 | OSTEOSINTESIS METACARPIANAS O DE FALANGE | $26.270 | $250.670 | |
| 21-04-101-00 | PULGARIZACION DEDO (INDICE O ANULAR) | $118.180 | $349.820 | |
| 21-04-102-00 | REIMPLANTE MANO O DEDO(S) | $314.190 | $870.610 | |
| 21-04-103-00 | REPARACION FLEXORES: PRIMER TIEMPO ESPAC | $118.180 | $204.340 | |
| 21-04-104-00 | REPARACION NERVIO DIGITAL CON INJERTO IN | $118.180 | $330.540 | |
| 21-04-105-00 | RUPTURAS CERRADAS CAPSULO-LIGAMENT.O TEN | $118.180 | $250.670 | |
| 21-04-106-00 | SUTURA NERVIO(S) DIGITAL(ES) MICROCIRU | $118.180 | $253.330 | |
| 21-04-107-00 | TENORRAFIA EXTENSORES | $118.180 | $204.340 | |
| 21-04-108-00 | TENORRAFIA O INJERTOS FLEXORES | $118.180 | $250.670 | |
| 21-04-109-00 | TENOSINOVITIS SEPTICA, TRAT. QUIR. | $26.270 | $97.440 | |
| 21-04-110-00 | TRANSPLANTE MICROQUIRURGICO PARA PULGAR | $314.190 | $540.560 | |
| 21-04-111-00 | TRANSPOSICIONES TENDINOSAS FLEXORAS O EX | $118.180 | $250.670 | |
| 21-04-112-00 | DIASTEMATOMIELIA,RESECCION ESPOLON C/S I | $314.190 | $630.270 | |
| 21-04-113-00 | ESCOLIOSIS,TRAT.QUIR.,CUALQUIER VIA DE A | $530.150 | $870.610 | |
| 21-04-116-00 | LUXACIONES,LUXOFRACTURAS VERTEBRALES (CE | $314.190 | $470.240 | |
| 21-04-117-00 | OSTEOTOMIAS VERTEBRALES CORRECTORAS,C/S | $314.190 | $694.020 | |
| 21-04-118-00 | PLASTIAS COSTALES,CUALQUIER NUMERO | $118.180 | $244.380 | |
| 21-04-119-00 | REEMPLAZO CUERPO VERTEBRAL CON ARTRODESI | $314.190 | $1.006.530 | |
| 21-04-121-00 | RESECCION DEL COXIS | $118.180 | $243.760 | |
| 21-04-122-00 | DIASTASIS PUBIANA, TRAT. QUIR. | $118.180 | $383.840 | |
| 21-04-123-00 | FRACTURA,OSTEOSINTESIS QUIR. | $118.180 | $348.990 | |
| 21-04-124-00 | OSTEOTOMIA PELVIANA (SALTER,CHIARI O SIM | $118.180 | $363.490 | |
| 21-04-125-00 | TRIPLE OSTEOTOMIA DE PELVIS | $118.180 | $391.710 | |
| 21-04-126-00 | AMPUTACION INTER-ILIO ABDOMINAL | $530.150 | $509.840 | |
| 21-04-127-00 | DESARTICULACION | $530.150 | $414.510 | |
| 21-04-128-00 | ENDOPROTESIS PARCIAL C/S CEMENTACION (CU | $314.190 | $385.680 | |
| 21-04-129-00 | ENDOPROTESIS TOTAL DE CADERA | $314.190 | $707.620 | |
| 21-04-130-00 | EPIFISIOLISIS LENTA O AGUDA,TRAT. QUIR. | $118.180 | $353.920 | |
| 21-04-131-00 | FRACTURA DE CUELLO DE FEMUR,OSTEOSINTESI | $314.190 | $304.980 | |
| 21-04-132-00 | FRACTURA DE CUELLO DE FEMUR,RESECCION EP | $118.180 | $325.820 | |
| 21-04-133-00 | LUXACION TRAUMATICA, REDUCCION CRUENTA | $118.180 | $343.090 | |
| 21-04-134-00 | LUXOFRACTURA ACETABULAR,TRAT.QUIR. | $118.180 | $372.850 | |
| 21-04-135-00 | OPERACION DE SALVATAJE CADERA, COLUMNA O | $314.190 | $528.590 | |
| 21-04-136-00 | OSTEOTOMIAS FEMORALES | $118.180 | $343.090 | |
| 21-04-137-00 | REDUCCION CRUENTA EN LUXACION CONGENITA | $118.180 | $343.090 | |
| 21-04-138-00 | REDUCCION CRUENTA Y ACETABULOPLASTIA FEM | $314.190 | $414.510 | |
| 21-04-139-00 | REDUCCION CRUENTA Y OSTEOTOMIA FEMORAL | $118.180 | $334.460 | |
| 21-04-140-00 | TENOTOMIA ADUCTORES C/S BOTAS, CON YUGO | $118.180 | $236.850 | |
| 21-04-141-00 | TROCANTEROPLASTIAS | $118.180 | $363.070 | |
| 21-04-142-00 | AMPUTACION | $118.180 | $284.820 | |
| 21-04-143-00 | EPIFISIODESIS (FEMUR Y/O TIBIA) | $118.180 | $250.450 | |
| 21-04-144-00 | OSTEOSINTESIS DIAFISIARIA O METAFISIARIA | $118.180 | $251.740 | |
| 21-04-145-00 | OSTEOTOMIA CORRECTORA | $118.180 | $252.060 | |
| 21-04-146-00 | OSTEOTOMIA DE ALARGAMIENTO O ACORTAMIENT | $314.190 | $321.940 | |
| 21-04-147-00 | OSTEOTOMIA EN ROSARIO CON ENCLAVIJAMIENT | $314.190 | $334.460 | |
| 21-04-148-00 | PSEUDOARTROSIS ,TRAT.QUIR. (CUALQUIER TE | $118.180 | $374.190 | |
| 21-04-149-00 | RUPTURA Y/O HERNIA MUSCULAR,TRAT.QUIR. | $118.180 | $244.380 | |
| 21-04-150-00 | ARTROTOMIA POR CUERPOS LIBRES,OSTEOCONDR | $118.180 | $250.670 | |
| 21-04-151-00 | DESARTICULACION | $314.190 | $252.060 | |
| 21-04-152-00 | DISFUNCION PATELO-FEMORAL,REALINEAMIENTO | $118.180 | $284.880 | |
| 21-04-153-00 | ENDOPROTESIS TOTAL DE RODILLA, (CUALQUIE | $314.190 | $630.270 | |
| 21-04-154-00 | FRACTURA ROTULA: OSTEOSINTESIS O PATELEC | $118.180 | $243.760 | |
| 21-04-155-00 | FRACTURAS CONDILEAS O DE PLATILLOS TIBIA | $118.180 | $272.800 | |
| 21-04-156-00 | INESTABILIDAD CRONICA DE RODILLA, RECONS | $118.180 | $386.670 | |
| 21-04-157-00 | LUXACION O ROTURA LIGAMENTOS, TRAT.QUIR. | $118.180 | $240.210 | |
| 21-04-158-00 | MENISCECTOMIA QUIRURGICA, INTERNA Y/O EX | $118.180 | $240.210 | |
| 21-04-159-00 | MENISCECTOMIA U OTRAS INTERVENCIONES POR | $118.180 | $386.670 | |
| 21-04-160-00 | QUISTE POPLITEO, TRAT.QUIR. | $26.270 | $230.860 | |
| 21-04-161-00 | RECONSTRUCCION APARATO EXTENSOR | $118.180 | $254.190 | |
| 21-04-162-00 | REPARACION QUIRURGICA LIGAMENTOS COLATER | $118.180 | $353.090 | |
| 21-04-163-00 | TRASLOCACIONES MUSCULO-TENDINOSAS EN ROD | $118.180 | $334.460 | |
| 21-04-164-00 | AMPUTACION | $118.180 | $252.190 | |
| 21-04-165-00 | COLGAJO CRUZADO DE PIERNA,TRAT.QUIR.COMP | $118.180 | $304.980 | |
| 21-04-166-00 | FASCIOTOMIA POR SINDROME COMPARTAMENTAL | $118.180 | $238.030 | |
| 21-04-167-00 | OSTEOSINTESIS TIBIO-PERONE (CUALQUIER T | $118.180 | $250.670 | |
| 21-04-168-00 | OSTEOTOMIA CORRECTORA DE EJES (CUALQUIE | $118.180 | $250.450 | |
| 21-04-169-00 | OSTEOTOMIA DE ALARGAMIENTO O ACORTAMIENT | $314.190 | $331.040 | |
| 21-04-170-00 | OSTEOTOMIA DEL PERONE | $118.180 | $199.180 | |
| 21-04-171-00 | PERONE PROTIBIA | $118.180 | $238.300 | |
| 21-04-172-00 | PSEUDOARTROSIS, C/S OSTEOSINTESIS (CUAL | $118.180 | $250.450 | |
| 21-04-173-00 | DESARTICULACION | $314.190 | $224.770 | |
| 21-04-174-00 | ENDOPROTESIS TOTAL TOBILLO, (CUALQUIER T | $314.190 | $382.350 | |
| 21-04-175-00 | ESGUINCE GRAVE,TRAT.QUIR. CAPSULO-LIGAME | $118.180 | $250.670 | |
| 21-04-176-00 | FRACTURA ASTRAGALO Y/O CALCANEO,OSTEOSIN | $118.180 | $250.450 | |
| 21-04-177-00 | HUESOS SUPERNUMERARIOS,EXTIRPACION, UNO | $118.180 | $236.850 | |
| 21-04-178-00 | LUXACION TIBIO-ASTRAG.-CALCAN., REDUCC. | $118.180 | $247.780 | |
| 21-04-179-00 | LUXOFRACTURA TOBILLO, CUALQUIER TIPO, OS | $118.180 | $300.510 | |
| 21-04-180-00 | OSTEOPLASTIA TIBIO-CALCANEA | $118.180 | $237.440 | |
| 21-04-181-00 | RUPTURA TENDON DE AQUILES O TIBIAL POSTE | $118.180 | $236.690 | |
| 21-04-182-00 | RUPTURA TIBIAL ANTERIOR U OTROS,TENORRAF | $118.180 | $243.760 | |
| 21-04-183-00 | TENORRAFIA EXTENSORES O TENOTOMIA DE ALA | $118.180 | $254.190 | |
| 21-04-184-00 | TRASLOCACION TENDINOSA | $118.180 | $254.190 | |
| 21-04-185-00 | AMPUTACION TRANSMETATARSIANA | $118.180 | $237.440 | |
| 21-04-186-00 | ASTRAGALO VERTICAL, TRAT. QUIR. | $118.180 | $260.060 | |
| 21-04-187-00 | ESPOLON CALCANEO,TRAT.QUIR. | $118.180 | $199.180 | |
| 21-04-188-00 | EXOSTOSIS 5ø METATARSIANO,("JUANETILLO") | $118.180 | $216.220 | |
| 21-04-189-00 | FASCIOTOMIA PLANTAR (PROC.AUT.) | $118.180 | $230.860 | |
| 21-04-190-00 | HALLUX VALGUS O RIGIDUS,TRAT.QUIR. COMPL | $118.180 | $254.190 | |
| 21-04-191-00 | LUXACIONES,LUXOFRACTURAS,FRACTURAS, REDU | $118.180 | $247.220 | |
| 21-04-192-00 | MAL PERFORANTE PLANTAR,TRAT.QUIR. | $118.180 | $240.960 | |
| 21-04-193-00 | NEUROMA DE MORTON,TRAT.QUIR. | $118.180 | $210.300 | |
| 21-04-194-00 | ORTEJOS EN GARRA,TRAT.QUIR.,CUALQ.NUMERO | $118.180 | $216.220 | |
| 21-04-195-00 | ORTEJOS,AMPUTACION,UNO O MAS DEL MISMO P | $118.180 | $205.010 | |
| 21-04-196-00 | PIE BOT U OTRAS MALFORMACIONES CONGENITA | $118.180 | $252.060 | |
| 21-04-197-00 | PIE CAVO, TRAT.QUIR. (CUALQUIER TECNICA) | $118.180 | $234.180 | |
| 21-04-198-00 | PIE PLANO, TRAT. QUIR. (CUALQUIER TECNIC | $118.180 | $240.210 | |
| 21-04-199-00 | PIE REUMATOIDEO, TRAT.QUIR.COMPLETO (CUA | $118.180 | $241.980 | |
| 21-04-200-00 | SESAMOIDEOS,EXTIRPACION DE UNO O MAS DEL | $118.180 | $227.580 | |
| 21-04-201-00 | TENORRAFIA EXTENSORES | $118.180 | $236.850 | |
| 21-04-202-00 | TRANSPLANTES TENDINOSOS (CUALQUIER TECNI | $118.180 | $254.190 | |
| 21-05-001-00 | CALZON CORTO DE YESO | $56.670 | $36.420 | |
| 21-05-004-00 | RODILLERA, BOTA LARGA O CORTA DE YESO | $45.290 | $29.100 | |
| 21-05-005-00 | VELPEAU | $45.290 | $29.100 | |
| 21-05-006-00 | YESO ANTEBRAQUIAL C/S FERULA DIGITAL | $45.290 | $29.100 | |
| 21-05-007-00 | YESO BRAQUICARPIANO | $45.290 | $29.100 | |
| 21-05-008-00 | YESO PELVIPEDIO BILATERAL | $109.290 | $70.220 | |
| 21-05-009-00 | YESO PELVIPEDIO UNILATERAL | $86.080 | $55.310 | |
| 21-05-010-00 | YESO TORACOBRAQUIAL | $79.280 | $50.940 | |
| 21-05-011-00 | CORSETS DE MILWAUKEE O SIMILARES (INCLUY | $93.230 | $59.900 | |
| 21-06-001-00 | RETIRO DE ENDOPROTESIS U OSTEOSINTESIS I | $314.190 | $244.140 | |
| 21-06-002-00 | RETIRO DE PLACAS RECTAS O ANGULADAS | $118.180 | $250.400 | |
| 21-06-003-00 | RETIRO DE TORNILLOS, CLAVOS, AGUJAS DE O | $118.180 | $95.100 | |
| 21-07-001-00 | LUXACIONES DE ARTICULACIONES MEDIANAS(HO | $172.060 | $110.560 | |
| 21-07-002-00 | LUXACIONES DE ARTICULACIONES MAYORES (C | $26.270 | $144.240 | |
| 21-07-003-00 | LUXACIONES DE ARTICULACIONES MENORES (EL | $77.890 | $50.050 | |
| 21-07-004-00 | FRACTURAS MAYORES (COLUMNA, PELVIS, SUPR | $26.270 | $196.260 | |
| 21-07-005-00 | FRACTURAS MEDIANAS (DIAFISIS HUMERAL, RA | $252.540 | $162.270 | |
| 21-07-006-00 | FRACTURAS MENORES (EL RESTO) | $123.010 | $79.040 | |
| 21-07-007-00 | TRATAMIENTO FUNCIONAL CON TECNICA DE SAR | $26.270 | $139.740 | |
| 21-07-008-00 | TRATAMIENTO FUNCIONAL CON TECNICA DE SAR | $26.270 | $121.540 | |
| 21-07-009-00 | LUXACION CONGENITA DE CADERA, TRAT. ORTO | $26.270 | $121.950 | |
| 21-07-010-00 | PIE BOT, CADA PIE, HASTA 10 CAMBIOS DE Y | $26.270 | $129.950 | |
| 22-01-001-00 | ANESTESIA GENERAL O REGIONAL OTORGADA PO | $97.480 | $62.640 | |
| 22-01-002-00 | ANESTESIA PERIDURAL CONTINUA, PROC. AUT. | $117.380 | $75.420 | |
| 22-01-004-00 | SEDACION CISTOSCOPIA | $97.480 | $62.640 | |
| 22-01-100-00 | SEDACION ENDOSCOPIA DIGESTIVA SUPERIOR | $80.000 | $80.000 | |
| 22-01-101-00 | SEDACION COLONOSCOPIA | $90.000 | $90.000 | |
| 22-01-102-00 | SEDACION ENDOSCOPIA SUPERIOR E INFERIOR | $98.000 | $98.000 | |
| 22-01-103-00 | SEDACION ECOCARDIOGRAFIA | $70.000 | $80.000 | |
| 22-10-100-00 | INSTALACION CATETER TERAPIA DOLOR | $80.000 | $80.000 | |
| 22-10-110-00 | TERAPIA ENDOVENOSA DOLOR | $80.000 | $80.000 | |
| 23-01-001-00 | ENMASCARADOR DE TINNITUS | $0 | $134.110 | |
| 23-01-002-00 | ORTESIS CERVICALES (COLLARES BLANDOS Y D | $0 | $14.930 | |
| 23-01-003-00 | PROTESIS DE OREJA | $0 | $76.790 | |
| 23-01-004-00 | PROTESIS METALICA MANDIBULA INFERIOR | $0 | $106.210 | |
| 23-01-005-00 | PROTESIS OCULAR (NO INCLUYE LENTES INTRA | $0 | $137.650 | |
| 23-01-006-00 | PROTESIS PARA CRANEOPLASTIA | $0 | $76.790 | |
| 23-01-007-00 | PROTESIS PARA HIDROCEFALIA | $0 | $224.630 | |
| 23-01-008-00 | BRAGUERO | $0 | $8.570 | |
| 23-01-010-00 | CABLES ELECTRODOS | $0 | $42.680 | |
| 23-01-011-00 | FAJA ORTOPEDICA | $0 | $13.750 | |
| 23-01-012-02 | INSTALACION SONDA MARCAPASO | $235.050 | $235.050 | |
| 23-01-013-00 | PROTESIS ABDOMINAL (PARA EVENTRACION) | $0 | $27.550 | |
| 23-01-014-00 | PROTESIS MAMARIA C/U | $0 | $98.300 | |
| 23-01-015-00 | PROTESIS TESTICULAR, C/U | $0 | $42.680 | |
| 23-01-016-00 | PROTESIS ARTERIAL | $0 | $115.300 | |
| 23-01-017-00 | VALVULA AORTICA | $0 | $436.790 | |
| 23-01-018-00 | VALVULA MITRAL | $0 | $520.010 | |
| 23-01-019-00 | VALVULA TRICUSPIDE | $0 | $436.790 | |
| 23-01-020-00 | ORTESIS, MUSLO-PIE (ISQUIOPEDIO) | $0 | $48.400 | |
| 23-01-021-00 | ARNES DE PROTESIS | $0 | $7.300 | |
| 23-01-022-00 | BASTON CANADIENSE O TRIPODE, C/U | $0 | $14.110 | |
| 23-01-023-00 | CAVIDAD PARA AMPUTADO DE MUSLO | $0 | $29.900 | |
| 23-01-024-00 | RODILLERA | $0 | $4.030 | |
| 23-01-025-00 | CASQUETE DE GOMA | $0 | $12.130 | |
| 23-01-026-00 | CINTURON PARA PROTESIS | $0 | $9.780 | |
| 23-01-027-00 | CINTURON PELVICO DOBLE | $0 | $56.440 | |
| 23-01-028-00 | CLAVOS (POR UNIDAD) | $0 | $11.580 | |
| 23-01-029-00 | COJIN DE ABDUCCION O PAULIK | $0 | $7.300 | |
| 23-01-031-00 | CORREA DE MULEY | $0 | $7.110 | |
| 23-01-032-00 | ORTESIS DE COLUMNA (MILWAUKEE, TAYLOR O | $0 | $92.380 | |
| 23-01-033-00 | ORTESIS LUMBOSACRA (CORSET DE KNIGHT) | $0 | $35.450 | |
| 23-01-034-00 | ORTESIS PALMAR ACTIVA (UCLA) | $0 | $10.670 | |
| 23-01-035-00 | ORTESIS RADIAL DE POSICION | $0 | $10.930 | |
| 23-01-036-00 | ORTESIS CORTA DE POSICION (DIGITALES) C/ | $0 | $6.860 | |
| 23-01-037-00 | ORTESIS DE USO NOCTURNO DE MIEMBRO INFER | $0 | $20.170 | |
| 23-01-038-00 | ORTESIS LARGA DE POSICION | $0 | $9.890 | |
| 23-01-039-00 | INSTRUMENTAL PARA FIJACION DE COLUMNA (H | $0 | $59.730 | |
| 23-01-040-00 | MULETAS (PAR) | $0 | $12.130 | |
| 23-01-041-00 | ORTESIS LARGA BILATERAL CON CINTURON PEL | $0 | $106.850 | |
| 23-01-042-00 | ORTESIS LARGA UNILATERAL | $0 | $76.790 | |
| 23-01-043-00 | ORTESIS MANO-MUNECA PASIVA | $0 | $4.130 | |
| 23-01-044-00 | ORTESIS PARA RODILLA | $0 | $31.500 | |
| 23-01-045-00 | ORTESIS TOBILLO-PIE | $0 | $40.330 | |
| 23-01-046-00 | P.T.B. O P.T.S. | $0 | $275.160 | |
| 23-01-047-00 | PIE PROTESICO | $0 | $35.450 | |
| 23-01-048-00 | PILON REDUCCION MUSLO | $0 | $110.050 | |
| 23-01-049-00 | PILON REDUCCION PIERNA | $0 | $39.310 | |
| 23-01-050-00 | PLACAS | $0 | $7.720 | |
| 23-01-051-00 | PROTESIS BAJO CODO CON GANCHO, MANO Y GU | $0 | $235.880 | |
| 23-01-052-00 | PROTESIS BAJO RODILLA, CON CORSELETE | $0 | $201.600 | |
| 23-01-053-00 | PROTESIS DE CODO | $0 | $149.770 | |
| 23-01-054-00 | PROTESIS DE MANO (HUESOS) | $0 | $207.980 | |
| 23-01-055-00 | PROTESIS DE RODILLA | $0 | $298.680 | |
| 23-01-056-00 | PROTESIS DESARTICULADO RODILLA | $0 | $196.530 | |
| 23-01-057-00 | PROTESIS DESARTICULADO DE CADERA CON BLO | $0 | $393.100 | |
| 23-01-058-00 | PROTESIS DESARTICULADO DE CODO CON GANCH | $0 | $314.530 | |
| 23-01-059-00 | PROTESIS DESARTICULADO DE HOMBRO CON GAN | $0 | $332.850 | |
| 23-01-060-00 | PROTESIS PARCIAL DE CADERAS | $0 | $63.980 | |
| 23-01-061-00 | PROTESIS PARA AMPUTACION PARCIAL DE PIE | $0 | $196.530 | |
| 23-01-062-00 | PROTESIS SOBRE RODILLA C/S BLOQUEO | $0 | $201.600 | |
| 23-01-063-00 | PROTESIS SOBRE RODILLA CON RODILLA DE SE | $0 | $267.150 | |
| 23-01-064-00 | PROTESIS TIPO SYME | $0 | $112.370 | |
| 23-01-065-00 | PROTESIS TOTAL DE CADERAS | $0 | $106.720 | |
| 23-01-067-00 | TALONERA GOMA (PAR) | $0 | $19.670 | |
| 23-01-068-00 | TORNILLOS (POR UNIDAD) | $0 | $2.180 | |
| 23-01-069-00 | PROTESIS CANULA PARA TRAQUEOTOMIA | $0 | $14.540 | |
| 23-01-070-00 | PROTESIS PARA LARINGECTOMIA | $0 | $27.550 | |
| 23-01-072-00 | PLANTILLAS ORTOPEDICAS (PAR) | $0 | $12.870 | |
| 23-01-080-00 | LENTE INTRAOCULAR. | $145.780 | $136.130 | |
| 23-01-081-00 | AUDIFONOS (SOLO PARA MAYORES DE 55 ANOS) | $0 | $192.690 | |
| 26-01-001-00 | ATENCIONES DE ENFERMERIA A/P | $20.500 | $20.500 | |
| 26-01-002-00 | ATENCION INTEGRAL DE ENFERMERIA EN DOMIC | $0 | $17.750 | |
| 26-01-003-00 | ATENCION INTEGRAL DE ENFERMERIA EN DOMIC | $28.600 | $18.250 | |
| 26-01-009-00 | CONTROL DE PRESION ARTERIAL | $2.500 | $2.500 | |
| 26-01-017-00 | FLEBOCLISIS PEDIATRICA | $24.750 | $24.750 | |
| 26-01-101-00 | CUIDADORA MQ | $39.000 | $39.000 | |
| 26-01-102-00 | CUIDADORA HORARIO INHABIL | $50.700 | $50.700 | |
| 26-01-104-00 | REHABILITACION CARDIACA POR SESION | $35.000 | $35.000 | |
| 26-10-001-00 | EXTRACCION DE PUNTOS | $9.100 | $9.100 | |
| 26-10-002-00 | CURACION SIMPLE | $16.500 | $16.500 | |
| 26-10-003-00 | CURACION MEDIANA | $26.400 | $26.400 | |
| 26-10-004-00 | CURACION COMPLEJA | $39.600 | $39.600 | |
| 26-10-005-00 | INSTALACION SONDA FOLEY | $24.750 | $24.750 | |
| 26-10-005-01 | INSTALACION SONDA FOLEY SILICONA | $36.300 | $36.300 | |
| 26-10-006-00 | TRATAMIENTO E.V. (NO INCLUYE FARMACOS) | $9.900 | $9.900 | |
| 26-10-007-00 | TRAT.INTRAMUSCULAR (NO INCLUYE FARMACOS) | $6.600 | $6.600 | |
| 26-10-008-00 | ENFERMERIA PROCEDIMIENTOS GENERALES | $13.200 | $13.200 | |
| 26-10-009-00 | CONTROL PRESION ARTERIAL EN CONSULTORIO | $2.200 | $2.200 | |
| 26-10-013-00 | ASPIRACION DE SECRECIONES A/P | $4.950 | $4.950 | |
| 26-10-016-00 | FLEBOCLISIS ADULTO | $24.750 | $24.750 | |
| 26-10-019-00 | NEBULIZACION A/P | $13.200 | $13.200 |