Vacunas
| Codigo CHP | Nombre Prestación | Valor Particular | Valor Fonasa |
|---|---|---|---|
| 70-10-009-00 | VACUNA TWINRIX ADULTO | $59.820 | $59.820 |
| 70-10-010-00 | VACUNA VARILRIX | $27.800 | $27.800 |
| 70-10-014-00 | HAVRIX | $30.960 | $30.960 |
| 70-10-015-00 | VACUNA TRIVIRICA | $4.500 | $4.500 |
| 70-10-017-00 | PREVENAR | $66.000 | $66.000 |
| 70-10-018-00 | VACUNA ROTARIX | $84.890 | $84.890 |
| 70-10-019-00 | VACUNA CERVARIX | $51.350 | $51.350 |
| 70-10-020-00 | VACUNA SYNFLORIX | $51.400 | $51.400 |
| 70-10-021-00 | VACUNA HERBIOVAC | $15.000 | $15.000 |
| 70-10-022-00 | VACUNA FIEBRE AMARILLA | $45.000 | $45.000 |
| 70-10-024-00 | VACUNA HEPATITIS B ENGERIX | $30.345 | $30.345 |
| 70-10-025-00 | VACUNA MENACTRA | $59.753 | $59.753 |
| 70-10-027-00 | HEXAXIM | $63.430 | $63.430 |
| 70-10-030-00 | VACUNA BEXERO | $113.740 | $113.740 |
| 70-10-031-00 | VACUNA MENVEO 0.5ML | $88.790 | $88.790 |
| 70-10-032-00 | VACUNA ROTATEQ | $42.200 | $42.200 |
| 70-10-033-00 | VACUNA VARIVAX | $30.000 | $30.000 |
| 70-10-034-00 | VACUNA AVAXIM | $23.200 | $23.200 |
| 70-10-035-00 | VACUNA GARDASIL 9 | $146.000 | $146.000 |
| 70-10-050-00 | VACUNA RECOMVAX (ANTI HEPATITIS B) | $12.000 | $12.000 |
| 70-20-001-00 | PIELOGRAFIA INSUMOS | $23.775 | $23.775 |
| 70-20-001-01 | INSUMOS PIELOGRAFIA ADULTOS + DE 75 KG | $44.850 | $44.850 |
| 70-20-002-01 | ENEMA BARITADO EN ADULTO MAYOR (INSUMOS) | $13.203 | $13.203 |
| 70-20-003-00 | ENEMA BARITADO NIÑOS (INSUMOS) | $10.680 | $10.680 |
| 70-20-004-00 | URETROCISTOGRAFIA ADULTOS (INSUMOS) | $43.500 | $43.500 |
| 70-20-005-00 | URETROCISTOGRAFIA NIÑOS INSUMOS | $27.276 | $27.276 |
| 70-20-006-00 | HISTEROSALPINGOGRAFIA INSUMOS | $22.260 | $22.260 |
| 70-20-007-00 | INSUMOS BIOPSIA CORE MAMARIA | $60.750 | $60.750 |
| 70-20-008-00 | INSUMOS COLANGIOGRAFIA POST OPERATORIA | $20.690 | $20.690 |
| 70-20-010-00 | INSUMOS ELECTROMIOGRAFIA | $22.000 | $22.000 |
| 70-20-011-00 | INSUMOS EN EED EN ADULTOS | $1.000 | $1.000 |
| 70-20-012-00 | INSUMOS FISTULOGRAFIA | $21.600 | $21.600 |
| 70-20-013-00 | INSUMOS CIRUGIA MENOR 1 | $18.000 | $18.000 |
| 70-20-014-00 | INSUMOS CIRUGIA MENOR 2 | $24.000 | $24.000 |
| 70-20-015-00 | INSUMOS EN PUNCION TIROIDEA | $7.500 | $7.500 |
| 70-20-015-01 | INSUMOS EN PUNCION MAMARIA | $7.500 | $7.500 |
| 70-20-015-02 | INSUMOS PUNCION PLEURAL | $7.500 | $7.500 |
| 70-20-016-00 | INSUMOS FIBROBRONCOSCOPIA | $37.500 | $37.500 |
| 70-20-017-00 | INSUMOS YESO BOTA CORTA CON TACO | $34.920 | $34.920 |
| 70-20-018-00 | INSUMOS YESO BOTA CORTA SIN TACO | $25.200 | $25.200 |
| 70-20-020-00 | INSUMOS YESO BOTA LARGA SIN TACO | $40.680 | $40.680 |
| 70-20-020-01 | INSUMOS YESO PLASTICO BOTA LARGA C/ZAPAT | $69.840 | $69.840 |
| 70-20-021-00 | INSUMOS YESO RODILLERA | $32.940 | $32.940 |
| 70-20-021-01 | INSUMOS YESO PLASTICO RODILLERA | $43.560 | $43.560 |
| 70-20-022-00 | INSUMOS YESO BRAQUICARPIANO CON FERULA | $34.380 | $34.380 |
| 70-20-022-01 | INSUMOS YESO PLASTICO BRAQUICARPIANO | $46.440 | $46.440 |
| 70-20-023-00 | INSUMOS YESO ANTEBRAQUIAL | $20.520 | $20.520 |
| 70-20-024-00 | INSUMOS YESO BRAQUCARPIANO S/FERULA | $27.720 | $27.720 |
| 70-20-024-01 | INSUMOS YESO PLASTICO ANTEBRAQUIAL | $25.200 | $25.200 |
| 70-20-024-02 | INSUMOS YESO TORACOBRAQUIAL | $50.400 | $50.400 |
| 70-20-025-00 | INSUMOS BOTA CORTA PLASTICO C/ZAPATO | $39.000 | $39.000 |
| 70-20-026-00 | INSUMOS BIOPSIA OSEA | $122.000 | $122.000 |
| 70-20-027-00 | LENTE INTRAOCULAR( LIO) | $204.306 | $204.306 |
| 70-20-029-00 | INSTALACION SONDA NASOYEYUNAL | $37.500 | $37.500 |
| 70-20-030-00 | FERULA DIGITAL | $1.500 | $1.500 |
| 70-20-031-00 | FERULA DIGITAL COMPLETA | $6.300 | $6.300 |
| 70-20-032-00 | INSUMOS EN INFILTRACION | $2.250 | $2.250 |
| 70-20-033-00 | INSUMOS EN EXTRACCION DE PUNTOS | $4.500 | $4.500 |
| 70-20-034-00 | INSUMOS PARA CURACION | $4.500 | $4.500 |
| 70-20-035-00 | MASCARILLA NEBULIZACIÓN | $10.560 | $10.560 |
| 70-20-036-00 | TEGADERM MEDIANO | $2.100 | $2.100 |
| 70-20-037-00 | TEGADERM GRANDE | $3.660 | $3.660 |
| 70-20-038-00 | GASA PARAFINADA | $1.050 | $1.050 |
| 70-20-039-00 | STERI-STRIP | $2.160 | $2.160 |
| 70-20-040-00 | SULFADIAZINA DE PLATA | $12.300 | $12.300 |
| 70-20-041-00 | TAPON NASAL MEROCEL | $19.200 | $19.200 |
| 70-20-042-00 | PENROSE | $1.095 | $1.095 |
| 70-20-043-00 | ELASTOMUL | $900 | $900 |
| 70-20-044-00 | INSUMOS BIOPSIA CORE TRANSRECTAL O PROST | $43.500 | $43.500 |
| 70-20-045-00 | INSUMOS BIOPSIA ENDOMETRIO | $28.000 | $28.000 |
| 70-20-051-00 | INSUMOS SONDA NASOYEYUNAL BAJO RADIOSC | $37.500 | $37.500 |
| 70-20-052-00 | INSUMOS BIOPSIA CORE ABDOMINAL | $43.500 | $43.500 |
| 70-20-053-00 | INSUMO BIOPSIA DE TIROIDES | $43.500 | $43.500 |
| 70-20-054-00 | MALLA EN CIRUGÍA HERNIA | $0 | $36.000 |
| 70-20-056-00 | INSUMOS INFILTRACION INTRATECAL | $37.500 | $37.500 |
| 70-20-057-00 | INSUMOS Y FARMACIA LASIK | $120.000 | $0 |
| 70-20-058-00 | INSUMOS CIRUGIA OFTALMOLOGICA 1 | $45.500 | $45.500 |
| 70-20-060-00 | FACTOR COAGULACION (UNIDAD) | $356.800 | $356.800 |
| 70-20-062-00 | INSUMOS COLPOSCOPIA | $4.500 | $4.500 |
| 70-20-063-00 | INSUMOS NORPLANT | $10.000 | $10.000 |
| 70-20-064-00 | INSUMOS CRIOTERAPIA | $10.000 | $10.000 |
| 70-20-065-00 | INSUMOS HISTEROSONOGRAFIA | $11.200 | $11.200 |
| 70-20-066-00 | INSUMOS AMNIOCENTESIS | $7.500 | $7.500 |
| 70-20-067-00 | INSUMOS EXTRACCION POLIPOS | $251.800 | $251.800 |
| 70-20-068-00 | INSUMOS ECOCARDIOGRAMA TRANSESOFAGICO | $13.000 | $13.000 |
| 70-20-069-00 | COPIA RM ,TAC, ECO | $20.000 | $20.000 |
| 70-20-071-00 | TAPON LAGRIMAL | $64.431 | $64.431 |
| 70-20-072-00 | SET GASTROSTOMIA PERCUTANEO 24 FR 1 UNID | $175.680 | $175.680 |
| 70-20-073-00 | SONDA GASTROSTOMIA Nº24 | $118.650 | $118.650 |
| 70-20-075-00 | INSUMOS ENDOSCOPIA | $30.000 | $30.000 |
| 70-20-083-00 | INSUMOS ANESTESIA GENERAL TAC/RM | $75.000 | $75.000 |
| 70-20-084-00 | PREMEDICACION ADULTOS RX | $14.100 | $14.100 |
| 70-20-085-00 | PREMEDICACION PEDIATRICO RX | $9.400 | $9.400 |
| 70-20-090-00 | INSUMOS GTT | $229.876 | $229.876 |
| 70-20-091-00 | INSUMOS BIOPSIA RENAL | $85.402 | $85.402 |
| 70-20-092-00 | INSUMOS FENO | $14.600 | $14.600 |
| 70-20-100-00 | INSUMOS CAPSULOTOMIA | $28.510 | $28.510 |
| 70-20-101-00 | AVASTIN | $67.973 | $67.973 |
| 70-20-102-00 | INSUMOS BIOPSIA PARTES BLANDAS | $87.500 | $87.500 |
| 70-20-103-00 | INSUMOS TRABECULOPLASTIA | $25.500 | $25.500 |
| 70-20-104-00 | INSUMOS IRIDOTOMIA | $24.900 | $24.900 |
| 70-20-105-00 | INSUMOS PUNCION SEROMA | $7.500 | $7.500 |
| 70-20-110-00 | INSUMOS BIOPSIA PROSTATICA | $135.000 | $135.000 |
| 70-20-111-00 | INSUMOS ARTROTAC I | $10.487 | $10.487 |
| 70-20-112-00 | INSUMOS ARTROTAC II | $28.527 | $28.527 |
| 70-20-120-00 | INSUMOS PUNCION DIAGNOSTICA | $1.990 | $1.990 |
| 70-20-121-00 | INSUMOS ADMINISTRACION FERRINJECT | $9.000 | $9.000 |
| 70-20-130-00 | INSUMOS PUNCION MEDULAR | $90.000 | $90.000 |
| 70-20-140-00 | INSUMOS DRENAJE PERCUTANEO | $116.300 | $116.300 |
| 70-20-150-00 | INSUMOS BLOQUEO PERIFERICO | $50.000 | $50.000 |
| 70-20-170-00 | INSUMOS SEDACION ENDOSCOPIA | $54.000 | $54.000 |
| 70-20-180-00 | INSUMO LAB TEC RAPIDA | $17.000 | $17.000 |
| 70-20-181-00 | INSUMOS CISTOSCOPIA AMBULATORIA | $79.209 | $79.209 |
| 70-20-190-00 | INSUMOS CISTOMETRIA | $10.000 | $10.000 |
| 70-20-400-00 | INSUMOS TERAPIA ENDOVENOSA DOLOR | $12.555 | $12.555 |
| 70-30-001-00 | MEDIO DE CONTRASTE TAC SET 1 | $29.250 | $29.250 |
| 70-30-002-00 | MEDIO DE CONTRASTE TAC SET 2 | $32.000 | $32.000 |
| 70-30-003-00 | MEDIO DE CONTRASTE SET 3 | $53.300 | $53.300 |
| 70-30-004-00 | VISIPAQUE SIMPLE | $37.500 | $37.500 |
| 70-30-005-00 | VISIPAQUE DOBLE | $51.000 | $51.000 |
| 70-30-006-00 | SET CONTRASTE TAC CEREBRO | $18.550 | $18.550 |
| 70-30-007-00 | SEDACION EN SCANNER (1) | $110.000 | $110.000 |
| 70-30-008-00 | SEDACION RM (1) | $120.000 | $120.000 |
| 70-30-009-00 | SEDACION SCANNER (2) | $140.000 | $140.000 |
| 70-30-010-00 | SEDACION RM (2) | $160.000 | $160.000 |
| 70-30-011-00 | SEDACION RM (3) | $210.000 | $210.000 |
| 70-30-012-00 | SEDACION SCANNER (3) | $180.000 | $180.000 |
| 70-30-021-00 | INSUMOS BIOPSIA PERCUTANEA | $119.787 | $119.787 |
| 70-30-101-00 | RM CONTRASTE | $28.000 | $28.000 |
| 70-30-118-00 | GASTROVIEW | $23.240 | $23.240 |
| 70-40-001-00 | GLUCOSA ORAL | $3.300 | $3.300 |
| 70-40-002-00 | SIMPLATE | $4.250 | $4.250 |
| 70-40-003-00 | RECOLECTOR ORINA | $1.800 | $1.800 |
| 70-40-004-00 | RECOLECTOR 24 HORAS | $1.500 | $1.500 |
| 70-40-005-00 | SET PORTA OBJETOS | $750 | $750 |
| 70-40-006-00 | FRASCOS EXAMENES | $750 | $750 |
| 70-40-007-00 | SONDA | $1.800 | $1.800 |
| 70-40-008-00 | ESTUCHE REACTIVO (HEMORRAGIAS OCULTAS) | $2.250 | $2.250 |
| 70-40-009-00 | BOLSA DE SANGRE | $4.500 | $4.500 |
| 70-40-010-00 | FRASCO HEMOCULTIVO | $8.585 | $8.585 |
| 70-50-001-00 | BOTA CORTA ADULTO | $30.600 | $30.600 |
| 70-50-002-00 | BOTA CORTA PEDIATRICO | $25.200 | $25.200 |
| 70-50-003-00 | BOTA LARGA ADULTO | $37.800 | $37.800 |
| 70-50-004-00 | BOTA LARGA PEDIATRICO | $30.600 | $30.600 |
| 70-50-005-00 | RODILLERA Y/O VALVA ADULTO | $57.600 | $57.600 |
| 70-50-006-00 | RODILLERA Y/O VALVA PEDIATRICO | $45.000 | $45.000 |
| 70-50-007-00 | VALVA ABP ADULTO | $30.600 | $30.600 |
| 70-50-008-00 | VALVA ABP PEDIATRICO | $2.700 | $2.700 |
| 70-50-009-00 | VALVA B/C ADULTO | $23.400 | $23.400 |
| 70-50-010-00 | VALVA B/C PEDIATRICO | $19.800 | $19.800 |
| 70-50-011-00 | VALVA B/L ADULTO | $30.600 | $30.600 |
| 70-50-012-00 | VALVA B/L PEDIATRICO | $25.200 | $25.200 |
| 70-50-013-00 | VELPAUX ADULTO | $48.600 | $48.600 |
| 70-50-014-00 | VELPAUX PEDIATRICO | $43.200 | $43.200 |
| 70-50-015-00 | YESO ABP ADULTO | $30.600 | $30.600 |
| 70-50-016-00 | YESO ABP PEDIATRICO | $25.200 | $25.200 |
| 70-50-017-00 | YESO B/P ADULTO | $36.000 | $36.000 |
| 70-50-018-00 | YESO B/P PEDIATRICO | $30.600 | $30.600 |
| 70-50-019-00 | YESO TORACOBRAQUIAL ADULTO | $54.000 | $54.000 |
| 70-50-020-00 | YESO TORACOBRAQUIAL PEDIATRICO | $46.800 | $46.800 |