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(Vigencia 01 de Enero 2023 - 30 de Junio 2023)

LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A
VIERNES Y SABADO DE 8.00 A 14.00 HRS. EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Dias Cama Pabellones


Exámenes de Laboratorio Honorarios Médicos
Banco de Sangre Procedimientos
Medicamentos e Insumos Otros
Imágenes
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

DCA0202004 10503 DIA CAMA HOSP.MEDICINA Y ESPECIALIDADES 201001 - 729.023 - 729.023 - 677.705
DCA0202005 10006 DIA CAMA HOSP.MEDICO QUIRURGICO 201001 - 729.023 - 729.023 - 677.705
DCA0202006 10101 DIA CAMA HOSPITALIZACION PEDIATRIA 201001 - 729.023 - 729.023 - 677.705
DCA0202016 10602 DIA CAMA HOSPITALIZACION FOTOTERAPIA 201001 - 345.660 - 345.660 - 339.016
DCA0202017 10034 DIA CAMA (POLISOMNOGRAFIA) 201001 - 299.807 - 299.807 - 278.702
DCA0202020 10008 DIA CAMA HOSPITALIZACION CIRUGIA SUITE 201001 - 1.046.192 - 1.046.192 - 1.026.080
DCA0202002 10507 DIA CAMA HOSPITALIZACION INMUNODEPRIMIDOS 201101 - 1.139.444 - 1.139.444 - 1.059.236
DCA0202008 14008 DIA CAMA HOSPITALIZACION U.T.I. ADULTO 201201 - 1.216.435 - 1.216.435 - 1.130.808
DCA0202009 15008 DIA CAMA HOSP.UNIDAD DE CUIDADO CORONARIO 201201 - 1.216.435 - 1.216.435 - 1.130.808
DCA0202010 10700 DIA CAMA HOSPITALIZACION U.T.I. PEDIATRIA 201202 - 1.128.765 - 1.128.765 - 1.049.313
DCA0202011 10600 DIA CAMA HOSPITALIZACION U.T.I. NEONATOLOGIA 201203 - 908.397 - 908.397 - 844.456
DCA0202012 14101 DIA CAMA HOSPITALIZACION INTERMEDIO ADULTO 201301 - 1.024.060 - 1.024.060 - 951.977
DCA0202013 10722 DIA CAMA HOSPITALIZACION INTERMEDIO PEDIATRIA 201302 - 1.007.466 - 1.007.466 - 936.550
DCA0202014 10608 DIA CAMA HOSPITALIZACION INTERMEDIO CUNA 201303 - 585.285 - 585.285 - 544.086
DCA0202015 10601 DIA CAMA HOSPITALIZACION INTERMEDIO INCUBADORA 201303 - 678.532 - 678.532 - 630.770
DCA0202007 10204 DIA CAMA HOSPITALIZACION OBSTETRICIA Y GINECOLOGIA 201401 - 729.023 - 729.023 - 677.704
DCA0202018 10202 DIA CAMA ESPECIAL OBST.Y GINECOLOGIA 201401 - 1.046.192 - 1.046.192 - 951.977
DCA0202019 10206 DIA CAMA HOSPITALIZACION GINECO OBSTETRA (SUITE) 201401 - 1.245.913 - 1.245.913 - 1.158.213
DCA0202000 10310 DIA CAMA HOSPITALIZACION SALA CUNA 201403 - 272.017 - 272.017 - 252.873
DCA0202021 10001 DIA CAMA OBSERVACION 201407 301.057 301.057 301.057 301.057 - 279.866
DCA0202001 10500 DIA CAMA AISLAMIENTO PAC.INMUNOSUPRIMIDO ONCOLOGICO - 843.535 - 843.535 - 784.156
DCA0202003 10509 DIA CAMA HOSPITALIZACION RADIOTERAPIA - 1.018.179 - 1.018.179 - 946.511
DCA0204000 21019 USO DE BOX DE URGENCIA 31.920 31.920 31.920 31.920 - 29.060
DCA0204001 10023 BOX QUIMIOT. (HASTA 1 HR) 67.740 67.740 67.740 67.740 62.972 62.972
DCA0204002 10033 BOX QUIMIOT. (HASTA 2 HR) 81.111 81.111 81.111 81.111 75.402 75.402
DCA0204003 10025 BOX QUIMIOT. (HASTA 3 HR) 129.759 129.759 129.759 129.759 120.626 120.626
DCA0204004 10035 BOX QUIMIOT. (HASTA 4 HR) 131.436 131.436 131.436 131.436 122.181 122.181
DCA0204005 10027 BOX QUIMIOT. (HASTA 8 HR) 270.116 270.116 270.116 270.116 251.103 251.103
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00
HRS. EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

BSA0702101 28052 PRODUCCION DE GLOBULOS ROJOS 702101 66.166 66.166 26.700 26.700 59.792 63.270
BSA0702102 28019 PRODUCCION DE CONCENTRADO DE PLAQUETAS ESTANDAR 702102 66.166 66.166 6.300 6.300 60.222 65.680
BSA0702103 28022 PRODUCCION DE PLASMA O CRIOPRECIPITADO 702103 66.166 82.669 5.720 5.720 61.761 74.707
BSA0702104 28073 PRODUCCION DE CONCEN. DE PLAQUETAS POR AFERESIS AUTOM.702104 791.229 849.121 331.780 331.780 738.555 793.214
BSA0702105 28054 PROD.DE CONCENTRADOS DE GLOBULOS ROJOS X AFER. AUTOM. 702105 547.481 547.481 308.350 308.350 494.735 494.735
BSA0702106 28072 702106
PRODUCCION DE CONCENTRADOS DE LEUCOCITOS X AFERE. AUTOM. 547.481 547.481 378.620 378.620 737.081 737.081
BSA0702107 28024 PRODUCCION DE CONCENTRADOS DE PLASMA X AFERE. AUTOM. 702107 547.481 547.481 308.350 308.350 494.735 494.735
BSA0702108 28030 702108
PROD.DE CELULAS PROGENITORAS HEMATOPOYETICAS POR AFERE. AUTOM. A1.191.511
PARTIR DE 1.274.532
SANGR 685.180 685.180 1.112.190 1.151.740
BSA0702109 28177 IRRADIACION DE COMPONENTES SANGUINEOS POR UNIDAD 702109 38.682 38.682 3.990 3.990 34.955 61.932
BSA0702110 28025 FILTRACION DE GLOBULOS ROJOS O PLAQUETAS(INC.FILTRO RN Y 702110
POOL DE PLAQUETAS)
88.718 88.718 37.670 37.670 80.171 80.171
BSA0702201 28038 CALIFICACION MICROBIOLOGICA POR DONANTEESTUDIADO COMP. 702201
SANG. PROD O88.640
PROD. AFERE
88.640 28.350 28.350 80.098 80.098
BSA0702204 28027 702201 ROJOS 40.555
FENOTIPIFICACION OTROS GRUPOS SANGUINEOS POR UN. DE GLOBULOS PRODUCIDOS
40.555 28.350 28.350 36.674 36.674
BSA0702202 28026 702202
CAL.INMUNOHEMATOLOGICA POR DON.ESTUDIADO, COMP. SANG PROD O PROD. AFERESIS
47.802 AUTOM
47.802 13.730 13.730 42.524 42.524
BSA0702203 28055 702203( PROC.AUTOM.)
PRUEBA DE COMPATIBILIDAD POR UN. DE GLOBULOS ROJOS ESTUDIADA 5.683 5.681 3.130 3.130 5.057 5.057
BSA0702205 28043 TITULACIÓN DE ANTICUERPOS IRREGULARES ERITROCITARIOS 702205 91.826 109.441 28.610 28.610 81.688 92.494
BSA0702206 28028 GENOTIPIFICACION D VARIANTE (INCLUYE D PARCIAL Y DEBIL) 702206 127.420 127.420 85.400 85.400 115.144 115.144
BSA0702207 28003 DETECCION DE ANTICUERPOS IRREGULARES ERITROCITARIOS 702207 45.908 45.908 3.520 3.520 41.485 41.485
BSA0702208 28007 702208
GRUPOS MENORES. TIPIF. O DETERM. DE OTROS SISTE,.SANGUINEOS(KELL,DUFFY,KIDD,
41.774 Y O 41.777 3.750 3.750 37.749 37.754
BSA0702209 28564 SUBGRUPO ABO Y Rh FENOTIPO -GENOTIPO RhC/U 702209 15.259 15.259 3.870 3.870 23.544 23.544
BSA0702301 28078 TRANSFUSION EN ADULTO POR UNIDAD O SUBUNIDAD DE GLOBULOS …..
702301 90.979 90.979 11.130 11.130 82.469 88.874
BSA0702302 28080 TRANSFUSION EN NIÑO POR UNIDAD O SUBUNIDAD DE GLOBULOS 702302
... 60.995 61.355 13.410 13.410 55.118 55.446
BSA0702303 28082 TRANSF.POR UN.GLOBULOS ROJOS, O UN.O POOL ADULTOS O NIÑOS EN PABELLON….
702303 89.350 91.711 16.070 16.070 80.743 82.875
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
BSA0702304 28056 SANGRIA (CONSIDERA EL COBRO DE UNA PRESTACION POR CADA 702304 38.019 38.023 8.750 8.750 34.358 34.359
BSA0702305 28070 RECAMBIO PLASMATICO POR AFERESIS TERAPEUTICA 702305 846.132 908.188 317.270 317.270 764.614 820.691
BSA0702306 28029 DEPLECION LEUCOCITARIA POR AFERESIS TERAPEUTICA 702306 877.200 877.200 317.270 317.270 792.688 792.688
BSA0702307 28031 DEPLECION PLAQUETARIA POR AFERESIS TERAPEUTICA 702307 877.201 877.201 317.270 317.270 792.688 792.688
BSA0702308 28032 ERITROFERESIS POR AFERESIS TERAPEUTICA 702308 877.201 877.201 317.270 317.270 792.688 792.688
BSA0702309 28033 FOTOFERESIS TERAPEUTICA 702309 1.940.344 1.940.344 1.300.470 1.300.470 1.753.405 1.753.405
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00
HRS. EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

CON0101000 21000 CONSULTA GENERAL H.HABIL SERVICIO DE URGENCIAS 101001 89.211 89.211 89.211 89.211 82.848 82.848
CON0101118 21004 CONSULTA GENERAL H.NO HABIL SERVICIO DEURGENCIAS 101001 107.053 107.053 107.053 107.053 99.417 99.417
KIN0601101 30901 EVALUACION KINESIOLOGICA INTEGRAL 601101 29.687 29.687 29.687 29.687 27.729 27.729
KIN0601103 30903 ATENC. KINESIOLOGICA INTEGRAL EN PACIENTES HOSPITALIZADOS601103 - 59.879 - 59.879 - 55.932
KIN0601104 30904 ATENC. KINESIOLOGICA INTEGRAL UPC (INTERM E INTENSIVO) 601104 - 143.846 - 143.846 - 134.362
KIN0601105 30905 ATENCION KINESIOLOGICA INTEGRAL AMBULATORIA 601105 49.313 - 49.313 - 46.061 -
KIN0601106 30906 ATENCION KINESIOLOGICA INTEGRAL DOMICILIARIA 601106 49.313 - 49.313 - 46.061 -
TOC0602001 30043 ATENCION INTEGRAL DE TERAPIA OCUPACIONAL 602001 35.681 35.681 35.681 35.681 50.693 50.693
TOC0602002 30071 INTERVENCION DE TER.OCUPACIONAL EN AYUDAS TEC. Y TEC ASISTIDA
602002 35.681 35.681 35.681 35.681 60.413 60.412
TOC0602003 30073 INTERVENCION TER.OCUPACIONAL EN ACT.VIDA DIARIA 602003 27.951 27.951 27.951 27.951 115.480 115.480
TRT2421011 21016 RESCATE AMBULANCIA MEDIANA COMPLEJIDAD SECTOR 3 Y 4 2401042 429.919 429.919 429.919 429.919 367.649 338.332
TRA2421005 21426 RESCATE HELICOPTERO DENTRO DE SANTIAGO MEDICALIZADO 2401070 1.777.950 1.777.950 1.777.950 1.777.950 1.660.731 1.660.731
RDT0504027 14271 TRAT. INT. DE RADIOTERAPIA ALTAMENTE COMPLEJA CON LINAC 2902001 - 13.177.163 - 13.177.163 - 13.177.163
RDT0502014 14602 TRAT.INTEGRAL DE RADIOTERAPIA COMPLEJA CON LINAC 2902002 - 7.103.815 - 7.103.815 - 6.283.504
RDT0502013 14601 TRAT. INTEGRAL DE RADIOTERAPIA ESTANDARCON LINAC 2902003 - 5.152.968 - 5.152.968 - 4.557.930
RDT0502012 14600 TRAT.INTEGRAL DE RADIOTERAPIA CONVENCIONAL CON LINAC 2902004 - 3.908.869 - 3.908.869 - 3.457.499
RDT2902009 14603 TRAT. INT. DE RADIOTERAPIA ALTAMENTE COMPLEJA CON COBALTO
2902009 - 13.177.163 - 13.177.163 - 11.452.491
ADC9999003 10302 CORTE DE PELO 27.139 27.139 27.139 27.139 27.139 27.139
ADC9999005 14700 TALLER DE MASAJE INFANTIL 49.101 49.101 49.101 49.101 49.101 49.101
ADC9999006 14701 CLINICA DE LACTANCIA 49.101 49.101 49.101 49.101 49.101 49.101
ADC9999009 44508 DESAYUNO/ONCE ACOMPAÑANTE - 5.977 - 5.977 - 5.977
ADC9999010 44509 ALMUERZO/CENA ACOMPAÑANTE - 10.959 - 10.959 - 10.959
ADC9999015 93001 AVISO NACIMIENTO 27.286 27.286 27.286 27.286 27.286 27.286
ADC9999018 56016 CRIOPRESERVACION DE SEMEN 196.404 196.404 196.404 196.404 154.563 154.563
ADC9999019 56114 ALMACENAMIENTO MENSUAL 35.426 35.426 35.426 35.426 30.719 30.720
ADC9999020 56115 ALMACENAMIENTO SEMESTRAL (CRIOPRESERV.DE EMBRIONES 2502016) 210.271 210.271 210.271 210.271 182.334 189.405
ADC9999021 56117 ALMACENAMIENTO TRIMESTRAL 100.749 106.288 100.749 106.288 92.170 92.170
ADC9999026 9006 PROCEDIMIENTO DE EXTRACCION DE OVULOS 4.342.166 4.342.166 4.342.166 4.342.166 3.765.235 3.417.137
ADC9999028 55101 MODELO 3D ESTANDAR NORMAL 179.626 179.626 179.626 179.626 179.626 179.626
ADC9999029 55102 MODELO 3D ESTANDAR GRANDE 260.148 309.577 260.148 309.577 260.148 309.577
ADC9999030 55103 MODELO 3D COMPLEJO NORMAL 216.793 257.985 216.793 257.985 216.793 257.985
ADC9999031 55104 MODELO 3D COMPLEJO GRANDE 301.774 305.697 301.774 305.697 301.774 305.697
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
ADC9999032 55105 MODELO 3D PIEZAS ESPECIALES 445.443 530.077 445.443 530.077 445.443 530.077
ADC9999033 55106 MODELO 3D PIEZA ADICIONAL ESTANDAR NORMAL 92.801 77.984 92.801 77.984 92.801 77.984
ADC9999034 55107 MODELO 3D PIEZA ADICIONAL ESTANDAR GRANDE 150.800 126.722 150.800 126.722 150.800 126.722
ADC9999035 55108 MODELO 3D PIEZA ADICIONAL COMPLEJO NORMAL 98.601 82.859 98.601 82.859 98.601 82.859
ADC9999036 55109 MODELO 3D PIEZA ADICIONAL COMPLEJO GRANDE 162.400 136.473 162.400 136.473 162.400 136.473
ADC9999040 55005 TALLER DE APEGO NO CLC 37.646 37.646 37.646 37.646 37.646 37.646
ADC9999041 3070 SERVICIO ENFERMERIA EMPRESA 169.814 169.814 169.814 169.814 169.814 169.814
ADC9999051 8067 CURSO CENTRO AHA 49.553 49.553 49.553 49.553 49.553 49.553
ADC9999056 55232 MODELO 3D ESTANDAR 82.859 82.859 82.859 82.859 77.595 77.595
DOM0101001 92210 SERVICIOS DE ATENCION MEDICA A DOMICILIO 42.339 - 42.339 - 42.339 -
ENF2601034 38082 AT. ENFERM. LAVADO VESICAL (HEMOVEJIGA) 41.975 41.975 41.975 41.975 37.163 37.163
ENF2601036 ATENCION ENFERMERA INTEGRAL DOMICILIO 23.835 - 23.835 - 23.835 -
EQP9999002 10511 ARRIENDO BOMBA INF/DIA - 20.812 - 20.812 - 20.812
EQP9999003 18734 USO EQUIPO LASER - 342.581 - 342.581 - 342.581
EQP9999004 18969 USO EQUIPO RADIOFRECUENCIA - 237.888 - 237.888 - 237.888
EQP9999005 24009 MONIT.CARDIACO DURANTE INT.QUIR. 216.262 216.262 216.262 216.262 216.262 216.262
EQP9999006 24019 OXIMONITOR POR HORA 216.262 216.262 216.262 216.262 216.262 216.262
EQP9999007 24031 USO CAPNOGRAFO 216.262 216.262 216.262 216.262 216.262 216.262
EQP9999008 24094 ASPIRADOR ULTRASONICO (CUSA) - 350.399 - 350.399 - 350.399
EQP9999009 24122 USO LASER HASTA 2 HORAS - 502.944 - 502.944 - 502.944
EQP9999010 24123 USO LASER HASTA 1/2 HORA - 241.575 - 241.575 - 241.575
EQP9999013 10752 MONITOR DE APNEA POR DIA - 72.742 - 72.742 - 72.742
EQP9999014 13038 TERAPIA DE OXIDO NITRICO POR HORA - 116.550 - 116.550 - 116.550
EQP9999015 14043 USO VENDAS NEUMATICAS POR DIA - 92.647 - 92.647 - 92.647
EQP9999016 24096 BOMBA DE INFUSION CONTINUA POR CADA HORA - 11.952 - 11.952 - 11.952
EQP9999017 30015 EQUIPO DE MOVILIZACION CONTINUA PASIVA (KINE) - 75.305 - 75.305 - -
GIM9999057 30007 PERSONAL TRAINER 12 SESIONES AL MES EN GIMNASIO 259.945 - 259.945 - 259.945 -
GIM9999058 30008 PERSONAL TRAINER 16 SESIONES AL MES EN GIMNASIO 355.714 - 355.714 - 355.714 -
GIM9999059 30005 PERSONAL TRAINER 4 SESIONES AL MES EN GIMNASIO 164.175 - 164.175 - 164.175 -
GIM9999060 30006 PERSONAL TRAINER 8 SESIONES AL MES EN GIMNASIO 218.902 - 218.902 - 218.902 -
GIM9999061 30240 ACONDICIONAMIENTO FISICO GIMNASIO 77.061 - 77.061 - 77.061 -
KIT2712400 27124 KIT CURACION SIMPLE 8.054 - 8.054 - 8.054 -
KIT2712500 27125 KIT CURACION MENOR 18.583 - 18.583 - 18.583 -
MAT3515678 PROCESADOR DE IMPLANTE COCLEAR (SOLO GES HIPOACUSIA) - - - - - -
REC2701000 22000 RECUPERAC. OPER. (C/HORA.DESDE 2 DA) - 51.552 - 51.552 - 51.552
REC2701001 22004 RECUPERACION AMB. HASTA 1 HORA - 51.155 - 51.155 - 51.155
REC2701002 22001 RECUPERACION OPER.(C/HORA.DESDE 6&HORA) - 24.424 - 24.424 - 24.424
REC2701003 22002 RECUPERACION OPERATORIA HASTA 1 HORA - 102.427 - 102.427 - 102.427
REC2701004 22003 RECUPERACION OPERATORIA HASTA MEDIA HORA 57.884 71.818 57.884 71.818 57.884 71.818
TRA2421000 21070 RESCATE FUERA DE SANTIAGO AMBULANCIA (VALOR POR KM) 13.138 13.138 13.138 13.138 13.138 13.138
TRA2421003 21425 RESCATE HELICOPTERO DENTRO DE SANTIAGO 1.439.787 1.439.787 1.439.787 1.439.787 1.439.787 1.439.787
TRA2421004 21072 RESCATE HELICOPTERO MEDICALIZADO FUERA DE SANTIAGO( POR MIN) 35.200 35.200 35.200 35.200 35.200 35.200
TRA2421006 21128 TRASLADO AMBULANCIA MEDIANA COMPLEJIDAD(SECTOR 1 Y 2) 326.357 326.357 326.357 326.357 326.357 326.357
TRA2421007 21129 TRASLADO AMBULANCIA MEDIANA COMPLEJIDAD(SECTOR 3 Y 4) 482.020 482.020 482.020 482.020 482.020 482.020
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
TRA2421008 21130 TRASLADO AMBULANCIA ALTA COMPLEJIDAD 623.602 623.602 623.602 623.602 623.602 623.602
TRA2421010 21733 RESCATE FUERA DE SANTIAGO HELICOPTERO( PRECIO X MIN) 26.276 26.276 26.276 26.276 26.276 26.276
TRT2421006 21015 TRASLADO AMBULANCIA BAJA COMPLEJIDAD SECTOR 1 Y 2 242.067 242.067 242.067 242.067 207.006 256.834
TRT2421009 21460 RESCATE AMBULANCIA MEDIANA COMPLEJIDAD SECTOR 1 Y 2 346.388 346.388 346.388 346.388 296.219 272.596
TRT2421010 21461 RESCATE AMBULANCIA ALTA COMPLEJIDAD 556.196 556.196 556.196 556.196 556.196 556.196
TRT2421011 21464 RESCATE AMBULANCIA MEDIANA COMPLEJIDAD SECTOR 3 Y 4 429.919 429.919 429.919 429.919 367.649 338.332
TRT2421012 21600 AMBULANCIA CONVENIO ESCOLAR 71.105 71.105 71.105 71.105 61.662 61.662
TRT2421013 21113 RESCATE AMBULANCIA MEDIANA COMPLEJIDAD CENTRO DE SKI 899.994 899.994 899.994 899.994 899.994 899.994
TRT2421014 21114 RESCATE AMBULANCIA ALTA COMPLEJIDAD CENTRO DE SKI 1.053.826 1.053.826 1.053.826 1.053.826 1.053.826 1.053.826
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00
HRS. EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

RXS0401000 29002 SIALOGRAFIA (CADA LADO) 401001 233.323 233.323 35.820 35.820 182.686 202.319
RXS0401001 29073 CAVUM RINOFARINGEO. LARINGE LATERAL. C/U 401002 72.336 72.336 13.380 13.380 56.492 62.725
RXS0401002 29004 LARINGE (RX SIMPLE) F.L C/U 401002 80.854 80.854 13.380 13.380 63.623 71.163
RXS0401006 29009 TORAX C/ EQUIPO PORTATIL 401008 85.744 85.744 17.440 17.440 66.984 74.352
RXS0401007 29008 RADIOGRAFIA DE TORAX SIMPLE FRONTAL O LATERAL 401009 69.031 69.031 15.200 15.200 54.422 58.976
RXS0401008 29077 MAMOGRAFIA BILATERAL 401010 156.885 156.885 32.320 32.320 137.420 138.896
RXS0401010 29014 MARCACION PREOPERATORIA MAMAS 401011 204.240 204.240 44.370 44.370 160.927 177.102
RXS0401011 29013 PIEZA OPERATORIA DE MAMAS (RX) 401012 128.431 128.431 13.020 13.020 104.436 113.037
RXS0401012 29022 ABDOMEN SIMPLE (1 PROYECCION) 401013 121.598 121.598 13.940 13.940 93.945 103.882
RXS0401013 29024 ABDOMEN SIMPLE. PROYECCION COMPLEMETARIA Y/O OBLICUA 401014 50.488 50.488 10.030 10.030 43.012 43.780
RXS0401015 29067 COLANGIOGRAFIA INTRA O POSTOPERATORIA (POR SONDA T, O SIMILAR)
401015 195.377 195.377 32.480 32.480 151.494 166.914
RXS0401016 29044 ENEMA DE COLON (INCLUYE LLENE Y CONTROL 401018 256.430 256.430 66.540 66.540 200.960 222.360
RXS0401017 29046 ENEMA DE COLON DOBLE CONTRASTE 401019 325.722 325.722 64.240 64.240 253.441 282.444
RXS0401018 29030 ESOFAGOGRAMA 401020 176.572 176.572 30.460 30.460 139.931 153.111
RXS0401019 29034 ESOFAGO.ESTOMAGO.DUODENO (DOBLE CONTRAST 401021 292.366 292.366 56.510 56.510 220.651 253.521
RXS0401020 29037 ESTUDIO RADIOLOGICO DE DEGLUCION FARINGEA 401022 176.572 176.572 25.410 25.410 139.676 153.111
RXS0401021 29042 ESTUDIO RADIOLOGICO DEL INTESTINO DELGADO 401023 386.211 386.211 47.060 47.060 300.603 334.895
RXS0401022 29032 RADIOGRAFIA DE ESOFAGO, ESTOMAGO Y DUODENO, SIMPLE EN NIÑOS
401024 204.976 204.976 46.830 46.830 156.007 177.744
RXS0401023 29062 PIELOGRAFIA DE ELIMINACION DESCEN.NINOS 401027 327.576 327.576 59.860 59.860 261.083 288.312
RXS0401024 29159 PIELOGRAFIA DE ELIMINACION DESCENDENTE 401027 336.437 336.437 59.860 59.860 261.083 296.112
RXS0401025 29058 RENAL SIMPLE 401028 135.366 135.366 12.820 12.820 104.041 117.380
RXS0401026 29060 VESICAL SIMPLE 401029 64.574 64.574 11.040 11.040 53.900 55.994
RXS0401027 29081 CAV.PERINASALES. ARCO CIGOMAT.. HUESOS C/U 401031 72.092 72.092 15.090 15.090 55.711 62.514
RXS0401028 29079 ESTUDIO A.T.M. (CADA LADO) 401031 87.419 87.419 15.090 15.090 67.250 75.804
RXS0401029 29083 HUESOS PROPIOS DE LA NARIZ 401031 72.092 72.092 15.090 15.090 55.639 62.514
RXS0401030 29085 MALAR 401031 87.419 87.419 15.090 15.090 67.250 75.804
RXS0401031 29087 MAXILAR SUPERIOR E INFERIOR 401031 87.419 87.419 15.090 15.090 67.250 75.804
RXS0401032 29089 ORBITAS 401031 87.419 87.419 15.090 15.090 67.250 75.804
RXS0401033 29078 ARCO ZIGOMATICO 401031 87.419 87.419 15.090 15.090 67.250 75.804
RXS0401034 29070 CRANEO;FRONTAL Y LATERAL 401032 124.424 124.424 15.780 15.780 95.491 106.298
RXS0401035 29072 CRANEO TOWNE. BASE (C/U) 401033 37.713 37.713 11.060 11.060 31.101 32.702
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
RXS0401036 29084 RADIOGRAFIA DE OIDO UNO O AMBOS 401035 135.915 135.915 19.090 19.090 107.937 117.856
RXS0401037 29074 SILLA TURCA FRONTAL Y LATERAL 401040 99.831 99.831 17.630 17.630 80.592 86.567
RXS0401038 29092 COLUMNA CERVICAL F Y L 401042 85.214 85.214 15.200 15.200 63.495 73.890
RXS0401072 29007 ATLAS - AXIS 401042 33.613 33.613 15.200 15.200 29.160 29.160
RXS0401039 29096 COLUMNA CERVICAL F.L Y OBLICUAS 401043 97.308 97.308 25.580 25.580 72.952 84.377
RXS0401040 29094 COLUMNA CERVICAL FUNCIONALES ADICIONALES 401044 150.883 150.883 14.350 14.350 119.858 130.834
RXS0401041 29100 COLUMNA DORSAL F Y L PARRILLA COSTAL ADULTO FL 401045 120.300 120.300 17.710 17.710 92.770 104.315
RXS0401042 29102 COLUMNA LUMBOSACRA (F.L Y 5TO.ESPACIO) 401046 157.752 157.752 26.210 26.210 117.137 136.793
RXS0401043 29005 COLUMNA LUMBOSACRA FUNCIONALES 401047 80.394 80.394 21.310 21.310 65.170 69.711
RXS0401044 29038 COLUMNA LUMBOSACRA OBLICUAS (2 PR.) 401048 80.394 80.394 14.350 14.350 65.170 69.711
RXS0401045 29108 RADIOGRAFIA COLUMN TOTAL, PANOR. C/FOLIO GRAD. FRONT O LATER
401049 107.567 107.567 19.600 19.600 80.337 93.274
RXS0401046 29113 CADERA O COXOFEMORAL (1 PROYECCION ) 401051 76.467 76.467 11.630 11.630 61.411 66.306
RXS0401047 29112 PELVIS (FRONTAL) (ADULTO) 401051 76.467 76.467 11.630 11.630 61.411 66.306
RXS0401048 29114 PELVIS ROTACION INTERNA.ABDUCCION.LOWENS 401052 45.131 45.131 10.610 10.610 38.220 39.136
RXS0401049 29111 ARTICULACIONES SACROILIACAS C/U 401053 87.158 87.158 15.980 15.980 70.230 75.578
RXS0401050 29110 SACRO-COXIS 401053 87.158 87.158 15.980 15.980 69.973 75.578
RXS0401051 29135 PIE (2 PROYECCIONES) 401054 82.312 82.312 13.250 13.250 61.553 71.375
RXS0401053 29118 BRAZO O ANTEBRAZO (2 PROYECCIONES) (C/U) 401054 69.031 69.031 13.250 13.250 55.549 59.859
RXS0401054 29109 CALCANEO (2 PROYECCIONES) 401054 82.312 82.312 13.250 13.250 61.553 71.375
RXS0401055 29127 CODO (2 PROYECCIONES) 401054 82.312 82.312 13.250 13.250 61.553 71.375
RXS0401056 29304 DEDO 2 PROYECCIONES FL 401054 59.277 59.277 13.250 13.250 55.549 55.549
RXS0401058 29131 MANO (2 PROYECCIONES) 401054 82.312 82.312 13.250 13.250 61.681 71.375
RXS0401059 29129 MUNECA (2 PROYECCIONES) 401054 82.312 82.312 13.250 13.250 61.681 71.375
RXS0401060 29041 CLAVICULA 401055 99.286 99.286 15.500 15.500 79.683 86.095
RXS0401061 29122 EDAD OSEA:CARPO Y MANO 401056 57.216 57.216 11.060 11.060 45.477 49.613
RXS0401062 29124 EDAD OSEA:RODILLA (FRONTAL) 401057 63.750 63.750 11.540 11.540 50.142 55.279
RXS0401063 29120 ESTUDIO DE ESCAFOIDES 401058 104.537 104.537 17.340 17.340 81.755 90.649
RXS0401064 29137 TOBILLO (3 PROYECCIONES) 401059 83.334 83.334 14.990 14.990 62.190 72.263
RXS0401065 29128 MUNECA (3 PROYECCIONES) 401059 130.301 130.301 14.990 14.990 99.900 112.986
RXS0401057 29151 EXTREMIDADES INFERIORES 401060 82.312 82.312 15.680 15.680 61.553 71.375
RXS0401066 29121 PIERNA (2 PROYECCIONES) 401060 86.454 86.454 15.680 15.680 68.416 74.966
RXS0401067 29119 RODILLA (2 PROYECCIONES) C/U 401060 86.454 86.454 15.680 15.680 68.416 74.966
RXS0401068 29123 COSTILLA (2 PROYECCIONES) 401060 84.145 84.145 15.680 15.680 68.416 72.966
RXS0401069 29125 ESTERNON (2 PROYECCIONES) 401060 93.625 93.625 15.680 15.680 75.802 81.184
RXS0401070 29116 HOMBRO (2 PROYECCIONES) 401060 86.454 86.454 15.680 15.680 68.416 74.966
RXS0401071 29117 FEMUR (2 PROYECCIONES) 401060 96.079 96.079 15.680 15.680 75.927 83.314
RXS0401073 29132 PLACA ADIC.. PROYECC. Y AXIAL DE 401062 37.713 37.713 10.910 10.910 31.101 32.702
RXS0401074 29105 ROTULA AXIAL (UNO O AMBOS LADOS) 401062 42.837 42.837 10.910 10.910 32.267 37.144
RXS0401075 29130 TUNEL INTERCONDILEO O RADIOCARPIANO 401063 87.419 87.419 10.610 10.610 70.354 75.804
RXS0401076 29185 APOYO RADIOSCOPICO 401064 127.472 127.472 12.900 12.900 112.858 123.038
RXS0401078 29011 TORAX FRONTAL Y LATERAL 401070 119.215 119.215 27.390 27.390 93.819 103.375
RXS0401079 29177 MAMOGRAFIA UNILATERAL 401110 99.658 99.658 18.980 18.980 87.292 88.232
RXS0401081 29001 MAMOGRAFIA PROYECCION COMPLEMENTARIA (AXILAR U OTRAS) 401130 41.510 41.510 6.930 6.930 35.241 35.995
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
RXS0401082 29306 PELVIS (FRONTAL) (NINOS) 401151 78.255 78.255 11.100 11.100 61.411 67.856
RXC0402002 29026 FISTULOGRAFIA 402009 189.232 212.772 11.860 11.860 167.535 184.500
RXC0402003 29160 HISTEROSALPINGOGRAFIA 402011 189.232 206.738 33.760 33.760 167.535 179.269
RXC0402004 29154 PIELOGRAFIA ASCENDENTE 402012 242.792 270.613 38.660 38.660 214.954 238.178
RXC0402005 29158 URETRO Y/O CISTOURETROGRAFIA MICCIONAL RETROGRADA (AC 1901016)
402014 178.000 178.000 36.210 36.210 140.456 154.349
TAC0403000 17005 TAC CRANEO-ENCEFALICO 403001 425.771 425.771 95.870 95.870 315.246 369.199
TAC0403001 17014 TAC DE HIPOTALAMO - HIPOFISIS 403002 591.938 591.938 100.880 100.880 444.676 513.287
TAC0403002 17058 TAC DE FOSA POSTERIOR 403003 306.237 306.237 86.640 86.640 240.866 265.549
TAC0403006 17015 TAC TEMPORAL OIDOS(INCL.CORTE CORON..NO 403006 599.991 599.991 83.200 83.200 450.515 520.272
TAC0403007 17011 TAC ORBITAS MAXILOFACIALES 403007 591.938 591.938 111.260 111.260 414.356 513.287
TAC0403010 17143 TAC COLUMNA CERVICAL 403008 554.785 554.785 121.870 121.870 410.482 481.073
TAC0403016 17009 TAC CUELLO 403012 534.060 534.060 90.060 90.060 373.842 463.104
TAC0403017 17016 TAC TORAX 403013 554.785 554.785 142.260 142.260 413.620 481.071
TAC0403018 17010 TAC MEDIASTINO 403013 621.005 621.005 142.260 142.260 466.579 538.493
TAC0403019 17017 TAC DE ABDOMEN 403014 628.396 628.396 85.650 85.650 439.877 544.902
TAC0403020 17013 TAC PELVIS 403016 625.607 625.607 87.840 87.840 437.925 542.485
TAC0403021 17012 TOMOG.COMPUT.MUSCULOESQUELETICA POR ZONA ANAT. 403017 607.753 607.753 76.670 76.670 473.055 527.002
TAC0403050 17562 TOMOGRAFIA COMPUTARIZADA DE COLUMNA DORSAL 403018 520.540 520.540 106.780 106.780 416.961 451.377
TAC0403051 17599 TOMOGRAFIA COMPUTARIZADA DE COLUMNA LUMBAR 403019 520.540 520.540 106.780 106.780 416.961 451.377
TAC0403041 17029 TOMOGRAFIA COMPUTARIZADA DE ABDOMEN Y PELVIS 403020 928.076 928.076 139.790 139.790 649.653 804.766
TAC0403042 17500 TOMOGRAFIA COMPUTARIZADA PIELOGRAFIA 403021 346.939 346.939 36.820 36.820 278.703 300.842
TAC0403043 17522 TOMOGRAFIA COMPUTARIZADA UROGRAFIA 403022 346.939 346.939 82.240 82.240 278.703 300.842
TAC0403047 17564 TOMOGRAFIA COMPUTARIZADA DE COLONOSCOPIA VIRTUAL. NO 403023 928.076 928.076 70.210 70.210 804.765 804.766
TAC0403048 17586 TOMOGRAFIA COMPUTARIZADA PLANIFICACION RADIOTERAPIA 403024 914.362 914.362 95.280 95.280 640.053 804.766
TAC0403049 17587 TOMOGRAFIA COMPUTARIZADA DE CALCIO CORONARIO 403025 554.785 554.785 46.960 46.960 410.482 481.071
TAC0403022 17064 ANGIO TAC DE ENCEFALO 403101 532.847 532.847 116.190 116.190 409.308 462.051
TAC0403023 17021 TOMOGRAFIA COMPUTARIZADA ANGIO DE TORAX 403102 616.398 616.398 174.930 174.930 491.328 534.500
TAC0403024 17102 ANGIOTAC DE ABDOMEN 403103 520.540 520.540 161.970 161.970 416.961 451.377
TAC0403044 17532 TOMOGRAFIA COMPUTARIZADA ANGIO DE CUELLO 403104 520.540 520.540 95.490 95.490 416.961 451.377
TAC0403045 17547 TOMOGRAFIA COMPUTARIZADA ANGIO DE PELVIS 403105 520.540 520.540 69.630 69.630 416.961 451.377
TAC0403046 17548 TOMOGRAFIA COMPUTARIZADA ANGIO CARDIACO 403106 520.540 520.540 91.280 91.280 416.961 451.377
TAC0403107 17066 TOMOGRAFIA COMPUTARIZADA ANGIO DE EXTREMIDADES INFERIORES 403107
(BILATERAL)
534.321 607.753 132.160 132.160 464.387 528.208
TAC0403108 17067 TOMOGRAFIA COMPUTARIZADA ANGIO DE EXTREMIDAD SUPERIOR 403108
(UNILATERAL) 534.321 607.753 135.390 135.390 464.387 528.208
ECT0404002 42104 ECOGRAFIA OBSTETRICA 404002 47.861 47.861 12.000 12.000 42.374 42.374
ECT0404010 42008 ECOGRAFIA OBSTETRICA 404002 137.863 137.863 12.000 12.000 122.056 122.056
ECT0404003 29286 ECOGRAFIA ABDOMINAL (INC.HIGADO,VIA BIL,VES,PANC,RIÑ,BAZ, 404003 169.556 169.556 37.920 37.920 128.918 147.029
ECT0404004 29300 ECO COMO APOYO A CIRUGIA Y/O PROC.(AMB/TRANSITORIOS) 404004 156.599 - 23.440 - 138.508 -
ECT0404042 29231 ECOGRAFIA COMO APOYO EN PABELLON 404004 - 303.003 - 23.440 - 268.262
ECT0404008 29064 ECOGRAFIA TRANSVAGINAL O TRANSRECTAL 404005 142.843 142.843 21.180 21.180 126.465 126.465
ECT0404007 42108 ECOGRAFIA GINECOLOGICA, PELVIANA FEMENINA U OBSTETRICA CON404006 137.721 137.721 20.160 20.160 121.928 121.928
ECT0404011 29290 ECOTOMOGRAFIA PELVIANA FEMENINA 404006 124.165 124.165 20.160 20.160 114.850 114.850
ECT0404013 42102 CONTROL TRANSVAGINAL 404006 91.173 91.173 20.160 20.160 85.103 85.103
ECT0404015 42026 SEGUIMIENTO DE OVULACION BAJA COMPLEJIDAD 404007 68.195 68.195 29.460 29.460 60.375 60.375
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
ECT0404016 9008 SEGUIMIENTO DE OVULACION ALTA COMPLEJIDAD 404008 115.031 115.031 32.980 32.980 101.843 101.843
ECT0404017 29288 ECOTOMOG.PELVICA MASC:INC.VEJIGA Y PROST 404009 127.743 127.743 21.070 21.070 97.433 110.770
ECT0404018 29282 ECOTOMOGRAF. RENAL (BILATERAL) O DE BAZO 404010 143.925 143.925 26.270 26.270 109.750 124.802
ECT0404019 29298 ECOTOMOGRAFIA ENFEFALICA RN O LACTANTE 404011 177.092 177.092 28.370 28.370 140.456 153.564
ECT0404020 29294 ECOTOMOG.MAMARIA (BILATERAL) 404012 126.405 126.405 26.430 26.430 105.215 109.611
ECT0404021 36100 ECOGRAFIA OFTALMOLOGICA 404013 122.347 122.347 30.660 30.660 108.320 108.320
ECT0404045 36014 ECOGRAFIA OCULAR UNO O AMBOS OJOS 404013 303.003 303.003 30.660 30.660 303.003 303.003
ECT0604000 29292 ECOTOMOGRAFIA TESTICULAR (UNO O AMBOS)(INCLUYE DOPPLER)404014 176.525 176.525 26.080 26.080 123.567 132.394
ECT0604001 29280 ECOGRAFIA TIROIDEA (INCLUYE DOPPLER) 404015 154.148 154.148 26.430 26.430 107.904 115.611
ECT0404022 29297 ECOGRAFIA PARTES BLANDAS O MUSCULOESQUELETICA (CADA ZONA 404016 128.287 128.287 26.430 26.430 100.970 110.045
ECT0404024 15301 ECO. DOPPLER COLOR ARTERIA BRAQUEAL 404016 136.391 136.391 26.430 26.430 120.752 120.794
ECT0404026 29397 ECOGR. PARTES BLANDAS ( NOD., PARED ABD., HERNIAS) 404016 130.083 130.083 26.430 26.430 102.493 112.800
ECT0404030 29299 ECOGRAFIA DOPPLER DUPLEX ARTERIAL EXTREMIDADES 404118 232.946 232.946 86.690 86.690 217.438 217.438
ECT0404031 29302 ECOGRAFIA VASCULAR VENOSA PERIFERICA BILATERAL 404118 313.210 313.210 86.690 86.690 236.856 271.592
ECT0404032 29045 ECOGRAFIA DOPPLER DE VASO DEL CUELLO 404119 232.946 232.946 81.860 81.860 182.050 201.994
ECT0404033 29311 ECOGRAFIA TRANSCRANEAL 404120 329.372 329.372 86.690 86.690 259.014 285.611
ECT0404034 29303 ETG.ABDOMEN +DOPPLER 404121 232.946 232.946 89.340 89.340 182.050 201.994
ECT0404036 29313 ABDOMEN O VASOS TESTICULARES (INCLUYE DOPPLER) 404121 184.686 184.686 89.340 89.340 163.719 163.719
ECT0404037 42069 ECOGRAFIA DOPPLER DE VASOS PLACENTARIOS(3D) 404122 234.189 234.189 86.690 86.690 206.789 206.789
ECT0404038 42019 ECOGRAFIA DOPPLER DE VASOS PLACENTARIOS 404122 168.302 168.302 86.690 86.690 149.839 149.839
ECT0404218 29191 ELASTOGRAFIA HEPATICA 404218 276.767 312.974 171.080 171.080 276.767 276.767
RMN0405001 24903 RESONANCIA MAGNETICA CRANEO ENCEFALICA U OIDOS, BILATERAL 405001 923.978 923.978 185.090 185.090 694.233 801.212
RMN0405002 24922 R.M. HIPOTALAMO - HIPOFISIS 405002 755.244 755.244 192.740 192.740 578.273 654.898
RMN0405003 24916 R.M.ORBITA 405003 688.318 688.318 172.760 172.760 527.096 596.864
RMN0405004 24902 R.M.ART.TEMPORO MANDIBULAR 405004 688.318 688.318 185.770 185.770 527.096 596.864
RMN0405005 24905 R.M.COLUMNA CERVICAL 405005 871.357 871.357 185.090 185.090 618.433 755.581
RMN0405006 24971 RM CERVICAL MAS TECNICAS ESPECIALES 405005 779.160 951.966 185.090 185.090 689.823 825.480
RMN0405007 24906 R.M.COLUMNA DORSAL 405006 682.284 682.284 192.500 192.500 526.187 591.630
RMN0405008 24907 R.M.COLUMNA LUMBAR 405007 871.357 871.357 185.090 185.090 618.433 755.583
RMN0405048 24970 RM CARDIACA MAS TECNICAS ESPECIALES 405009 839.605 958.705 198.350 198.350 895.499 895.499
RMN0405088 29728 R.M. DE TORAX 405009 832.288 832.288 198.350 198.350 837.605 837.605
RMN0405013 24900 R.M.ABDOMEN (INCLUYE HIGADO, BAZO, PANCREAS, SUPRARENALES, 405010
RIÑONES,UTERO,
871.357
OVARIO
871.357 185.090 185.090 618.433 755.581
RMN0405014 24962 RM ABDOMEN MAS TECNICAS ESPECIALES 405010 779.160 951.966 185.090 185.090 689.823 825.480
RMN0405015 24917 R.M.PELVIS (INCLUYE UTERO, OVARIO, URETRA, VEJIGA, PROSTATA)405011 871.357 871.357 185.090 185.090 618.433 755.583
RMN0405017 24957 RM ABDÓMEN Y PELVIS 405012 1.307.030 1.307.030 277.620 277.620 927.330 1.133.367
RMN0405018 24921 R.M.RODILLA 405013 682.284 682.284 151.760 151.760 526.187 591.631
RMN0405020 24960 RM RODILLA (DER) MAS TECNICAS ESPECIALES 405013 674.826 762.894 151.760 151.760 597.450 661.530
RMN0405021 24961 RM RODILLA (IZQ) MAS TECNICAS ESPECIALES 405013 674.826 762.894 151.760 151.760 597.450 661.530
RMN0405024 24969 RM COLUMNA TOTAL 405016 1.742.714 1.742.714 327.530 327.530 1.236.226 1.511.162
RMN0405080 24090 RESONANCIA MAGNETICA ANGIOGRAFIA DE ENCEFALO 405017 666.554 666.554 198.350 198.350 510.510 577.990
RMN0405062 24908 RESONANCIA MAGNETICA ANGIOGRAFIA DE CUELLO 405018 878.098 878.098 203.960 203.960 672.074 761.427
RMN0405012 24924 RESONANCIA MAGNETICA ANGIOGRAFIA DE TORAX 405019 878.098 878.098 200.710 200.710 672.206 761.427
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
RMN0405081 24091 RESONANCIA MAGNETICA ANGIOGRAFIA DE ABDOMEN 405020 667.336 667.336 187.440 187.440 510.510 578.667
RMN0405082 24092 RESONANCIA MAGNETICA ANGIOGRAFIA DE PELVIS 405021 666.554 666.554 192.740 192.740 510.510 577.990
RMN0405083 24097 RESONANCIA MAGNETICA ANGIOGRAFIA DE EXTREMIDAD SUPERIOR 405022
UNILATERAL 666.554 666.554 190.480 190.480 510.510 577.990
RMN0405084 24093 R.M. ANGIOGRAFIA DE EXTREMIDAD INFERIOR BIILATERAL 405023 666.554 666.554 185.090 185.090 510.510 577.990
RMN0405031 24952 RESONANCIA MAGNETICA DE MANO O MUÑECA 405024 764.339 764.339 162.640 162.640 585.786 662.782
RMN0405085 24068 R.M. DE ANTEBRAZO O BRAZO 405025 764.339 764.339 155.510 155.510 585.786 662.782
RMN0405061 24948 RESONANCIA MAGNETICA DE CODO 405026 764.339 764.339 158.030 158.030 585.786 662.782
RMN0405027 24949 RESONANCIA MAGNETICA DE HOMBRO 405027 749.196 749.196 151.760 151.760 573.736 649.652
RMN0405036 24954 RESONANCIA MAGNETICA DE PIE, ANTEPIE O TOBILLO 405028 764.339 764.339 151.760 151.760 585.786 662.782
RMN0405038 24955 RESONANCIA MAGNETICA DE PIERNA 405029 764.339 764.339 156.190 156.190 585.786 662.782
RMN0405086 24069 RESONANCIA MAGNETICA DE MUSLO O CADERA.UNILATERAL 405030 764.339 764.339 158.030 158.030 585.786 662.782
RMN0405041 24936 RESONANCIA MAGNETICA DE MAMA (BILATERAL) 405031 588.719 588.719 151.760 151.760 452.589 510.497
RMN0405042 24328 RESONANCIA MAGNETICA FETAL 405032 557.141 557.141 182.130 182.130 427.580 483.113
RMN0405025 24927 COLANGIO POR RESONANCIA 405098 451.169 451.169 123.990 123.990 346.861 391.227
MNU0501100 17888 CAPTACION I-131 A LAS 2 Y/O 24 HORAS 501100 91.053 92.236 34.930 34.930 86.156 86.156
MNU0501101 17517 CINTIGRAFIA TIROIDEA, CUALQUIER RADIOISOTOPO 501101 108.001 108.001 34.930 34.930 95.617 95.617
MNU0501102 17507 CINTIGRAFIA GLANDULAS PARATIROIDES (NOINCLUYE MIBI) 501102 213.086 233.438 52.420 52.420 188.657 188.657
MNU0501104 17578 CINTIGRAFIA OSEA TRIFASICA (INCLUYE MEDICIONES FASE PRECOZ501104 428.946 513.957 139.790 139.790 379.765 404.466
MNU0501105 17554 SPECT CARDIACO STRESS Y REPOSO (NO INCLUYE HONORARIOS 501105 826.586 833.271 254.050 254.050 731.811 731.811
MNU0501106 17533 VENTRICULOGRAFIA CARDIACA ISOTOPICA DE EQUILIBRIO CON 501106 251.277 251.277 80.590 80.590 222.468 222.468
MNU0501107 17603 POOL SANGUINEO, ARTERIOGRAFIA ISOTOPICAC/U 501107 92.602 92.602 36.370 36.370 92.602 92.602
MNU0501108 17541 LINFOCINTIGRAFIA ISOTOPICA (NO INCLUYE PROCEDIMIENTO) 501108 174.449 174.449 109.120 109.120 154.447 154.447
MNU0501109 17604 POOL SANGUINEO SPECT 501108 278.099 278.099 109.120 109.120 278.099 278.099
MNU0501111 17545 ESTUDIO MOTILIDAD ESOFAGICA Y/O REFLUJOGASTROESOFAGICO 501111 247.770 248.752 78.640 78.640 219.361 219.361
MNU0501112 17550 VACIAMIENTO GASTRICO LIQUIDO O SOLIDO 501112 232.717 232.717 158.020 158.020 206.035 206.035
MNU0501113 17592 CINTIGRAFIA VESICULA Y VIA BILIAR 501113 298.257 299.511 173.360 173.360 264.060 264.060
MNU0501114 17524 DETECCION DE SITIO DE SANGRAMIENTO DIGESTIVO CON GLOBULOS 501114 248.940 274.567 181.950 181.950 241.654 220.396
MNU0501115 17593 DETECCION DIVERTICULO MECKEL 501115 248.058 248.969 58.670 58.670 219.618 219.618
MNU0501116 17511 SPECT HEPATOESPLENICO, EVALUACION HEMANGIOMA O HIPERPLASIA501116 224.937 250.817 161.570 161.570 199.146 217.988
MNU0501117 17516 CINTIGRAFIA RENAL CON D.M.S.A. 501117 204.300 221.734 52.420 52.420 180.875 180.875
MNU0501118 17535 ESTUDIO DINAMICO RENAL CON TC 99 - DTPA 501118 247.770 248.752 77.390 77.390 219.361 219.361
MNU0501119 17574 ESTUDIO DINAMICO RENAL CON TC 99 - MAG 3 O EC 501119 294.750 295.771 136.240 136.240 260.955 260.955
MNU0501120 17580 CISTOGRAFIA ISOTOPICA INDIRECTA 501120 132.452 132.452 53.250 53.250 117.264 117.264
MNU0501121 17519 CISTOGRAFIA ISOTOPICA DIRECTA, A.C. 19-01-022 501121 254.799 279.943 52.420 52.420 242.746 225.584
MNU0501122 17515 CINTIGRAFIA PULMONAR PERFUSION O VENTILACION O DIFUSION, C/U
501122 206.059 206.059 52.420 52.420 182.432 182.432
MNU0501123 17594 CINTIGRAFIA Y ESTUDIO ASPIRACION PULMONAR 501123 94.968 113.014 56.000 56.000 84.079 88.938
MNU0501124 17549 SPECT CEREBRAL DE PERFUSION (NO INCLUYERADIOFARMACO) 501124 358.843 360.821 110.160 110.160 315.555 317.700
MNU0501125 17536 ESTUDIO DINAMICO SISTEMA NERVIOSO (RADIOCISTERNOGRAFIA, 501125 261.062 261.062 106.460 106.460 230.121 230.121
MNU0501126 17506 CINTIGRAFIA EVALUACION INFECCIONES (LEUCOCITOS, INFECTON, 501126 311.579 346.375 109.040 109.040 300.353 275.852
MNU0501127 17505 CINTIGRAFIA CON GALIO-67 PLANAR INFECCION (NO INCLUYE 501127 339.822 370.790 98.940 98.940 326.347 300.860
MNU0501128 17600 DETECCION Y/O MARCACION DE GANGLIO CENTINELA, NO INCLUYE 501128 441.692 441.692 112.320 112.320 391.047 391.047
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MNU0501129 17595 CINTIGRAFIA CON GALIO-67 PLANAR Y SPECT, PARA ESTUDIO DE 501129 696.967 696.967 255.020 255.020 650.569 650.569
MNU0501130 17537 EXPLORACION SISTEMICA CON I-131 (INCLUYE MEDICIONES FASE 501130 226.697 227.434 157.220 157.220 200.704 200.704
MNU0501131 17563 ESTUDIO GLANDULAS MAMARIAS (MAMOCINTIGRAFIA) (NO INCLUYE501131 324.902 326.095 65.950 65.950 287.650 287.650
MNU0501132 17602 ESTUDIO DE TUMORES (ANTICUERPOS MONOCLONALES, OCTREOSCAN,501132 901.955 901.955 209.630 209.630 841.911 841.911
MNU0501133 17596 SPECT - TOMOGRAFIA POR EMISION FOTON UNICO, CUALQUIER 501133 358.843 360.821 88.050 88.050 317.700 317.700
MNU0501134 29741 DENSITOMETRIA OSEA A FOTON DOBLE, COLUMNA Y CADERA 501134 163.914 196.030 52.420 52.420 145.121 169.983
MNU0501135 17300 PET CT 501135 1.938.698 1.938.698 691.970 691.970 1.716.412 1.716.412
MNU0501235 17059 PET CT DE CEREBRO CON FDG 501135 939.291 939.291 691.970 691.970 885.183 885.183
MNU0501136 17513 CINTIGRAFIA OSEA COMPLETA PLANAR 501136 244.132 244.132 94.340 94.340 215.347 215.347
MNU0501137 17542 CINTIGRAFIA DE MEDULA OSEA 501137 244.132 244.132 89.070 89.070 215.347 215.347
MNU0501138 17591 CINTIGRAFIA GLANDULAS SALIVALES 501138 235.119 248.969 51.580 51.580 219.618 219.618
MNU0501139 17601 DACRIOCINTIGRAFIA 501139 235.119 248.969 49.490 49.490 235.119 248.969
MNU0502001 17529 DOSIS TERAPEUTICAS CON I-131 HASTA 30 MCI. 502001 331.336 332.910 122.210 122.210 310.961 293.056
MNU0502002 17528 DOSIS TERAPEUTICAS CON I-131 ENTRE 31 A100 MCI. 502002 432.264 432.264 235.860 235.860 403.765 387.673
MNU0502003 17530 DOSIS TERAPEUTICAS CON I-131 ENTRE 101 A 200 MCI. 502003 585.831 585.831 425.900 425.900 547.208 525.402
MNU0502004 17531 DOSIS TERAPEUTICAS CON I-131 ENTRE 201 A 300 MCI. 502004 841.149 841.149 586.640 586.640 785.694 754.385
MNU0502005 17598 TERAP PALIAT DE DOLOR CON RADIOISOTOPOS( NO INCL RADIOFARM)
502005 227.895 227.895 55.460 55.460 212.871 204.389
RXS0401083 29050 BIOPSIA ESTEREOTAXICA DIGITAL DE MAMA 2001023 1.049.028 1.049.028 365.880 365.880 979.866 979.866
ECT0404035 29305 ETG.RENAL+DOPPLER 232.946 232.946 232.946 232.946 181.922 201.994
MNU0501042 17555 PERFUSION CEREBRAL 928.890 928.890 928.890 928.890 805.470 812.114
MNU0501045 17590 DOSIS OCTREOSCAN (DIAGNÓSTICO) 1.216.875 1.481.020 1.216.875 1.481.020 1.513.683 1.528.248
RMN0405040 24966 RESONANCIA CUERPO ENTERO ESTUDIO METASTASIS 735.256 735.256 735.256 735.256 637.565 637.564
RMN0405047 24925 R.M.CEREBRO PRE-RADIOTERAPIA 1.575.815 1.575.815 1.575.815 1.575.815 1.258.769 1.366.440
RMN0405052 24935 CEREBRO+EST.LIQ.CEFALO RAQUIDEO 1.459.382 1.459.382 1.459.382 1.459.382 1.459.382 1.459.382
RMN0405053 24946 DEFECOGRAFIA 764.339 764.339 764.339 764.339 573.737 662.782
RMN0405054 24928 ESTUDIO LIQUIDO CEFALO RAQUIDEO (LCR) 1.121.060 1.121.060 1.121.060 1.121.060 878.056 972.108
RMN0405066 24911 R.M.FOSA POSTERIOR 878.098 878.098 878.098 878.098 672.074 672.074
RMN0405067 24145 PIELORESONANCIA 138.040 138.040 138.040 138.040 138.040 138.040
RMN0405068 17098 TECNICAS ESPECIALES PARA RESONANCIA MAGNETICA 74.328 74.328 74.328 74.328 74.328 74.328
RMN0405087 29718 R.M. CUELLO 878.098 878.098 878.098 878.098 658.250 761.427
RXS0401005 29010 ESTUDIO RADIOLOGICO DE CARAZON (INCLUYEFLUOROSCOPIA, TELERRADIOGRAFIAS
163.084
FL CON 163.084
E 163.084 163.084 130.365 143.536
RXS0401089 29162 ANGIOGRAFIA INTRAOPERATORIA 619.608 619.608 619.608 619.608 477.293 545.341
RXS0401092 29225 RADIOSCOPIA 0 A 30 MINUTOS 122.368 122.368 122.368 122.368 108.338 108.338
RXS0401093 29226 RADIOSCOPIA 30 A 60 MINUTOS 163.156 163.156 163.156 163.156 144.451 144.451
RXS0401094 29227 RADIOSCOPIA 60 A 90 MINUTOS 223.163 223.163 223.163 223.163 197.572 197.572
RXS0401095 29228 RADIOSCOPIA 90 A 120 MINUTOS 272.753 272.753 272.753 272.753 241.480 241.480
RXS0401097 29165 CONTROL DE DRENAJE BILIAR PERCUTANEO 177.383 177.383 177.383 177.383 152.187 154.165
TAC0403004 17104 RECONSTRUCCION 3D OSTEARTICULAR 306.237 306.237 306.237 306.237 235.912 265.549
TAC0403005 17103 RECONSTRUCCION 3D 306.237 306.237 306.237 306.237 235.912 265.549
TAC0403025 29224 TOMOGRAFIA INTRAOPERATORIA - 266.359 - 266.359 - 231.595
TAC0403028 17060 ANGIO TAC VASCULAR PERIFERICO 673.469 673.469 673.469 673.469 515.556 583.986
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
TAC0403029 17025 BRONCOSCOPIA VIRTUAL 629.718 629.718 629.718 629.718 488.070 554.237
TAC0403031 17170 ENTEROCLISIS POR TAC 943.852 943.852 943.852 943.852 660.697 818.446
TAC0403033 17046 PERFUSION CEREBRAL POR TAC 535.043 535.043 535.043 535.043 400.889 470.910
TAC0403035 17032 TAC APOYO PROCEDIMIENTOS T.A.C. 642.899 642.899 642.899 642.899 490.484 557.479
TAC0403053 17099 TECNICAS ESPECIALES PARA TAC 74.328 74.328 74.328 74.328 74.328 74.328
RXS0401804 29199 RADIOGRAFIA DE TORAX, PROYECCION COMPLEMENTARIA (OBLICUAS, SELECTIVAS31.500
U OTRAS) 31.500 31.500 31.500 22.050 23.625
(Vigencia 01 de Enero 2023 - 30 de Junio 2023)

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

PRO4003093 40096 PINZA DESECHABLE MERYLAND FEN.B PL701 199.920 199.920 199.920 199.920 199.920 199.920
PRO4003296 40098 GRAPADORA CIRCULAR PROLAPSO REC. CPH32 574.770 574.770 574.770 574.770 574.770 574.770
PRO4003297 40100 GRAPADORA CIRCULAR PROLAPSO REC. CPH34HV 574.770 574.770 574.770 574.770 574.770 574.770
PRO4003091 40102 PLACA 2.7/3.5 P/TIBI D/M DER 02.118.012 1.104.590 1.104.590 1.104.590 1.104.590 1.104.590 1.104.590
PRO4003092 40103 PLACA 2.7/3.5 P/TIBI D/M IZQ 02.118.013 1.104.590 1.104.590 1.104.590 1.104.590 1.104.590 1.104.590
PRO4003144 40207 KIT CAT C/ANTIBIOT. VENTRI/ PERIT 823072 849.612 849.612 849.612 849.612 849.612 849.612
PRO4003145 40208 VALVULA CERTS PLUS SIN ANTISIFON 828801 3.450.421 3.450.421 3.450.421 3.450.421 3.450.421 3.450.421
PRO4003146 40209 VALVULA CERTS PLUS CON ANTISIFON 828805 3.450.421 3.450.421 3.450.421 3.450.421 3.450.421 3.450.421
PRO4003095 40211 PREVENA DRESSING P&P 20CM PRE1055US.S 416.500 416.500 416.500 416.500 416.500 416.500
PRO4003096 40212 PREVENA DRESSING P&P 13CM PRE1155US 349.860 349.860 349.860 349.860 349.860 349.860
PRO4003097 40213 PREVENA DRESSING CUSTOMI 85 CM PRE2055US 583.100 583.100 583.100 583.100 583.100 583.100
PRO4003281 40214 LIO ACRYSOF MP CLEAR #MA60AC.070 84.433 84.433 84.433 84.433 84.433 84.433
MAT4003679 40216 INSTRUMNT PPICK 45G 1.5X13CM AR8150PP-45 375.953 375.953 375.953 375.953 375.953 375.953
MAT4003680 40217 APOLLORF ASPIRATING ABLATOR 50G #AR-9815 476.476 476.476 476.476 476.476 476.476 476.476
MAT4003681 40218 AGUJA SCORPION RODILLA #AR-12990N 512.212 512.212 512.212 512.212 512.212 512.212
MAT4003682 40219 FIBERWIRE 2-0 38plg BLUE #AR-7221 73.236 73.236 73.236 73.236 73.236 73.236
MAT4003683 40220 TIGHTROPE ABS BUTTON 8X12MM #AR-1588TB 379.017 379.017 379.017 379.017 379.017 379.017
MAT4003684 40221 SUTURA LASSO WIRE LOOP #AR-4068-05SD 132.905 132.905 132.905 132.905 132.905 132.905
PRO4003685 40222 ACL TIGHTROPE RT TITAN #AR-1588RT 630.414 630.414 630.414 630.414 630.414 630.414
PRO4003686 40223 TORN DELTA PEEK 8X28MM #AX-AR-5028P-08 457.332 457.332 457.332 457.332 457.332 457.332
PRO4003687 40224 TORN DELTA PEEK 9X28MM #AX-AR-5028P-09 457.332 457.332 457.332 457.332 457.332 457.332
PRO4003688 40225 TORN DELTA PEEK 10X28MM #AX-AR-5028P-10 457.332 457.332 457.332 457.332 457.332 457.332
PRO4003689 40226 TORN DELTA PEEK 11X28MM #AX-AR-5028P-11 457.332 457.332 457.332 457.332 457.332 457.332
PRO4003690 40227 TORN CONICO DPEEK 10X35MM AX-AR-5035P-10 554.287 554.287 554.287 554.287 554.287 554.287
PRO4003691 40228 TORN CONICO DPEEK 11X35MM AX-AR-5035P-11 554.287 554.287 554.287 554.287 554.287 554.287
PRO4003692 40229 TORN CONICO DPEEK 12X35MM AX-AR-5035P-12 554.287 554.287 554.287 554.287 554.287 554.287
PRO4003693 40230 TORN CONICO DPEEK 9X35MM #AX-AR-5035P-09 554.287 554.287 554.287 554.287 554.287 554.287
PRO4003694 40231 PEEK IFS 7X23MM #AX-AR-1370P 596.924 596.924 596.924 596.924 596.924 596.924
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

PRO4003695 40232 PEEK IFS 8X23MM #AX-AR-1380P 596.924 596.924 596.924 596.924 596.924 596.924
PRO4003696 40233 PEEK IFS 9X23MM #AX-AR-1390P 596.924 596.924 596.924 596.924 596.924 596.924
MAT4003697 40234 FIBERSTICK 2 FW 50pulg BLUE #AX-AR-7209 156.465 156.465 156.465 156.465 156.465 156.465
MAT4003698 40235 CUTTER FLIP II 7MM #AX-AR-1204AF-70 650.573 650.573 650.573 650.573 650.573 650.573
MAT4003699 40236 CUTTER FLIP II 7.5MM #AX-AR-1204AF-75 650.573 650.573 650.573 650.573 650.573 650.573
MAT4003700 40237 CUTTER FLIP II 8MM #AX-AR-1204AF-80 650.573 650.573 650.573 650.573 650.573 650.573
MAT4003701 40238 CUTTER FLIP II 8.5MM #AX-AR-1204AF-85 650.573 650.573 650.573 650.573 650.573 650.573
MAT4003702 40239 CUTTER FLIP II 9MM #AX-AR-1204AF-90 650.573 650.573 650.573 650.573 650.573 650.573
MAT4003703 40240 CUTTER FLIP II 9.5MM #AX-AR-1204AF-95 650.573 650.573 650.573 650.573 650.573 650.573
MAT4003704 40241 CUTTER FLIP II 10MM #AX-AR-1204AF-100 650.573 650.573 650.573 650.573 650.573 650.573
MAT4003705 40242 SET AUTOINJERTO DESCH 6MM #AR-1981-06S 1.574.287 1.574.287 1.574.287 1.574.287 1.574.287 1.574.287
MAT4003706 40243 SET AUTOINJERTO DESCH 8MM #AR-1981-08S 1.574.287 1.574.287 1.574.287 1.574.287 1.574.287 1.574.287
MAT4003707 40244 SET AUTOINJERTO DESCH 10MM #AR-1981-10S 1.574.287 1.574.287 1.574.287 1.574.287 1.574.287 1.574.287
MAT7003330 40248 KIT DE LACERACION DESECHABLE #05-5800 20.889 20.889 20.889 20.889 20.889 20.889
MAT7003331 40249 PINZA BIP CURV MARYL DESECH # 122-31011 250.281 250.281 250.281 250.281 250.281 250.281
MAT7003332 40250 ASPIRAD/IRRIG LAP 36CMS DESECH # SI-360C 104.720 104.720 104.720 104.720 104.720 104.720
MAT7003334 40251 PARCHES PERIF FIJ CAT EPID/PLEX #4511200 7.854 7.854 7.854 7.854 7.854 7.854
MAT7003335 40252 NAVIO MICROTEC C-ARM #4951 89.918 89.918 89.918 89.918 89.918 89.918
MAT7003336 40253 NAVIO FLAT MARKERS # PFSDV0016 381.472 381.472 381.472 381.472 381.472 381.472
MAT7003337 40254 KIT GUARDIAN TALLA S 433.160 433.160 433.160 433.160 433.160 433.160
MAT7003338 40255 KIT GUARDIAN TALLA M 433.160 433.160 433.160 433.160 433.160 433.160
MAT7003339 40256 KIT GUARDIAN TALLA L 433.160 433.160 433.160 433.160 433.160 433.160
MAT7003340 40257 BAJADA NEUMOCLEAR TORRE 4K 87.871 87.871 87.871 87.871 87.871 87.871
PRO4003102 40407 CLIP ANEU L SEMI CURVO 11MM S.45.262 424.830 424.830 424.830 424.830 424.830 424.830
PRO4003103 40408 CLIP ANEU L GIANT RECTO 15 MM S.45.280 424.830 424.830 424.830 424.830 424.830 424.830
PRO4003111 40416 CLIP ANEU L MINI SEMI CURVO 4MM S.45.694 424.830 424.830 424.830 424.830 424.830 424.830
PRO4003112 40417 CLIP ANEU L MINI RECTO FINO 5MM S.45.710 424.830 424.830 424.830 424.830 424.830 424.830
PRO4003136 40441 SONDA DOPPLER INTRACRANEANO 07-150-10 1.049.580 1.049.580 1.049.580 1.049.580 1.049.580 1.049.580
PRO4003137 40442 SONDA DOPPLER INTRACRANEANO 07-150-12 1.049.580 1.049.580 1.049.580 1.049.580 1.049.580 1.049.580
PRO4003158 40510 LIO ACRYSOF IQ PANOPTIX #TFNT00.180 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003159 40511 LIO ACRYSOF IQ PANOPTIX #TFNT00.185 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003160 40512 LIO ACRYSOF IQ PANOPTIX #TFNT00.190 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003161 40513 LIO ACRYSOF IQ PANOPTIX #TFNT00.195 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003162 40514 LIO ACRYSOF IQ PANOPTIX #TFNT00.200 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003163 40515 LIO ACRYSOF IQ PANOPTIX #TFNT00.205 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003164 40516 LIO ACRYSOF IQ PANOPTIX #TFNT00.210 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003165 40517 LIO ACRYSOF IQ PANOPTIX #TFNT00.215 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003166 40518 LIO ACRYSOF IQ PANOPTIX #TFNT00.220 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003167 40519 LIO ACRYSOF IQ PANOPTIX #TFNT00.225 793.859 793.859 793.859 793.859 793.859 793.859
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

PRO4003168 40520 LIO ACRYSOF IQ PANOPTIX #TFNT00.230 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003169 40521 LIO ACRYSOF IQ PANOPTIX #TFNT00.235 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003170 40522 LIO ACRYSOF IQ PANOPTIX #TFNT00.240 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003171 40523 LIO ACRYSOF IQ PANOPTIX #TFNT00.245 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003172 40524 LIO ACRYSOF IQ PANOPTIX #TFNT00.250 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003173 40525 LIO ACRYSOF IQ PANOPTIX #TFNT00.255 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003174 40526 LIO ACRYSOF IQ PANOPTIX #TFNT00.260 793.859 793.859 793.859 793.859 793.859 793.859
PRO4003187 40539 LIO ACRYSOF IQ #SN60WF.255 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003188 40540 LIO ACRYSOF IQ #SN60WF.260 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003189 40541 LIO ACRYSOF IQ #SN60WF.265 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003190 40542 LIO ACRYSOF IQ #SN60WF.270 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003191 40543 LIO ACRYSOF IQ #SN60WF.275 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003192 40544 LIO ACRYSOF IQ #SN60WF.280 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003193 40545 LIO ACRYSOF IQ #SN60WF.285 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003194 40546 LIO ACRYSOF IQ #SN60WF.290 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003195 40547 LIO ACRYSOF IQ #SN60WF.295 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003196 40548 LIO ACRYSOF IQ #SN60WF.300 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003197 40549 LIO ACRYSOF IQ #SN60WF.250 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003198 40550 LIO ACRYSOF IQ #SN60WF.135 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003199 40551 LIO ACRYSOF IQ #SN60WF.140 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003200 40552 LIO ACRYSOF IQ #SN60WF.145 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003201 40553 LIO ACRYSOF IQ #SN60WF.150 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003202 40554 LIO ACRYSOF IQ #SN60WF.155 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003203 40555 LIO ACRYSOF IQ #SN60WF.160 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003204 40556 LIO ACRYSOF IQ #SN60WF.165 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003205 40557 LIO ACRYSOF IQ #SN60WF.170 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003206 40558 LIO ACRYSOF IQ #SN60WF.175 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003207 40559 LIO ACRYSOF MP NATURAL NEG #MN60MAN.010 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003208 40560 LIO ACRYSOF MP NATURAL NEG #MN60MAN.020 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003210 40561 LIO ACRYSOF MP NATURAL NEG #MN60MAN.030 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003211 40562 LIO ACRYSOF MP NATURAL NEG #MN60MAN.040 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003212 40563 LIO ACRYSOF MP NATURAL NEG #MN60MAN.050 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003233 40580 LIO ACRYSOF IQ #SN60WF.060 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003215 40581 LIO ACRYSOF IQ #SN60WF.065 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003216 40582 LIO ACRYSOF IQ #SN60WF.070 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003217 40583 LIO ACRYSOF IQ #SN60WF.075 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003218 40584 LIO ACRYSOF IQ #SN60WF.080 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003219 40585 LIO ACRYSOF IQ #SN60WF.085 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003220 40586 LIO ACRYSOF IQ #SN60WF.090 159.301 159.301 159.301 159.301 159.301 159.301
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

PRO4003241 40587 LIO ACRYSOF IQ #SN60WF.095 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003242 40588 LIO ACRYSOF IQ #SN60WF.100 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003243 40589 LIO ACRYSOF IQ #SN60WF.105 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003244 40590 LIO ACRYSOF IQ #SN60WF.110 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003245 40591 LIO ACRYSOF IQ #SN60WF.115 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003246 40592 LIO ACRYSOF IQ #SN60WF.120 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003247 40593 LIO ACRYSOF IQ #SN60WF.125 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003248 40594 LIO ACRYSOF IQ #SN60WF.130 159.301 159.301 159.301 159.301 159.301 159.301
PRO4003249 40595 LIO ACRYSOF MP NATURAL EXPA #MN60MA.000 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003250 40596 LIO ACRYSOF MP NATURAL EXPA #MN60MA.010 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003251 40597 LIO ACRYSOF MP NATURAL EXPA #MN60MA.020 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003252 40598 LIO ACRYSOF MP NATURAL EXPA #MN60MA.030 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003253 40599 LIO ACRYSOF MP NATURAL EXPA #MN60MA.040 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003254 40600 LIO ACRYSOF MP NATURAL EXPA #MN60MA.050 179.217 179.217 179.217 179.217 179.217 179.217
PRO4003255 40601 LIO ACRYSOF MP CLEAR #MA60AC.060 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003256 40602 LIO ACRYSOF MP CLEAR #MA60AC.080 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003257 40603 LIO ACRYSOF MP CLEAR #MA60AC.090 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003258 40604 LIO ACRYSOF MP CLEAR #MA60AC.100 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003259 40605 LIO ACRYSOF MP CLEAR #MA60AC.110 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003260 40606 LIO ACRYSOF MP CLEAR #MA60AC.120 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003261 40607 LIO ACRYSOF MP CLEAR #MA60AC.130 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003235 40608 LIO ACRYSOF MP CLEAR #MA60AC.140 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003236 40609 LIO ACRYSOF MP CLEAR #MA60AC.150 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003237 40610 LIO ACRYSOF MP CLEAR #MA60AC.155 84.433 84.433 84.433 84.433 84.433 84.433
PRO4003311 40620 XIENCE SIERRA DES2.25X08 RXCE1500225-080 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003312 40621 XIENCE SKYPOINT 2.25 X 12 1800225-120 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003313 40622 XIENCE SKYPOINT 2.25 X 23 1800225-230 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003315 40624 XIENCE SKYPOINT 2.5 X 33 1800250-330 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003316 40625 XIENCE SKYPOINT 3.5 X 08 1800350-080 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003319 40628 BALON TREK 3.5 X 15 MM RX #1012276-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003320 40629 BALON TREK 4.5 X 15 MM RX #1012279-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003321 40630 BALON TREK 5.0 X 12 MM RX #1012280-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003322 40631 BALON MINI TREK 1.2X08 MM RX 1012268-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003323 40632 BALON NC TREK 2.0 X 08 MM #1012445-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003326 40635 BALON NC TREK 2.5 X 20 MM #1012447-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003327 40636 BALON NC TREK 2.75 X 08 MM #1012448-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003328 40637 BALON NC TREK 2.75 X 15 MM #1012448-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003329 40638 BALON NC TREK 3.75 X 08 MM #1012452-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003330 40639 BALON NC TREK 3.75 X 15 MM #1012452-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003331 40640 BALON NC TREK 4.0 X 08 MM #1012453-080 241.570 241.570 241.570 241.570 241.570 241.570
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003332 40641 BALON NC TREK 5.0 X 08 MM #1012455-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003333 40642 BALON NC TREK 5.0 X 15 MM #1012455-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003334 40643 INTRODUCTOR KCFW-6.0-35-55-RB-HFANL1-HC 299.880 299.880 299.880 299.880 299.880 299.880
PRO4003335 40644 CAT. KUMPE REF.10732702 91.630 91.630 91.630 91.630 91.630 91.630
PRO4003302 40645 KIT DE APENDICE CLC # KIT-APEND-CLC 358.190 358.190 358.190 358.190 358.190 358.190
PRO4003336 40700 XIENCE SKYPOINT 2.5 X 38 1800250-380 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003337 40701 XIENCE SKYPOINT 3.0 X 23 1800300-230 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003338 40702 XIENCE SKYPOINT 3.5 X 28 1800350-280 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003339 40703 XIENCE SKYPOINT 3.5 X 33 1800350-330 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003340 40704 XIENCE SKYPOINT 4.0 X 38 1800400-380 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003343 40707 BALON TREK 2.25 X 12 MM RX #1012271-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003344 40708 BALON TREK 2.5 X 08 MM #RX 1012272-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003346 40710 BALON TREK 2.5 X 20 MM RX #1012272-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003347 40711 BALON TREK 2.75 X 12 MM RX #1012273-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003348 40712 BALON TREK 3.0 X 08 MM RX #1012274-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003352 40716 BALON MINITREK 1.5X20 MM RX #1012269-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003353 40717 BALON MINITREK 2.0X25 MM RX #1012270-250 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003354 40718 BALON MINITREK 2.0X30MM RX#1012270-300 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003355 40719 BALON NC TREK 2.0 X 20 MM #1012445-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003356 40720 BALON NC TREK 2.5 X 15 MM #1012447-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003357 40721 BALON NC TREK 3.0 X 08 MM #1012449-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003358 40722 BALON NC TREK 3.25 X 12 MM #1012450-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003359 40723 BALON NC TREK 3.25 X 15 MM #1012450-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003360 40724 BALON NC TREK 3.5 X 08 MM #1012451-080 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003361 40725 BALON NC TREK 3.5 X 12 MM #1012451-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003362 40726 BALON NC TREK 3.5 X 20 MM #1012451-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003363 40727 BALON NC TREK 3.5 X 25 MM #1012451-250 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003364 40728 BALON NC TREK 4.0 X 20 MM #1012453-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003365 40729 GUIA 0.014 CONQUESTPRO 180CM AGH14309000 274.890 274.890 274.890 274.890 274.890 274.890
PRO4003367 40731 EXTENSION DE GUIA ASAHI 0.014 150 CM AG1 141.610 141.610 141.610 141.610 141.610 141.610
PRO4003368 40732 GUIA ASAHI GAIA FIRST #AHW14R007P0 274.890 274.890 274.890 274.890 274.890 274.890
PRO4003303 40734 FILTRO VENA CAVA FEMORAL ALN # FF.HOOK 1.191.190 1.191.190 1.191.190 1.191.190 1.191.190 1.191.190
PRO4003305 40736 XIENCE SKYPOINT 2.25 X 28 1800225-280 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003371 40800 STAPLER DESECHABLE 60MMX3.5MM #TA6035S 241.570 241.570 241.570 241.570 241.570 241.570
PRO4003372 40801 CARGA STAPLER DESECH. TA6035S #TA6035L 158.270 158.270 158.270 158.270 158.270 158.270
PRO4003373 40802 LIGASURE MERYLAND 37CM X 5MM #LF1937 541.450 541.450 541.450 541.450 541.450 541.450
PRO4003374 40803 LIGASURE MERYLAND 23CM X 5MM #LF1923 541.450 541.450 541.450 541.450 541.450 541.450
PRO4003375 40804 MALLA SYMBOTEX COLAGENO 20X15 #SYM2015 1.107.890 1.107.890 1.107.890 1.107.890 1.107.890 1.107.890
PRO4003376 40805 MALLA SYMBOTEX COLAGENO 15X10 #SYM1510 499.800 499.800 499.800 499.800 499.800 499.800
PRO4003377 40806 LIGASURE BLUN TIP 44CM X 5MM #LF1844 541.450 541.450 541.450 541.450 541.450 541.450
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

MAT4003269 40825 CAT PIGTAIL CENRIMETRADO 5FX110CM 105201 285.600 285.600 285.600 285.600 285.600 285.600
MAT4003277 40828 KIT LAZO SNARE 20MMX120 CM 5FR #112001 558.110 558.110 558.110 558.110 558.110 558.110
MAT4003370 40829 GUIA SIONBLUE 180CM H01-02-SIBLUE-AH14R0 248.710 248.710 248.710 248.710 248.710 248.710
MAT4003378 40830 CATETER BOOSTING 6 FR BC57-150 658.070 658.070 658.070 658.070 658.070 658.070
PRO4003709 40831 CASQUILLO DE CIERRE MULT 0MM 04.019.000S 117.640 117.640 117.640 117.640 117.640 117.640
PRO4003710 40832 CASQUILLO DE CIERRE MULT 2MM 04.019.002S 117.640 117.640 117.640 117.640 117.640 117.640
PRO4003711 40833 CASQUILLO DE CIERRE MULT 5MM 04.019.005S 117.640 117.640 117.640 117.640 117.640 117.640
PRO4003712 40834 CASQUILLO DE CIERRE MULT 10M 04.019.010S 117.640 117.640 117.640 117.640 117.640 117.640
PRO4003713 40835 CASQUILLO DE CIERRE MULT 15M 04.019.015S 117.640 117.640 117.640 117.640 117.640 117.640
PRO4003714 40836 CLAVO HUM MULT 8MM L160 DER 04.016.034S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003715 40837 CLAVO HUM MULT 9.5M L160 DER 04.016.038S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003716 40838 CLAVO HUM MULT 7 MM L225 DER 04.016.225S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003717 40839 CLAVO HUM MULT 7 MM L240 DER 04.016.240S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003718 40840 CLAVO HUM MULT 7 MM L255 DER 04.016.255S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003719 40841 CLAVO HUM MULT 7 MM L270 DER 04.016.270S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003720 40842 CLAVO HUM MULT 7 MM L285 DER 04.016.285S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003721 40843 CLAVO HUM MULT 7 MM L300 DER 04.016.300S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003722 40844 CLAVO HUM MULT 8MM L160 IZQ 04.016.035S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003723 40845 CLAVO HUM MUL 9.5MM L160 IZQ 04.016.039S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003724 40846 CLAVO HUM MULT 7 MM L225 IZQ 04.017.225S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003725 40847 CLAVO HUM MULT 7 MM L240 IZQ 04.017.240S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003726 40848 CLAVO HUM MULT 7 MM L255 IZQ 04.017.255S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003727 40849 CLAVO HUM MULT 7 MM L270 IZQ 04.017.270S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003728 40850 CLAVO HUM MULT 7 MM L285 IZQ 04.017.285S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
PRO4003729 40851 CLAVO HUM MULT 7 MM L300 IZQ 04.017.300S 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311 1.159.311
MAT4003909 40987 SUTURA TRUE C/IMPL PEEK AGUJA 24° 228152 574.770 574.770 574.770 574.770 574.770 574.770
MAT4003908 40988 SUTURA TRUE C/IMPL PEEK AGUJA 12° 228151 574.770 574.770 574.770 574.770 574.770 574.770
MAT4003907 40989 SUTURA TRUE C/IMPL PEEK AGUJA 0° 228150 574.770 574.770 574.770 574.770 574.770 574.770
MAT4003465 41876 AGU.DESECH PINZACIERRE CAPSULAR CAT01857 186.145 186.145 186.145 186.145 186.145 186.145
PRO4003464 41877 S.ZIPLINE #2 BLANCO/NEGRO 90CM CAT01586 32.233 32.233 32.233 32.233 32.233 32.233
PRO4003463 41879 S.ZIPLINE #2 BLANCO/VERDE 90CM CAT01585 32.233 32.233 32.233 32.233 32.233 32.233
MAT4003468 41881 BISTURI SAMURAI RECTO CAT00227 222.211 222.211 222.211 222.211 222.211 222.211
PRO4002998 42042 PUNTA DIAMANT MATCHSTICK 3.2MM M-8NSD-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003784 42505 XIENCE SKYPOINT 2.25 X 18 1800225-180 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003785 42506 XIENCE SKYPOINT 2.75 X 38 1800275-380 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003786 42507 XIENCE SKYPOINT 3.0 X 12 1800300-120 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003787 42508 XIENCE SKYPOINT 4.0 X 18 1800400-180 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003788 42509 XIENCE SKYPOINT 3.0 X 18 1800300-180 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003789 42511 XIENCE SKYPOINT 3.5 X 38 1800350-380 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003790 42512 XIENCE SKYPOINT 2.75 X 23 1800275-230 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003791 42513 XIENCE SKYPOINT 2.5 X 15 1800250-150 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003792 42514 XIENCE SKYPOINT 2.0 X 18 1800200-180 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003793 42515 XIENCE SKYPOINT 2.0 X 28 1800200-280 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003794 42516 XIENCE SKYPOINT 2.0 X 23 1800200-230 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4003795 42517 XIENCE SKYPOINT 2.0 X 15 1800200-150 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
MAT4003797 42700 KIT ACCESO PIVOT #CAT0241 266.560 266.560 266.560 266.560 266.560 266.560
PRO4003800 42703 BLX PUTTY 2.5 CC #BF-1000-003 874.650 874.650 874.650 874.650 874.650 874.650
PRO4003819 42720 ANCLA DOBLE CARG C/FIBERW N 2 #AR-3600-2 662.674 662.674 662.674 662.674 662.674 662.674
PRO4003820 42721 ANCLA SWIVELOCK TEN 6.25X19.1 #AR-1662BC 863.370 863.370 863.370 863.370 863.370 863.370
MAT4003821 42722 PIN GUIA 2.4MM #AR-1250SB 140.985 140.985 140.985 140.985 140.985 140.985
PRO4003823 42723 ANCLA SUTURETAK 2.4MMX12MM #AR-1934PF-24 624.807 624.807 624.807 624.807 624.807 624.807
MAT4003824 42724 BROCA P/SUTURETAK 2.4MM #AR-1934D-24 223.707 223.707 223.707 223.707 223.707 223.707
PRO4003826 42725 ANCLA SWIVELOCK 4.45X24.5MM #AR-2324SLM 595.595 595.595 595.595 595.595 595.595 595.595
PRO4003827 42726 SUTURA FIBERTAPE 2MM 36 #AR-7237 251.818 251.818 251.818 251.818 251.818 251.818
PRO4003828 42727 TORNILLO TENODESI PEEK 7X23MM #AR-1570PS 431.686 431.686 431.686 431.686 431.686 431.686
PRO4003829 42728 TORNILLO TENODESI PEEK 8X23MM #AR-1580PS 431.686 431.686 431.686 431.686 431.686 431.686
MAT4003921 43245 PUSHLOCK 2,9MM CORTA CADERA PEEK #AR-292 889.542 889.542 889.542 889.542 889.542 889.542
MAT4003922 43246 PINZA DENTADA RAPTOR 2.4MMX230CM #711177 204.204 204.204 204.204 204.204 204.204 204.204
MAT4003923 43247 SONDA FIAPC 2200 A 2.3MM 2.2MT #20132-22 236.477 236.477 236.477 236.477 236.477 236.477
MAT4003931 43248 OASIS SET INTRODUC. PROTESIS 10FR #OA-10 193.256 193.256 193.256 193.256 193.256 193.256
MAT4003932 43249 CLIP PREMONTADO INSTINCT #INSC-7-230 262.752 262.752 262.752 262.752 262.752 262.752
MAT4003933 43250 SET DE GASTROSTOMIA DE 24FR #PEG-24-PULL 298.928 298.928 298.928 298.928 298.928 298.928
MAT4003934 43251 BALON EXTRACCION TRIPLE LUMEN 350.336 350.336 350.336 350.336 350.336 350.336
MAT4003935 43252 PAPILOTOMO DE PUNTA TRIPLE LUMEN 363.664 363.664 363.664 363.664 363.664 363.664
MAT4003936 43253 MULTILIGADOR ESOFAGO 6 B ELAST #MBL-6 481.474 481.474 481.474 481.474 481.474 481.474
MAT4003937 43254 HEMOSPRAY 7FR #HEMO-7 1.036.252 1.036.252 1.036.252 1.036.252 1.036.252 1.036.252
MAT4004051 43345 TAPERED DIAMOND CHOANAL ATRESIA BUR 30K 747.875 747.875 747.875 747.875 747.875 747.875
MAT4004052 43346 BUR REVERSED TAPERED CUTTING 40GR 30K 739.192 739.192 739.192 739.192 739.192 739.192
MAT4004053 43347 FRESA CORT. CONICA INVERT 4MMX13CM X70GR 739.192 739.192 739.192 739.192 739.192 739.192
MAT4004054 43348 BUR DIAMOND 40DG 3MM 13CM 30K 1883040BLD 860.056 860.056 860.056 860.056 860.056 860.056
MAT4004055 43349 FIBU NAIL IZQ 3.0X130MM #AR-8973L-30-130 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
MAT4004056 43350 FIBU NAIL IZQ 3.0X180MM #AR-8973L-30-180 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
MAT4004057 43351 FIBU NAIL IZQ 3.8X130MM #AR-8973L-38-130 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
MAT4004058 43352 FIBU NAIL IZQ 3.8X180MM #AR-8973L-38-180 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
MAT4004059 43353 FIBU NAIL DER 3.0X130MM #AR-8973R-30-130 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
MAT4004060 43354 FIBU NAIL DER 3.0X180MM #AR-8973R-30-180 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
MAT4004061 43355 FIBU NAIL DER 3.8X130MM #AR-8973R-38-130 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
MAT4004062 43356 FIBU NAIL DER 3.8X180MM #AR-8973R-38-180 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695 1.680.695
PRO4003991 43547 CHIPS CUBO 15CC # AT402FD 1.082.900 1.082.900 1.082.900 1.082.900 1.082.900 1.082.900
PRO4003992 43548 CHIPS CUBO 30CC #AT401FD 1.749.300 1.749.300 1.749.300 1.749.300 1.749.300 1.749.300
PRO4003993 43549 STRUT CORTICAL 2.0 X 20 #AT341FD 1.699.320 1.699.320 1.699.320 1.699.320 1.699.320 1.699.320
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003994 43550 STRUT FEMORAL 10CM GT1604 1.249.500 1.249.500 1.249.500 1.249.500 1.249.500 1.249.500
PRO4003995 43551 STRUT FEMORAL 20CM GT1605 1.699.320 1.699.320 1.699.320 1.699.320 1.699.320 1.699.320
PRO4003996 43552 CHIPS CANCELOSO 05CC #CCH-41005 416.500 416.500 416.500 416.500 416.500 416.500
PRO4003997 43553 CHIPS CANCELOSO 15CC #CCH-41015 733.040 733.040 733.040 733.040 733.040 733.040
MAT4003998 43554 CHIPS CANCELOSO 30CC #CCH-41030 1.099.560 1.099.560 1.099.560 1.099.560 1.099.560 1.099.560
PRO4003999 43555 CHIPS CANCELOSO 60CC #CCH-41060 2.082.500 2.082.500 2.082.500 2.082.500 2.082.500 2.082.500
PRO4004000 43556 CHIP CANCELOSO ESPONJOSO 90CC #CCH-41090 2.915.500 2.915.500 2.915.500 2.915.500 2.915.500 2.915.500
PRO4004001 43557 CHIPS CANCELOSOS SUPER MOLI 5CC #CCH1405 416.500 416.500 416.500 416.500 416.500 416.500
PRO4004002 43558 CHIP CANCELOSO SUPER MOLI 15CC #CCH-1415 733.040 733.040 733.040 733.040 733.040 733.040
PRO4004003 43559 CHIP CANCELOSO SUPER MOLI 30CC #CCH-1430 1.099.560 1.099.560 1.099.560 1.099.560 1.099.560 1.099.560
PRO4004004 43560 TRICORTICAL INJERTO 08MM #ICW-08 1.332.800 1.332.800 1.332.800 1.332.800 1.332.800 1.332.800
PRO4004005 43561 TRICORTICAL INJERTO 16MM #ICW-16 1.632.680 1.632.680 1.632.680 1.632.680 1.632.680 1.632.680
PRO4004006 43562 TRICORTICAL INJERTO 18MM #ICW-18 1.890.910 1.890.910 1.890.910 1.890.910 1.890.910 1.890.910
PRO4004007 43563 TRICORTICAL INJERTO 20MM #ICW-20 2.082.500 2.082.500 2.082.500 2.082.500 2.082.500 2.082.500
MAT4004008 43564 MATRIZ OSEA DESMINERALIZA 1CC DBM-APX-01 366.520 366.520 366.520 366.520 366.520 366.520
PRO4004009 43565 MATRIZ OSEA DESMINERALI 2.5CC DBM-APX-02 791.350 791.350 791.350 791.350 791.350 791.350
PRO4004010 43566 MATRIZ OSEA DESMINERALIZ 5CC DBM-APX-05 1.366.120 1.366.120 1.366.120 1.366.120 1.366.120 1.366.120
MAT4003895 43567 AGUJA ENDOSONOGRAFIA ACQUIRE 22GA 503.965 503.965 503.965 503.965 503.965 503.965
MAT4003917 43572 KIT RETIRO DE BALON #AS2710718 209.741 209.741 209.741 209.741 209.741 209.741
MAT4003919 43573 CANASTILLO DORMIA CON GUIA #FG-V432P 349.860 349.860 349.860 349.860 349.860 349.860
MAT4003920 43574 CANASTILLO DORMIA SIN GUIA #FG-V402Q 370.328 370.328 370.328 370.328 370.328 370.328
PRO4004011 43576 MATRIZ OSEA DESMINERALIZ 10CC #90038010 2.082.500 2.082.500 2.082.500 2.082.500 2.082.500 2.082.500
MAT7003149 43587 CANULA NASAL ALTO FLUJO TALLA L 78.278 78.278 78.278 78.278 78.278 78.278
MAT7003160 43588 CANULA NASAL ALTO FLUJO TALLA M 78.278 78.278 78.278 78.278 78.278 78.278
MAT7003161 43589 KIT TUBO CALEFACTOR CAMARA HUMI #AIRT-B1 130.638 130.638 130.638 130.638 130.638 130.638
MAT4003832 43800 CABLE PASADOR DE SUTURA AX-AR-1255-18 307.582 307.582 307.582 307.582 307.582 307.582
MAT4003833 43801 BALON RYUREI 1.0X05MM DC-RR1005HH 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003834 43802 BALON RYUREI 1.25X15MM DC-RR1215HH 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003835 43803 BALON RYUREI 1.5X10MM DC-RR1510HH 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003837 43804 BALON RYUREI 1.5X15MM DC-RR1515HH 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003838 43805 BALON RYUREI 2.0X10MM DC-RR2010HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003839 43806 BALON RYUREI 2.0X20MM DC-RR2020HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003840 43807 BALON RYUREI 2.5X10MM DC-RR2510HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003841 43808 BALON RYUREI 2.5X15MM DC-RR2515HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003843 43810 BALON RYUREI 3.0X15MM DC-RR3015HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003844 43811 BALON RYUREI 3.0X20MM DC-RR3020HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4003847 43814 BALON RYUREI 4.0X20MM DC-RR4020HHW 218.960 218.960 218.960 218.960 218.960 218.960
PRO4003891 43891 PEGAMENTO QUIRURGICO GLUBAN-2 #G2NB 116.620 116.620 116.620 116.620 116.620 116.620
MAT4003901 43892 APLICADOR GLUBAN-2 #G2NBT 238.000 238.000 238.000 238.000 238.000 238.000
MAT4003902 43893 SMALL FLEXIBLE DEVICE #G2NBT SMALL 238.000 238.000 238.000 238.000 238.000 238.000
MAT4003903 43894 SURGY PAD #780-420 184.726 184.726 184.726 184.726 184.726 184.726
PRO4004021 44050 MAXXEUS DBM PUTTY 0,5 CC #2014-40 192.423 192.423 192.423 192.423 192.423 192.423
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

PRO4004022 44051 MAXXEUS DBM PUTTY 1CC #2015-40 403.172 403.172 403.172 403.172 403.172 403.172
PRO4004023 44052 MAXXEUS DBM PUTTY 2,5 CC #2016-40 872.984 872.984 872.984 872.984 872.984 872.984
PRO4004024 44053 MAXXEUS DBM PUTTY 5 CC #2017-40 1.572.704 1.572.704 1.572.704 1.572.704 1.572.704 1.572.704
PRO4004025 44054 CHIPS OSEOS CORTICAL 1-10MM 5CC #1237-12 488.138 488.138 488.138 488.138 488.138 488.138
PRO4004026 44055 CHIPS OSEO CORTICAL 1-10MM 15CC #1003-12 733.040 733.040 733.040 733.040 733.040 733.040
PRO4004027 44056 CHIPS OSEO CORTICAL 1-10MM 30CC #1024-12 1.149.540 1.149.540 1.149.540 1.149.540 1.149.540 1.149.540
PRO4004028 44057 CHIPS OSEO CORTICAL 1-10MM 60CC #1234-12 2.265.760 2.265.760 2.265.760 2.265.760 2.265.760 2.265.760
PRO4004029 44058 CHIPS OSEO CORTICAL 1-10MM 90CC #1235-12 3.415.300 3.415.300 3.415.300 3.415.300 3.415.300 3.415.300
PRO4004030 44059 INJERT TRICORTICAL MENOR 1,0 CM #1031-12 1.332.800 1.332.800 1.332.800 1.332.800 1.332.800 1.332.800
PRO4004031 44060 INJERTO TRICORTICAL, 1,1-1,4 CM #1032-12 1.482.740 1.482.740 1.482.740 1.482.740 1.482.740 1.482.740
PRO4004032 44061 INJERTO TRICORTICAL 2,0-2,9 CM #1034-12 2.499.000 2.499.000 2.499.000 2.499.000 2.499.000 2.499.000
PRO4004033 44062 INJERTO TRICORTICAL 1,5-1,9 CM #1033-12 1.832.600 1.832.600 1.832.600 1.832.600 1.832.600 1.832.600
PRO4004034 44063 SHAFT TIBIAL LIOFILIZADA #1187-14 1.832.600 1.832.600 1.832.600 1.832.600 1.832.600 1.832.600
MAT4004035 44064 DOG BONE #AX-AR-2270 562.508 562.508 562.508 562.508 562.508 562.508
MAT4004036 44065 FIBERTAPE LOOP #AX-AR-7275 135.183 135.183 135.183 135.183 135.183 135.183
MAT4004037 44066 TIGERTAPE LOOP #AX-AR-7275T 135.183 135.183 135.183 135.183 135.183 135.183
MAT4004038 44067 AGUJA NITINOL CORKSCREW #AX-AR-4068-05SD 78.535 78.535 78.535 78.535 78.535 78.535
MAT4004039 44068 DRILL CANNUL REPAI 2.4MM #AX-AR-2257D-24 557.392 557.392 557.392 557.392 557.392 557.392
MAT4004040 44069 DRILL CANNUL REPAI 3.0MM #AX-AR-2257D-30 668.872 668.872 668.872 668.872 668.872 668.872
MAT4004041 44070 CANULA PASSPO 10MMX4CM #AX-AR-6592-10-40 120.881 120.881 120.881 120.881 120.881 120.881
PRO4003391 44100 TORNILLO ACUTRAK 2MICRO 22.0MM AT2-C22-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4003392 44101 TORNILLO ACUTRAK 2MICRO 24.0MM AT2-C24-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4003393 44102 TORNILLO ACUTRAK 2MICRO 26.0MM AT2-C26-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4003394 44103 TORNILLO ACUTRAK 2MICRO 28.0MM AT2-C28-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4003395 44104 TORNILLO ACUTRAK 2MICRO 30.0MM AT2-C30-S 433.160 433.160 433.160 433.160 433.160 433.160
MAT4004330 44230 BALON RYUREI 1.5X20MM #1DC-RR1520HH 218.960 218.960 218.960 218.960 218.960 218.960
PRO4004293 44293 LIO ACRYSOF IQ TORIC #SN6AT2.265 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004294 44294 LIO ACRYSOF IQ TORIC #SN6AT2.270 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004295 44295 LIO ACRYSOF IQ TORIC #SN6AT2.27.5 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004296 44296 LIO ACRYSOF IQ TORIC #SN6AT3.265 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004297 44297 LIO ACRYSOF IQ TORIC #SN6AT3.270 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004298 44298 LIO ACRYSOF IQ TORIC #SN6AT3.27.5 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004299 44299 LIO ACRYSOF IQ TORIC #SN6AT4.265 382.912 382.912 382.912 382.912 382.912 382.912
MAT4003751 44300 FIBRA LASER CYBER 200 MICRAS #OAF402011 549.780 549.780 549.780 549.780 549.780 549.780
MAT4003752 44301 FIBRA LASER CYBER 272 MICRAS #OAF402711 549.780 549.780 549.780 549.780 549.780 549.780
MAT4003753 44302 FIBRA LASER CYBER 365 MICRAS #OAF003611 549.780 549.780 549.780 549.780 549.780 549.780
MAT4003754 44303 FIBRA LASER CYBER 550 MICRAS #OAF005511 549.780 549.780 549.780 549.780 549.780 549.780
MAT4003755 44304 FIBRA LASER CYBER 1000 MICRAS #OAF009911 549.780 549.780 549.780 549.780 549.780 549.780
MAT4004313 44313 ZELANTEDVT OUS #114610-002 3.581.900 3.581.900 3.581.900 3.581.900 3.581.900 3.581.900
MAT4004314 44314 PE CATHETER EU #107171-003 2.798.880 2.798.880 2.798.880 2.798.880 2.798.880 2.798.880
MAT4004315 44315 SOLENT DISTA CATHETER EU #111303-003 3.581.900 3.581.900 3.581.900 3.581.900 3.581.900 3.581.900
MAT4004316 44316 SOLENT OMNI CATHETER EU #109681-004 3.581.900 3.581.900 3.581.900 3.581.900 3.581.900 3.581.900
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT4004317 44317 SEGMENTOS TENSION CAPSULAR, MODELO 6D 357.357 357.357 357.357 357.357 357.357 357.357
MAT4004318 44318 ANILLO TENSION CAPSULAR 13 S/INYECTOR 208.288 208.288 208.288 208.288 208.288 208.288
MAT4004319 44319 ANILLO TENSION CAPSULAR 13A S/INYECTOR 208.288 208.288 208.288 208.288 208.288 208.288
MAT4004320 44320 ANILLO TENSION CAPSULAR 13B S/INYECTOR 208.288 208.288 208.288 208.288 208.288 208.288
PRO4004321 44321 LIO ACRYSOF IQ TORIC #SN6AT4.27.5 382.912 382.912 382.912 382.912 382.912 382.912
MAT4004329 44329 BALON RYUREI 1.25X20MM #1DC-RR1220HH 218.960 218.960 218.960 218.960 218.960 218.960
PRO4004300 44330 LIO ACRYSOF IQ TORIC #SN6AT4.270 382.912 382.912 382.912 382.912 382.912 382.912
MAT4004331 44331 BALON RYUREI 2.5X20MM #1DC-RR2520HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4004332 44332 BALON RYUREI 3.5X30MM #1DC-RR3530HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4004334 44334 BALON RYUREI 4.0X15MM #1DC-RR4015HHW 218.960 218.960 218.960 218.960 218.960 218.960
MAT4004336 44336 BALO NC ACCUFOR 3,0X30MM #1DC-RM3030HHW 350.336 350.336 350.336 350.336 350.336 350.336
MAT4004338 44338 BALON NC ACCUFOR 5,0X12MM #1DC-RM5012HSW 350.336 350.336 350.336 350.336 350.336 350.336
MAT4004339 44339 BALON NC ACCUFOR 5,0X15MM #1DC-RM5015HSW 350.336 350.336 350.336 350.336 350.336 350.336
PRO4004340 44340 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.260 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
MAT4004341 44341 DISPOSITIVO REZUM #M006D2201-0031 2.415.700 2.415.700 2.415.700 2.415.700 2.415.700 2.415.700
MAT4004351 44351 BALON NC ACCUFO 4,5*12MM #1DC-RM4512HSW 350.336 350.336 350.336 350.336 350.336 350.336
MAT4004352 44352 SYNERGY MR 4.50X28MM #H7493926228450 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004353 44353 SYNERGY MR 4.50X32MM #H7493926232450 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004354 44354 SYNERGY MR 5.00X32MM #H7493926232500 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004355 44355 SYNERGY OUS MR 2.50 X 16 #H7493926216250 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004356 44356 SYNERGY OUS MR 2.50 X 20 #H7493926220250 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004357 44357 SYNERGY OUS MR 2.50 X 24 #H7493926224250 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004358 44358 SYNERGY OUS MR 2.50 X 28 #H7493926228250 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004359 44359 SYNERGY OUS MR 2.50 X 32 #H7493926232250 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004360 44360 SYNERGY OUS MR 2.50 X 8 #H7493926208250 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004361 44361 SYNERGY OUS MR 2.75 X 12 #H7493926212270 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004362 44362 SYNERGY OUS MR 2.75 X 24 #H7493926224270 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004363 44363 SYNERGY OUS MR 2.75 X 28 #H7493926228270 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004364 44364 SYNERGY OUS MR 3.00 X 16 #H7493926216300 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004365 44365 SYNERGY OUS MR 3.00 X 20 #H7493926220300 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004366 44366 SYNERGY OUS MR 3.00 X 24 #H7493926224300 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004367 44367 SYNERGY OUS MR 3.00 X 28 #H7493926228300 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004368 44368 SYNERGY OUS MR 3.00 X 32 #H7493926232300 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004369 44369 SYNERGY OUS MR 3.00 X 38 #H7493926238300 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004370 44370 SYNERGY OUS MR 3.50 X 16 #H7493926216350 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004371 44371 SYNERGY OUS MR 3.50 X 24 #H7493926224350 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004372 44372 SYNERGY OUS MR 3.50 X 28 #H7493926228350 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004373 44373 SYNERGY OUS MR 4.00 X 16 #H7493926216400 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004374 44374 SYNERGY OUS MR 4.00 X 20 #H7493926220400 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004375 44375 SYNERGY OUS MR 4.00 X 24 #H7493926224400 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004376 44376 SYNERGY OUS MR 4.00 X 28 #H7493926228400 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT4004377 44377 SYNERGY OUS MR 4.50 X 12 #H7493926212450 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004378 44378 SYNERGY OUS MR 5.00 X 12 #H7493926212500 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004379 44379 EMERGE MR OUS 2.50X30MM #H7493919330250 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700 1.582.700
MAT4004380 44380 EMERGE MR OUS 3.50X12MM #H7493919312350 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004381 44381 EMERGE MR OUS 3.50X20MM #H7493919320350 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004382 44382 EMERGE PUSH MR 1.20X8MM #H7493919408120 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004383 44383 EMERGE PUSH MR 1.50X8MM #H7493919408150 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004384 44384 NC EMERGE MR OU 2.50X6MM #H7493927606250 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004386 44386 NC EMERGE MR OU 2.50X8MM #H7493927608250 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004387 44387 NC EMERGE MR OU 2.75X8MM #H7493927608270 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004388 44388 NC EMERGE MR OU 3.00X8MM #H7493927608300 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004389 44389 NC EMERGE MR O 3.75X12MM #H7493927612370 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004390 44390 NC EMERGE MR OU 4.00X8MM #H7493927608400 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004391 44391 NC EMERGE MR O 4.50X12MM #H7493927612450 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004392 44392 NC EMERGE MR O 5.00X15MM #H7493927615500 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004393 44393 NC EMERGE MR O 5.50X12MM #H7493927612550 248.710 248.710 248.710 248.710 248.710 248.710
MAT4004301 44401 LINX NG SIZING TOOL OUS #LSSUS 140.922 140.922 140.922 140.922 140.922 140.922
MAT4004302 44402 LINX 1,5T 13 BEAD OUS #LXMC13 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348
MAT4004303 44403 LINX 1,5T 14 BEAD OUS #LXMC14 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348
MAT4004304 44404 LINX 1,5T 15 BEAD OUS #LXMC15 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348
MAT4004305 44405 LINX 1,5T 16 BEAD OUS #LXMC16 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348
MAT4004306 44406 LINX 1,5T 17 BEAD OUS #LXMC17 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348 3.230.348
MAT4004311 44411 CATETER KODAMA #17788 1.324.470 1.324.470 1.324.470 1.324.470 1.324.470 1.324.470
PRO4003947 44567 MICRO QA+ PLUS 3-0 ORTH #212843 367.005 367.005 367.005 367.005 367.005 367.005
PRO4003948 44568 HEALIX TI 5.5MM/ORTHOCORD /AGUJA #222242 424.417 424.417 424.417 424.417 424.417 424.417
MAT4003949 44569 BALON ARMADA 35 OTW 8.0 X 20 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
MAT4003950 44570 BALON ARMADA 35 OTW 8.0 X 40 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
MAT4003951 44571 BALON ARMADA 35 OTW 9.0 X 20 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
MAT4003952 44572 BALON ARMADA 35 OTW 9.0 X 40 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
MAT4003953 44573 BALON ARMADA 35 OTW 10.0 X 20 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
MAT4003954 44574 BALON ARMADA 35 OTW 10.0 X 40 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
MAT4003955 44575 BALON ARMADA 35 OTW 12.0 X 20 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
MAT4003956 44576 BALON ARMADA 35 OTW 12.0 X 40 X 135 CM 336.532 336.532 336.532 336.532 336.532 336.532
PRO4003958 44578 ANCLA FOOTPRINT ULTRA PK 5.5MM #72202902 608.110 608.110 608.110 608.110 608.110 608.110
PRO4003959 44579 ANCLA FOOTPRINT ULTRA PK 4.5MM #72202901 608.110 608.110 608.110 608.110 608.110 608.110
PRO4003960 44580 ANCLA HEALICOIL PK 4.5MM 2S #72203378 854.159 854.159 854.159 854.159 854.159 854.159
MAT4003962 44582 SET DE IRRIGACION GO FLO #T0449-01 222.158 222.158 222.158 222.158 222.158 222.158
MAT4003963 44583 PASADOR DE SUTURA 45º DERECHA #7210424 330.430 330.430 330.430 330.430 330.430 330.430
MAT4003964 44584 PASADOR DE SUTURA 45º IZQUIERDA #7210423 330.430 330.430 330.430 330.430 330.430 330.430
PRO4004210 45001 LIO ACRYSOF IQ TORIC #SN6AT2.190 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004211 45002 LIO ACRYSOF IQ TORIC #SN6AT2.195 382.912 382.912 382.912 382.912 382.912 382.912
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4004212 45003 LIO ACRYSOF IQ TORIC #SN6AT2.200 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004213 45004 LIO ACRYSOF IQ TORIC #SN6AT2.205 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004214 45005 LIO ACRYSOF IQ TORIC #SN6AT2.210 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004215 45006 LIO ACRYSOF IQ TORIC #SN6AT2.215 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004216 45007 LIO ACRYSOF IQ TORIC #SN6AT2.220 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004217 45008 LIO ACRYSOF IQ TORIC #SN6AT2.225 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004218 45009 LIO ACRYSOF IQ TORIC #SN6AT2.230 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004219 45011 LIO ACRYSOF IQ TORIC #SN6AT2.235 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004220 45012 LIO ACRYSOF IQ TORIC #SN6AT2.240 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004221 45013 LIO ACRYSOF IQ TORIC #SN6AT2.245 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004222 45014 LIO ACRYSOF IQ TORIC #SN6AT2.250 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004223 45015 LIO ACRYSOF IQ TORIC #SN6AT2.255 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004224 45016 LIO ACRYSOF IQ TORIC #SN6AT2.260 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004166 45018 LIO ACRYSOF IQ TORIC #SN6AT5.200 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004167 45019 LIO ACRYSOF IQ TORIC #SN6AT5.205 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004168 45020 LIO ACRYSOF IQ TORIC #SN6AT5.210 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004169 45021 LIO ACRYSOF IQ TORIC #SN6AT5.215 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004170 45022 LIO ACRYSOF IQ TORIC #SN6AT5.220 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004171 45023 LIO ACRYSOF IQ TORIC #SN6AT5.225 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004172 45024 LIO ACRYSOF IQ TORIC #SN6AT5.230 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004173 45025 LIO ACRYSOF IQ TORIC #SN6AT5.235 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004174 45026 LIO ACRYSOF IQ TORIC #SN6AT5.240 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004175 45027 LIO ACRYSOF IQ TORIC #SN6AT5.245 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004176 45028 LIO ACRYSOF IQ TORIC #SN6AT5.250 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004177 45029 LIO ACRYSOF IQ TORIC #SN6AT5.255 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004178 45030 LIO ACRYSOF IQ TORIC #SN6AT5.260 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004248 45031 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.180 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004249 45032 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.185 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004251 45033 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.190 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004252 45034 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.195 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004253 45035 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.200 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004254 45036 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.205 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004255 45037 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.210 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004256 45038 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.215 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004257 45039 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.220 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004258 45040 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.225 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004259 45041 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.230 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004262 45042 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.235 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

PRO4004263 45043 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.240 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004264 45044 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.245 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004265 45045 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.250 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004267 45046 LIO ACRYSOF IQ PANOPTIX TORI #TFNT20.255 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004179 45061 LIO ACRYSOF IQ TORIC #SN6AT3.190 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004180 45062 LIO ACRYSOF IQ TORIC #SN6AT3.195 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004181 45063 LIO ACRYSOF IQ TORIC #SN6AT3.200 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004182 45064 LIO ACRYSOF IQ TORIC #SN6AT3.205 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004183 45065 LIO ACRYSOF IQ TORIC #SN6AT3.210 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004184 45066 LIO ACRYSOF IQ TORIC #SN6AT3.215 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004185 45067 LIO ACRYSOF IQ TORIC #SN6AT3.220 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004186 45068 LIO ACRYSOF IQ TORIC #SN6AT3.225 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004187 45069 LIO ACRYSOF IQ TORIC #SN6AT3.230 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004188 45070 LIO ACRYSOF IQ TORIC #SN6AT3.235 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004189 45071 LIO ACRYSOF IQ TORIC #SN6AT3.240 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004190 45072 LIO ACRYSOF IQ TORIC #SN6AT3.245 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004191 45073 LIO ACRYSOF IQ TORIC #SN6AT3.250 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004192 45074 LIO ACRYSOF IQ TORIC #SN6AT3.255 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004193 45075 LIO ACRYSOF IQ TORIC #SN6AT3.260 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004268 45078 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.180 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004269 45079 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.185 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004270 45080 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.190 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004271 45081 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.195 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004272 45082 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.200 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004273 45083 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.205 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004274 45084 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.210 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004275 45085 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.215 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004276 45086 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.220 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004277 45087 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.225 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004278 45088 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.230 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004279 45089 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.235 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004280 45090 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.240 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004281 45091 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.245 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004282 45092 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.250 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004283 45093 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.255 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004284 45094 LIO ACRYSOF IQ PANOPTIX TORI #TFNT30.260 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004194 45095 LIO ACRYSOF IQ TORIC #SN6AT4.190 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004195 45096 LIO ACRYSOF IQ TORIC #SN6AT4.195 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004196 45097 LIO ACRYSOF IQ TORIC #SN6AT4.200 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004197 45098 LIO ACRYSOF IQ TORIC #SN6AT4.205 382.912 382.912 382.912 382.912 382.912 382.912
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

PRO4004198 45099 LIO ACRYSOF IQ TORIC #SN6AT4.210 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004199 45100 LIO ACRYSOF IQ TORIC #SN6AT4.215 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004200 45101 LIO ACRYSOF IQ TORIC #SN6AT4.220 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004201 45102 LIO ACRYSOF IQ TORIC #SN6AT4.225 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004202 45103 LIO ACRYSOF IQ TORIC #SN6AT4.230 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004203 45104 LIO ACRYSOF IQ TORIC #SN6AT4.235 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004204 45105 LIO ACRYSOF IQ TORIC #SN6AT4.240 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004205 45106 LIO ACRYSOF IQ TORIC #SN6AT4.245 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004206 45107 LIO ACRYSOF IQ TORIC #SN6AT4.250 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004207 45108 LIO ACRYSOF IQ TORIC #SN6AT4.255 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004208 45109 LIO ACRYSOF IQ TORIC #SN6AT4.260 382.912 382.912 382.912 382.912 382.912 382.912
PRO4004231 45110 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.180 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004232 45111 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.185 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004233 45112 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.190 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004234 45113 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.195 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004235 45114 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.200 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004236 45115 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.205 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004237 45116 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.210 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004238 45117 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.215 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004239 45118 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.220 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004240 45119 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.225 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004241 45120 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.230 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004242 45121 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.235 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004243 45122 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.240 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004244 45123 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.245 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004245 45124 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.250 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004246 45125 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.255 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4004247 45126 LIO ACRYSOF IQ PANOPTIX TORIC TFNT40.260 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265 1.125.265
PRO4003761 45321 PROT. OIDO 4.5 T/PISTON SMALL #10760450S 323.204 323.204 323.204 323.204 323.204 323.204
PRO4003762 45322 PROT.OIDO 4.5 T/PISTON MEDIUM #10760450M 323.204 323.204 323.204 323.204 323.204 323.204
PRO4003763 45323 PROT. OIDO 4.5 T/PISTON LARGE #10760450L 323.204 323.204 323.204 323.204 323.204 323.204
PRO4003764 45324 PROT. OIDO MEDIO 4.75 MM T/TORP #11847 424.830 424.830 424.830 424.830 424.830 424.830
PRO4003765 45325 PROTESIS OIDO MEDIO 2.5 MM T/PORT #12725 424.830 424.830 424.830 424.830 424.830 424.830
PRO4003766 45326 PROTESIS VINCENT OSSICULAR #614 336.001 336.001 336.001 336.001 336.001 336.001
PRO4003383 45645 STENT TANSEI 2.5 X 21 MM DE-RQ2521KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4003385 45647 STENT TANSEI 3.0 X 21 MM DE-RQ3021KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4003386 45648 STENT TANSEI 3.5 X 21 MM DE-RQ3521KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4003388 45650 BALON ACCUFORCE 2.5 X 12 MM DC-RM2512HHW 306.544 306.544 306.544 306.544 306.544 306.544
MAT4003389 45651 BALON ACCUFORCE 2.5 X 15 MM DC-RM2515HHW 350.336 350.336 350.336 350.336 350.336 350.336
PRO4003390 45652 BALON ACCUFORCE 3.0 X 8 MM DC-RM3008HSW 306.544 306.544 306.544 306.544 306.544 306.544
MAT4003404 45653 BALON ACCUFORCE 3.0 X 12 MM DC-RM3012HHW 350.336 350.336 350.336 350.336 350.336 350.336
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003406 45655 BALON ACCUFORCE 3.0 X 20 MM DC-RM3020HHW 306.544 306.544 306.544 306.544 306.544 306.544
PRO4003409 45658 BALON ACCUFORCE 3.5X12 MM DC-RM3512HHW 306.544 306.544 306.544 306.544 306.544 306.544
MAT4003411 45660 BALON ACCUFORCE 3.5 X 20 MM DC-RM3520HHW 350.336 350.336 350.336 350.336 350.336 350.336
PRO4003419 45661 BALON ACCUFORCE 4.0 X 8 MM DC-RM4008HSW 306.544 306.544 306.544 306.544 306.544 306.544
PRO4003663 45662 BALON ACCUFORCE 4.0 X 12 MM DC-RM4012HHW 350.336 350.336 350.336 350.336 350.336 350.336
PRO4003664 45663 BALON ACCUFORCE 4.0 X 15 MM DC-RM4015HHW 306.544 306.544 306.544 306.544 306.544 306.544
MAT4003731 46432 GUIA FRESADO DIAMETRO 2.5 L650 #351.709S 173.586 173.586 173.586 173.586 173.586 173.586
PRO4003084 46709 CLAVO FIBULA 3.0 X 110 MM 40-0026 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950
PRO4003085 46710 CLAVO FIBULA 3.0 X 145 MM 40-0027 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950
PRO4003086 46711 CLAVO FIBULA 3.0 X 180 MM 40-0028 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950
PRO4003087 46712 CLAVO FIBULA 3.6 X 110 MM 40-0029 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950
PRO4003088 46713 CLAVO FIBULA 3.6 X 145 MM 40-0030 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950
PRO4003089 46714 CLAVO FIBULA 3.6 X 180 MM 40-0031 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950 1.314.950
MAT4003757 46743 TIGERSTICK 2 TW WHITE/BLACK #AX-AR-7209T 227.504 227.504 227.504 227.504 227.504 227.504
MAT4003758 46744 BOTONPASADOR CANULA 12X3CM AR-6592-12-30 172.788 172.788 172.788 172.788 172.788 172.788
MAT4003760 46745 CATETER GUIA CHAPERON 5FR #GC595M2 323.680 323.680 323.680 323.680 323.680 323.680
MAT4003771 46746 MICROGUIA TRAXCESS SUEVE #GW1420040 491.470 491.470 491.470 491.470 491.470 491.470
MAT4003772 46747 MICROGUIA TRAXCES SEXTRASOFT #GW1420040X 491.470 491.470 491.470 491.470 491.470 491.470
MAT4003773 46748 CATETER C/ BALON PARA OCLUSION #BC0411XC 1.482.740 1.482.740 1.482.740 1.482.740 1.482.740 1.482.740
MAT4003775 46750 MICROCATETER 45° GRADOS #MC17215045X 899.640 899.640 899.640 899.640 899.640 899.640
MAT4003777 46752 MICROLAZO MULTISNARE 2 Y 4MM #147304 932.960 932.960 932.960 932.960 932.960 932.960
MAT4003759 46759 SEPRAFILM #4301-03 349.860 349.860 349.860 349.860 349.860 349.860
PRO4003090 48907 TIGHTROPE DUAL AR-8958TDS 2.433.006 2.433.006 2.433.006 2.433.006 2.433.006 2.433.006
MED6000001 60007 CLORHEXIDINA (ORALGENE) 0.12% 120ML 16.976 16.976 16.976 16.976 16.976 16.976
MED6000002 60008 CLORHEXIDINA 2 % 1000ML 29.655 29.655 29.655 29.655 29.655 29.655
MED6000003 60020 SERETIDE 25MCG/125MCG INH 69.460 69.460 69.460 69.460 69.460 69.460
MED6000004 60024 NITROFURANTOINA 100MG CAP 550 550 550 550 550 550
MED6000005 60026 NITROFURANTOINA 50MG CAP 721 721 721 721 721 721
MED6000007 60034 NITROFURAZONA 0.2% POMO 40GR 31.273 31.273 31.273 31.273 31.273 31.273
MED6000008 60037 CLORHEXIDINA JABONOSA 2% 340ML C/VALVULA 16.416 16.416 16.416 16.416 16.416 16.416
MED6001557 60046 BETAMETASONA 0.1% 10ML SOL. OFT 22.386 22.386 22.386 22.386 22.386 22.386
MED6001986 60049 LENALIDOMIDA (REVLIMID) 10MG 21 CAP 2.864.422 2.864.422 2.864.422 2.864.422 2.864.422 2.864.422
MED6001967 60050 PEG-ASPARRAGINASA (ONCASPAR) 3750UI/5ML 2.953.674 2.953.674 2.953.674 2.953.674 2.953.674 2.953.674
MED6001973 60051 MIDOSTAURINA (RYDAPT) 25MG 56 COMP 7.497.010 7.497.010 7.497.010 7.497.010 7.497.010 7.497.010
MED6000009 60052 POVIDONA YODADA 10% ESPUMANTE 1000ML 32.473 32.473 32.473 32.473 32.473 32.473
MED6001622 60055 VACUNA BEXSERO 122.385 122.385 122.385 122.385 122.385 122.385
MED6000011 60062 POVIDONA YODADA 50ML 5.229 5.229 5.229 5.229 5.229 5.229
MED6001981 60077 MIDOSTAURINA (RYDAPT) 25MG 112 COMP 14.992.646 14.992.646 14.992.646 14.992.646 14.992.646 14.992.646
MED6002021 60080 BORTEZOMIB (VELCADE ) 3.5MG INY 1.148.648 1.148.648 1.148.648 1.148.648 1.148.648 1.148.648
MED6000016 60094 AGUA OXIGENADA 10VOL 110ML 4.148 4.148 4.148 4.148 4.148 4.148
MED6000017 60095 ALCOHOL ETILICO 70° 125ML 1.928 1.928 1.928 1.928 1.928 1.928
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000018 60098 TRICLOSAN (LAVASEPT) 1 % JABON 5.367 5.367 5.367 5.367 5.367 5.367
MED6000020 60100 CARBOMER (LACRYVISC) 10G GEL OFT 51.188 51.188 51.188 51.188 51.188 51.188
MED6001521 60102 TAPENTADOL 50MG COMP 4.391 4.391 4.391 4.391 4.391 4.391
MED6001522 60104 TAPENTADOL RETARD 50MG COMP 4.391 4.391 4.391 4.391 4.391 4.391
MED6001523 60106 TAPENTADOL RETARD 100MG COMP 6.545 6.545 6.545 6.545 6.545 6.545
MED6001518 60117 BIOPIEL GEL CICATRIZANTE 50ML 40.792 40.792 40.792 40.792 40.792 40.792
MED6000026 60134 METILERGOMETRINA 0.2 MG/1ML INY 1.428 1.428 1.428 1.428 1.428 1.428
MED6001520 60138 CITRA-LOCK 4% 2.5ML JER 12.822 12.822 12.822 12.822 12.822 12.822
MED6000028 60140 OXITOCINA 5UI 1ML INY 643 643 643 643 643 643
MED6001492 60141 TRIAMCINOLONA (ATRINAT) 20MG/ML 35.343 35.343 35.343 35.343 35.343 35.343
MED6000029 60144 FENOTEROL 0.5 MG/10 ML INY 12.566 12.566 12.566 12.566 12.566 12.566
MED6001968 60145 CARMUSTINA 100MG EV 886.788 886.788 886.788 886.788 886.788 886.788
MED6001987 60151 BUSULFAN (BUSILVEX) 60MG/10ML 8 FAM 473.620 473.620 473.620 473.620 473.620 473.620
MED6000031 60154 ATROPINA SULFATO 1MG/1ML INY 835 835 835 835 835 835
MED6000032 60156 ATROPINA 1% 10ML SOL. OFT 22.858 22.858 22.858 22.858 22.858 22.858
MED6000033 60160 CICLOPENTOLATO (CYCLOGYL) 1%15ML SOL OFT 62.767 62.767 62.767 62.767 62.767 62.767
MED6001547 60163 IPILIMUMAB (YERVOY) 50MG/10ML REGIMEN 3.531.878 3.531.878 3.531.878 3.531.878 3.531.878 3.531.878
MED6000034 60164 HIOSCINA 20MG/1ML INY 2.670 2.670 2.670 2.670 2.670 2.670
MED6000036 60169 ONDANSETRON ZYDIS 4MG COMP DISP 16.679 16.679 16.679 16.679 16.679 16.679
MED6001548 60175 RAMUCIRUMAB (CYRAMZA) 500MG FAM 5.583.615 5.583.615 5.583.615 5.583.615 5.583.615 5.583.615
MED6000038 60179 PARGEVERINA 5 MG/1 ML INY 2.713 2.713 2.713 2.713 2.713 2.713
MED6000040 60182 CARBACHOL (MIOSTAT) 0.01% 1.5ML SOL. OFT 69.297 69.297 69.297 69.297 69.297 69.297
MED6001549 60184 RAMUCIRUMAB (CYRAMZA) 100MG FAM 1.206.061 1.206.061 1.206.061 1.206.061 1.206.061 1.206.061
MED6001550 60185 DECITABINA (DACOGEN) 50MG FAM 2.041.058 2.041.058 2.041.058 2.041.058 2.041.058 2.041.058
MED6001551 60189 OBINUTUZUMAB (GAZYVA) 1G/40ML EV 3.448.757 3.448.757 3.448.757 3.448.757 3.448.757 3.448.757
MED6000041 60190 TROPICAMIDA (MYDRIACYL) 1% 1.5ML SOL OFT 54.716 54.716 54.716 54.716 54.716 54.716
MED6000042 60191 ACICLOVIR 5% 5G DERMICO 2.228 2.228 2.228 2.228 2.228 2.228
MED6000043 60196 NEOSTIGMINE 0.5 MG/1 ML INY 714 714 714 714 714 714
MED6000044 60197 MIRTAZAPINA 30MG COMP RAN 1.607 1.607 1.607 1.607 1.607 1.607
MED6001553 60198 ATEZOLIZUMAB (TECENTRIQ) 1200MG/20ML 5.181.864 5.181.864 5.181.864 5.181.864 5.181.864 5.181.864
MED6000045 60202 FENILEFRINA (MYDFRIN) 2.5% 5ML SOL.OFT 65.932 65.932 65.932 65.932 65.932 65.932
MED6000046 60203 CICLOBENZAPRINA 10MG COMP 2.777 2.777 2.777 2.777 2.777 2.777
MED6000047 60206 DANTROLENO 20MG INY 114.536 114.536 114.536 114.536 114.536 114.536
MED6000048 60210 PAPAVERINA 80 MG/2 ML INY 2.056 2.056 2.056 2.056 2.056 2.056
MED6000049 60211 VECURONIO (NORCURON) 10 MG F-AM 16.879 16.879 16.879 16.879 16.879 16.879
MED6001554 60212 ZIV-AFLIBERCEPT (ZALTRAP) 100MG X VIA 612.080 612.080 612.080 612.080 612.080 612.080
MED6001555 60216 PANITUMUMAB (VECTIBIX) 100MG/5ML FAM 727.571 727.571 727.571 727.571 727.571 727.571
MED6000050 60221 LEVONORGESTREL 52MG DIU 289.572 289.572 289.572 289.572 289.572 289.572
MED6000051 60223 TIZANIDINA 2MG COMP 5.485 5.485 5.485 5.485 5.485 5.485
MED6000052 60226 TAMSULOSINA 0.4MG COMP REC LP 707 707 707 707 707 707
MED6000053 60228 VALSARTAN 80MG COMP REC 7.186 7.186 7.186 7.186 7.186 7.186
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001988 60230 ATGAM 250MG/5ML 372.613 372.613 372.613 372.613 372.613 372.613
MED6000054 60232 METILDOPA 250MG COMP 621 621 621 621 621 621
MED6001969 60234 TRASTUZUMAB (HERCEPTIN) 600MG/5ML SC FAM 2.132.779 2.132.779 2.132.779 2.132.779 2.132.779 2.132.779
MED6001982 60235 CAPECITABINA (XELODA) 150MG 60 COMP 133.790 133.790 133.790 133.790 133.790 133.790
MED6000055 60236 PROPANOLOL 10MG COMP 129 129 129 129 129 129
MED6001971 60239 DURVALUMAB (IMFINZI) 500MG/10ML 2.737.567 2.737.567 2.737.567 2.737.567 2.737.567 2.737.567
MED6001972 60240 DURVALUMAB (IMFINZI) 120MG/2,4ML 735.857 735.857 735.857 735.857 735.857 735.857
MED6000056 60241 FOSFOLIPIDOS (SURVANTA) 200MG/8ML INY 491.531 491.531 491.531 491.531 491.531 491.531
MED6000058 60248 CARVEDILOL 12.5MG COMP 207 207 207 207 207 207
MED6000059 60249 ACICLOVIR (ZOVIRAX) 250MG INY 71.038 71.038 71.038 71.038 71.038 71.038
MED6000060 60250 DOBUTAMINA 250MG/5ML INY 5.891 5.891 5.891 5.891 5.891 5.891
MED6000061 60252 DOPAMINA 200MG/5ML INY 2.385 2.385 2.385 2.385 2.385 2.385
MED6001581 60254 DEXMEDETOMIDINA 80MCG/20ML INY 69.306 69.306 69.306 69.306 69.306 69.306
MED6000062 60256 EFEDRINA 60MG/1ML INY 928 928 928 928 928 928
MED6000063 60257 DIPIRIDAMOL 10MG/2ML INY 16.542 16.542 16.542 16.542 16.542 16.542
MED6000064 60258 METILPREDNISOLONA (DEPO-MEDROL) 80MG INY 84.341 84.341 84.341 84.341 84.341 84.341
MED6000065 60259 TOBRADEX 5ML SOL. OFT 103.140 103.140 103.140 103.140 103.140 103.140
MED6001412 60260 AZITROMICINA 500MG EV 82.467 82.467 82.467 82.467 82.467 82.467
MED6000066 60262 EPINEFRINA 1MG/1ML INY 3.749 3.749 3.749 3.749 3.749 3.749
MED6000067 60266 TOBRADEX 3.5GR UNG OFTALMICO 69.334 69.334 69.334 69.334 69.334 69.334
MED6001983 60268 HIDROXICARBAMIDA 500MG 100 COMP 134.827 134.827 134.827 134.827 134.827 134.827
MED6001364 60270 FONDAPARINUX (ARIXTRA) 2.5MG/0,5ML JER 12.898 12.898 12.898 12.898 12.898 12.898
MED6000068 60272 METRONIDAZOL (FLAGYL) 500MG/100ML INY 2.213 2.213 2.213 2.213 2.213 2.213
MED6000069 60273 NOREPINEFRINA 4MG/4ML INY 5.825 5.825 5.825 5.825 5.825 5.825
MED6001984 60277 AXITINIB (INLYTA) 5MG 60 COMP 5.508.867 5.508.867 5.508.867 5.508.867 5.508.867 5.508.867
MED6001985 60279 DASATINIB (SPRYCEL) 70MG 60 COMP 3.814.942 3.814.942 3.814.942 3.814.942 3.814.942 3.814.942
MED6001991 60291 SYNACTHEN 250 MCG X 1 AMP 271.320 271.320 271.320 271.320 271.320 271.320
MED6002022 60293 IRINOTECAN (CAMPTOSAR) 100MG/5ML INY 278.460 278.460 278.460 278.460 278.460 278.460
MED6000070 60299 BASILIXIMAB (SIMULECT) 20MG INY 1.433.629 1.433.629 1.433.629 1.433.629 1.433.629 1.433.629
MED6000071 60303 INS NPH ISOFANA (HUMULIN N)100UI/ML INY 72.596 72.596 72.596 72.596 72.596 72.596
MED6000072 60334 ATORVASTATINA 80MG COMP 7.540 7.540 7.540 7.540 7.540 7.540
MED6000073 60335 CABERGOLINA (DOSTINEX) 0.5MG CAJA 2COMP 69.855 69.855 69.855 69.855 69.855 69.855
MED6000074 60336 ENOXAPARINA 60MG INY 17.850 17.850 17.850 17.850 17.850 17.850
MED6000075 60339 INS REGULAR (HUMULIN R) 100 UI/ML INY 72.596 72.596 72.596 72.596 72.596 72.596
MED6000076 60346 LEVOTIROXINA 100MCG COMP 271 271 271 271 271 271
MED6000077 60363 FORMALINA 10% 60ML (FCO 120ML) 7.854 7.854 7.854 7.854 7.854 7.854
MED6000078 60364 INS ISOFANA (INSULATARD HM)100 UI/ML INY 55.340 55.340 55.340 55.340 55.340 55.340
MED6000082 60382 BETAMETASONA 0.5MG 30ML GOTA 58.327 58.327 58.327 58.327 58.327 58.327
MED6000083 60389 LOTRIDERM 15G CREMA 29.165 29.165 29.165 29.165 29.165 29.165
MED6000084 60390 BETAMETASONA 0,05% 15 G CREMA 3.077 3.077 3.077 3.077 3.077 3.077
MED6000085 60396 BETAMETASONA 4 MG/ML INY 621 621 621 621 621 621
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000086 60408 DEXAMETASONA 4 MG/1 ML INY 643 643 643 643 643 643
MED6000088 60422 HIDROCORTISONA 20MG COMP 1.028 1.028 1.028 1.028 1.028 1.028
MED6000089 60424 HIDROCORTISONA (SOLU-CORTEF) 100MG INY 3.749 3.749 3.749 3.749 3.749 3.749
MED6000090 60426 HIDROCORTISONA (SOLU-CORTEF) 500MG INY 8.509 8.509 8.509 8.509 8.509 8.509
MED6000091 60428 METILPREDNISOLONA (DEPO-MEDROL) 40MG 49.122 49.122 49.122 49.122 49.122 49.122
MED6000093 60436 METILPREDNISOLONA (SOLU-MEDROL) 40MG 17.874 17.874 17.874 17.874 17.874 17.874
MED6000094 60437 METILPREDNISOLONA (MEDROL) 4MG COMP 4.791 4.791 4.791 4.791 4.791 4.791
MED6000095 60440 PREDNISONA 5MG COMP 200 200 200 200 200 200
MED6000096 60444 HIDROCORTISONA LOCION TOPICA 1% 100ML 39.680 39.680 39.680 39.680 39.680 39.680
MED6000097 60446 CLOBETASOL 0.05% 30G CREMA 4.284 4.284 4.284 4.284 4.284 4.284
MED6000098 60450 METILPREDNISOLONA (SOLU-MEDROL) 125MG 48.168 48.168 48.168 48.168 48.168 48.168
MED6000099 60451 PREDNISOLONA (PRED FORTE) 1% 5ML SOL OFT 83.929 83.929 83.929 83.929 83.929 83.929
MED6000100 60452 METILPREDNISOLONA (SOLU-MEDROL) 500MG 75.091 75.091 75.091 75.091 75.091 75.091
MED6000101 60454 METILPREDNISOLONA (SOLU-MEDROL) 1000MG 115.829 115.829 115.829 115.829 115.829 115.829
MED6000103 60460 GLUCAGON 1MG/1 ML 94.277 94.277 94.277 94.277 94.277 94.277
MED6000104 60462 METFORMINA 850MG COMP 377 377 377 377 377 377
MED6000105 60466 METILPREDNISOLONA (MEDROL) 16MG COMP 12.246 12.246 12.246 12.246 12.246 12.246
MED6000106 60467 NAPROXENO 60ML SUSP ORAL 12.869 12.869 12.869 12.869 12.869 12.869
MED6000107 60468 BEQUIUM 120ML JARABE 22.362 22.362 22.362 22.362 22.362 22.362
MED6000108 60473 ENOXAPARINA 40MG JER 14.851 14.851 14.851 14.851 14.851 14.851
MED6000109 60476 AMIODARONA 200MG COMP 550 550 550 550 550 550
MED6000110 60477 ENOXAPARINA 20MG INY 16.273 16.273 16.273 16.273 16.273 16.273
MED6000111 60478 AMIODARONA 150MG/3ML INY 3.284 3.284 3.284 3.284 3.284 3.284
MED6000112 60479 VATANAL 20G UNGÜENTO 29.807 29.807 29.807 29.807 29.807 29.807
MED6000113 60485 VATANAL SUPOSITORIO 4.470 4.470 4.470 4.470 4.470 4.470
MED6000114 60495 VERAPAMILO 5MG/2ML INY 5.531 5.531 5.531 5.531 5.531 5.531
MED6000116 60504 ADENOSINA 6MG/2ML INY 28.560 28.560 28.560 28.560 28.560 28.560
MED6000117 60506 DIGOXINA 0.25MG COMP 228 228 228 228 228 228
MED6000118 60508 LANATOSIDO C 0.4MG/2ML INY 10.472 10.472 10.472 10.472 10.472 10.472
MED6000119 60516 PREGABALINA 150MG COMP 1.200 1.200 1.200 1.200 1.200 1.200
MED6000120 60518 CAPTOPRIL 25MG COMP 164 164 164 164 164 164
MED6000121 60520 DULOXETINA 30MG COMP 1.007 1.007 1.007 1.007 1.007 1.007
MED6000122 60522 PREGABALINA 75MG COMP 707 707 707 707 707 707
MED6000123 60526 HIDRALAZINA 50MG COMP 293 293 293 293 293 293
MED6000124 60531 DESMOPRESINA 15 MCG/1ML INY 89.939 89.939 89.939 89.939 89.939 89.939
MED6000125 60536 NITROPRUSIATO SODICO 50MG/2ML INY 93.713 93.713 93.713 93.713 93.713 93.713
MED6000126 60538 PARACETAMOL 100MG/ML GOTAS 9.401 9.401 9.401 9.401 9.401 9.401
MED6000127 60540 SUCRALFATO 1G/10ML 200ML SUSP 33.699 33.699 33.699 33.699 33.699 33.699
MED6000128 60542 AMINOFILINA 250MG/10ML INY 1.628 1.628 1.628 1.628 1.628 1.628
MED6000129 60545 MILRINONA 10MG/10ML INY 89.250 89.250 89.250 89.250 89.250 89.250
MED6000130 60546 OMEPRAZOL 40MG INY 13.109 13.109 13.109 13.109 13.109 13.109
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000131 60554 ISOSORBIDE DINITRATO 10MG COMP 107 107 107 107 107 107
MED6000133 60560 NITROGLICERINA 0.5MG/10ML INY 16.850 16.850 16.850 16.850 16.850 16.850
MED6000134 60562 IPRATROPIO 0.25MG/ML SOL NEB 19.278 19.278 19.278 19.278 19.278 19.278
MED6000136 60569 AMLODIPINO 5MG COMP 79 79 79 79 79 79
MED6000137 60576 ACENOCUMAROL 4MG COMP 578 578 578 578 578 578
MED6000138 60580 HEPARINA 25000 UI/5ML INY 16.565 16.565 16.565 16.565 16.565 16.565
MED6000139 60583 DESLORATADINA 5MG COMP 300 300 300 300 300 300
MED6000140 60584 PROTAMINA SULFATO 5ML 93.713 93.713 93.713 93.713 93.713 93.713
MED6000141 60589 NITROSTAT 0.4MG FCO 25COMP 57.477 57.477 57.477 57.477 57.477 57.477
MED6000142 60591 AMLODIPINO 10MG COMP 93 93 93 93 93 93
MED6000143 60597 IPRATROPIO INH 21MCG/INH 46.177 46.177 46.177 46.177 46.177 46.177
MED6000144 60598 SALBUTAMOL INH 100MCG/INH 14.394 14.394 14.394 14.394 14.394 14.394
MED6000145 60599 DOXAZOCINA 2MG COMP 5.177 5.177 5.177 5.177 5.177 5.177
MED6000146 60601 DOXAZOCINA 4MG COMP 6.820 6.820 6.820 6.820 6.820 6.820
MED6000147 60603 SALBUTAMOL 0.5% 20ML SOL NEB 44.232 44.232 44.232 44.232 44.232 44.232
MED6000148 60606 ALCOHOL 70° 1000ML 11.704 11.704 11.704 11.704 11.704 11.704
MED6000149 60607 METOLAZONA 2.5MG COMP 1.985 1.985 1.985 1.985 1.985 1.985
MED6000152 60611 ENALAPRIL 5MG COMP 1.960 1.960 1.960 1.960 1.960 1.960
MED6000153 60619 TRAMADOL 150MG COMP LIB. PROL 4.177 4.177 4.177 4.177 4.177 4.177
MED6000154 60620 ACETILCISTEINA (MUCOLITICO) 10% 15ML 34.748 34.748 34.748 34.748 34.748 34.748
MED6000155 60621 ADRENALINA RACEMICA 0.5ML INH 24.562 24.562 24.562 24.562 24.562 24.562
MED6001314 60624 KETOROLACO (SYNDOL) 60MG/2ML 7.854 7.854 7.854 7.854 7.854 7.854
MED6000157 60626 AMBROXOL 30MG COMP 1.442 1.442 1.442 1.442 1.442 1.442
MED6000158 60627 AMBROXOL 30 MG/5 ML JBE 100 ML 11.721 11.721 11.721 11.721 11.721 11.721
MED6000159 60631 FLEMEX 120ML JARABE 17.993 17.993 17.993 17.993 17.993 17.993
MED6000160 60636 ILIADIN SPRAY ADULTO 0.05 % 10 ML 26.547 26.547 26.547 26.547 26.547 26.547
MED6000161 60638 DICLOFENACO POTASICO (ARTREN) GOTAS VO 16.724 16.724 16.724 16.724 16.724 16.724
MED6000162 60639 PALONOSETRON 0.25MG INY 153.956 153.956 153.956 153.956 153.956 153.956
MED6000163 60647 PARGEVERINA 5 MG/ML GOTAS 15ML 6.283 6.283 6.283 6.283 6.283 6.283
MED6000164 60648 CLORFENAMINA 4MG COMP 40 40 40 40 40 40
MED6000166 60651 SYMBICORT 160MCG/4.5MCG INH 140.422 140.422 140.422 140.422 140.422 140.422
MED6000167 60652 CLORFENAMINA 10MG/ML INY 730 730 730 730 730 730
MED6000168 60653 AC ACETILSALIC (CARDIOASPIRINA) 10OMG 377 377 377 377 377 377
MED6000169 60654 OLANZAPINA 10MG IM 56.548 56.548 56.548 56.548 56.548 56.548
MED6000170 60656 TRAMADOL 50MG COMP LIB. PROL 6.002 6.002 6.002 6.002 6.002 6.002
MED6000171 60657 ISOPROTERENOL 1MG/5ML INY 85.383 85.383 85.383 85.383 85.383 85.383
MED6000172 60663 OCTREOTIDE (SANDOSTATIN) 0.1 MG/ML S/C 42.079 42.079 42.079 42.079 42.079 42.079
MED6000173 60671 BACTEROL 40/200MG 100ML SUSP 34.695 34.695 34.695 34.695 34.695 34.695
MED6000174 60675 TRACTOCILE (ATOSIBAN) 7.5MG 0.9ML INY 129.056 129.056 129.056 129.056 129.056 129.056
MED6000175 60678 TRAMADOL 100MG/2ML INY 878 878 878 878 878 878
MED6000176 60680 AC ACETILSALIC (ASPIRINA) 100MG COMP 271 271 271 271 271 271
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000178 60682 AC ACETILSALIC (ASPIRINA) 500MG COMP 188 188 188 188 188 188
MED6000179 60683 AC TRANEXAMICO 1G/10ML INY 10.996 10.996 10.996 10.996 10.996 10.996
MED6000180 60684 SUPOSITORIO ANTIESPASMODICO ADULTO 4.591 4.591 4.591 4.591 4.591 4.591
MED6000181 60686 PEMETREXED 500MG INY 142.800 142.800 142.800 142.800 142.800 142.800
MED6000183 60693 ELCAL- D FORTE CAP 186 186 186 186 186 186
MED6000184 60695 NARATRIPTAN 2.5MG CAJA 2COM 12.812 12.812 12.812 12.812 12.812 12.812
MED6000185 60697 TRACTOCILE (ATOSIBAN) 7.5MG 5ML INY 221.545 221.545 221.545 221.545 221.545 221.545
MED6000186 60701 SALMETEROL 25MCG INH 88.179 88.179 88.179 88.179 88.179 88.179
MED6000187 60712 INDOMETACINA 25MG COMP 643 643 643 643 643 643
MED6000188 60714 NAPROXENO FORTE 550MG COMP 1.992 1.992 1.992 1.992 1.992 1.992
MED6000189 60716 FLUTICASONA LF 250MCG INH 96.351 96.351 96.351 96.351 96.351 96.351
MED6000190 60717 DICLOFENACO SODICO 50MG SUP 657 657 657 657 657 657
MED6000191 60718 WARFARINA 5MG COMP 3.056 3.056 3.056 3.056 3.056 3.056
MED6000192 60719 DICLOFENACO SODICO 50MG COMP 105 105 105 105 105 105
MED6000193 60720 NAPROXENO 275MG COMP 1.028 1.028 1.028 1.028 1.028 1.028
MED6000194 60721 DICLOFENACO SODICO 75MG/3ML INY 820 820 820 820 820 820
MED6000196 60723 NAPROXENO 50MG SUP INF 1.828 1.828 1.828 1.828 1.828 1.828
MED6000197 60724 IBUPROFENO 100MG/5ML JBE 8.007 8.007 8.007 8.007 8.007 8.007
MED6000198 60726 AEROCAMARA VORTEX ADULTO 114.597 114.597 114.597 114.597 114.597 114.597
MED6000199 60727 PARACETAMOL 125MG SUP 858 858 858 858 858 858
MED6000200 60730 PARACETAMOL 500MG COMP 50 50 50 50 50 50
MED6000201 60735 PARACETAMOL 150MG/5ML JBE 11.817 11.817 11.817 11.817 11.817 11.817
MED6000202 60737 FLUTICASONA 0.05% SUSP. ACUOSA NASAL 107.982 107.982 107.982 107.982 107.982 107.982
MED6000204 60742 CLONIXINATO LISINA 125MG COMP 650 650 650 650 650 650
MED6000205 60744 CLONIXINATO LISINA 100MG/2ML INY 2.213 2.213 2.213 2.213 2.213 2.213
MED6000206 60745 DOXORRUBICINA 10MG/5ML INY 14.994 14.994 14.994 14.994 14.994 14.994
MED6000207 60747 FLUTICASONA LF 50MCG INH 107.432 107.432 107.432 107.432 107.432 107.432
MED6000208 60748 GLUCOSA 5% 250ML 2.927 2.927 2.927 2.927 2.927 2.927
MED6000209 60749 CARGA POTASIO 1.5G EN AGUA 50ML 6.676 6.676 6.676 6.676 6.676 6.676
MED6000210 60750 GLUCOSA 5% 500ML 2.942 2.942 2.942 2.942 2.942 2.942
MED6000211 60752 GLUCOSA 5% 1000ML 4.041 4.041 4.041 4.041 4.041 4.041
MED6000212 60754 GLUCOSA 10% 250ML 3.213 3.213 3.213 3.213 3.213 3.213
MED6000213 60756 GLUCOSA 10% 500ML 3.413 3.413 3.413 3.413 3.413 3.413
MED6000214 60758 GLUCOSA 10% 1000ML 4.820 4.820 4.820 4.820 4.820 4.820
MED6000215 60761 AEROCAMARA VORTEX PEDIATRICO 150.297 150.297 150.297 150.297 150.297 150.297
MED6000216 60762 GLUCOSA 20% 500ML 4.056 4.056 4.056 4.056 4.056 4.056
MED6000217 60763 GLUCOSA 30% 20ML 3.570 3.570 3.570 3.570 3.570 3.570
MED6000218 60764 GLUCOSA 30% 500ML 4.848 4.848 4.848 4.848 4.848 4.848
MED6000219 60765 AMINOACIDOS 15% 500ML 33.320 33.320 33.320 33.320 33.320 33.320
MED6000221 60768 GLUCOSALINO ISOTON 500ML 3.534 3.534 3.534 3.534 3.534 3.534
MED6000222 60771 GLUCOSALINO ISOTON 1000ML 5.069 5.069 5.069 5.069 5.069 5.069
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000223 60773 AEROCAMARA VORTEX NEO 113.526 113.526 113.526 113.526 113.526 113.526
MED6000224 60775 FLUTICASONA LF 125MCG INH 21.420 21.420 21.420 21.420 21.420 21.420
MED6000225 60778 CLORHEXIDINA TINTURADA 2% 50ML 8.718 8.718 8.718 8.718 8.718 8.718
MED6000226 60779 MANITOL 15% 500ML 7.854 7.854 7.854 7.854 7.854 7.854
MED6000227 60787 TRIO-VAL COMPRIMIDOS 1.121 1.121 1.121 1.121 1.121 1.121
MED6000228 60789 SOL IRRIGACION GLICINA 1.5% 3000ML 14.851 14.851 14.851 14.851 14.851 14.851
MED6000229 60790 GLUCOSA 5% 100ML 2.927 2.927 2.927 2.927 2.927 2.927
MED6000230 60793 AGUA BIDESTILADA 5ML AMP 321 321 321 321 321 321
MED6000231 60794 AGUA BIDESTILADA 10ML AMP 428 428 428 428 428 428
MED6000232 60795 GLUCOSA 5% 50ML 2.870 2.870 2.870 2.870 2.870 2.870
MED6000233 60796 ACETAZOLAMIDA 250MG COMP 685 685 685 685 685 685
MED6000234 60801 SUGAMMADEX 200MG/2ML INY 163.863 163.863 163.863 163.863 163.863 163.863
MED6000235 60803 BOLSA FOTOPROTECTORA AMARILLA 2.399 2.399 2.399 2.399 2.399 2.399
MED6000236 60804 CARBETOCINA (DURATOCIN) 100MCG/1ML 64.437 64.437 64.437 64.437 64.437 64.437
MED6000237 60808 FUROSEMIDA 40MG COMP 71 71 71 71 71 71
MED6000238 60810 FUROSEMIDA 20MG/1ML INY 778 778 778 778 778 778
MED6000240 60812 HIDROCLOROTIAZIDA 50MG COMP 371 371 371 371 371 371
MED6000241 60813 SOL CARDIOPLEGICA 10ML INY 35.403 35.403 35.403 35.403 35.403 35.403
MED6000242 60814 HIDRORONOL-T 25MG/50MG COMP 585 585 585 585 585 585
MED6000243 60815 ESPIRONOLACTONA 25MG COMP 193 193 193 193 193 193
MED6000244 60817 OXIBUTININA 5MG COMP 3.284 3.284 3.284 3.284 3.284 3.284
MED6000245 60818 CLORURO CALCIO 10% 10ML 5.341 5.341 5.341 5.341 5.341 5.341
MED6000247 60820 GLUCONATO CALCIO 10% 10ML 2.499 2.499 2.499 2.499 2.499 2.499
MED6000248 60826 SULFATO MAGNESIO 25% 5ML 1.25G INY 1.521 1.521 1.521 1.521 1.521 1.521
MED6000250 60829 BORTEZOMIB 3.5MG INY 214.200 214.200 214.200 214.200 214.200 214.200
MED6000251 60830 SULFATO ZINC 0,88% 10ML INY 9.346 9.346 9.346 9.346 9.346 9.346
MED6000252 60832 CLORURO POTASIO 10% 10ML 1G INY 643 643 643 643 643 643
MED6000253 60833 FOSFATO POTASIO 15% 10ML 1.5G INY 3.284 3.284 3.284 3.284 3.284 3.284
MED6000254 60834 CLORURO POTASIO (SLOW-K) 600MG COMP 550 550 550 550 550 550
MED6000255 60835 OLIGOELEMENTOS 2ML INY 17.136 17.136 17.136 17.136 17.136 17.136
MED6000256 60836 GLUCONATO POTASIO 200ML ELIXIR 20.135 20.135 20.135 20.135 20.135 20.135
MED6000258 60840 BICARBONATO SODIO 1/6M 500ML 9.032 9.032 9.032 9.032 9.032 9.032
MED6000259 60846 BICARBONATO SODIO 2/3M 20ML 800 800 800 800 800 800
MED6000260 60849 ATENOLOL 50MG COMP 129 129 129 129 129 129
MED6000261 60850 BICARBONATO SODIO 2/3M 250ML 7.723 7.723 7.723 7.723 7.723 7.723
MED6000262 60855 CETIRIZINA 10MG COMP 3.149 3.149 3.149 3.149 3.149 3.149
MED6000263 60856 BICARBONATO SODIO 8,4% 10ML 5.648 5.648 5.648 5.648 5.648 5.648
MED6000264 60857 DICLOFENACO SODICO 1.5% GOTAS VO 8.207 8.207 8.207 8.207 8.207 8.207
MED6000266 60860 SUERO FISIOLOGICO 250ML 1.807 1.807 1.807 1.807 1.807 1.807
MED6000267 60862 SUERO FISIOLOGICO 500ML 1.883 1.883 1.883 1.883 1.883 1.883
MED6000268 60863 SUERO FISIOLOGICO 1000ML 3.106 3.106 3.106 3.106 3.106 3.106
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000269 60864 SUERO FISIOLOGICO 20ML 580 580 580 580 580 580
MED6000270 60866 CLORURO SODIO 10% 20ML INY 1.271 1.271 1.271 1.271 1.271 1.271
MED6000271 60868 RINGER 500ML 3.177 3.177 3.177 3.177 3.177 3.177
MED6000272 60874 RINGER LACTATO 500ML 2.756 2.756 2.756 2.756 2.756 2.756
MED6000273 60877 FLAVOXATO 200MG COMP 1.285 1.285 1.285 1.285 1.285 1.285
MED6000275 60882 ALBUMINA HUM 20% 10G 50ML 66.257 66.257 66.257 66.257 66.257 66.257
MED6000277 60886 ALLOPURINOL 100MG COMP 164 164 164 164 164 164
MED6000278 60888 ALLOPURINOL 300MG COMP 186 186 186 186 186 186
MED6000279 60890 COLCHICINA 0.5MG COMP 228 228 228 228 228 228
MED6000280 60892 ACETATO SODIO 30% 10ML INY 12.939 12.939 12.939 12.939 12.939 12.939
MED6000964 60898 AC FOLICO 5MG COMP 971 971 971 971 971 971
MED6000281 60901 ANTIAX COMP MAST 1.292 1.292 1.292 1.292 1.292 1.292
MED6000282 60906 AC. URSODEOXICOLICO 250MG CAP 1.864 1.864 1.864 1.864 1.864 1.864
MED6000283 60908 FLUCONAZOL 200MG CAP 34.472 34.472 34.472 34.472 34.472 34.472
MED6000284 60909 SOLUCION ORAL REHIDRATANTE 500ML 26.047 26.047 26.047 26.047 26.047 26.047
MED6000285 60910 LIBRAXIN GRAGEAS 1.735 1.735 1.735 1.735 1.735 1.735
MED6000286 60919 DOMPERIDONA 10MG/2ML INY 11.424 11.424 11.424 11.424 11.424 11.424
MED6000287 60920 DOMPERIDONA 10MG COMP 643 643 643 643 643 643
MED6000290 60926 FLEET ENEMA ADULTO 118ML 11.192 11.192 11.192 11.192 11.192 11.192
MED6000291 60927 FLEET FOSFOSADA ORAL 45ML 11.567 11.567 11.567 11.567 11.567 11.567
MED6000292 60928 FLEET ENEMA NINOS 67ML 13.880 13.880 13.880 13.880 13.880 13.880
MED6000294 60932 GLICERINA 3G SUPOSITORIO ADULTO 664 664 664 664 664 664
MED6000295 60934 GLICERINA 1G SUPOSITORIO PED 386 386 386 386 386 386
MED6000296 60935 AERO ITAN CAPSULA 4.220 4.220 4.220 4.220 4.220 4.220
MED6000298 60938 HIDRIUM COMP 3.513 3.513 3.513 3.513 3.513 3.513
MED6000299 60941 FLAPEX E CAP 2.156 2.156 2.156 2.156 2.156 2.156
MED6000300 60942 MAALOX 180ML SUSP 13.663 13.663 13.663 13.663 13.663 13.663
MED6000301 60944 ERITROPOYETINA 2000 UI 16.850 16.850 16.850 16.850 16.850 16.850
MED6000302 60946 LACTOBACILOS (BIOLACTUS) 250MG CAP 1.964 1.964 1.964 1.964 1.964 1.964
MED6000303 60947 SALES REHIDRATANTES (REHSAL) 60MEQ SOBR 1.542 1.542 1.542 1.542 1.542 1.542
MED6000304 60949 LEVETIRACETAM 500MG COMP 743 743 743 743 743 743
MED6000305 60952 LOPERAMIDA 2MG COMP 278 278 278 278 278 278
MED6000306 60953 SUERO FISIOLOGICO 50ML 2.322 2.322 2.322 2.322 2.322 2.322
MED6000307 60955 TRIMEBUTINO 100MG COMP 443 443 443 443 443 443
MED6000308 60956 METOCLOPRAMIDA 10MG COMP 343 343 343 343 343 343
MED6000309 60957 SUERO FISIOLOGICO 100ML 2.334 2.334 2.334 2.334 2.334 2.334
MED6000310 60958 METOCLOPRAMIDA 10MG/2ML INY 493 493 493 493 493 493
MED6000311 60960 VASELINA ORAL (LAXONAROL) 1.1G CAP 971 971 971 971 971 971
MED6000314 60964 VASELINA LIQUIDA MEDICINAL 125ML 3.349 3.349 3.349 3.349 3.349 3.349
MED6000315 60965 GENTAMICINA 3 MG/ML COLIRIO 5.069 5.069 5.069 5.069 5.069 5.069
MED6000317 60969 HIDROXIZINA 10MG/5ML JBE 9.595 9.595 9.595 9.595 9.595 9.595
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000318 60970 TEARS NATURALE II 15ML SOL. OFT 20.144 20.144 20.144 20.144 20.144 20.144
MED6000319 60973 PSYLLIUM (FIBRASOL) 5G SOBRE 2.142 2.142 2.142 2.142 2.142 2.142
MED6000320 60980 DIAREN COMP 964 964 964 964 964 964
MED6000321 60982 OFTABIOTICO 10ML COLIRIO 16.542 16.542 16.542 16.542 16.542 16.542
MED6000322 60983 OFTABIOTICO 3.5G POMADA OFTALMICA 16.542 16.542 16.542 16.542 16.542 16.542
MED6000323 60984 AMIKACINA 100MG/2ML INY 1.999 1.999 1.999 1.999 1.999 1.999
MED6000324 60985 DIFENIDOL 25MG COMP 750 750 750 750 750 750
MED6000325 60986 AMIKACINA 500 MG/2 ML INY 2.071 2.071 2.071 2.071 2.071 2.071
MED6000326 60989 MERCAPTOPURINA 50MG CAJA 25COMP 117.810 117.810 117.810 117.810 117.810 117.810
MED6000327 60990 HIALURONIDASA 1500 UI INY 122.094 122.094 122.094 122.094 122.094 122.094
MED6000328 60991 ONDANSETRON ZYDIS 8MG COMP DISP 4.984 4.984 4.984 4.984 4.984 4.984
MED6000329 60992 AMOXICILINA 500MG COMP 2.749 2.749 2.749 2.749 2.749 2.749
MED6000330 60993 ENALTEN-D 10 MG/25 MG COMP 2.370 2.370 2.370 2.370 2.370 2.370
MED6000331 60996 ARNIKADERM 10% 50G GEL 17.198 17.198 17.198 17.198 17.198 17.198
MED6000332 60997 AMOXICILINA 500 MG/5ML JBE 9.269 9.269 9.269 9.269 9.269 9.269
MED6000333 60998 AMPICILINA 500MG COMP 428 428 428 428 428 428
MED6000334 60999 AMOXICILINA 750MG COMP 3.306 3.306 3.306 3.306 3.306 3.306
MED6000335 61001 AMPICILINA 500MG INY 4.391 4.391 4.391 4.391 4.391 4.391
MED6000337 61005 SACCHAROMYCES (PERENTERYL) 250 MG CAP 1.607 1.607 1.607 1.607 1.607 1.607
MED6000338 61007 SACCHAROMYCES (PERENTERYL) 250MG SOBRE 1.671 1.671 1.671 1.671 1.671 1.671
MED6000339 61011 JALEA FRUTAS LAXANTE (CIRUELAX) GR. 528 528 528 528 528 528
MED6000340 61012 OMEPRAZOL 20MG CAP 1.763 1.763 1.763 1.763 1.763 1.763
MED6000341 61013 ONDANSETRON (IZOFRAN) 8 MG INY 28.322 28.322 28.322 28.322 28.322 28.322
MED6000342 61014 ONDANSETRON 8MG COMP REC 30.426 30.426 30.426 30.426 30.426 30.426
MED6000343 61018 FAMOTIDINA 20MG/2ML INY 2.016 2.016 2.016 2.016 2.016 2.016
MED6000345 61022 TIGECICLINA 50MG INY 165.112 165.112 165.112 165.112 165.112 165.112
MED6000346 61024 CEFRADINA 500MG CAP 557 557 557 557 557 557
MED6000347 61027 KETOCONAZOL 15G CREMA 35.607 35.607 35.607 35.607 35.607 35.607
MED6000348 61029 FLUCONAZOL 50MG CAP 12.509 12.509 12.509 12.509 12.509 12.509
MED6000349 61031 FACTOR VII RECOMB (NOVOSEVEN RT) 2MG 1.660.900 1.660.900 1.660.900 1.660.900 1.660.900 1.660.900
MED6000350 61032 ITRACONAZOL 100MG CAP 6.178 6.178 6.178 6.178 6.178 6.178
MED6000351 61034 CLINDAMICINA 300MG CAP 11.814 11.814 11.814 11.814 11.814 11.814
MED6000352 61042 CLORANFENICOL 1% 3.5G UGTO OFT 3.342 3.342 3.342 3.342 3.342 3.342
MED6000353 61045 RIVAROXABAN 10MG COMP 16.917 16.917 16.917 16.917 16.917 16.917
MED6000354 61047 MOMETASONA INHALADOR NASAL 28.489 28.489 28.489 28.489 28.489 28.489
MED6000355 61048 CLORANFENICOL 0.5% 10ML SOL. OFT 3.470 3.470 3.470 3.470 3.470 3.470
MED6000356 61049 TOBRAMICINA 5 ML SOL. OFT 35.048 35.048 35.048 35.048 35.048 35.048
MED6000357 61051 TOBRAMICINA 3.5G UGTO OFT 35.048 35.048 35.048 35.048 35.048 35.048
MED6000358 61052 POVIDONA YODADA ESPUMANTE 125ML 7.664 7.664 7.664 7.664 7.664 7.664
MED6000359 61055 INDOMETACINA 1MG INY 666.400 666.400 666.400 666.400 666.400 666.400
MED6000360 61059 SMOFLIPID 20% 100ML 24.752 24.752 24.752 24.752 24.752 24.752
MED6000361 61060 CLOXACILINA 500MG INY 2.213 2.213 2.213 2.213 2.213 2.213
MED6000362 61062 ENDOFALK 55.3G SOBRE 11.545 11.545 11.545 11.545 11.545 11.545
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000363 61064 TIOCOLCHICOSIDO (DYNAXON) 8MG CAPS 2.656 2.656 2.656 2.656 2.656 2.656
MED6000364 61065 ERITROMICINA 1G INY 76.160 76.160 76.160 76.160 76.160 76.160
MED6000365 61067 CEFADROXILO 500MG CAP 464 464 464 464 464 464
MED6000366 61068 CEFADROXILO 250MG/5ML JBE 77.840 77.840 77.840 77.840 77.840 77.840
MED6000367 61069 CICLOSPORINA (SANDIMUN NEORAL) 250MG AMP 42.448 42.448 42.448 42.448 42.448 42.448
MED6000368 61070 ERITROMICINA 500MG COMP 757 757 757 757 757 757
MED6000369 61071 ALBUMINA HUM 5% 25G 500ML 209.916 209.916 209.916 209.916 209.916 209.916
MED6000370 61080 RISPERIDONA 1MG/ML GOTAS ORAL 38.518 38.518 38.518 38.518 38.518 38.518
MED6000371 61083 FLUCLOXACILINA 500MG COMP 478 478 478 478 478 478
MED6000372 61085 DURATEARS 3.5G UNGTO OFT 59.147 59.147 59.147 59.147 59.147 59.147
MED6000373 61086 GENTAMICINA 80MG/2ML INY 935 935 935 935 935 935
MED6000374 61089 FLUORURACILO 500MG/10ML INY 12.995 12.995 12.995 12.995 12.995 12.995
MED6000375 61091 DACTINOMICINA 0.5MG INY 127.628 127.628 127.628 127.628 127.628 127.628
MED6000376 61093 CLOPIDOGREL 300MG COMP 19.792 19.792 19.792 19.792 19.792 19.792
MED6000377 61098 GENTAMICINA 1% 10G CREMA 6.800 6.800 6.800 6.800 6.800 6.800
MED6000379 61101 NISTAGLOS 15G CREMA 22.705 22.705 22.705 22.705 22.705 22.705
MED6000380 61105 MAGNESIO SR 85MG COMP 3.763 3.763 3.763 3.763 3.763 3.763
MED6000381 61107 ISOSORBIDE MONONITRATO 20MG COMP 707 707 707 707 707 707
MED6000383 61116 CITARABINA 1G INY 56.763 56.763 56.763 56.763 56.763 56.763
MED6000384 61117 VALSARTAN 160MG COMP REC 6.264 6.264 6.264 6.264 6.264 6.264
MED6000385 61127 CITARABINA 100MG/5ML INY 18.716 18.716 18.716 18.716 18.716 18.716
MED6000386 61129 VINCRISTINA 1MG/1ML INY 16.117 16.117 16.117 16.117 16.117 16.117
MED6000388 61136 ETORICOXIB 120MG COMP 2.777 2.777 2.777 2.777 2.777 2.777
MED6000389 61137 KETOPROFENO 50MG CAP 108 108 108 108 108 108
MED6000390 61138 PENIC-G BENZATINA 1.200.000 UI INY 3.763 3.763 3.763 3.763 3.763 3.763
MED6000391 61139 IFOSFAMIDA 1G INY 50.783 50.783 50.783 50.783 50.783 50.783
MED6000392 61141 VINBLASTINE 10MG/10ML INY 83.776 83.776 83.776 83.776 83.776 83.776
MED6000393 61145 CICLOFOSFAMIDA 200MG INY 8.038 8.038 8.038 8.038 8.038 8.038
MED6000394 61146 PENICILINA G SODICA 1.000.000 UI INY 2.713 2.713 2.713 2.713 2.713 2.713
MED6000395 61148 PENICILINA G SODICA 2.000.000 UI INY 2.713 2.713 2.713 2.713 2.713 2.713
MED6000396 61153 RINOBANEDIF 10G POMADA 42.797 42.797 42.797 42.797 42.797 42.797
MED6000398 61160 CLOTRIMAZOL 1% 20G CREMA 2.335 2.335 2.335 2.335 2.335 2.335
MED6000399 61168 CLORHEXIDINA JABONOSA 2% 50ML 8.299 8.299 8.299 8.299 8.299 8.299
MED6000400 61170 BAYCUTEN 15G CREMA 40.296 40.296 40.296 40.296 40.296 40.296
MED6000401 61175 MICONAZOL 40G GEL ORAL 45.678 45.678 45.678 45.678 45.678 45.678
MED6000402 61179 ACICLOVIR 200MG COMP 228 228 228 228 228 228
MED6000404 61182 HIDRATO DE CLORAL 500 500 500 500 500 500
MED6000405 61188 TRIMETOPRIM/SULFAMETOXAZOL 80/400MG INY 5.563 5.563 5.563 5.563 5.563 5.563
MED6000406 61190 TRIMETOPRIM/SULFAMETOXAZOL 160/800MG COM 3.663 3.663 3.663 3.663 3.663 3.663
MED6000407 61193 UROMITEXAN 400MG/4ML INY 6.497 6.497 6.497 6.497 6.497 6.497
MED6000408 61194 NAVELBINE 50MG INY 476.000 476.000 476.000 476.000 476.000 476.000
MED6000409 61197 DICLOFENACO 0.1% 10ML SOL. OFT 57.648 57.648 57.648 57.648 57.648 57.648
MED6000410 61199 MORFINA 10MG/ML FRASCO 200ML SOL ORAL 41.646 41.646 41.646 41.646 41.646 41.646
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000411 61203 DAUNORRUBICINA 20MG/10ML INY 61.487 61.487 61.487 61.487 61.487 61.487
MED6000413 61205 CISPLATINO 50MG/50ML INY. 29.711 29.711 29.711 29.711 29.711 29.711
MED6000414 61206 PEGFILGRASTIM (NEULASTIM) 6MG/0.6 ML JER 779.573 779.573 779.573 779.573 779.573 779.573
MED6000415 61207 CISPLATINO 10MG/10ML INY 18.093 18.093 18.093 18.093 18.093 18.093
MED6000416 61215 SERTRALINA 50MG COMP 121 121 121 121 121 121
MED6000417 61217 METRONIDAZOL 500MG COMP 2.378 2.378 2.378 2.378 2.378 2.378
MED6000418 61218 METRONIDAZOL 500MG/100ML INY 4.141 4.141 4.141 4.141 4.141 4.141
MED6000419 61220 METRONIDAZOL 125MG/5ML SUSP ORAL 48.693 48.693 48.693 48.693 48.693 48.693
MED6000420 61221 METRONIDAZOL 500 MG OVULOS 964 964 964 964 964 964
MED6000421 61222 TRAZODONA 25MG COMP 4.820 4.820 4.820 4.820 4.820 4.820
MED6000423 61226 BLEOMICINA 15MG INY 142.800 142.800 142.800 142.800 142.800 142.800
MED6000424 61230 ISONIAZIDA 100MG COMP 286 286 286 286 286 286
MED6000426 61233 ETOPOSIDO 100MG/5ML INY 17.993 17.993 17.993 17.993 17.993 17.993
MED6000427 61236 CARBOPLATINO 150MG/15ML INY 26.775 26.775 26.775 26.775 26.775 26.775
MED6000428 61237 METOTREXATO 500MG/20ML INY 29.750 29.750 29.750 29.750 29.750 29.750
MED6000429 61239 METOTREXATO 50MG/2ML INY 13.541 13.541 13.541 13.541 13.541 13.541
MED6000430 61241 AC VALPROICO (ATEMPERATOR) 400MG COMP 5.079 5.079 5.079 5.079 5.079 5.079
MED6000431 61242 CARBAMAZEPINA (TEGRETAL) CR 200MG COMP 5.053 5.053 5.053 5.053 5.053 5.053
MED6000432 61243 LEUCOVORINA 50MG INY 8.018 8.018 8.018 8.018 8.018 8.018
MED6000433 61246 NALOXONA 0.4MG/1ML INY 42.937 42.937 42.937 42.937 42.937 42.937
MED6000434 61248 MITOMICINA 20MG INY 91.630 91.630 91.630 91.630 91.630 91.630
MED6000435 61250 MISOPROSTOL 200MCG COMP 19.141 19.141 19.141 19.141 19.141 19.141
MED6000436 61251 FILGRASTIM 300MCG/0.5ML JER PRELL. 26.629 26.629 26.629 26.629 26.629 26.629
MED6000437 61260 FENTANILO 0.5MG/10ML INY 2.392 2.392 2.392 2.392 2.392 2.392
MED6000438 61261 FENTANILO 0.1MG/2ML INY 2.428 2.428 2.428 2.428 2.428 2.428
MED6000439 61262 METADONA 10MG/2ML INY 2.713 2.713 2.713 2.713 2.713 2.713
MED6000440 61263 VISCOAT 0.5ML JERINGA 98.928 98.928 98.928 98.928 98.928 98.928
MED6000441 61264 MORFINA 10MG/1ML INY 1.642 1.642 1.642 1.642 1.642 1.642
MED6000443 61266 MORFINA 20MG/1ML INY 1.742 1.742 1.742 1.742 1.742 1.742
MED6000444 61272 AMITRIPTILINA 25MG COMP 64 64 64 64 64 64
MED6000445 61274 CARBONATO LITIO 300MG COMP 992 992 992 992 992 992
MED6000450 61286 AC VALPROICO (DEPAKENE) 250MG CAP 4.034 4.034 4.034 4.034 4.034 4.034
MED6000451 61288 AC VALPROICO (DEPAKENE) 50MG/ML JBE 56.852 56.852 56.852 56.852 56.852 56.852
MED6000452 61290 CARBAMAZEPINA (TEGRETAL) 200MG COMP 4.341 4.341 4.341 4.341 4.341 4.341
MED6000453 61292 CLONAZEPAM 0.5MG COMP 314 314 314 314 314 314
MED6000455 61294 CLONAZEPAM 2MG COMP 500 500 500 500 500 500
MED6000456 61295 CARVEDILOL 25MG COMP 200 200 200 200 200 200
MED6000457 61296 CLONAZEPAM 1MG/1ML INY 22.601 22.601 22.601 22.601 22.601 22.601
MED6000458 61298 MITOXANTRONA 20MG/10ML INY 131.209 131.209 131.209 131.209 131.209 131.209
MED6000459 61299 FLUOXETINA 20MG COMP 86 86 86 86 86 86
MED6000460 61300 FENITOINA 250MG/5ML INY 13.709 13.709 13.709 13.709 13.709 13.709
MED6000461 61302 PACLITAXEL 30MG/5ML INY 26.180 26.180 26.180 26.180 26.180 26.180
MED6000462 61304 FENITOINA 100MG COMP 307 307 307 307 307 307
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000464 61307 AC VALPROICO (ATEMPERATOR) 10MG/GOTA 47.981 47.981 47.981 47.981 47.981 47.981
MED6000465 61317 ESOMEPRAZOL 40MG INY 18.278 18.278 18.278 18.278 18.278 18.278
MED6000466 61319 SUXAMETONIO (SUCCINILCOLINA) 100MG INY 9.412 9.412 9.412 9.412 9.412 9.412
MED6000467 61321 ATRACURIO 25MG/2.5ML INY 6.355 6.355 6.355 6.355 6.355 6.355
MED6000468 61324 ATRACURIO 50MG/5ML INY 19.992 19.992 19.992 19.992 19.992 19.992
MED6000469 61326 HIDROXIZINA 20MG COMP 743 743 743 743 743 743
MED6000470 61327 FENOBARBITAL 100MG COMP 814 814 814 814 814 814
MED6000471 61328 FENOBARBITAL 200MG INY 58.310 58.310 58.310 58.310 58.310 58.310
MED6000472 61329 MIVACURIO 10MG/5ML INY 24.557 24.557 24.557 24.557 24.557 24.557
MED6000473 61330 LORAZEPAM 1MG COMP S/LINGUAL 5.219 5.219 5.219 5.219 5.219 5.219
MED6000474 61331 ESCITALOPRAM 10MG COMP 336 336 336 336 336 336
MED6001937 61339 MIDAZOLAM 5MG/5ML 4.570 4.570 4.570 4.570 4.570 4.570
MED6000475 61345 SULPIRIDE 50MG COMP 2.042 2.042 2.042 2.042 2.042 2.042
MED6000476 61347 ZOPICLONA 7.5MG COMP 236 236 236 236 236 236
MED6000478 61349 ZOLPIDEM 5MG COMP 2.906 2.906 2.906 2.906 2.906 2.906
MED6000479 61352 CLORPROMAZINA 25MG/2ML INY 857 857 857 857 857 857
MED6000480 61353 CLOBAZAM 10MG COMP 5.102 5.102 5.102 5.102 5.102 5.102
MED6000482 61363 ALPRAZOLAM 0.5MG COMP 124 124 124 124 124 124
MED6000483 61364 DIAZEPAM 10MG COMP 205 205 205 205 205 205
MED6000484 61366 DIAZEPAM 10MG/2ML INY 1.349 1.349 1.349 1.349 1.349 1.349
MED6000485 61368 DROPERIDOL 5MG/2ML INY 5.255 5.255 5.255 5.255 5.255 5.255
MED6000487 61376 HALOPERIDOL 1MG COMP 900 900 900 900 900 900
MED6000488 61378 HALOPERIDOL 5MG COMP 850 850 850 850 850 850
MED6000489 61380 HALOPERIDOL 5MG/ 1 ML INY 1.042 1.042 1.042 1.042 1.042 1.042
MED6000490 61381 HALOPERIDOL 2MG/ML GOTAS 54.961 54.961 54.961 54.961 54.961 54.961
MED6000491 61383 HIOSCINA (BUSCAPINA) 10MG/ML GOTAS 17.250 17.250 17.250 17.250 17.250 17.250
MED6000492 61384 LORAZEPAM 2MG COMP 221 221 221 221 221 221
MED6000493 61386 LORAZEPAM 4MG INY 5.229 5.229 5.229 5.229 5.229 5.229
MED6000494 61393 FENTANILO (DUROGESIC) 25MCG/H PARCHE 41.234 41.234 41.234 41.234 41.234 41.234
MED6000496 61401 DESLORATADINA 2.5MG/5ML JBE 8.836 8.836 8.836 8.836 8.836 8.836
MED6001243 61411 FLUORURACILO 1000MG/20ML INY 23.990 23.990 23.990 23.990 23.990 23.990
MED6000499 61414 GLUCOSA 50% 1000ML 10.472 10.472 10.472 10.472 10.472 10.472
MED6000500 61415 ROCURONIO 50MG INY 24.243 24.243 24.243 24.243 24.243 24.243
MED6000501 61416 LIPIDOS MCT / LCT 10 % 500 ML 20.706 20.706 20.706 20.706 20.706 20.706
MED6000502 61421 PARACETAMOL FREEFLEX 1000MG/100ML INY 8.284 8.284 8.284 8.284 8.284 8.284
MED6000503 61423 REVIL B12 FORTE CAJA 30COMP 13.640 13.640 13.640 13.640 13.640 13.640
MED6001014 61425 PROGESTERONA 200MG COMP 4.434 4.434 4.434 4.434 4.434 4.434
MED6000504 61426 HIERRO (FISIOFER) 15ML SOL ORAL 6.696 6.696 6.696 6.696 6.696 6.696
MED6000505 61427 ACICLOVIR 800MG COMP 1.399 1.399 1.399 1.399 1.399 1.399
MED6000506 61428 TOBRAMICINA NEB 300MG 4 SOBRES 150.650 150.650 150.650 150.650 150.650 150.650
MED6000507 61434 LOSARTAN 50MG COMP 1.485 1.485 1.485 1.485 1.485 1.485
MED6000508 61439 AZITROMICINA 200MG/5ML SUSP 30ML 42.412 42.412 42.412 42.412 42.412 42.412
MED6000509 61447 OSELTAMIVIR 75MG COMP 14.691 14.691 14.691 14.691 14.691 14.691
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000510 61448 AC FOLICO 1MG COMP 678 678 678 678 678 678
MED6000511 61449 BICARBONATO SODIO 8.4% 20ML INY 1.071 1.071 1.071 1.071 1.071 1.071
MED6000512 61450 CALCITRIOL 0.25MCG CAP 4.177 4.177 4.177 4.177 4.177 4.177
MED6000513 61454 CIANOCOBALAMINA 0.1MG/ML INY 707 707 707 707 707 707
MED6000514 61461 CITALOPRAM 20MG COMP 1.328 1.328 1.328 1.328 1.328 1.328
MED6000515 61462 PARACETAMOL 500MG/50ML INY 5.783 5.783 5.783 5.783 5.783 5.783
MED6000516 61464 VITAMINA K (KONAKION) 10MG/ML INY 11.835 11.835 11.835 11.835 11.835 11.835
MED6000518 61470 PIRIDOXINA 100MG/1ML INY 643 643 643 643 643 643
MED6000519 61471 CLOTIAZEPAM 5MG COMP 1.128 1.128 1.128 1.128 1.128 1.128
MED6000520 61473 SOLUVIT-N INY 19.040 19.040 19.040 19.040 19.040 19.040
MED6000521 61477 ALMIDON MAIZ 6% 500ML 34.153 34.153 34.153 34.153 34.153 34.153
MED6000523 61484 INS LANTUS 100 UI/ML INY 50.667 50.667 50.667 50.667 50.667 50.667
MED6000524 61485 GEMCITABINA 1G INY 73.304 73.304 73.304 73.304 73.304 73.304
MED6000525 61486 MIDAZOLAM 7.5MG COMP 3.377 3.377 3.377 3.377 3.377 3.377
MED6000527 61498 VITALIPID INFANTIL 10ML INY 19.040 19.040 19.040 19.040 19.040 19.040
MED6000528 61501 MAGNATIL COMP EFERVECENTE 2.420 2.420 2.420 2.420 2.420 2.420
MED6000529 61502 AMINOACIDOS 10% 500ML 23.800 23.800 23.800 23.800 23.800 23.800
MED6000532 61516 MIDAZOLAM 50MG/10ML INY 27.514 27.514 27.514 27.514 27.514 27.514
MED6000533 61518 REMIFENTANIL 1MG/3ML INY 29.012 29.012 29.012 29.012 29.012 29.012
MED6000534 61519 CIPRODEX COLIRIO 35.123 35.123 35.123 35.123 35.123 35.123
MED6000535 61520 ALTEPLASA 50MG INY 932.680 932.680 932.680 932.680 932.680 932.680
MED6000537 61522 DIPEPTIVEN 20% 100ML INY 135.660 135.660 135.660 135.660 135.660 135.660
MED6000538 61523 CARBON ACTIVADO 10G SOBRE 3.784 3.784 3.784 3.784 3.784 3.784
MED6000539 61524 PACLITAXEL 100MG/16ML INY 44.625 44.625 44.625 44.625 44.625 44.625
MED6000540 61525 CARBOXIMETIL (REFRESH LIQUIGEL) 1% 15ML 71.392 71.392 71.392 71.392 71.392 71.392
MED6000541 61531 BISOPROLOL 1.25MG COMP 514 514 514 514 514 514
MED6000542 61534 GRANISETRON 3MG/3ML INY 178.500 178.500 178.500 178.500 178.500 178.500
MED6000543 61535 BISOPROLOL 2.5MG COMP 2.228 2.228 2.228 2.228 2.228 2.228
MED6000544 61536 PROFENID 100MG COMP ENTER 5.871 5.871 5.871 5.871 5.871 5.871
MED6000545 61537 HIERRO SACAROSA 100MG INY 17.136 17.136 17.136 17.136 17.136 17.136
MED6000546 61539 CELECOXIB 200MG COMP 386 386 386 386 386 386
MED6000547 61540 ENOXAPARINA 80MG INY 23.324 23.324 23.324 23.324 23.324 23.324
MED6000548 61541 NITROGLICERINA 50MG/250ML INY 17.612 17.612 17.612 17.612 17.612 17.612
MED6000549 61543 MOXIFLOXACINO 400MG COMP 8.940 8.940 8.940 8.940 8.940 8.940
MED6000552 61546 GEMCITABINA 200MG INY 29.780 29.780 29.780 29.780 29.780 29.780
MED6000553 61547 DOCETAXEL 20MG/1ML INY 65.450 65.450 65.450 65.450 65.450 65.450
MED6000554 61548 LABETALOL 100MG/20ML INY 15.936 15.936 15.936 15.936 15.936 15.936
MED6000556 61551 IBUPROFENO FORTE 200MG/5ML JBE 12.717 12.717 12.717 12.717 12.717 12.717
MED6000557 61553 KETOROLACO (SYNDOL) 30 MG INY 8.273 8.273 8.273 8.273 8.273 8.273
MED6000558 61555 CASPOFUNGINA 50MG INY 249.900 249.900 249.900 249.900 249.900 249.900
MED6000559 61556 CASPOFUNGINA 70MG INY 266.560 266.560 266.560 266.560 266.560 266.560
MED6000560 61557 AMFOTERICINA B LIPOSOMAL 50MG INY 387.345 387.345 387.345 387.345 387.345 387.345
MED6000561 61558 TRAMADOL 50MG/ML GOTAS 34.899 34.899 34.899 34.899 34.899 34.899
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000562 61559 SUERO FISIOLOGICO 10ML 437 437 437 437 437 437
MED6000564 61561 MEROPENEM 500MG INY 16.491 16.491 16.491 16.491 16.491 16.491
MED6000565 61562 AC ZOLEDRONICO (ACLASTA) 5MG/100ML 689.464 689.464 689.464 689.464 689.464 689.464
MED6000566 61563 CLOPIDOGREL 75MG COMP 643 643 643 643 643 643
MED6000567 61564 IODIXANOL (VISIPAQUE) 320MG/ML 50ML 72.888 72.888 72.888 72.888 72.888 72.888
MED6000568 61565 MEROPENEM 1000MG INY 21.806 21.806 21.806 21.806 21.806 21.806
MED6000569 61566 DOCETAXEL 80MG/4ML INY 188.020 188.020 188.020 188.020 188.020 188.020
MED6000570 61567 GABAPENTINA 400MG COMP 7 7 7 7 7 7
MED6000571 61568 DALTEPARINA 5000 UI 22.462 22.462 22.462 22.462 22.462 22.462
MED6000572 61569 OMEPRAZOL MUPS 20MG COMP 2.482 2.482 2.482 2.482 2.482 2.482
MED6000573 61572 LANOLINA 40G TUBO 20.373 20.373 20.373 20.373 20.373 20.373
MED6000574 61574 CARBOCISTEINA 20MG/ML JBE PED 12.298 12.298 12.298 12.298 12.298 12.298
MED6000575 61575 CARBOCISTEINA 50MG/ML JBE ADULTO 12.429 12.429 12.429 12.429 12.429 12.429
MED6000576 61576 SMOFKABIVEN CENTRAL 986ML 117.810 117.810 117.810 117.810 117.810 117.810
MED6000577 61577 SMOFKABIVEN PERIFERICA 1904ML 124.950 124.950 124.950 124.950 124.950 124.950
MED6000578 61578 SMOFKABIVEN CENTRAL 1477ML 132.090 132.090 132.090 132.090 132.090 132.090
MED6000579 61579 SMOFKABIVEN PERIFERICA 1206ML 119.952 119.952 119.952 119.952 119.952 119.952
MED6000580 61581 ERITROPOYETINA (RECORMON) M.D 30.000 UI 388.210 388.210 388.210 388.210 388.210 388.210
MED6000581 61583 INFLIXIMAB 100MG INY 724.465 724.465 724.465 724.465 724.465 724.465
MED6000582 61584 AC ZOLEDRONICO (ZOMETA) 4MG INY 44.625 44.625 44.625 44.625 44.625 44.625
MED6000583 61585 INS HUMALOG 100 UI/ML INY 94.412 94.412 94.412 94.412 94.412 94.412
MED6000585 61587 GRANISETRON 1MG/1ML INY 23.800 23.800 23.800 23.800 23.800 23.800
MED6000586 61588 VITAMINA C 1G/5ML INY 9.818 9.818 9.818 9.818 9.818 9.818
MED6002023 61590 LENALIDOMIDA (REVLIMID) 25MG X 21CAP 5.734.775 5.734.775 5.734.775 5.734.775 5.734.775 5.734.775
MED6002024 61591 DESATINIB (SPRYCEL) 100MG X 30 COMP 3.380.866 3.380.866 3.380.866 3.380.866 3.380.866 3.380.866
MED6000588 61599 MIDODRINA 5MG COMP 3.213 3.213 3.213 3.213 3.213 3.213
MED6000589 61601 CORODIN D 50MG/12.5MG COMP 643 643 643 643 643 643
MED6000590 61602 CLONIX LISINA (NEFERSIL FAST) 125MG COM 1.357 1.357 1.357 1.357 1.357 1.357
MED6000591 61604 ESOMEPRAZOL 20MG COMP 471 471 471 471 471 471
MED6000592 61605 HIERRO POLIMALTOSA 50MG/ML 30ML GOTAS 17.993 17.993 17.993 17.993 17.993 17.993
MED6000593 61606 HIERRO (MALTOFER) COMP MASTICAB 1.135 1.135 1.135 1.135 1.135 1.135
MED6000595 61609 SMOFLIPID 20% 500ML 36.652 36.652 36.652 36.652 36.652 36.652
MED6000597 61611 ONDANSETRON 4MG/2ML INY 1.785 1.785 1.785 1.785 1.785 1.785
MED6000598 61612 ONDANSETRON 8MG/4ML INY 1.842 1.842 1.842 1.842 1.842 1.842
MED6000600 61614 TICAGRELOR 90MG COMP 4.919 4.919 4.919 4.919 4.919 4.919
MED6002025 61615 RM - REFORMULACION ALTAMENTE ACTIVO 62.433 62.433 62.433 62.433 62.433 62.433
MED6000601 61616 SUERO FISIOLOGICO (FISIOLIMP) 30ML NASAL 15.036 15.036 15.036 15.036 15.036 15.036
MED6002041 61618 TACROLIMUS (PROGRAF) 5MG/ML INY 317.680 317.680 317.680 317.680 317.680 317.680
MED6000603 61619 CRONOLEVEL 1ML JER 57.469 57.469 57.469 57.469 57.469 57.469
MED6000604 61620 ANIDULAFUNGINA 100MG INY 291.550 291.550 291.550 291.550 291.550 291.550
MED6000605 61621 LIDOCAINA (VERSATIS) 5% 5 PARCHES 74.841 74.841 74.841 74.841 74.841 74.841
MED6001023 61623 FUROSEMIDA 10MG/ML 60ML JBE 52.479 52.479 52.479 52.479 52.479 52.479
MED6000606 61624 OMEPRAZOL MUPS 10MG COMP 1.022 1.022 1.022 1.022 1.022 1.022
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000607 61625 BACLOFENO 10MG COMP 5.125 5.125 5.125 5.125 5.125 5.125
MED6000609 61627 HEDERA (ABRILAR) 7MG/ML 100ML JBE 9.346 9.346 9.346 9.346 9.346 9.346
MED6000610 61628 GABAPENTINA 300MG CAP 935 935 935 935 935 935
MED6000611 61629 DEXMEDETOMIDINA 200MCG/2ML AMP INY 41.650 41.650 41.650 41.650 41.650 41.650
MED6000612 61630 GELCLAIR 15ML SACHET 15.422 15.422 15.422 15.422 15.422 15.422
MED6000614 61637 PLEXUS JARABE 120ML. 32.259 32.259 32.259 32.259 32.259 32.259
MED6000615 61638 VORICONAZOL 200MG INY 87.465 87.465 87.465 87.465 87.465 87.465
MED6002042 61639 CLADRIBINA (LITAK) 10MG/5ML 733.040 733.040 733.040 733.040 733.040 733.040
MED6000616 61640 DALTEPARINA 2500 UI 16.028 16.028 16.028 16.028 16.028 16.028
MED6000617 61642 KETOROLACO 30MG/1ML INY 1.999 1.999 1.999 1.999 1.999 1.999
MED6000618 61643 ZALDIAR COMP 5.982 5.982 5.982 5.982 5.982 5.982
MED6000619 61644 FLUDARABINA 50MG INY 166.612 166.612 166.612 166.612 166.612 166.612
MED6000620 61645 TRASTUZUMAB 440MG INY 2.271.152 2.271.152 2.271.152 2.271.152 2.271.152 2.271.152
MED6000622 61647 LINEZOLIDA 600MG/300ML INY 38.080 38.080 38.080 38.080 38.080 38.080
MED6002043 61648 BICALUTAMIDA (BIOLEV) 150MG 30CAP 186.354 186.354 186.354 186.354 186.354 186.354
MED6000623 61649 IRINOTECAN 100MG/5ML INY 83.776 83.776 83.776 83.776 83.776 83.776
MED6001402 61652 S-26 GOLD 400GR 36.904 36.904 36.904 36.904 36.904 36.904
MED6001405 61654 FRESUBIN RENAL 200ML 16.660 16.660 16.660 16.660 16.660 16.660
MED6002064 61655 ADDAVEN 10ML AMP 21.420 21.420 21.420 21.420 21.420 21.420
MED6000624 61656 RITUXIMAB 100MG/10ML INY 395.750 395.750 395.750 395.750 395.750 395.750
MED6001334 61657 REMIFENTANIL 2MG INY 35.332 35.332 35.332 35.332 35.332 35.332
MED6000625 61658 OXALIPLATINO 50MG/10ML INY 50.575 50.575 50.575 50.575 50.575 50.575
MED6001293 61659 CEFADROXILO 500MG/5ML SUSP 96.390 96.390 96.390 96.390 96.390 96.390
MED6001294 61660 CLAVINEX DUO FORTE 35ML SUSP. 23.064 23.064 23.064 23.064 23.064 23.064
MED6000626 61661 OXALIPLATINO 100MG/20ML INY 123.420 123.420 123.420 123.420 123.420 123.420
MED6000627 61662 RITUXIMAB 500MG/50ML INY 1.545.215 1.545.215 1.545.215 1.545.215 1.545.215 1.545.215
MED6000628 61665 PARECOXIB 40MG IM/IV VIAL 26.594 26.594 26.594 26.594 26.594 26.594
MED6002065 61666 VITALIPID ADULTO 10ML 18.564 18.564 18.564 18.564 18.564 18.564
MED6000629 61668 TOBRAMICINA 80MG/2ML INY 31.595 31.595 31.595 31.595 31.595 31.595
MED6000630 61669 FLUCONAZOL 200MG INY 89.606 89.606 89.606 89.606 89.606 89.606
MED6000631 61670 MOXIFLOXACINO 400 MG/250 ML 69.020 69.020 69.020 69.020 69.020 69.020
MED6000632 61671 PIPERACILINA/TAZOBACTAM 4/0.5G INY 34.754 34.754 34.754 34.754 34.754 34.754
MED6000633 61672 VALGANCICLOVIR (VALIXA) 450MG CAJA 60COM 1.903.783 1.903.783 1.903.783 1.903.783 1.903.783 1.903.783
MED6000635 61676 DOXORRUBICINA 50MG/25ML INY 22.658 22.658 22.658 22.658 22.658 22.658
MED6000636 61677 VALACICLOVIR 500MG 10 COMP CAJA 29.655 29.655 29.655 29.655 29.655 29.655
MED6000637 61678 LINEZOLIDE 600MG 10 COMP CAJA 203.490 203.490 203.490 203.490 203.490 203.490
MED6000638 61681 CETUXIMAB 100MG/20ML INY 454.066 454.066 454.066 454.066 454.066 454.066
MED6000639 61682 COLESTIRAMINA 4G SACHET 3.663 3.663 3.663 3.663 3.663 3.663
MED6000640 61683 TACROLIMUS 0.5MG CAP 1.672 1.672 1.672 1.672 1.672 1.672
MED6002031 61684 DOCETAXEL 120MG/6ML INY 235.620 235.620 235.620 235.620 235.620 235.620
MED6000641 61685 MICOFENOLATO SODICO (MYFORTIC) 360MG COM 5.813 5.813 5.813 5.813 5.813 5.813
MED6000642 61686 MICOFENOLATO SODICO (MYFORTIC) 180MG COM 2.907 2.907 2.907 2.907 2.907 2.907
MED6000643 61687 SUERO FISIOLOGICO 3000ML 7.493 7.493 7.493 7.493 7.493 7.493
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000644 61688 BUPRENORFINA (TRANSTEC) 35MCG/H PARCHE 70.743 70.743 70.743 70.743 70.743 70.743
MED6000645 61696 BETAMETASONA (DACAM RL) 18MG/3ML INY. 42.858 42.858 42.858 42.858 42.858 42.858
MED6000646 61698 GLUCOSA 5% 1000ML 4,5G NACL + 2,3G KCL 8.836 8.836 8.836 8.836 8.836 8.836
MED6000648 61700 ABATACEPT 250MG INY 528.988 528.988 528.988 528.988 528.988 528.988
MED6000649 61701 CEFEPIME 1G INY 13.025 13.025 13.025 13.025 13.025 13.025
MED6000650 61704 PETIDINA 100MG/2ML INY 4.377 4.377 4.377 4.377 4.377 4.377
MED6000651 61706 ATORVASTATINA 10MG COMP 4.213 4.213 4.213 4.213 4.213 4.213
MED6000652 61707 ATORVASTATINA 20MG COMP 4.961 4.961 4.961 4.961 4.961 4.961
MED6001335 61709 DENTOXOL COLUTORIO 40ML 24.133 24.133 24.133 24.133 24.133 24.133
MED6000654 61710 PARACETAMOL 1G COMP 677 677 677 677 677 677
MED6000655 61711 FENILEFRINA 0.05% 1ML INY 33.272 33.272 33.272 33.272 33.272 33.272
MED6000656 61714 QUETIAPINA 25MG COMP 521 521 521 521 521 521
MED6000657 61718 OLANZAPINA ZYDIS 5MG COMP DISP 11.716 11.716 11.716 11.716 11.716 11.716
MED6000658 61719 QUETIAPINA 100MG COMP 1.428 1.428 1.428 1.428 1.428 1.428
MED6000659 61720 OLANZAPINA ZYDIS 10MG COMP DISP 18.787 18.787 18.787 18.787 18.787 18.787
MED6001641 61721 MEPOLIZUMAB (NUCALA) 100MG/ML 1.224.055 1.224.055 1.224.055 1.224.055 1.224.055 1.224.055
MED6001349 61724 EPIRRUBICINA 50MG/25ML INY 104.720 104.720 104.720 104.720 104.720 104.720
MED6000661 61725 GEMFIBROZILO 600MG CAP 314 314 314 314 314 314
MED6000662 61726 AMFOTERICINA B DEOXICOLATO 50MG INY 37.485 37.485 37.485 37.485 37.485 37.485
MED6000663 61729 LEVETIRACETAM 500MG/5ML INY 29.464 29.464 29.464 29.464 29.464 29.464
MED6000664 61730 DILTIAZEM 60MG COMP 2.292 2.292 2.292 2.292 2.292 2.292
MED6000665 61731 LANOLINA 15G POMO 10.132 10.132 10.132 10.132 10.132 10.132
MED6000667 61734 DICLOFENACO SODICO GEL 60G POMO 18.123 18.123 18.123 18.123 18.123 18.123
MED6000668 61735 CLARITROMICINA 500MG INY 59.452 59.452 59.452 59.452 59.452 59.452
MED6000669 61736 HEPARINA 100 UI/ML 5ML INY 12.108 12.108 12.108 12.108 12.108 12.108
MED6000671 61738 LEVOSIMENDAN 12.5MG/5ML INY 753.984 753.984 753.984 753.984 753.984 753.984
MED6000672 61739 VASOPRESINA 20 UI/1ML INY 89.250 89.250 89.250 89.250 89.250 89.250
MED6000673 61740 DALTEPARINA 7500 UI 26.180 26.180 26.180 26.180 26.180 26.180
MED6000674 61741 RIVAROXABAN 15MG COMP REC 8.443 8.443 8.443 8.443 8.443 8.443
MED6000675 61742 RIVAROXABAN 20MG COMP REC 8.443 8.443 8.443 8.443 8.443 8.443
MED6001272 61743 INMUNOGLOB HUM (GAMUNEX) 10% 10G 100ML 661.488 661.488 661.488 661.488 661.488 661.488
MED6001273 61744 INMUNOGLOB HUM (GAMUNEX) 10% 5G 50ML 434.101 434.101 434.101 434.101 434.101 434.101
MED6001274 61745 PICOSULFATO (PICOPREP) CAJA 2SOBRES 56.852 56.852 56.852 56.852 56.852 56.852
MED6001275 61746 METFORMINA XR 750MG LIB PROL 723 723 723 723 723 723
MED6001382 61747 AC HIALURONICO (DUROLANE) 60MG/3ML JER 484.731 484.731 484.731 484.731 484.731 484.731
MED6001384 61750 OCTREOTIDE (SANDOSTATIN LAR) 30MG 1.934.345 1.934.345 1.934.345 1.934.345 1.934.345 1.934.345
MED6001386 61751 MIRCERA 150MCG/0,3ML JER. PRELL. 446.072 446.072 446.072 446.072 446.072 446.072
MED6001390 61752 LEVOSULPIRIDE 25MG/2ML INY 12.326 12.326 12.326 12.326 12.326 12.326
MED6001391 61753 CARNITINA 1G/5ML 19.040 19.040 19.040 19.040 19.040 19.040
MED6001623 61754 DARATUMUMAB (DARZALEX) 400MG/20ML 1.742.041 1.742.041 1.742.041 1.742.041 1.742.041 1.742.041
MED6001624 61755 DARATUMUMAB (DARZALEX) 100MG/5ML 557.453 557.453 557.453 557.453 557.453 557.453
MED6001625 61756 AKYNZEO 300MG/0,5MG 1 CAP 118.506 118.506 118.506 118.506 118.506 118.506
MED6001621 61757 ALPROSTADIL 20MCG/1ML INY 162.435 162.435 162.435 162.435 162.435 162.435
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6002066 61758 GLYCOPHOS 20ML AMP 18.564 18.564 18.564 18.564 18.564 18.564
MED6002067 61761 BRENTUXIMAB-VEDOTIN (ADCETRIS) 50MG 3.421.250 3.421.250 3.421.250 3.421.250 3.421.250 3.421.250
MED6000676 61763 MULTIVIT.ADULTO (CERNEVIT) INY 17.136 17.136 17.136 17.136 17.136 17.136
MED6001347 61764 BACLOFENO INTRATECAL 10MG/5ML 342.125 342.125 342.125 342.125 342.125 342.125
MED6001348 61765 KIT RELLENO BACLOFENO 255.136 255.136 255.136 255.136 255.136 255.136
MED6000677 61768 CARVEDILOL 6.25MG COMP 243 243 243 243 243 243
MED6001633 61771 GONAL F 450 UI/0.75ML X 1 AMP 445.129 445.129 445.129 445.129 445.129 445.129
MED6001635 61773 CETRORELIX (CETROTIDE) 0.25MG LIOF 84.999 84.999 84.999 84.999 84.999 84.999
MED6001637 61775 GONADOTROFINA (OVIDREL) 250MG/0.5ML 94.869 94.869 94.869 94.869 94.869 94.869
MED6000678 61777 SUPRADYN COMP 1.271 1.271 1.271 1.271 1.271 1.271
MAT4003454 61778 PINZA BIPOLAR NON STICK 20CX1.0MM ZKN-3X 348.694 348.694 348.694 348.694 348.694 348.694
MAT4003456 61782 PINZA BIPOLAR NON STICK 22CX0.3MM ZKN-4 348.694 348.694 348.694 348.694 348.694 348.694
MAT4003457 61783 PINZA BIPOLAR NON STICK 22CX0.5MM ZKN-4J 348.694 348.694 348.694 348.694 348.694 348.694
MED6000679 61784 DACARBAZINA 200MG INY 29.453 29.453 29.453 29.453 29.453 29.453
MED6000680 61786 PEMETREXED 100MG INY 154.700 154.700 154.700 154.700 154.700 154.700
MED6000681 61787 NISTATINA 100000 UI/ML SOL ORAL 32.073 32.073 32.073 32.073 32.073 32.073
MED6000682 61793 R-L-ASPARRAGINASA 10.000UI/5ML INY 476.000 476.000 476.000 476.000 476.000 476.000
MAT4003458 61794 PINZA BIPOLAR NON STICK 22CX1.0MM ZKN-4X 348.694 348.694 348.694 348.694 348.694 348.694
MED6000683 61796 TIAMINA 30MG/1ML INY 564 564 564 564 564 564
MED6000948 61797 EUCERIN PH5 250ML LOCION 42.421 42.421 42.421 42.421 42.421 42.421
MED6000684 61799 PREDNISONA 20MG COMP 1.835 1.835 1.835 1.835 1.835 1.835
MED6000685 61802 VITAMINA ACD 30ML GOTAS 12.509 12.509 12.509 12.509 12.509 12.509
MED6000686 61804 VIT B FORTE 10.000 UI INY 5.727 5.727 5.727 5.727 5.727 5.727
MED6000687 61806 VIT B FORTE COMP 4.748 4.748 4.748 4.748 4.748 4.748
MED6000688 61807 ESOMEPRAZOL 40MG COMP 443 443 443 443 443 443
MED6000689 61810 PREGABALINA 25MG COMP 4.655 4.655 4.655 4.655 4.655 4.655
MED6000691 61813 AZTREONAM 1G INY 106.624 106.624 106.624 106.624 106.624 106.624
MED6000692 61815 LEVETIRACETAM 100MG/ML JBE 32.130 32.130 32.130 32.130 32.130 32.130
MED6001039 61816 SULFATO ZINC 5MG/ML GOTAS 18.616 18.616 18.616 18.616 18.616 18.616
MED6000693 61819 TERLIPRESINA 1MG INY 91.630 91.630 91.630 91.630 91.630 91.630
MED6000695 61821 OXIMETAZOLINA (OXILIN) 0.05% 15ML NASAL 26.775 26.775 26.775 26.775 26.775 26.775
MED6000697 61823 VECURONIO 10 MG/2.5ML INY 16.011 16.011 16.011 16.011 16.011 16.011
MED6002074 61827 RM - SUERO FISIOL 1000ML + 1,5G KCL 13.886 13.886 13.886 13.886 13.886 13.886
MED6000701 61828 ZYPRED GOTAS OFTALMICAS 69.356 69.356 69.356 69.356 69.356 69.356
MED6000702 61829 SURGIFLO 266.141 266.141 266.141 266.141 266.141 266.141
MED6000703 61830 SURGIFLO CON TROMBINA 420.184 420.184 420.184 420.184 420.184 420.184
MED6000704 61831 DENOSUMAB (XGEVA) 120MG INY 424.845 424.845 424.845 424.845 424.845 424.845
MED6000705 61832 LANSOPRAZOL 30MG INY 13.709 13.709 13.709 13.709 13.709 13.709
MED6001004 61834 OMALIZUMAB 150MG INY JER PRELL 604.690 604.690 604.690 604.690 604.690 604.690
MED6000980 61836 FOLIFER CAP LIB PROL 878 878 878 878 878 878
MED6000991 61837 KETOROLACO SUBLING 30MG COMP S/LINGUAL 4.020 4.020 4.020 4.020 4.020 4.020
MED6001000 61838 LABOSONA G 15G CREMA TOPICA 30.197 30.197 30.197 30.197 30.197 30.197
MED6000945 61839 PREDNISONA SUSP 20MG/5ML 60ML SUSP 19.921 19.921 19.921 19.921 19.921 19.921
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000938 61840 TALCO ESTERIL (STERITALC F4) 99.924 99.924 99.924 99.924 99.924 99.924
MED6000957 61841 INS TRESIBA FLEX TOUCH 100 UI/ML INY 61.271 61.271 61.271 61.271 61.271 61.271
MED6001027 61842 INS NOVORAPID FLEXPEN 100 UI/ML INY 43.462 43.462 43.462 43.462 43.462 43.462
MED6001012 61843 INS LEVEMIR FLEXPEN 100 UI/ML INY 52.866 52.866 52.866 52.866 52.866 52.866
MED6001010 61844 LIRAGLUTIDA (VICTOZA) 18MG/3ML INY 149.583 149.583 149.583 149.583 149.583 149.583
MED6000947 61845 NIFEDIPINO 20MG RETARD LIB. PROLONGADA 171 171 171 171 171 171
MED6000955 61847 INS LANTUS SOLOSTAR 3ML 1CART 42.225 42.225 42.225 42.225 42.225 42.225
MED6000933 61848 APIDRA SOLOSTAR100UI/ML 3ML LAPIZ 39.497 39.497 39.497 39.497 39.497 39.497
MED6001040 61849 COLISTIM (DICUPAL) 150MG/2ML INY. 61.880 61.880 61.880 61.880 61.880 61.880
MED6000956 61850 TIOTROPIO (SPIRIVA/RESPIMAT) 2.5MCG PUF 119.324 119.324 119.324 119.324 119.324 119.324
MED6001327 61853 DEXMEDETOMIDINA 400MCG/100ML INY 193.256 193.256 193.256 193.256 193.256 193.256
MED6002075 61855 RM - GLUCOSA 5% 1000ML + 4G NACL+ 2G KCL 37.661 37.661 37.661 37.661 37.661 37.661
MAT4003467 61859 BROCA SISTEMA MICROFRACT 0.9MM CAT02504 444.422 444.422 444.422 444.422 444.422 444.422
MAT4003469 61860 BISTURI SAMURAI CURVO CAT02421 222.211 222.211 222.211 222.211 222.211 222.211
MED6000706 61866 CEFOTAXIMA 1G INY 2.942 2.942 2.942 2.942 2.942 2.942
MED6000707 61868 DOXICICLINA 100MG COMP 3.392 3.392 3.392 3.392 3.392 3.392
MED6000708 61871 CEFUROXIMO 750MG INY 38.556 38.556 38.556 38.556 38.556 38.556
MED6000709 61873 CEFTAZIDIMA 1G INY 4.974 4.974 4.974 4.974 4.974 4.974
PRO4003479 61879 AGUJA DE KIRSCHNER 3.2X450mm 1210-6450S 71.425 71.425 71.425 71.425 71.425 71.425
PRO4003480 61881 TORNILLO BLOQU DISTAL 5x27.5m 1796-5027S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003481 61883 TORNILLO BLOQU DISTAL 5x30mm 1796-5030S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003482 61885 TORNILLO BLOQU DISTAL 5x32.5m 1796-5032S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003483 61886 TORNILLO BLOQU DISTAL 5x35mm 1796-5035S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003484 61887 TORNILLO BLOQU DISTAL 5x37.5m 1796-5037S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003485 61888 TORNILLO BLOQU DISTAL 5x40mm 1796-5040S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003486 61889 TORNILLO BLOQU DISTAL 5x42.5m 1796-5042S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003487 61891 TORNILLO BLOQU DISTAL 5x45mm 1796-5045S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003488 61892 TORNILLO BLOQU DISTAL 5x50mm 1796-5050S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003489 61893 TORNILLO BLOQU DISTAL 5x55mm 1796-5055S 119.042 119.042 119.042 119.042 119.042 119.042
MED6000710 61895 AMPICILINA/SULBACTAM 1/0,5G INY 7.200 7.200 7.200 7.200 7.200 7.200
PRO4003490 61897 TORNILLO BLOQU DISTAL 5x60mm 1796-5060S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003491 61898 TORNILLO BLOQU DISTAL 5x65mm 1796-5065S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003492 61899 TORNILLO BLOQU DISTAL 5x70mm 1796-5070S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003493 61901 TORNILLO BLOQU DISTAL 5x75mm 1796-5075S 119.042 119.042 119.042 119.042 119.042 119.042
PRO4003494 61902 AGUJA GUIA CON OLIVA 3X1000MM 1806-0085S 40.887 40.887 40.887 40.887 40.887 40.887
PRO4003495 61903 TORNILLO DE PRESION 8x17.5mm 4003-0822S 117.454 117.454 117.454 117.454 117.454 117.454
PRO4003496 61904 TAPON DE PRESION STANDARD 4005-1100S 136.501 136.501 136.501 136.501 136.501 136.501
PRO4003497 61905 TAPON PROTECTOR +5MM 4005-1105S 136.501 136.501 136.501 136.501 136.501 136.501
PRO4003498 61907 TAPON PROTECTOR +10MM 4005-1110S 136.501 136.501 136.501 136.501 136.501 136.501
PRO4003499 61908 TORNILLO DESLIZANTE 10.5x70mm 4060-0070S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003500 61909 TORNILLO DESLIZANTE 10.5x75mm 4060-0075S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003501 61911 TORNILLO DESLIZANTE 10.5x80mm 4060-0080S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003502 61913 TORNILLO DESLIZANTE 10.5x85mm 4060-0085S 255.543 255.543 255.543 255.543 255.543 255.543
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003503 61914 TORNILLO DESLIZANTE 10.5x90mm 4060-0090S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003504 61915 TORNILLO DESLIZANTE 10.5x95mm 4060-0095S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003505 61916 TORNILLO DESLIZANTE 10.5x100m 4060-0100S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003506 61917 TORNILLO DESLIZANTE 10.5x105m 4060-0105S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003507 61918 TORNILLO DESLIZANTE 10.5x110m 4060-0110S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003508 61919 TORNILLO DESLIZANTE 10.5x115m 4060-0115S 255.543 255.543 255.543 255.543 255.543 255.543
PRO4003509 61921 CLAVO GAMMA TROC 11x180mx120° 4120-1180S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003510 61922 CLAVO GAMMA TROC 11x180mx125° 4125-1180S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003511 61923 CLAVO GAMMA TROC 11x180mx130° 4130-1180S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003512 61927 CLAVO GAMMA L DER 11x280x125°4225-0280S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003513 61928 CLAVO GAMMA L DER 11x300x125° 4225-0300S 977.729 977.729 977.729 977.729 977.729 977.729
MED6000711 61929 CODEINA FOSFATO 7.200 7.200 7.200 7.200 7.200 7.200
MED6000712 61930 FENILEFRINA 1% 1ML AMP 42.525 42.525 42.525 42.525 42.525 42.525
MED6000713 61931 ANTITROMBINA III (ANBINEX) 500 UI 737.830 737.830 737.830 737.830 737.830 737.830
MED6000714 61932 LEVOFLOXACINO 500MG COMP 871 871 871 871 871 871
MED6000715 61933 CLORFENAMINA 120ML JBE 15.688 15.688 15.688 15.688 15.688 15.688
MED6000716 61935 POVIDONA YODADA 10% 30ML 5.012 5.012 5.012 5.012 5.012 5.012
MED6001030 61936 TOXINA BOTULINICA-A 50 UI INY 114.772 114.772 114.772 114.772 114.772 114.772
MED6000717 61937 VANCOMICINA 500MG INY 10.079 10.079 10.079 10.079 10.079 10.079
MED6002076 61939 RM - GOTA MIDRIÁTICAS INFANTIL 2ML 43.316 43.316 43.316 43.316 43.316 43.316
MED6000966 61941 PACLITAXEL 300MG/50ML INY 86.394 86.394 86.394 86.394 86.394 86.394
MED6001407 61942 NAN OPTIPRO 1 900 GR 70.659 70.659 70.659 70.659 70.659 70.659
MED6001561 61943 ERITROMICINA 0.5% 2G UNGTO OFT. 19.238 19.238 19.238 19.238 19.238 19.238
PRO4003515 61944 CLAVO GAMMA L DER 11x340x125° 4225-0340S 977.729 977.729 977.729 977.729 977.729 977.729
MED6001351 61946 URAPIDIL 100MG/20ML INY 70.405 70.405 70.405 70.405 70.405 70.405
PRO4003516 61948 CLAVO GAMMA L DER 11x360x125° 4225-0360S 977.729 977.729 977.729 977.729 977.729 977.729
MED6001949 61949 PRE NAN FM85 1GR SOBRE 2.578 2.578 2.578 2.578 2.578 2.578
MED6001961 61950 ELTROMBOPAG (REVOLADE) 25MG CAJA 28COMP 909.309 909.309 909.309 909.309 909.309 909.309
MED6001962 61959 NPT 0-500 ML 189.210 189.210 189.210 189.210 189.210 189.210
MED6001963 61960 NPT 501-1000 ML 200.586 200.586 200.586 200.586 200.586 200.586
MED6001964 61961 NPT 1000-2000 ML 207.584 207.584 207.584 207.584 207.584 207.584
MED6001965 61962 NPT 2001-3000 ML 207.584 207.584 207.584 207.584 207.584 207.584
MED6000720 61964 LORATADINA 10MG COMP 64 64 64 64 64 64
PRO4003517 61970 CLAVO GAMMA L DER 11x380x125° 4225-0380S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003518 61973 CLAVO GAMMA L DER 11x280x130° 4230-0280S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003519 61980 CLAVO GAMMA L DER 11x300x130° 4230-0300S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003520 61988 CLAVO GAMMA L DER 11x320x130° 4230-0320S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003521 61989 CLAVO GAMMA L DER 11x340x130° 4230-0340S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003522 61990 CLAVO GAMMA L DER 11x360x130° 4230-0360S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003523 61991 CLAVO GAMMA L DER 11x380x130° 4230-0380S 977.729 977.729 977.729 977.729 977.729 977.729
MED6000721 61993 FLAPEX 15ML GOTAS 8.868 8.868 8.868 8.868 8.868 8.868
PRO4003524 61995 CLAVO GAMMA L IZQ 11x280x125°4325-0280S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003525 61996 CLAVO GAMMA L IZQ 11x300x125° 4325-0300S 977.729 977.729 977.729 977.729 977.729 977.729
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000722 61997 DOMPERIDONA 1% 20ML GOTAS 4.941 4.941 4.941 4.941 4.941 4.941
PRO4003526 62000 CLAVO GAMMA L IZQ 11x320x125° 4325-0320S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003527 62004 CLAVO GAMMA L IZQ 11x340x125° 4325-0340S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003528 62007 CLAVO GAMMA L IZQ 11x360x125° 4325-0360S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003529 62008 CLAVO GAMMA L IZQ 11x380x125° 4325-0380S 977.729 977.729 977.729 977.729 977.729 977.729
MED6000723 62009 SERETIDE 25MCG/250MCG INH 65.932 65.932 65.932 65.932 65.932 65.932
PRO4003530 62010 CLAVO GAMMA L IZQ 11x280x130° 4330-0280S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003531 62014 CLAVO GAMMA L IZQ 11x300x130° 4330-0300S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003532 62016 CLAVO GAMMA L IZQ 11x320x130° 4330-0320S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003533 62018 CLAVO GAMMA L IZQ 11x340x130° 4330-0340S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003534 62019 CLAVO GAMMA L IZQ 11x360x130° 4330-0360S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003535 62021 CLAVO GAMMA L IZQ 11x380x130° 4330-0380S 977.729 977.729 977.729 977.729 977.729 977.729
PRO4003536 62022 IOBAN CON CAMPO QUIRURGICO 6619 126.978 126.978 126.978 126.978 126.978 126.978
PRO4003537 62023 CAPSULA DEL EXTREMO STD 8MM 1822-0003S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003538 62029 CAPSULA DEL EXTREMO +5MM 1822-0005S 88.884 88.884 88.884 88.884 88.884 88.884
MED6000724 62030 RANITIDINA 50MG/2ML INY 571 571 571 571 571 571
PRO4003539 62031 CAPSULA DEL EXTREMO +10MM 1822-0010S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003540 62032 CAPSULA DEL EXTREMO +15MM 1822-0015S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003541 62034 TORNILLO DE COMPRESION 8MM 1825-0000S 47.617 47.617 47.617 47.617 47.617 47.617
MED6000725 62036 NIMODIPINO 30MG COMP 3.684 3.684 3.684 3.684 3.684 3.684
PRO4003542 62037 TORNILLO COMPRESION AVANZ 8MM 1825-0001S 47.617 47.617 47.617 47.617 47.617 47.617
MED6001038 62038 NIMODIPINO 10MG/50ML INY 81.317 81.317 81.317 81.317 81.317 81.317
PRO4003543 62041 TORNILLO DE COMPRESION 8+10MM 1825-0010S 47.617 47.617 47.617 47.617 47.617 47.617
MED6001254 62042 VERDE DE INDOCIANINA 25MG INY 386.750 386.750 386.750 386.750 386.750 386.750
MED6001266 62043 STEROFUNDIN ISO 500ML (ECOFLAC) 6.480 6.480 6.480 6.480 6.480 6.480
PRO4003544 62044 TORNILLO DE COMPRESION 8+15MM 1825-0015S 47.617 47.617 47.617 47.617 47.617 47.617
PRO4003545 62045 CLAVO FEM A/R R1500 9x280 MM 1828-0928S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003546 62046 CLAVO FEM A/R R1500 9x300 MM 1828-0930S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003547 62047 CLAVO FEM A/R R1500 9x320 MM 1828-0932S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003548 62049 CLAVO FEM A/R R1500 9x340 MM 1828-0934S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003549 62053 CLAVO FEM A/R R1500 9x360 MM 1828-0936S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003550 62054 CLAVO FEM A/R R1500 9x380 MM 1828-0938S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003551 62055 CLAVO FEM A/R R1500 9x400 mm 1828-0940S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003552 62056 CLAVO FEM A/R R1500 9x420 MM 1828-0942S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003553 62057 CLAVO FEM A/R R1500 10x280MM 1828-1028S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003554 62058 CLAVO FEM A/R R1500 10x300MM 1828-1030S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003555 62059 CLAVO FEM A/R R1500 10x320MM 1828-1032S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003556 62060 CLAVO FEM A/R R1500 10x340MM 1828-1034S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003557 62061 CLAVO FEM A/R R1500 10x360MM 1828-1036S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003558 62062 CLAVO FEM A/R R1500 10x380MM 1828-1038S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003559 62063 CLAVO FEM A/R R1500 10x400MM 1828-1040S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003560 62064 CLAVO FEM A/R R1500 10x420MM 1828-1042S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003561 62065 CLAVO FEM A/R R1500 11x280MM 1828-1128S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003562 62066 CLAVO FEM A/R R1500 11x300MM 1828-1130S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003563 62067 CLAVO FEM A/R R1500 11x320MM 1828-1132S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003564 62068 CLAVO FEM A/R R1500 11x340MM 1828-1134S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003565 62069 CLAVO FEM A/R R1500 11x360MM 1828-1136S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003566 62070 CLAVO FEM A/R R1500 11x380MM 1828-1138S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003567 62071 CLAVO FEM A/R R1500 11x400MM 1828-1140S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003568 62072 CLAVO FEM A/R R1500 11x420MM 1828-1142S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003569 62073 CLAVO FEM A/R R1500 12x280MM 1828-1228S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003570 62074 CLAVO FEM A/R R1500 12x300MM 1828-1230S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003571 62075 CLAVO FEM A/R R1500 12x320MM 1828-1232S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003572 62076 CLAVO FEM A/R R1500 12x340MM 1828-1234S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003573 62077 CLAVO FEM A/R R1500 12x360MM 1828-1236S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003574 62078 CLAVO FEM A/R R1500 12x380MM 1828-1238S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003575 62079 CLAVO FEM A/R R1500 12x400MM 1828-1240S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003576 62080 CLAVO FEM A/R R1500 12x420MM 1828-1242S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003577 62081 CLAVO FEM A/R R1500 13x300MM 1828-1330S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003578 62082 CLAVO FEM A/R R1500 13x320MM 1828-1332S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003579 62083 CLAVO FEM A/R R1500 13x340MM 1828-1334S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003580 62084 CLAVO FEM A/R R1500 13x360MM 1828-1336S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003581 62085 CLAVO FEM A/R R1500 13x380MM 1828-1338S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003582 62086 CLAVO FEM A/R R1500 13x400MM 1828-1340S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003583 62087 CLAVO FEM A/R R1500 13x420MM 1828-1342S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003584 62088 CLAVO FEM A/R R1500 13x440MM 1828-1344S 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605 1.226.605
PRO4003585 62089 PERNO BLOQUEO RPARCIAL 5x25MM 1891-5025S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003586 62090 PERNO BLOQUEO RPARCIAL 5x30MM 1891-5030S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003587 62091 PERNO BLOQUEO RPARCIAL 5x35MM 1891-5035S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003588 62092 PERNO BLOQUEO RPARCIAL 5x40MM 1891-5040S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003589 62093 PERNO BLOQUEO RPARCIAL 5x45MM 1891-5045S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003590 62094 PERNO BLOQUEO RPARCIAL 5x50MM 1891-5050S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003591 62095 PERNO BLOQUEO RPARCIAL 5x55MM 1891-5055S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003592 62096 PERNO BLOQUEO RPARCIAL 5x60MM 1891-5060S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003593 62097 PERNO BLOQUEO RPARCIAL 5x65MM 1891-5065S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003594 62098 PERNO BLOQUEO RPARCIAL 5x70MM 1891-5070S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003595 62099 PERNO BLOQUEO RPARCIAL 5x75MM 1891-5075S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003596 62100 PERNO BLOQUEO RPARCIAL 5x80MM 1891-5080S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003597 62101 PERNO BLOQUEO RPARCIAL 5x85MM 1891-5085S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003598 62102 PERNO BLOQUEO RPARCIAL 5x90MM 1891-5090S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003599 62103 PERNO BLOQUEO RPARCIAL 5x95MM 1891-5095S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003600 62104 PERNO BLOQUEO RPARCIAL 5x100m 1891-5100S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003601 62105 PERNO BLOQUEO RPARCIAL 5x105m 1891-5105S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003602 62106 PERNO BLOQUEO RPARCIAL 5x110m 1891-5110S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003603 62107 PERNO BLOQUEO RPARCIAL 5x115m 1891-5115S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003604 62108 PERNO BLOQUEO RPARCIAL 5x120m 1891-5120S 88.884 88.884 88.884 88.884 88.884 88.884
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003605 62109 TUERCA TORNILLO CONDILO 5mm 1895-5001S 47.617 47.617 47.617 47.617 47.617 47.617
PRO4003606 62110 TORNILLO CONDILO 5x40mm 1895-5040S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003607 62111 TORNILLO CONDILO 5x45mm 1895-5045S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003608 62112 TORNILLO CONDILO 5x50mm 1895-5050S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003609 62113 TORNILLO CONDILO 5x55mm 1895-5055S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003610 62114 TORNILLO CONDILO 5x60MM 1895-5060S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003611 62115 TORNILLO CONDILO 5x65MM 1895-5065S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003612 62116 TORNILLO CONDILO 5x70MM 1895-5070S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003613 62117 TORNILLO CONDILO 5x75MM 1895-5075S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003614 62118 TORNILLO CONDILO 5x80MM 1895-5080S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003615 62119 TORNILLO CONDILO 5x85MM 1895-5085S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003616 62120 TORNILLO CONDILO 5x90MM 1895-5090S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003617 62121 TORNILLO CONDILO 5x95MM 1895-5095S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003618 62122 TORNILLO CONDILO 5x100MM 1895-5100S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003619 62123 TORNILLO CONDILO 5x105MM 1895-5105S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003620 62124 TORNILLO CONDILO 5x110MM 1895-5110S 158.722 158.722 158.722 158.722 158.722 158.722
PRO4003621 62125 PERNO BLOQUEO R COMPLE 5x25MM 1896-5025S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003622 62126 PERNO BLOQUEO RCOMPLE 5x27.5m 1896-5027S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003623 62127 PERNO BLOQUEO RCOMPLE 5x30MM 1896-5030S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003624 62128 PERNO BLOQUEO RCOMPLE 5x32.5m 1896-5032S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003625 62129 PERNO BLOQUEO RCOMPLE 5x35MM 1896-5035S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003626 62130 PERNO BLOQUEO RCOMPLE 5x37.5m 1896-5037S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003627 62131 PERNO BLOQUEO RCOMPLE 5x40MM 1896-5040S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003628 62132 PERNO BLOQUEO RCOMPL 5x42.5MM 1896-5042S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003629 62133 PERNO BLOQUEO RCOMPLE 5x45MM 1896-5045S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003630 62134 PERNO BLOQUEO RCOMPL 5x47.5MM 1896-5047S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003631 62135 PERNO BLOQUEO RCOMPLE 5x50MM 1896-5050S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003632 62136 PERNO BLOQUEO RCOMPL 5x52.5MM 1896-5052S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003633 62137 PERNO BLOQUEO RCOMPLE 5x55MM 1896-5055S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003634 62138 PERNO BLOQUEO RCOMPL 5x57.5MM 1896-5057S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003635 62139 PERNO BLOQUEO RCOMPLE 5x60MM 1896-5060S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003636 62140 PERNO BLOQUEO RCOMPLE 5x65MM 1896-5065S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003637 62141 PERNO BLOQUEO RCOMPLE 5x70MM 1896-5070S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003638 62142 PERNO BLOQUEO RCOMPLE 5x75MM 1896-5075S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003639 62143 PERNO BLOQUEO RCOMPLE 5x80MM 1896-5080S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003640 62144 PERNO BLOQUEO RCOMPLE 5x85MM 1896-5085S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003641 62145 PERNO BLOQUEO RCOMPLE 5x90MM 1896-5090S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003642 62146 PERNO BLOQUEO RCOMPLE 5x95MM 1896-5095S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003643 62147 PERNO BLOQUEO RCOMPLE 5x100MM 1896-5100S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003644 62148 PERNO BLOQUEO RCOMPLE 5x105MM 1896-5105S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003645 62149 PERNO BLOQUEO RCOMPLE 5x110MM 1896-5110S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003646 62150 PERNO BLOQUEO RCOMPLE 5x115MM 1896-5115S 88.884 88.884 88.884 88.884 88.884 88.884
PRO4003647 62151 PERNO BLOQUEO RCOMPLE 5x120MM 1896-5120S 88.884 88.884 88.884 88.884 88.884 88.884
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001422 62166 KETOROLACO 0,4% (ACULAR-LS) SOL OFT 5ML 71.376 71.376 71.376 71.376 71.376 71.376
MED6001425 62167 GATIFLOXACINO 0,3% (ZYMAR) SOL OFT 5ML 67.148 67.148 67.148 67.148 67.148 67.148
MAT4003436 62170 BOLSA DE RETIRO 10MMX240ML 550-000-003 230.908 230.908 230.908 230.908 230.908 230.908
MAT4003437 62171 BOLSA DE RETIRO 12MMX750ML 550-000-005 217.913 217.913 217.913 217.913 217.913 217.913
MAT4003438 62172 T.METZEN CURVA MONO 5MMX33CM 533-105-910 178.024 178.024 178.024 178.024 178.024 178.024
MAT4003449 62173 PINZA BIPOLAR NON STICK 18CX0.3MM ZKN-5 348.694 348.694 348.694 348.694 348.694 348.694
MAT4003450 62174 PINZA BIPOLAR NON STICK 18CX0.5MM ZKN-5J 348.694 348.694 348.694 348.694 348.694 348.694
MAT4003451 62175 PINZA BIPOLAR NON STICK 18CX1.0MM ZKN-5X 348.694 348.694 348.694 348.694 348.694 348.694
MAT4003452 62176 PINZA BIPOLAR NON STICK 20CX0.3MM ZKN-3 348.694 348.694 348.694 348.694 348.694 348.694
MAT4003453 62177 PINZA BIPOLAR NON STICK 20CX0.5MM ZKN-3J 348.694 348.694 348.694 348.694 348.694 348.694
MED6002056 62178 OLAPARIB (LYMPARZA) 150MG 56CP 2.997.936 2.997.936 2.997.936 2.997.936 2.997.936 2.997.936
MED6002058 62179 OLAPARIB (LYMPARZA) 100MG 56CP 2.997.936 2.997.936 2.997.936 2.997.936 2.997.936 2.997.936
MED6002077 62180 RM - SUERO FISIO 500ML+KETOPROFENO 300MG 28.070 28.070 28.070 28.070 28.070 28.070
MED6002078 62181 RM - GLUCOSALINO 1000ML + 2G KCL 26.513 26.513 26.513 26.513 26.513 26.513
MED6002079 62182 RM - GLUCOSA 10% 250ML + 0,5G NACL 17.088 17.088 17.088 17.088 17.088 17.088
MED6002080 62183 RM - CLORURO DE SODIO 0,45% 50ML 35.944 35.944 35.944 35.944 35.944 35.944
MED6001884 62184 METAMIZOL SODICO (DIPIRONA) 1G/2ML INY 821 821 821 821 821 821
MED6002081 62185 RM - GLUCOSA 5% 1000ML + 8G NACL+ 2G KCL 37.661 37.661 37.661 37.661 37.661 37.661
MED6002083 62186 INMUNOGLOB HUM (PRIVIGEN) 10% 10G 100ML 867.510 867.510 867.510 867.510 867.510 867.510
MED6002092 62187 RM - SUERO FISIOL 50ML + 1,5G KCL CARGA 42.679 42.679 42.679 42.679 42.679 42.679
MED6002089 62188 INMUNOGLOB HUM (PRIVIGEN) 10% 5G 50ML 514.080 514.080 514.080 514.080 514.080 514.080
MED6002121 62189 ABINTRA 27 GRS. 23.086 23.086 23.086 23.086 23.086 23.086
MED6002120 62190 AMINOMED 400 GRS. 119.998 119.998 119.998 119.998 119.998 119.998
MED6002119 62191 NAN PREMATURO 400 GRS. 33.470 33.470 33.470 33.470 33.470 33.470
MED6002135 62192 SIROLIMUS (RAPAMUNE) 1MG COMP 26.428 26.428 26.428 26.428 26.428 26.428
MED6002136 62193 SMOFKABIVEN EXTRANITROGENO 1518ML 176.890 176.890 176.890 176.890 176.890 176.890
MED6002137 62194 FIBRINOGENO HUMANO LIOF (FIBRYGA) 1G 824.670 824.670 824.670 824.670 824.670 824.670
MED6002180 62195 LU 177 PSMA DOSIS 100 MCI 3.694.733 3.694.733 3.694.733 3.694.733 3.694.733 3.694.733
MED6002181 62196 LU 177 PSMA DOSIS 150 MCI 4.173.113 4.173.113 4.173.113 4.173.113 4.173.113 4.173.113
MED6002182 62197 LU 177 DOTATATE DOSIS 100 MCI 2.520.000 2.520.000 2.520.000 2.520.000 2.520.000 2.520.000
MED6002183 62198 LU 177 DOTATATE DOSIS 150 MCI 3.788.698 3.788.698 3.788.698 3.788.698 3.788.698 3.788.698
MED6002184 62199 LU 177 DOTATATE DOSIS 200 MCI 4.402.660 4.402.660 4.402.660 4.402.660 4.402.660 4.402.660
MED6002185 62200 THYROGEN 1.893.330 1.893.330 1.893.330 1.893.330 1.893.330 1.893.330
MED6002186 62201 LU 177 PSMA DOSIS 200 MCI 5.099.684 5.099.684 5.099.684 5.099.684 5.099.684 5.099.684
MED6000728 62222 ALPROSTADIL 500MCG/ML INY 374.850 374.850 374.850 374.850 374.850 374.850
MED6001851 62453 AEROCAMARA ADULTO 28.560 28.560 28.560 28.560 28.560 28.560
MED6001852 62454 AEROCAMARA PEDIATRICA 31.130 31.130 31.130 31.130 31.130 31.130
MED6001034 62456 FULVESTRANT 250MG/5ML 2 JER 437.916 437.916 437.916 437.916 437.916 437.916
MED6001044 62500 MELATONINA 3MG CAP 228 228 228 228 228 228
MED6000987 62501 HIOSCINA PERLAS 10MG CAP 3.991 3.991 3.991 3.991 3.991 3.991
MED6000972 62502 RACECADROTILO 100MG CAP 4.698 4.698 4.698 4.698 4.698 4.698
MED6000988 62503 MACROGOL 3350 17G SOBRE 2.428 2.428 2.428 2.428 2.428 2.428
MED6000963 62504 LAMOTRIGINA 100MG COMP 5.884 5.884 5.884 5.884 5.884 5.884
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000999 62505 METFORMINA XR 1G COMP 1.531 1.531 1.531 1.531 1.531 1.531
MED6001045 62506 METFORMINA XR 500MG COMP 527 527 527 527 527 527
MED6001041 62507 PICOSULFATO (DULCOLAX) 2.5MG PERLA 3.320 3.320 3.320 3.320 3.320 3.320
MED6001016 62508 ELCAL D SUPRA SOBRE 1.764 1.764 1.764 1.764 1.764 1.764
MED6000974 62509 TOPIRAMATO 100MG COMP 2.999 2.999 2.999 2.999 2.999 2.999
MED6001003 62510 BEPANTHOL UNGUENTO 30GRS 12.881 12.881 12.881 12.881 12.881 12.881
MED6001022 62512 LAMOTRIGINA 25MG COMP 3.084 3.084 3.084 3.084 3.084 3.084
MED6000941 62513 LAMOTRIGINA 50MG COMP 4.727 4.727 4.727 4.727 4.727 4.727
MED6000996 62514 HIERRO CARBOXIMALTOSA (FERINJECT) 500MG 306.160 306.160 306.160 306.160 306.160 306.160
MED6000979 62515 CARBOXIMETIL(REFRESH TEARS) 0,5% 15ML 60.051 60.051 60.051 60.051 60.051 60.051
MED6001008 62517 AZACITIDINA 100MG INY 252.756 252.756 252.756 252.756 252.756 252.756
MED6000975 62518 BENDAMUSTINA 100MG INY 495.040 495.040 495.040 495.040 495.040 495.040
MED6000934 62519 BENDAMUSTINA 25MG INY 182.070 182.070 182.070 182.070 182.070 182.070
MED6001024 62521 IDARRUBICINA 10MG INY 364.408 364.408 364.408 364.408 364.408 364.408
MED6001006 62522 IDARRUBICINA 5MG INY 219.778 219.778 219.778 219.778 219.778 219.778
MED6000981 62523 MELFALAN 50MG INY 278.460 278.460 278.460 278.460 278.460 278.460
MED6000968 62524 NAB-PACLITAXEL 100MG INY 1.004.528 1.004.528 1.004.528 1.004.528 1.004.528 1.004.528
MED6000971 62525 TRASTUZUMAB-EMTANSINA 100MG INY 1.782.485 1.782.485 1.782.485 1.782.485 1.782.485 1.782.485
MED6001011 62527 TOPOTECAN 4MG INY 507.607 507.607 507.607 507.607 507.607 507.607
MED6000983 62528 PERTUZUMAB 420MG/14ML INY 2.401.857 2.401.857 2.401.857 2.401.857 2.401.857 2.401.857
MED6001015 62529 DOXORRUBICINA LIPOSOMAL 20MG/10ML INY 310.590 310.590 310.590 310.590 310.590 310.590
MED6000935 62530 GOLIMUMAB 50MG/4ML INY 558.981 558.981 558.981 558.981 558.981 558.981
MED6000942 62531 TOCILIZUMAB 200MG/10ML INY 416.984 416.984 416.984 416.984 416.984 416.984
MED6000977 62532 TOCILIZUMAB 400MG/20ML INY 730.503 730.503 730.503 730.503 730.503 730.503
MED6000984 62535 DENOSUMAB (PROLIA) 60MG/1ML 265.666 265.666 265.666 265.666 265.666 265.666
MED6000978 62536 ROMIPLOSTIN 250MCG/0,5ML INY 604.700 604.700 604.700 604.700 604.700 604.700
MED6000937 62537 CICLOFOSFAMIDA 50MG CAJA 50COMP 30.345 30.345 30.345 30.345 30.345 30.345
MED6000969 62538 CAPECITABINA 500MG CAJA 120COMP 476.000 476.000 476.000 476.000 476.000 476.000
MED6001018 62539 AC.TRANSRETINOICO(VESANOID) 10MG 100COMP 485.520 485.520 485.520 485.520 485.520 485.520
MED6001881 62731 MIDAZOLAM 100MG/100ML SOL INY 15.994 15.994 15.994 15.994 15.994 15.994
MAT7003146 62754 HOJA DESECHABLE VIDEOLAR MAC3 #VN700130 27.227 27.227 27.227 27.227 27.227 27.227
MAT7003147 62755 HOJA DESECHABLE VIDEOLAR MAC4 #VN700140 27.227 27.227 27.227 27.227 27.227 27.227
MED6001882 62765 ADAPTADOR ENFIT #7751562 17.136 17.136 17.136 17.136 17.136 17.136
MED6001883 62766 BAJADA DE GRAVEDAD ENFIT#7751937 17.136 17.136 17.136 17.136 17.136 17.136
MED6001888 62845 CEFTAZIDIMA/AVIBACTAM 2/0,5G (ZAVICEFTA) 275.207 275.207 275.207 275.207 275.207 275.207
MED6001889 62846 CEFTOLOZANO/TAZOBACTAM 1/0,5G (ZERBAXA) 192.456 192.456 192.456 192.456 192.456 192.456
MED6001897 62847 ACIDO TRANEXAMICO 500MG COMP 10.695 10.695 10.695 10.695 10.695 10.695
MED6001903 62848 VORICONAZOL (VFEND) 200MG X10 COMP 649.740 649.740 649.740 649.740 649.740 649.740
MED6001904 62849 ISAVUCONAZOL (CRESEMBA) 100MG X14 COMP 741.303 741.303 741.303 741.303 741.303 741.303
MED6001872 62872 FOSCARNET 12GR/500ML EV 581.434 581.434 581.434 581.434 581.434 581.434
MED6001873 62873 RITUXIMAB (MABTHERA) 1400MG SC FAM 1.710.625 1.710.625 1.710.625 1.710.625 1.710.625 1.710.625
MED6001874 62874 TRIOXIDO DE ARSENICO 10MG/10ML 117.810 117.810 117.810 117.810 117.810 117.810
MED6001875 62875 VENETOCLAX (VENCLEXTA) 100MG 120COMP 8.114.437 8.114.437 8.114.437 8.114.437 8.114.437 8.114.437
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001528 62900 CANULA P/PERFLUORO 25G 91.609 91.609 91.609 91.609 91.609 91.609
MED6001428 62901 AFLIBERCEPT 2MG/0,05ML (EYLEA) JER PRELL 911.940 911.940 911.940 911.940 911.940 911.940
MED6001419 62904 RIBOFLAVINA HIPOTONICA JER. 285.600 285.600 285.600 285.600 285.600 285.600
MED6001421 62905 RIBOFLAVINA ISOTONICA JER. 285.600 285.600 285.600 285.600 285.600 285.600
MED6001544 62907 TRIAMCINOLONA 40MG/ML (AUROCORT) 114.240 114.240 114.240 114.240 114.240 114.240
MED6001532 62908 HIALURONIDASA (HYLASE) 150UI FCO. 88.893 88.893 88.893 88.893 88.893 88.893
MED6001918 62909 CARGA POTASIO 40MEQ (3GR) EN AGUA 100ML 8.849 8.849 8.849 8.849 8.849 8.849
MED6001934 62934 FLUIDASA 600MG SOBRE 2.313 2.313 2.313 2.313 2.313 2.313
MED6001935 62935 HUMULIN N KWIKPEN 100UI/ML INY 35.538 35.538 35.538 35.538 35.538 35.538
MED6001945 62945 CAFEINA CITRATO 40MG/2ML FAM EV 132.090 132.090 132.090 132.090 132.090 132.090
MED6001946 62946 APIXABAN (ELIQUIS) 2,5MG COMP 5.301 5.301 5.301 5.301 5.301 5.301
MED6001947 62947 APIXABAN (ELIQUIS) 5MG COMP 5.301 5.301 5.301 5.301 5.301 5.301
MED6001948 62948 LINAGLIPTINA (TRAYENTA) 5MG COMP 8.698 8.698 8.698 8.698 8.698 8.698
MED6001916 62985 PROPOFOL MCT/LCT 2% 100ML 92.820 92.820 92.820 92.820 92.820 92.820
MED6001898 62986 URAPIDIL 50MG/10ML INY 34.520 34.520 34.520 34.520 34.520 34.520
MED6001899 62987 PROSOURCE NO CARB 30 GRS 13.652 13.652 13.652 13.652 13.652 13.652
MED6001429 62990 RM - JERINGA MITOMICINA 0.02% 3ML 70.686 70.686 70.686 70.686 70.686 70.686
MED6001525 62991 RM - JERINGA MITOMICINA 0.04% 3ML 62.068 62.068 62.068 62.068 62.068 62.068
MED6001526 62992 RM - JERINGA 5FU 10MG/0.2ML 44.961 44.961 44.961 44.961 44.961 44.961
MED6001917 62993 RM - JERINGA AVASTIN 3.75MG/0.15ML 56.570 56.570 56.570 56.570 56.570 56.570
MED6001535 62994 MEMBRANE BLUE DUAL JER 0,5ML 197.208 197.208 197.208 197.208 197.208 197.208
MED6001516 62995 HIALURONATO SODICO (PROVISC) 10MG/0.85ML 94.283 94.283 94.283 94.283 94.283 94.283
MED6001424 62996 DEXAMETASONA 0,7MG (OZURDEX) IMPL OCULAR 746.368 746.368 746.368 746.368 746.368 746.368
MED6001506 62997 AZUL DE TRIPAN 0.05% 1,6ML AMP 69.035 69.035 69.035 69.035 69.035 69.035
MED6001508 62998 ACEITE DE SILICONA 1000 CST JER 10ML 107.100 107.100 107.100 107.100 107.100 107.100
MED6001509 62999 ACEITE DE SILICONA 5000 CST JER 10ML 107.100 107.100 107.100 107.100 107.100 107.100
MED6001592 63001 HIALURONATO SODICO 3% Z-HYALCOAT 0,85ML 85.680 85.680 85.680 85.680 85.680 85.680
MED6002062 63003 PONATINIB (ICLUSIG) 15MG 30COMP 3.867.500 3.867.500 3.867.500 3.867.500 3.867.500 3.867.500
MED6002063 63004 SORAFENIB (NEXAVAR) 200MG 112COMP 4.024.128 4.024.128 4.024.128 4.024.128 4.024.128 4.024.128
MED6002213 63005 EVEROLIMUS (CERTICAN) 0,5MG 60 COMP 407.717 407.717 407.717 407.717 407.717 407.717
MED6002232 63006 CAFEINA CITRATO 10MG/ML SOL ORAL 100ML 26.085 26.085 26.085 26.085 26.085 26.085
MED6002233 63007 CAFEINA CITRATO 10MG/ML SOL ORAL 50ML 23.610 23.610 23.610 23.610 23.610 23.610
MED6002230 63008 EXTRANEAL 2L 7,5% BOLSA SIMPLE 41.546 41.546 41.546 41.546 41.546 41.546
MED6002231 63009 EXTRANEAL 2L 7,5% BOLSA DOBLE 41.546 41.546 41.546 41.546 41.546 41.546
MED6002241 63010 ALGLUCOSIDASA ALFA (MYOZYME) 50MG INY 823.969 823.969 823.969 823.969 823.969 823.969
MED6002243 63011 RAVULIZUMAB(ULTOMIRIS)300MG INY 7.577.225 7.577.225 7.577.225 7.577.225 7.577.225 7.577.225
MED6002263 63012 JARABE DE FOSFATOS 100ML JBE 24.276 24.276 24.276 24.276 24.276 24.276
MED6002266 63013 NIFEDIPINO 20MG CAP 964 964 964 964 964 964
MED6002268 63014 CAPTOPRIL 5MG/ML 50ML SOL ORAL 25.599 25.599 25.599 25.599 25.599 25.599
MED6002270 63015 COLUTORIO ANESTESICO 500ML SOL ORAL 27.856 27.856 27.856 27.856 27.856 27.856
MED6002274 63016 BUDESONIDA (BUDENOFALK) 3MG 100 COMP 292.326 292.326 292.326 292.326 292.326 292.326
MED6002275 63017 CALCIO ACETATO (PHOSLO) 667 MG 60 COMP 21.487 21.487 21.487 21.487 21.487 21.487
MED6002276 63018 FLUDROCORTISONA (FLORINEF) 0,1MG 100COMP 256.314 256.314 256.314 256.314 256.314 256.314
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6002277 63019 BACTEROL FORTE 80/400MG 100ML SUSP 37.537 37.537 37.537 37.537 37.537 37.537
MED6002278 63020 THER NPT 0-250 ML 206.584 206.584 206.584 206.584 206.584 206.584
MED6002279 63021 THER NPT 251-500 ML 213.248 213.248 213.248 213.248 213.248 213.248
MED6002283 63021 THER NPT 251-500 ML 143.693 143.693 143.693 143.693 143.693 143.693
MED6002280 63022 THER NPT 501-1000 ML 222.244 222.244 222.244 222.244 222.244 222.244
MED6002281 63023 THER NPT 1001-2000 ML 253.173 253.173 253.173 253.173 253.173 253.173
MED6002282 63023 THER NPT 1001-2000 ML 253.173 253.173 253.173 253.173 253.173 253.173
MED6002282 63024 THER NPT 2001-3000 ML 253.173 253.173 253.173 253.173 253.173 253.173
MED6002283 63025 THER DIPEPTIVEN NPT 100ML 143.693 143.693 143.693 143.693 143.693 143.693
MED6002284 63026 HIDROCORTISONA 1MG/ML 150ML SOL ORAL 28.679 28.679 28.679 28.679 28.679 28.679
MED6002286 63027 ESPIRONOLACTONA 5MG/ML 50ML 29.022 29.022 29.022 29.022 29.022 29.022
MED6002294 63028 VIGABATRINA 100MG/ML 250ML 26.656 26.656 26.656 26.656 26.656 26.656
MED6002291 63029 NIFEDIPINO 10MG/ML 10ML SOL ORAL 20.977 20.977 20.977 20.977 20.977 20.977
MED6002292 63030 HIDRALAZINA 2MG/ML 10ML SOL ORAL 26.656 26.656 26.656 26.656 26.656 26.656
MED6002293 63031 SILDENAFIL 5MG/ML 10ML SOL ORAL 22.324 22.324 22.324 22.324 22.324 22.324
MED6002301 63032 POLVO DE FECULA 100G 10.112 10.112 10.112 10.112 10.112 10.112
MED6002302 63033 CITONEURON 30 CAP 39.751 39.751 39.751 39.751 39.751 39.751
MED6002303 63034 DAPAGLIFLOZINA (FORXIGA) 10MG 28 COMP 92.142 92.142 92.142 92.142 92.142 92.142
MED6002304 63035 VITAMINA C 1G 60 COMP 11.519 11.519 11.519 11.519 11.519 11.519
MED6002305 63036 URSOFALK 250MG/5ML 250ML SUSP 161.460 161.460 161.460 161.460 161.460 161.460
MED6002307 63037 BCG 30MG FAM LIOF 653.801 653.801 653.801 653.801 653.801 653.801
MED6002411 63037 BCG 30MG FAM LIOF 255.392 255.392 255.392 255.392 255.392 255.392
MED6002321 63038 TESTOSTERONA UNDECANOATO (NEBIDO) 1G/4ML 213.448 213.448 213.448 213.448 213.448 213.448
MED6002322 63039 LONSURF 20MG/8,19MG 20 COMP 1.710.625 1.710.625 1.710.625 1.710.625 1.710.625 1.710.625
MED6002323 63040 SEVELAMER (RENVELA) 800MG 180 COMP 478.716 478.716 478.716 478.716 478.716 478.716
MED6002324 63041 SUVOREXANT (BELSOMRA) 10MG 30 COMP 83.717 83.717 83.717 83.717 83.717 83.717
MED6000729 63042 CICLOFOSFAMIDA 500MG INY 14.034 14.034 14.034 14.034 14.034 14.034
MED6000700 63043 ALCOHOL ISOPROPILICO 500 ML FRASCO 11.454 11.454 11.454 11.454 11.454 11.454
MED6000730 63045 CICLOFOSFAMIDA 1GR INY 25.656 25.656 25.656 25.656 25.656 25.656
MED6002325 63047 CEFPODOXIMA (CEFIRAX) 200MG 10 COMP 54.645 54.645 54.645 54.645 54.645 54.645
MED6002326 63048 SPIOLTO RESPIMAT 2.5/2.5 INH 30DS 138.991 138.991 138.991 138.991 138.991 138.991
MED6002327 63049 ANORO 55/22MCG INH 30DS 136.224 136.224 136.224 136.224 136.224 136.224
MED6002328 63051 MEBEVERINA (DOLOVERINA) 200MG 20 COMP 49.343 49.343 49.343 49.343 49.343 49.343
MED6002329 63052 FENAZOPIRIDINA (NORDOX) 200MG 14 COMP 40.401 40.401 40.401 40.401 40.401 40.401
MED6002330 63054 ELCAL KID 180 ML JBE 35.986 35.986 35.986 35.986 35.986 35.986
MED6002331 63059 TRELEGY ELLIPTA 92/55/22 MCG INH 30DS 241.223 241.223 241.223 241.223 241.223 241.223
MED6002332 63061 PANCREATINA/SIMETICONA (DIGENIL) 20CAP 20.944 20.944 20.944 20.944 20.944 20.944
MED6002333 63063 MODAFINILO (MOVIGIL) 100MG 30 COMP 23.324 23.324 23.324 23.324 23.324 23.324
MED6002311 63067 GAVISCON SUSP ORAL 10 SOBRES 22.981 22.981 22.981 22.981 22.981 22.981
MED6002312 63070 SINUS RINSE KIT CAJA 60 SACHET 44.420 44.420 44.420 44.420 44.420 44.420
MED6002313 63071 BIOGAIA PROBIOTICOS 5ML GOTAS 49.476 49.476 49.476 49.476 49.476 49.476
MED6002314 63072 BISMUTO (GASTROALIV) 262,5MG/15ML 240ML 15.520 15.520 15.520 15.520 15.520 15.520
MED6002315 63073 VALSARTAN (ENTRESTO) 50MG 28 COMP 123.022 123.022 123.022 123.022 123.022 123.022
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6002316 63074 BREXIPIPRAZOL (REXULTI) 0,5 MG 28 COMP 87.494 87.494 87.494 87.494 87.494 87.494
MED6002319 63077 CLOBETASOL NISTATINA COLUTORIO 100ML 63.000 63.000 63.000 63.000 63.000 63.000
MED6002342 63079 AFLIBERCEPT (ZALTRAP) 2MG/0,08ML JER 168.980 168.980 168.980 168.980 168.980 168.980
MED6002341 63082 ISAVUCONAZOL (CRESEMBA) 200MG INY 523.600 523.600 523.600 523.600 523.600 523.600
MED6002318 63084 DINOPROSTONA (PROPESS) OVULO LP 10MG 185.779 185.779 185.779 185.779 185.779 185.779
MED6002335 63085 ANAKINRA (KINERET) 100MG/0,67ML 7 JER 950.096 950.096 950.096 950.096 950.096 950.096
MED6002336 63086 PROBENECID 500MG X 100 COMP 281.138 281.138 281.138 281.138 281.138 281.138
MED6002334 63088 CALCEFOR 500MG 30 COMP MAST 19.121 19.121 19.121 19.121 19.121 19.121
MED6002340 63090 LACOSAMIDA 50MG/ML 50ML SOL ORAL 26.656 26.656 26.656 26.656 26.656 26.656
MED6002359 63091 CIPROFLOXACINO 30MG/ML 50ML SOL ORAL 28.215 28.215 28.215 28.215 28.215 28.215
MED6002352 63092 NIFEDIPINO 10MG/ML 50ML SOL ORAL 27.042 27.042 27.042 27.042 27.042 27.042
MED6002353 63093 HIDRALAZINA 2MG/ML 50ML SOL ORAL 26.656 26.656 26.656 26.656 26.656 26.656
MED6002354 63096 FLUCONAZOL 20MG/ML 50ML SOL ORAL 64.716 64.716 64.716 64.716 64.716 64.716
MED6002355 63097 MERCAPTOPURINA 20MG/ML 100ML SOL ORAL 44.595 44.595 44.595 44.595 44.595 44.595
MED6002356 63103 MICOFENOLATO MOFETIL 20MG/ML 100ML SO 39.244 39.244 39.244 39.244 39.244 39.244
MED6000732 63104 IBUPROFENO 400MG COMP 120 120 120 120 120 120
MED6001674 63108 VOLBELLA JUVEDERM 15MG 1ML JER PRELL 150.638 150.638 150.638 150.638 150.638 150.638
MED6001675 63109 VOLIFT JUVEDERM 17,5MG 1ML JER PRELL 142.749 142.749 142.749 142.749 142.749 142.749
MED6001352 63121 S-26 HA GOLD 900 GR. 81.476 81.476 81.476 81.476 81.476 81.476
MED6002357 63124 FENOBARBITAL 20MG/ML 50ML SOL ORAL 26.656 26.656 26.656 26.656 26.656 26.656
MED6002358 63126 VALGANCICLOVIR 100MG/ML 100ML SOL ORAL 71.352 71.352 71.352 71.352 71.352 71.352
MED6002360 63127 AMIODARONA 20MG/ML 50ML SOL ORAL 26.656 26.656 26.656 26.656 26.656 26.656
MED6002361 63132 TACROLIMUS 0,1MG CAP 482 482 482 482 482 482
MED6002362 63135 GLICOPIRROLATO 1MG CAP 6.853 6.853 6.853 6.853 6.853 6.853
MED6000733 63140 LEVOTIROXINA 75MCG COMP 1.135 1.135 1.135 1.135 1.135 1.135
MED6002363 63144 CARVEDILOL 1MG/ML 100ML SOL ORAL 26.656 26.656 26.656 26.656 26.656 26.656
MED6000734 63149 KETOPROFENO 100MG EV INY 2.172 2.172 2.172 2.172 2.172 2.172
MED6002364 63151 AMLODIPINO 1MG/ML 100ML SOL ORAL 22.919 22.919 22.919 22.919 22.919 22.919
MED6002365 63155 PROPRANOLOL 1MG/ML 100ML SOL ORAL 28.279 28.279 28.279 28.279 28.279 28.279
MED6002366 63156 L-CARNITINA 10% SIN CHO 250ML SOL ORAL 39.584 39.584 39.584 39.584 39.584 39.584
MED6002367 63158 FENITOINA 5MG/ML 100ML SOL ORAL 26.656 26.656 26.656 26.656 26.656 26.656
MED6002368 63159 VORICONAZOL 40MG/ML 100ML SOL ORAL 62.433 62.433 62.433 62.433 62.433 62.433
MED6000736 63161 FORMALINA 10% 40ML (FCO 80ML) 6.218 6.218 6.218 6.218 6.218 6.218
MED6002337 63164 OCUNOX 5GR UNG OFT 35.652 35.652 35.652 35.652 35.652 35.652
MED6002339 63166 DESMOPRESINA (DDAVP) 0,1MG 30 COMP 119.392 119.392 119.392 119.392 119.392 119.392
MED6002343 63167 TACROLIMUS 1MG/ML 50ML SOL ORAL 39.244 39.244 39.244 39.244 39.244 39.244
MED6002338 63169 CIDOFOVIR 375MG/5ML INY 1.545.096 1.545.096 1.545.096 1.545.096 1.545.096 1.545.096
MED6002369 63171 LAGRICEL OFTENO PF 0,4% 10ML SOL OFT 47.589 47.589 47.589 47.589 47.589 47.589
MED6000737 63173 DEXAMETASONA 4MG COMP 2.927 2.927 2.927 2.927 2.927 2.927
MED6002370 63175 VIVERA 8 SOBRES 31.906 31.906 31.906 31.906 31.906 31.906
MED6000738 63177 AZUL PATENTE 1% 5ML INY 94.344 94.344 94.344 94.344 94.344 94.344
MED6000739 63179 ALCOHOL ABSOLUTO 10ML INY 12.566 12.566 12.566 12.566 12.566 12.566
MED6002371 63180 THEALOZ DUO 1OML SOL OFT 62.558 62.558 62.558 62.558 62.558 62.558
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000740 63181 BERODUAL 10ML PUFF 44.740 44.740 44.740 44.740 44.740 44.740
MED6000741 63186 BERODUAL 20ML SOLUC NEBULIZ 43.262 43.262 43.262 43.262 43.262 43.262
MED6001676 63188 VOLUMA JUVEDERM 20MG 1ML JER PRELL 161.399 161.399 161.399 161.399 161.399 161.399
MED6001678 63189 JUVEDERM ULTRA PLUS 24MG 1ML JER PREL 121.945 121.945 121.945 121.945 121.945 121.945
MED6001679 63194 RADIESSE C/LIDOCAINA 0.8 ML JER PRELL 279.338 279.338 279.338 279.338 279.338 279.338
MED6000744 63197 TACROLIMUS 1MG CAP 3.076 3.076 3.076 3.076 3.076 3.076
MED6000745 63199 TIMOGLOBULINA 25MG/5ML INY 349.325 349.325 349.325 349.325 349.325 349.325
MED6000746 63202 CICLOSPORINA (SANDIMMUN) 100MG/ML SOL VO 180.880 180.880 180.880 180.880 180.880 180.880
MED6000747 63204 MIDAZOLAM 15MG/3ML INY 3.042 3.042 3.042 3.042 3.042 3.042
MED6000749 63207 CICLOSPORINA (SANDIMMUN NEORAL) 100MG 9.013 9.013 9.013 9.013 9.013 9.013
MED6000750 63211 OTICUM 5 ML GOTAS OTICAS 17.907 17.907 17.907 17.907 17.907 17.907
MED6000751 63216 CICLOSPORINA (SANDIMMUN NEORAL) 25 MG 2.255 2.255 2.255 2.255 2.255 2.255
MED6000752 63217 CICLOSPORINA (SANDIMMUN NEORAL) 50 MG 4.505 4.505 4.505 4.505 4.505 4.505
MED6000754 63221 DICLOFENACO SODICO 12.5MG SUP INF 718 718 718 718 718 718
MED6000755 63222 MIDAZOLAM 5MG/1ML INY 2.085 2.085 2.085 2.085 2.085 2.085
MED6000756 63231 CLAVINEX DUO 400/57MG 5ML SUSP ORAL 70ML 37.041 37.041 37.041 37.041 37.041 37.041
MED6000757 63234 AC VALPROICO (VALCOTE) 500MG INY 75.928 75.928 75.928 75.928 75.928 75.928
MED6000759 63239 FLUMAZENIL 0.5MG/5ML 13.880 13.880 13.880 13.880 13.880 13.880
MED6000760 63244 AMOXICILINA 250MG/5ML JBE 14.044 14.044 14.044 14.044 14.044 14.044
MED6000761 63245 FAMOTIDINA 20MG COMP. 136 136 136 136 136 136
MED6000762 63246 FAMOTIDINA 40MG COMP. 65 65 65 65 65 65
MED6000763 63254 CEFUROXIMO 500MG COMP 12.926 12.926 12.926 12.926 12.926 12.926
MED6000764 63255 CEFAZOLINA 1GR INY 4.927 4.927 4.927 4.927 4.927 4.927
MED6000766 63258 CEFTRIAXONA 1G EV 4.641 4.641 4.641 4.641 4.641 4.641
MED6000767 63259 CEFUROXIMO 250MG COMP 9.091 9.091 9.091 9.091 9.091 9.091
MED6000769 63265 AZITROMICINA 500MG COMP 14.491 14.491 14.491 14.491 14.491 14.491
MED6000773 63276 CIPROFLOXACINO 0.3% COLIRIO 32.607 32.607 32.607 32.607 32.607 32.607
MED6000774 63282 GANCICLOVIR 500MG INY 115.247 115.247 115.247 115.247 115.247 115.247
MED6000775 63286 MUPIROCINA 2% 15G UNGTO 40.484 40.484 40.484 40.484 40.484 40.484
MED6000776 63288 CIPROFLOXACINO 200MG/100ML INY 11.424 11.424 11.424 11.424 11.424 11.424
MED6000777 63290 IMIPENEM/CILASTATINA 500MG INY 18.850 18.850 18.850 18.850 18.850 18.850
MED6000778 63294 CIPROFLOXACINO 500MG COMP 464 464 464 464 464 464
MED6000779 63296 AC FUSIDICO (FUCIDIN) 2% 15G CREMA 108.392 108.392 108.392 108.392 108.392 108.392
MED6000780 63297 PROLOPA 200MG/50MG COMP 2.385 2.385 2.385 2.385 2.385 2.385
MED6000781 63298 VANCOMICINA 1G INY 15.651 15.651 15.651 15.651 15.651 15.651
MED6000782 63318 MICOFENOLATO MOFET (CELLCEPT) 250MG COMP 2.340 2.340 2.340 2.340 2.340 2.340
MED6000783 63320 LEVOFLOXACINO 500MG/100ML INY 31.595 31.595 31.595 31.595 31.595 31.595
MED6000784 63322 CEFUROXIMO 250MG/5ML SUSP 93.563 93.563 93.563 93.563 93.563 93.563
MED6002346 63326 SILDENAFIL 5MG/ML 50ML SOL ORAL 30.759 30.759 30.759 30.759 30.759 30.759
MED6002348 63327 NITROFURANTOINA 10MG/ML 50ML SOL ORAL 42.802 42.802 42.802 42.802 42.802 42.802
MED6002349 63328 L-CARNITINA 10% 250ML SOL ORAL 39.584 39.584 39.584 39.584 39.584 39.584
MED6002350 63329 GABAPENTINA 50MG/ML 50ML SOL ORAL 39.339 39.339 39.339 39.339 39.339 39.339
MED6001276 63331 LACTULOSA 65% 200ML SOL ORAL 10.976 10.976 10.976 10.976 10.976 10.976
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001277 63332 PRUCALOPRIDA 2MG COMP REC 7.200 7.200 7.200 7.200 7.200 7.200
MED6001278 63333 VIT D3 100.000 UI POLVO ORAL 35.198 35.198 35.198 35.198 35.198 35.198
MED6001279 63334 VITAMINA D3 200UI/GOTA 10 ML 31.040 31.040 31.040 31.040 31.040 31.040
MED6001280 63335 RIFAXIMINA 200MG COMP 3.084 3.084 3.084 3.084 3.084 3.084
MED6001291 63336 LEVODROPROPIZINA 60MG/10ML JBE 10.308 10.308 10.308 10.308 10.308 10.308
MED6001292 63337 ROSUVASTATINA 10MG COMP REC 671 671 671 671 671 671
MED6002381 63338 HIDROCLOROTIAZIDA 10MG/ML 50ML SOL ORAL 22.838 22.838 22.838 22.838 22.838 22.838
MED6002345 63339 TACROLIMUS 1MG/ML 100ML SOL ORAL 39.244 39.244 39.244 39.244 39.244 39.244
MED6002382 63340 PROPRANOLOL 5MG/ML 50ML SOL ORAL 25.752 25.752 25.752 25.752 25.752 25.752
MED6002399 63342 FRESUBIN 2KCA FIBER DRINK VAINILLA 13.980 13.980 13.980 13.980 13.980 13.980
MED6002383 63343 TOPIRAMATO 50MG/ML 50ML SOL ORAL 63.033 63.033 63.033 63.033 63.033 63.033
MED6002384 63344 NITROGLICERINA 0,2% 100G UNG 62.475 62.475 62.475 62.475 62.475 62.475
MED6002385 63345 HIDRATO CLORAL 10% 100ML SOL ORAL 49.418 49.418 49.418 49.418 49.418 49.418
MED6002387 63346 EMPAGLIFLOZINA 10MG COMP 78.135 78.135 78.135 78.135 78.135 78.135
MED6002388 63347 NITROLINGUAL SPRAY 0,4MG/DOSIS 20ML 228.242 228.242 228.242 228.242 228.242 228.242
MED6002404 63348 PRIMOVIST 0,25MMOL/ML 10ML JER PRELL 342.125 342.125 342.125 342.125 342.125 342.125
MED6002405 63349 L-ARGININA 5GR/10ML AMP 160.293 160.293 160.293 160.293 160.293 160.293
MED6000786 63378 AMOXICILINA/CLAVULANICO 875/125 MG COMP 3.584 3.584 3.584 3.584 3.584 3.584
MED6001253 63379 URAPIDIL 25MG/5ML INY. 25.514 25.514 25.514 25.514 25.514 25.514
MED6001252 63380 LACOSAMIDA 200MG/20ML INY. 163.060 163.060 163.060 163.060 163.060 163.060
MED6001251 63381 LACOSAMIDA 200MG COMP 11.932 11.932 11.932 11.932 11.932 11.932
MED6001423 63423 BRIMONIDINA 0,15% ALPHAGAN-P SOL OFT 5ML 87.219 87.219 87.219 87.219 87.219 87.219
MED6001831 63453 ECULIZUMAB (SOLIRIS) 300MG/30ML 10.338.125 10.338.125 10.338.125 10.338.125 10.338.125 10.338.125
MED6001833 63454 NUSINERSEN (SPINRAZA) 12MG/5ML 87.660.922 87.660.922 87.660.922 87.660.922 87.660.922 87.660.922
MED6001842 63456 HIDROXICLOROQUINA 200MG COMP 2.221 2.221 2.221 2.221 2.221 2.221
MED6001843 63457 CLOROQUINA 250MG COMP 893 893 893 893 893 893
MED6001680 63554 RADIESSE C/LIDOCAINA 1.5 ML JER PRELL 459.185 459.185 459.185 459.185 459.185 459.185
MED6001896 63573 TOCILIZUMAB 80MG/4ML INY 189.558 189.558 189.558 189.558 189.558 189.558
MED6001841 63654 CARFILZOMIB (KYPROLIS) 60MG FAM 2.811.375 2.811.375 2.811.375 2.811.375 2.811.375 2.811.375
MED6001828 63756 OPTILUBE ACTIVE JERINGA 11ML 32.368 32.368 32.368 32.368 32.368 32.368
MED6001707 63760 FENTANILO (FENTORA) 100MCG COMP 18.700 18.700 18.700 18.700 18.700 18.700
MED6001711 63761 FENTANILO (FENTORA) 200MCG COMP 18.700 18.700 18.700 18.700 18.700 18.700
MED6001712 63762 BUPRENORFINA (NORSPAN) 10MCG/H PARCHE 44.066 44.066 44.066 44.066 44.066 44.066
MED6001709 63763 CODEINA (CODEISOL) 6% 60ML SOL. ORAL 47.531 47.531 47.531 47.531 47.531 47.531
MED6001701 63764 HIPOGLOS 20G POMADA 5.360 5.360 5.360 5.360 5.360 5.360
MED6001703 63765 BICARBONATO SODIO 1GR SOBRE 707 707 707 707 707 707
MED6001704 63766 BICARBONATO SODIO 25GR SOBRE 3.856 3.856 3.856 3.856 3.856 3.856
MED6001705 63767 POLIESTIRENOSULFONATO CALCICO 10G SOBRE 7.200 7.200 7.200 7.200 7.200 7.200
MED6001706 63768 ACIDO BORICO POLVO 25GR SOBRE 5.020 5.020 5.020 5.020 5.020 5.020
MED6001714 63769 PLERIXAFOR (MOZOBIL) 24MG X FAM 6.558.388 6.558.388 6.558.388 6.558.388 6.558.388 6.558.388
MED6001715 63770 PALBOCICLIB (IBRANCE) 125mg x 21COMP 5.522.488 5.522.488 5.522.488 5.522.488 5.522.488 5.522.488
MED6001716 63771 METOTREXATO 2,5MG X 100 COMP 53.550 53.550 53.550 53.550 53.550 53.550
MED6001717 63772 OCRELIZUMAB (OCREVUS) 300MG/10ML 5.875.142 5.875.142 5.875.142 5.875.142 5.875.142 5.875.142
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001718 63773 LENALIDOMIDA 25MG X 21CAP 1.526.172 1.526.172 1.526.172 1.526.172 1.526.172 1.526.172
MED6001719 63774 USTEKINUMAB (STELARA) 90MG JER PRELL 3.279.938 3.279.938 3.279.938 3.279.938 3.279.938 3.279.938
MED6001892 63789 RM - KETAMINA 100MG/10ML JER 3.299 3.299 3.299 3.299 3.299 3.299
MED6001893 63790 RM - FENTANIL 100MCG/5ML JER 2.049 2.049 2.049 2.049 2.049 2.049
MED6001721 63800 TEMOZOLAMIDA (TEMODAL) 100MG X 5CAP 724.019 724.019 724.019 724.019 724.019 724.019
MED6001722 63801 TEMOZOLAMIDA (TEMODAL) 140MG X 5CAP 889.447 889.447 889.447 889.447 889.447 889.447
MED6001723 63802 TEMOZOLAMIDA (TEMODAL) 180MG X 5CAP 1.034.732 1.034.732 1.034.732 1.034.732 1.034.732 1.034.732
MED6001725 63803 TEMOZOLAMIDA (TEMODAL) 20MG X 5CAP 191.666 191.666 191.666 191.666 191.666 191.666
MED6001726 63804 TEMOZOLAMIDA (TEMODAL) 250MG X 5CAP 1.415.516 1.415.516 1.415.516 1.415.516 1.415.516 1.415.516
MED6001727 63805 CLORAMBUCILO (LEUKERAN) 2MG X 25 COMP 138.754 138.754 138.754 138.754 138.754 138.754
MED6001728 63806 MELFALAN (ALKERAN) 2MG X 25 COMP 121.083 121.083 121.083 121.083 121.083 121.083
MED6001729 63807 TIOGUANINA (LANVIS) 40 MG X 25 COMP 182.070 182.070 182.070 182.070 182.070 182.070
MED6001730 63808 PONATINIB (ICLUSIG) 45MG X 30 COMP 7.735.000 7.735.000 7.735.000 7.735.000 7.735.000 7.735.000
MED6001731 63809 ERLOTINIB (TARCEVA) 100MG X 30 COMP 1.468.018 1.468.018 1.468.018 1.468.018 1.468.018 1.468.018
MED6001732 63810 ERLOTINIB (TARCEVA) 150MG X 30 COMP 1.527.062 1.527.062 1.527.062 1.527.062 1.527.062 1.527.062
MED6001733 63811 ERLOTINIB (TARCEVA) 25MG X 30 COMP 579.981 579.981 579.981 579.981 579.981 579.981
MED6001734 63812 VEMURAFENIB (ZELBORAF) 240MG X 56 COMP 1.517.206 1.517.206 1.517.206 1.517.206 1.517.206 1.517.206
MED6001735 63813 DABRAFENIB (TAFINLAR) 75MG X 120CAP 5.175.584 5.175.584 5.175.584 5.175.584 5.175.584 5.175.584
MED6001736 63814 EVEROLIMUS (AFINITOR) 10MG X 30COMP 2.543.625 2.543.625 2.543.625 2.543.625 2.543.625 2.543.625
MED6001737 63815 IMATINIB (GLIVEC) 100MG X 60 COMP 333.200 333.200 333.200 333.200 333.200 333.200
MED6001738 63816 IMATINIB (GLIVEC) 400MG X 30 COMP 399.840 399.840 399.840 399.840 399.840 399.840
MED6001739 63817 LAPATINIB (TYKERB) 250MG X 70COMP REC 1.140.041 1.140.041 1.140.041 1.140.041 1.140.041 1.140.041
MED6001740 63818 PAZOPANIB (VOTRIENT) 200MG X 30COMP 595.230 595.230 595.230 595.230 595.230 595.230
MED6001741 63819 PAZOPANIB (VOTRIENT) 400MG X 30COMP 975.753 975.753 975.753 975.753 975.753 975.753
MED6001742 63820 RUXOLITINIB (JAKAVI) 10MG X 60COMP 3.939.781 3.939.781 3.939.781 3.939.781 3.939.781 3.939.781
MED6001743 63821 RUXOLITINIB (JAKAVI) 15MG X 60COMP 3.666.688 3.666.688 3.666.688 3.666.688 3.666.688 3.666.688
MED6001744 63822 RUXOLITINIB (JAKAVI) 20MG X 60COMP 3.666.688 3.666.688 3.666.688 3.666.688 3.666.688 3.666.688
MED6001745 63823 RUXOLITINIB (JAKAVI) 5MG X 60COMP 1.833.344 1.833.344 1.833.344 1.833.344 1.833.344 1.833.344
MED6001746 63824 TRAMETINIB (MEKINIST) 2MG X 30COMP 7.953.579 7.953.579 7.953.579 7.953.579 7.953.579 7.953.579
MED6001755 63825 BELIMUMAB (BENLYSTA) 120MG/6ML 138.371 138.371 138.371 138.371 138.371 138.371
MED6001756 63826 BELIMUMAB (BENLYSTA) 400MG/20ML 368.980 368.980 368.980 368.980 368.980 368.980
MED6001757 63827 CLOFARABINA (CLOFAZIC) 20MG FAM 1.156.680 1.156.680 1.156.680 1.156.680 1.156.680 1.156.680
MED6001758 63828 DESROZOXANE (CARDIOXANE) 500MG FAM 300.651 300.651 300.651 300.651 300.651 300.651
MED6001747 63829 LENALIDOMIDA (REVLIMID) 15MG X 21CAP 2.728.331 2.728.331 2.728.331 2.728.331 2.728.331 2.728.331
MED6001759 63830 CABAZITAXEL (JEVTANA) 60MG 4.392.588 4.392.588 4.392.588 4.392.588 4.392.588 4.392.588
MED6001749 63831 DESATINIB 100MG X 30 COMP 3.380.866 3.380.866 3.380.866 3.380.866 3.380.866 3.380.866
MED6001763 63832 GOLIMUMAB (SIMPONI) 50MG AUTOINYECTOR SC 963.900 963.900 963.900 963.900 963.900 963.900
MED6001750 63833 IBRUTINIB (IMBRUVICA) 140MG X 120CAP 9.427.121 9.427.121 9.427.121 9.427.121 9.427.121 9.427.121
MED6001760 63834 USTEKINUMAB (STELARA) 130MG 3.279.938 3.279.938 3.279.938 3.279.938 3.279.938 3.279.938
MED6001764 63835 USTEKINUMAB (STELARA) 45MG JER PRELL 3.279.938 3.279.938 3.279.938 3.279.938 3.279.938 3.279.938
MED6001751 63836 CRIZOTINIB (XALKORI) 250MG X 60 CAP 5.713.313 5.713.313 5.713.313 5.713.313 5.713.313 5.713.313
MED6001753 63837 PALBOCICLIB (IBRANCE) 100mg x 21COMP 5.246.365 5.246.365 5.246.365 5.246.365 5.246.365 5.246.365
MED6001754 63838 PALBOCICLIB (IBRANCE) 75mg x 21COMP 5.134.065 5.134.065 5.134.065 5.134.065 5.134.065 5.134.065
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001761 63839 TENSIROLIMUS (TORISEL) 25MG/ML 1.190.368 1.190.368 1.190.368 1.190.368 1.190.368 1.190.368
MED6001765 63840 ESZOPICLONA 3MG COMP 1.557 1.557 1.557 1.557 1.557 1.557
MED6001766 63841 PREGALEX 75MG COMP 2.013 2.013 2.013 2.013 2.013 2.013
MED6001769 63844 CLONIDINA 100MCG COMP 3.334 3.334 3.334 3.334 3.334 3.334
MED6001774 63845 LANSOPRAZOL 30MG CAP 2.863 2.863 2.863 2.863 2.863 2.863
MED6001770 63846 HIERRO BISGLICINATO 6MG/ML 30ML GOTAS 36.506 36.506 36.506 36.506 36.506 36.506
MED6001775 63847 MULTIFLORA PLUS CAP 1.799 1.799 1.799 1.799 1.799 1.799
MED6001773 63848 DECAPEPTYL 3,75 MG JER 275.183 275.183 275.183 275.183 275.183 275.183
MED6001894 63872 PROPOFOL MCT/LCT 1% 100ML 66.640 66.640 66.640 66.640 66.640 66.640
MED6001801 63880 DABIGATRAN 110MG CAP 4.898 4.898 4.898 4.898 4.898 4.898
MED6001803 63881 DABIGATRAN 150MG CAP 9.012 9.012 9.012 9.012 9.012 9.012
MED6001805 63882 FITOMENADIONA 10MG/1ML AMP IM 2.499 2.499 2.499 2.499 2.499 2.499
MED6001800 63883 VIGABATRINA (SABRIL) 500MG COMP 12.403 12.403 12.403 12.403 12.403 12.403
MED6001861 63897 IMPACT PEPTIDE 1,5 KCAL 1000ML 34.986 34.986 34.986 34.986 34.986 34.986
MED6001862 63898 PEPTAMEN INTENSE VHP 1000ML 43.733 43.733 43.733 43.733 43.733 43.733
MED6001932 63932 EVICEL 1ML (FIBRINOG 1ML+TROMBINA 1ML) 584.369 584.369 584.369 584.369 584.369 584.369
MED6001933 63933 FLECAINIDA 100MG COMP 4.712 4.712 4.712 4.712 4.712 4.712
MED6001941 63941 FOLITROPIA/LUTROP PERGOVERIS PEN 300/150 283.315 283.315 283.315 283.315 283.315 283.315
MED6001942 63942 FOLITROPIA/LUTROP PERGOVERIS PEN 450/225 424.973 424.973 424.973 424.973 424.973 424.973
MED6000787 63967 COLISTIN 100MG/2ML 3.000.000 UI 66.640 66.640 66.640 66.640 66.640 66.640
MED6000788 63968 ALCOHOL GEL 360ML. C/VALVULA 13.200 13.200 13.200 13.200 13.200 13.200
MED6000772 63970 CLARITROMICINA 500MG COMP 2.356 2.356 2.356 2.356 2.356 2.356
MED6000790 63973 B.S.S. 500 ML BOLSA 24.657 24.657 24.657 24.657 24.657 24.657
MED6000791 63976 BOLSA FOTOPROTECTORA NUTRICION 1.785 1.785 1.785 1.785 1.785 1.785
MED6001013 63977 AMINOACIDOS INFANTIL 10% 250ML 28.560 28.560 28.560 28.560 28.560 28.560
MED6000792 63978 DESOXIRRIBON (VISCOZYME) 2.5MG SOB 6 AMP 85.052 85.052 85.052 85.052 85.052 85.052
MED6000793 63980 DUOVISC 1.05ML JER 153.399 153.399 153.399 153.399 153.399 153.399
MED6000794 63981 SUERO FISIOLOGICO 1LT + 1.5G KCL 8.973 8.973 8.973 8.973 8.973 8.973
MED6000940 63982 TRIAMCINOLONA (KENALOG) 40MG INY 91.035 91.035 91.035 91.035 91.035 91.035
MED6000797 63984 IBANDRONATO 6MG/6ML INY 293.245 293.245 293.245 293.245 293.245 293.245
MED6000798 63985 KETOROLACO 10MG ORAL COMP 179 179 179 179 179 179
MED6000800 63987 IFOSFAMIDA 2G INY 89.473 89.473 89.473 89.473 89.473 89.473
MED6000801 63988 PAROXETINA 20MG COMP 3.599 3.599 3.599 3.599 3.599 3.599
MED6000802 63989 PROPOFOL MCT/LCT 2% 50ML 58.310 58.310 58.310 58.310 58.310 58.310
MED6001602 64101 ENSURE CLINICAL 220 ML 10.472 10.472 10.472 10.472 10.472 10.472
MED6001710 64501 POMALIDOMIDA (POMALYST) 4MG X 21 CAP 11.556.666 11.556.666 11.556.666 11.556.666 11.556.666 11.556.666
MED6001782 64502 MIRTAZAPINA (CIBLEX) 15MG COMP 4.241 4.241 4.241 4.241 4.241 4.241
MED6001783 64503 METOPROLOL (BETALOCK ZOK) 50MG COMP LIB 4.048 4.048 4.048 4.048 4.048 4.048
MED6001784 64504 LEVOSULPIRIDA (DISLEP) 25MG COMP 3.056 3.056 3.056 3.056 3.056 3.056
MED6001785 64505 RISPERIDONA 1MG COMP 2.735 2.735 2.735 2.735 2.735 2.735
MED6001786 64506 MEMANTINA (EBIXA) 10MG COMP 707 707 707 707 707 707
MED6001788 64507 FOSFOMICINA/TROMETAMOL (ACECNOU) 3GR SOB 60.043 60.043 60.043 60.043 60.043 60.043
MED6001791 64509 COLECALCIFEROL (BONAVID) 300.000UI GOTAS 45.357 45.357 45.357 45.357 45.357 45.357
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001793 64510 RELVAR 184/22 MCG X 30 DOSIS 137.220 137.220 137.220 137.220 137.220 137.220
MED6001794 64511 CLINDAMICINA (CLUVAX) 100MG OVULOS 18.021 18.021 18.021 18.021 18.021 18.021
MED6001795 64512 PANCREATINA (CREON) 25.000UI CAP 7.527 7.527 7.527 7.527 7.527 7.527
MED6001611 64564 LETROZOL 2,5MG COMP 2.618 2.618 2.618 2.618 2.618 2.618
MED6000803 65004 NATALIZUMAB 300MG/15ML INY 2.150.333 2.150.333 2.150.333 2.150.333 2.150.333 2.150.333
MED6001313 65006 GONAL F300 UI/0.5ML X 1 AMP 277.136 277.136 277.136 277.136 277.136 277.136
MED6002061 65655 AVELUMAB (BAVENCIO) 200MG INY 1.375.646 1.375.646 1.375.646 1.375.646 1.375.646 1.375.646
MED6001811 65677 TRAZODONA (TRITTICO) 100MG COMP 5.072 5.072 5.072 5.072 5.072 5.072
MED6001812 65678 ARIPIPRAZOL (AZYMOL) 5MG COM 6.080 6.080 6.080 6.080 6.080 6.080
MED6001814 65679 LITIO CARB (KALITIUM) XR 450MG COMP LP 1.092 1.092 1.092 1.092 1.092 1.092
MED6001815 65680 QUETIAPINA (SEROQUEL) XR 50MG COM LP 10.799 10.799 10.799 10.799 10.799 10.799
MED6001816 65681 VENLAFAXINA (EFEXOR) XR 37,5MG COM 8.934 8.934 8.934 8.934 8.934 8.934
MED6001817 65682 VENLAFAXINA (EFEXOR) XR 75MG COM 1.114 1.114 1.114 1.114 1.114 1.114
MED6000805 67014 GAMAGLOBULINA ANTI-RH 300MCG 122.090 122.090 122.090 122.090 122.090 122.090
MED6000806 67100 AZATIOPRINA 50MG COMP 1.318 1.318 1.318 1.318 1.318 1.318
MED6002060 67180 OSIMERTINIB (TAGRISSO) 80MG 30 COMP 8.004.254 8.004.254 8.004.254 8.004.254 8.004.254 8.004.254
MED6000807 67203 ACEITE ORAL (MCT OIL) ML 457 457 457 457 457 457
MED6001222 67223 NICOTEARS 5G GEL OFTALMICO 21.677 21.677 21.677 21.677 21.677 21.677
MED6001331 67226 IDARUCIZUMAB 5GR (2 FA 2.5GR) 1.893.707 1.893.707 1.893.707 1.893.707 1.893.707 1.893.707
MED6000809 67230 GLUCERNA 1.0 RTH 1000 ML 30.940 30.940 30.940 30.940 30.940 30.940
MED6000810 67231 JEVITY FOS RTH 1000ML 30.940 30.940 30.940 30.940 30.940 30.940
MED6000811 67233 OSMOLITE RTH 1000 30.940 30.940 30.940 30.940 30.940 30.940
MED6000813 67238 GLUCERNA SR 237 ML 10.472 10.472 10.472 10.472 10.472 10.472
MED6000814 67239 NEPRO VAINILLA 237ML 10.472 10.472 10.472 10.472 10.472 10.472
MED6000816 67245 FLEXITAINER 18.278 18.278 18.278 18.278 18.278 18.278
MED6000817 67248 SIMILAC I 900G 47.898 47.898 47.898 47.898 47.898 47.898
MED6000818 67257 BAJADA BOMBA FREE GO (EX PUNZON) 19.040 19.040 19.040 19.040 19.040 19.040
MED6000821 67270 LECHE NEOCATE LCP 400 GR 112.812 112.812 112.812 112.812 112.812 112.812
MED6000822 67271 FREBINI ORIGINAL 500ML 17.387 17.387 17.387 17.387 17.387 17.387
MED6000824 67273 FRESUBIN HP ENERGY 1000ML EB 29.498 29.498 29.498 29.498 29.498 29.498
MED6000990 67276 FRESUBIN ORIGINAL 1000ML EB 21.415 21.415 21.415 21.415 21.415 21.415
MED6000826 67278 SUPPORTAN DRINK CAPUCCINO 11.558 11.558 11.558 11.558 11.558 11.558
MED6000828 67288 ALTHERA 400 GRS 71.013 71.013 71.013 71.013 71.013 71.013
MED6001001 67290 NAN HA 400GR 29.779 29.779 29.779 29.779 29.779 29.779
MED6000829 67292 NESSUCAR 550GR 17.741 17.741 17.741 17.741 17.741 17.741
MED6000830 67301 PEDIASURE POLVO 900GR 47.898 47.898 47.898 47.898 47.898 47.898
MED6000831 67303 PROMIL GOLD 900GR 53.358 53.358 53.358 53.358 53.358 53.358
MED6000832 67304 GLUTAMINA PLUS SOBRE 11.721 11.721 11.721 11.721 11.721 11.721
MED6001017 67305 ALPREM 70ML 6.545 6.545 6.545 6.545 6.545 6.545
MED6000833 67306 DIBEN DRINK CAPPUCHINO 12.618 12.618 12.618 12.618 12.618 12.618
MED6000835 67308 SURVIMED OPD HN 37.180 37.180 37.180 37.180 37.180 37.180
MED6001936 67310 S-26 SIN LACTOSA 400GR 33.320 33.320 33.320 33.320 33.320 33.320
MED6001032 67312 PROGRESS GOLD 900GR. 35.586 35.586 35.586 35.586 35.586 35.586
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6000838 67313 NAN OPTIPRO 2 900GR 45.473 45.473 45.473 45.473 45.473 45.473
MED6000839 67314 NAN OPTIPRO 3 800GR 31.049 31.049 31.049 31.049 31.049 31.049
MED6000840 67315 SIMILAC 3 POLVO 900GR 34.748 34.748 34.748 34.748 34.748 34.748
MED6000959 67316 GLUCERNA 1.5 RTH 1000ML 37.128 37.128 37.128 37.128 37.128 37.128
MED6001029 67320 NUTRILON PEPTI JUNIOR 400GR #D59678 49.147 49.147 49.147 49.147 49.147 49.147
MED6000843 67322 SIMILAC NEOSURE POLVO 370GR 26.656 26.656 26.656 26.656 26.656 26.656
MED6001026 67326 FRESUBIN 2KCAL HP 29.098 29.098 29.098 29.098 29.098 29.098
MED6001043 67328 FRESUBIN 2.0KCAL NEUTRO 200CC 12.721 12.721 12.721 12.721 12.721 12.721
MED6000950 67329 FRESUBIN 2.0KCAL PRALINE 125CC 12.721 12.721 12.721 12.721 12.721 12.721
MED6001025 67333 DIBEN 1.5KCAL 500CC 27.765 27.765 27.765 27.765 27.765 27.765
MED6001021 67334 HYFIBER 30ML 11.995 11.995 11.995 11.995 11.995 11.995
MED6000951 67335 ARGIMENT 27.6GR 26.608 26.608 26.608 26.608 26.608 26.608
MED6000943 67336 ENSURE ADVANCE 850GR 48.106 48.106 48.106 48.106 48.106 48.106
MED6000845 67352 PROPOFOL MCT / LCT 2 % 50 ML KIT 86.627 86.627 86.627 86.627 86.627 86.627
MED6001285 67353 NIVOLUMAB 100MG/10ML INY 1.624.015 1.624.015 1.624.015 1.624.015 1.624.015 1.624.015
MED6001286 67354 NIVOLUMAB 40MG/4ML INY 727.556 727.556 727.556 727.556 727.556 727.556
MED6001301 67355 SUBGALATO BISMUTO POLVO X 25 GRAMOS 21.420 21.420 21.420 21.420 21.420 21.420
MED6000846 67503 ETOMIDATO 20MG/10ML INY 29.988 29.988 29.988 29.988 29.988 29.988
MED6000848 67507 SEVORANE (SEVOFLURANE) ML 1.714 1.714 1.714 1.714 1.714 1.714
MED6000849 67508 TIOPENTAL 1000MG INY 46.410 46.410 46.410 46.410 46.410 46.410
MED6000850 67509 PROPOFOL MCT/LCT 1% 20ML AMP 9.163 9.163 9.163 9.163 9.163 9.163
MED6000852 67513 DESFLORANE ML 2.813 2.813 2.813 2.813 2.813 2.813
MED6000853 67516 LIDOCAINA (DIMECAINA) 2 % 30 ML GEL ORAL 20.349 20.349 20.349 20.349 20.349 20.349
MED6000854 67517 PROPOFOL MCT/LCT 1% 50ML 36.950 36.950 36.950 36.950 36.950 36.950
MED6000860 67524 LIDOCAINA 4% 15G GEL 18.970 18.970 18.970 18.970 18.970 18.970
MED6000861 67528 LIDOCAINA 2% 5ML AMP 643 643 643 643 643 643
MED6000862 67530 LIDOCAINA 2% 10ML AMP 714 714 714 714 714 714
MED6000863 67531 CHIROCAINA 0.5% 10ML AMP 18.935 18.935 18.935 18.935 18.935 18.935
MED6000864 67532 BEVACIZUMAB 100MG/4ML INY 499.857 499.857 499.857 499.857 499.857 499.857
MED6000865 67533 KETAMINA 500MG 10ML INY 9.425 9.425 9.425 9.425 9.425 9.425
MED6000866 67536 MEPIVACAINA C/VASOC. 2% (SCANDICAINE) 2.642 2.642 2.642 2.642 2.642 2.642
MED6000867 67537 CLINDAMICINA 600MG INY 13.138 13.138 13.138 13.138 13.138 13.138
MED6000868 67538 MEPIVACAINA S/VASOC. 3% CARPULES 2.642 2.642 2.642 2.642 2.642 2.642
MED6000869 67539 ERTAPENEM 1G INY 197.729 197.729 197.729 197.729 197.729 197.729
MED6001281 67543 SEVOFLURANE QUICKFILL (SEVORANE) ML 1.714 1.714 1.714 1.714 1.714 1.714
MED6000870 67548 PROPARACAINA (ANESTALCON) 0.5% SOL. OFT 49.818 49.818 49.818 49.818 49.818 49.818
MED6000872 67554 ISOFLURANO ML 771 771 771 771 771 771
MED6000873 67601 BUPIVAN HIPERBARICO 0.75% 2ML INY 7.658 7.658 7.658 7.658 7.658 7.658
MED6000874 67605 BUPIVACAINA 0.5% 10ML AMP 1.942 1.942 1.942 1.942 1.942 1.942
MED6001202 67661 OCTAPLEX 500 UI INY 587.265 587.265 587.265 587.265 587.265 587.265
MED6001212 67663 DAPTOMICINA 500MG INY 267.682 267.682 267.682 267.682 267.682 267.682
MED6001219 67665 LIDOCAINA 10% 50ML SPRAY VALVULA 12.852 12.852 12.852 12.852 12.852 12.852
MED6001235 67666 LIDOCAINA 2% GEL TACTO 30G POMO 6.185 6.185 6.185 6.185 6.185 6.185
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001237 67667 PEMBROLIZUMAB 100MG/4ML INY 2.993.204 2.993.204 2.993.204 2.993.204 2.993.204 2.993.204
MED6001682 67896 CEFTAROLINA (ZINFORO) 600MG 121.086 121.086 121.086 121.086 121.086 121.086
MED6001834 67985 AC POLILACTICO (SCULPTRA) 150MG/3ML 539.784 539.784 539.784 539.784 539.784 539.784
MED6000876 68002 FLUORESCEINA 10% 5ML AMP 28.560 28.560 28.560 28.560 28.560 28.560
MED6000877 68003 FLUORESCEINA CINTAS ESTERILES 1.178 1.178 1.178 1.178 1.178 1.178
MED6000879 68017 LIPIODOL ULTRA-FLUIDO 10ML AMP 649.740 649.740 649.740 649.740 649.740 649.740
MED6000880 68030 AZUL DE METILENO 1% 5ML AMP 11.127 11.127 11.127 11.127 11.127 11.127
MED6000882 68211 IOHEXOL (OMNIPAQUE) 300MG 50ML 33.891 33.891 33.891 33.891 33.891 33.891
MED6000884 68223 IODIXANOL (VISIPAQUE) 320MG/ML 100ML 98.175 98.175 98.175 98.175 98.175 98.175
MED6000888 68520 VASELINA SOLIDA 30G 2.349 2.349 2.349 2.349 2.349 2.349
MED6000890 68522 PASTA LASSAR 30G 3.534 3.534 3.534 3.534 3.534 3.534
MED6000893 68622 FORMALINA 10% 10ML (FCO 20 ML) 6.054 6.054 6.054 6.054 6.054 6.054
MED6000894 68625 JABON ANTISEPTICO AC 500ML 3M 65.610 65.610 65.610 65.610 65.610 65.610
MED6001282 68750 ESOMEPRAZOL 10MG SACHET 4.355 4.355 4.355 4.355 4.355 4.355
MED6001283 68751 BIVALIRUDINA (ANGIOMAX) 250MG INY 682.227 682.227 682.227 682.227 682.227 682.227
MED6001284 68752 SILDENAFIL 50MG COMP REC 36.781 36.781 36.781 36.781 36.781 36.781
MED6001264 69034 PRIMAQUIN 2MG CAJA 30COMP 32.097 32.097 32.097 32.097 32.097 32.097
MED6001511 69453 HPMC 2% 2.1ML 23.800 23.800 23.800 23.800 23.800 23.800
MED6001221 69496 LIDOCAINA 4% 50ML SPRAY VALVULA 7.658 7.658 7.658 7.658 7.658 7.658
MED6000895 69500 VOLUMATIC CAMARA ESPACIADORA 47.577 47.577 47.577 47.577 47.577 47.577
MED6000898 69511 BLISTEX 6G CREMA LABIAL MEDICADA 8.247 8.247 8.247 8.247 8.247 8.247
MED6000899 69527 LUBRIDERM 200ML LOCION 12.547 12.547 12.547 12.547 12.547 12.547
MED6001626 69543 AC HIALURONICO (ARTHRUM) JER 75MG/3ML 275.890 275.890 275.890 275.890 275.890 275.890
MED6000904 69547 CLORURO POTASIO 6.5G PAPELILLO 1.257 1.257 1.257 1.257 1.257 1.257
MED6000906 69555 BOLSA NUTRIC. PARENTERAL 250ML 18.716 18.716 18.716 18.716 18.716 18.716
MED6000908 69559 BOLSA NUTRIC. PARENTERAL 3000ML #151447 18.564 18.564 18.564 18.564 18.564 18.564
MED6000909 69561 BOLSA NUTRIC. PARENTERAL 500ML 17.003 17.003 17.003 17.003 17.003 17.003
MED6000910 69563 BOLSA NUTRIC. PARENTERAL 1000ML 17.003 17.003 17.003 17.003 17.003 17.003
MED6000911 69564 CINTA ESTERIL TEST SCHIMER 785 785 785 785 785 785
MED6000912 69566 TOXINA BOTULINICA-A 100 UI INY 229.543 229.543 229.543 229.543 229.543 229.543
MED6001627 69580 LIPEGFILGRASTIM (LONQUEX) 6MG/0.6ML JER 552.160 552.160 552.160 552.160 552.160 552.160
MED6001629 69581 ACETILCISTEINA (MUCOLITICO) 10% 60ML 91.838 91.838 91.838 91.838 91.838 91.838
MED6000914 69624 NITRATO PLATA LAPIZ ESTERIL 11.061 11.061 11.061 11.061 11.061 11.061
MED6000916 69668 TINTURA BENJUI 250ML 428 428 428 428 428 428
MED6000917 69670 VASELINA ESTERIL 10ML AMP 3.584 3.584 3.584 3.584 3.584 3.584
MED6001341 69679 INDIGO CARMIN 0.5% 5 ML INY 98.175 98.175 98.175 98.175 98.175 98.175
MED6001342 69680 AZITROMICINA FORTE 400MG/5ML SUSP 30ML 28.917 28.917 28.917 28.917 28.917 28.917
MED6001343 69681 AMOXICILINA 1000 MG/5ML SUSP. 90 ML 65.997 65.997 65.997 65.997 65.997 65.997
MED6001345 69683 MONTELUKAST 10MG COMP REC 3.856 3.856 3.856 3.856 3.856 3.856
MED6001441 69821 VACUNA ADACEL 68.759 68.759 68.759 68.759 68.759 68.759
MED6001442 69822 VACUNA AVAXIM 160 ADULTO 57.861 57.861 57.861 57.861 57.861 57.861
MED6001443 69823 VACUNA AVAXIM 80 PEDIATRICA 55.608 55.608 55.608 55.608 55.608 55.608
MED6001445 69825 VACUNA IPV POLIO 68.552 68.552 68.552 68.552 68.552 68.552
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MED6001446 69826 VACUNA MENACTRA 110.357 110.357 110.357 110.357 110.357 110.357
MED6001447 69827 VACUNA STAMARIL 65.000 65.000 65.000 65.000 65.000 65.000
MED6001449 69828 VACUNA TYPHIM VI 26.983 26.983 26.983 26.983 26.983 26.983
MED6001450 69829 VACUNA VERORAB 55.882 55.882 55.882 55.882 55.882 55.882
MED6001451 69830 VACUNA ACT HIB 85.603 85.603 85.603 85.603 85.603 85.603
MED6001454 69833 VACUNA HEBERBIOVAC 23.770 23.770 23.770 23.770 23.770 23.770
MED6001455 69834 VACUNA PREVENAR 13 125.348 125.348 125.348 125.348 125.348 125.348
MED6001456 69835 VACUNA GARDASIL NONAVALENTE 169.923 169.923 169.923 169.923 169.923 169.923
MED6001457 69836 VACUNA ROTATEQ 80.511 80.511 80.511 80.511 80.511 80.511
MED6001458 69837 VACUNA VAQTA ADULTO 36.794 36.794 36.794 36.794 36.794 36.794
MED6001459 69838 VACUNA VAQTA PEDIATRICA 33.109 33.109 33.109 33.109 33.109 33.109
MED6001460 69839 VACUNA VARIVAX 58.011 58.011 58.011 58.011 58.011 58.011
MED6001461 69840 VACUNA ZOSTAVAX 151.110 151.110 151.110 151.110 151.110 151.110
MED6001462 69841 VACUNA PNEUMOVAX 42.311 42.311 42.311 42.311 42.311 42.311
MED6001463 69842 VACUNA ANTIINFLUENZA TRIVALENTE 18.850 18.850 18.850 18.850 18.850 18.850
MED6001464 69843 VACUNA INFLUENZA TETRAVALENTE VAXIGRIP 8.954 8.954 8.954 8.954 8.954 8.954
MED6001465 69844 VACUNA MENVEO 110.357 110.357 110.357 110.357 110.357 110.357
MED6001466 69845 VACUNA BOOSTRIX 52.073 52.073 52.073 52.073 52.073 52.073
MED6001467 69846 VACUNA ENGERIX-B ADULTO 40.890 40.890 40.890 40.890 40.890 40.890
MED6001469 69848 VACUNA HAVRIX PEDIATRICA 57.164 57.164 57.164 57.164 57.164 57.164
MED6001471 69850 VACUNA ROTARIX 105.822 105.822 105.822 105.822 105.822 105.822
MED6001472 69851 VACUNA TWINRIX 68.755 68.755 68.755 68.755 68.755 68.755
MED6001473 69852 VACUNA VARILRIX 58.011 58.011 58.011 58.011 58.011 58.011
MED6001475 69854 VACUNA NIMENRIX 110.357 110.357 110.357 110.357 110.357 110.357
MED6001481 69855 VACUNA GARDASIL TETRAVALENTE 125.887 125.887 125.887 125.887 125.887 125.887
MED6002116 69856 VACUNA INFLUENZA TETRAVALENTE FLUARIX 30.845 30.845 30.845 30.845 30.845 30.845
MED6000918 69987 OSELTAMIVIR 12MG/ML JBE 127.567 127.567 127.567 127.567 127.567 127.567
PRO4002639 70017 MANIP.HISTER. 3.5 DELINEATOR #AD750-KE35 175.763 175.763 175.763 175.763 175.763 175.763
PRO4002641 70018 MANIP.HISTER. 4.0 DELINEATOR #AD750-KE40 175.763 175.763 175.763 175.763 175.763 175.763
MAT7002260 70022 SONDA NELATON AUTOLUBRICADA LOFRIC 18 3.613 3.613 3.613 3.613 3.613 3.613
MAT7002276 70023 CASSETTE 250ML DILUCION 58.345 58.345 58.345 58.345 58.345 58.345
MAT7002278 70024 BOLSO BOMBA CADD 100ML 8.022 8.022 8.022 8.022 8.022 8.022
MAT7002279 70025 BOLSO BOMBA CADD 250ML 9.236 9.236 9.236 9.236 9.236 9.236
MAT7002285 70027 KIT ASPIRACION IRRIGACION NUERO IN-C3601 335.361 335.361 335.361 335.361 335.361 335.361
MAT7002286 70028 KIT COLE. DR.FERRARIO - DR.BUCKEL 277.460 277.460 277.460 277.460 277.460 277.460
MAT7002287 70029 KIT APENDICETOMIA DR.FERRARIO- DR.BUCKEL 223.234 223.234 223.234 223.234 223.234 223.234
MAT7002165 70032 CANULA YANKAUER S/ OLIVA #34970 1.964 1.964 1.964 1.964 1.964 1.964
MAT7002166 70033 CANULA DRENAJE VENOSO 3 FASES 29FR 83.514 83.514 83.514 83.514 83.514 83.514
MAT7002173 70035 CANULA AORTICA EZGLIDE 21FR #EZC21TA 78.278 78.278 78.278 78.278 78.278 78.278
MAT7002174 70036 BOMBA CENTRIFUGA JOSTRA #RF-32 441.265 441.265 441.265 441.265 441.265 441.265
MAT7002175 70037 SET BAJADA DESECHABLE #903-00006P 306.544 306.544 306.544 306.544 306.544 306.544
MAT7002176 70038 RESERVORIO P/ CARDIOTOMIA #903-00018P 197.659 197.659 197.659 197.659 197.659 197.659
MAT7002177 70039 SONDA PEZZER 34FR #AE3A34 13.875 13.875 13.875 13.875 13.875 13.875
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7002179 70041 SONDA PEZZER 24FR #AE3A24 13.875 13.875 13.875 13.875 13.875 13.875
MAT7002168 70050 PARCHE ACUSEAL GORE 1X9X0.5MM #1CVX002 374.850 374.850 374.850 374.850 374.850 374.850
MAT7000000 70053 KIT LAPAROSCOPICO #KG-IMH 8 265.646 265.646 265.646 265.646 265.646 265.646
MAT7000001 70054 GASA HEMOSTATICA 5X7 #1953 17.546 17.546 17.546 17.546 17.546 17.546
MAT7000002 70055 GASA HEMOSTATICA 7,5 x 10 # 0001943 44.228 44.228 44.228 44.228 44.228 44.228
MAT7002951 70056 ENDOCANULA INTERNA N7 #501-07X 18.326 18.326 18.326 18.326 18.326 18.326
MAT7002952 70057 ENDOCANULA INTERNA N8 #501-08X 18.326 18.326 18.326 18.326 18.326 18.326
MAT7002250 70060 SUTURA STRATAFIX #SXMP1B427 46.857 46.857 46.857 46.857 46.857 46.857
MAT7000006 70063 BAJADA DE AGUA 10K100 192.166 192.166 192.166 192.166 192.166 192.166
MAT7000007 70064 TROCAR LAPAROSCOPICO 5 MM APPLE 83.514 83.514 83.514 83.514 83.514 83.514
MAT7002252 70065 SUTURA STRATAFIX #SXPP1B415 53.130 53.130 53.130 53.130 53.130 53.130
MAT7000008 70066 TROCAR PUN.RAQ.256X90MM C/INTRODUCTOR 5.760 5.760 5.760 5.760 5.760 5.760
MAT7000009 70068 APOSITO TRANSP. C/GASA 20X10CM 3.854 3.854 3.854 3.854 3.854 3.854
MAT7000010 70069 APOSITO TRANSP. C/GASA 8,5X9,5 CM 1.901 1.901 1.901 1.901 1.901 1.901
MAT7000011 70070 APOSITO TRANSP. C/GASA 25X10CM 3.854 3.854 3.854 3.854 3.854 3.854
MAT7000012 70072 APOSITO TRANSP. C/GASA 35X10CM 6.076 6.076 6.076 6.076 6.076 6.076
MAT7002253 70073 SUTURA STRATAFIX #SXPD2B414 46.857 46.857 46.857 46.857 46.857 46.857
MAT7000013 70078 APOSITO MATERNAL (P/12 UND) 8.351 8.351 8.351 8.351 8.351 8.351
MAT7000014 70079 ANTIFAZ PARA FOTOTERAPIA 3.084 3.084 3.084 3.084 3.084 3.084
MAT7002251 70080 SUTURA STRATAFIX #SXMD2B402 41.192 41.192 41.192 41.192 41.192 41.192
MAT7002440 70093 BOLSA RECOLECTORA ASPIRACION 1.5 LTS 9.948 9.948 9.948 9.948 9.948 9.948
MAT7000015 70094 LINEA CONEXION MANOMETRO 60CM(M-M) 2.566 2.566 2.566 2.566 2.566 2.566
MAT7000016 70095 GASA 20X100CM 1.830 1.830 1.830 1.830 1.830 1.830
MAT7000017 70098 FAJA TORAXICA MASCULINA 56.287 56.287 56.287 56.287 56.287 56.287
MAT7000018 70099 FAJA TORAXICA FEMENINA 51.313 51.313 51.313 51.313 51.313 51.313
MAT7000020 70101 TUBO ENDOTRAQ. MICROLARINGEO#5CATS 20.918 20.918 20.918 20.918 20.918 20.918
MAT7000021 70103 CAT.GRIPPER 20G X 32MM X 1 1/4 IN 19.538 19.538 19.538 19.538 19.538 19.538
MAT7000022 70104 FUNDA BRAZALETE PED.#9-7900-001 7.710 7.710 7.710 7.710 7.710 7.710
MAT7000023 70105 FUNDA BRAZALETE PED.#9-7900-002 8.545 8.545 8.545 8.545 8.545 8.545
MAT7000024 70106 GASA HIDROFI DOBLE 2CMX1MT ESTERIL 1.581 1.581 1.581 1.581 1.581 1.581
MAT7002953 70107 ENDOCANULA INTERNA N9 #501-09X 18.326 18.326 18.326 18.326 18.326 18.326
MAT7000025 70112 FUNDA BRAZALETE PED.#9-7900-003 19.583 19.583 19.583 19.583 19.583 19.583
MAT7000026 70113 OXISENSOR PEDIATRICO 23.562 23.562 23.562 23.562 23.562 23.562
MAT7000027 70115 FUNDA BRAZALETE PED.#9-7900-004 13.538 13.538 13.538 13.538 13.538 13.538
MAT7000029 70120 CAT. INTRAVENOSO 14G X 2 1/4 864 864 864 864 864 864
MAT7000030 70121 APOSITO PRIMAPORE 6X8CM 1.186 1.186 1.186 1.186 1.186 1.186
MAT7000031 70122 APOSITO PRIMAPORE 12X8CM 1.000 1.000 1.000 1.000 1.000 1.000
MAT7000032 70123 APOSITO PRIMAPORE 15X8CM 1.259 1.259 1.259 1.259 1.259 1.259
MAT7000033 70124 CAT. INTRAVENOSO 16G X 2 1/4 864 864 864 864 864 864
MAT7000034 70125 APOSITO PRIMAPORE 25X8CM 1.950 1.950 1.950 1.950 1.950 1.950
MAT7000035 70126 SONDA NASOYEYUNAL 12 FR C/GUIA 46.077 46.077 46.077 46.077 46.077 46.077
MAT7000036 70127 BOLSA RECOLECTORA DE BILIS 20.944 20.944 20.944 20.944 20.944 20.944
MAT7000037 70128 CAT. INTRAVENOSO 18G X 1 3/4 838 838 838 838 838 838
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000038 70129 CATETER IV PERIFERICO 18G X 1 1/4 673 673 673 673 673 673
MAT7000039 70132 CAT. INTRAVENOSO 20G X 1 3/4 838 838 838 838 838 838
MAT7000040 70133 CATETER IV PERIFERICO 20G X 1 1/4 1.566 1.566 1.566 1.566 1.566 1.566
MAT7000041 70136 CATETER IV PERIFERICO 22G X 1 673 673 673 673 673 673
MAT7000042 70138 MANGA PS 3901 3.142 3.142 3.142 3.142 3.142 3.142
MAT7000043 70139 BAJADA IRRI.ASP. C/PTA#250-070-620 112.378 112.378 112.378 112.378 112.378 112.378
MAT7000044 70140 CAT. INTRAVENOSO 24G X 3/4 838 838 838 838 838 838
MAT7000045 70143 CAT. INTRAVENOSO 16G X 1 1/4 890 890 890 890 890 890
MAT7002306 70145 SABANILLA ULTRA ABSORVENTE 6403B3036A 2.566 2.566 2.566 2.566 2.566 2.566
MAT7000046 70150 CANULA MAYO 0 (6 CM) 668 668 668 668 668 668
MAT7000047 70152 CANULA MAYO 1 (7 CM) 759 759 759 759 759 759
MAT7000048 70154 CANULA MAYO 2 (8CM) 759 759 759 759 759 759
MAT7000049 70156 CANULA MAYO 3(10 CM) 759 759 759 759 759 759
MAT7000050 70158 CANULA MAYO 4 (12CM) 668 668 668 668 668 668
MAT7000051 70159 SET ELECT.MARCAPASO EXT #11996-000017 189.831 189.831 189.831 189.831 189.831 189.831
PRO4002984 70160 KIT LAPARO ROBOTICA UROLOGICA #K0504 365.211 365.211 365.211 365.211 365.211 365.211
MAT7000052 70161 CINTA VASOS SANGUINEOS MINI RED#1001-75 4.265 4.265 4.265 4.265 4.265 4.265
MAT7000053 70163 CATETER VAS CATH 11FR X 15CM 2 LUMENES 141.197 141.197 141.197 141.197 141.197 141.197
MAT7000054 70165 CATETER VAS CATH 11FR X 20CM 2 LUMENES 141.197 141.197 141.197 141.197 141.197 141.197
MAT7000055 70171 COMPRESA HEMOSTATICA GELITA 5X8CM 6.545 6.545 6.545 6.545 6.545 6.545
MAT7002473 70185 KIT DE ACCESO CRANEAL 974.610 974.610 974.610 974.610 974.610 974.610
MAT7000061 70188 JERINGA 3CC TERUMO 144 144 144 144 144 144
MAT7000062 70190 JERINGA 60CC PTA CONO 780 780 780 780 780 780
MAT7000063 70192 APOSITO MATERNAL 10X30 (P/2U) 1.500 1.500 1.500 1.500 1.500 1.500
MAT7002477 70195 MANTILLA DESECHABLE PQTE POR 6 UNIDADES 3.822 3.822 3.822 3.822 3.822 3.822
MAT7000064 70196 CUCHILLA RASURADORA QUIR. DESECHABLE 4.367 4.367 4.367 4.367 4.367 4.367
MAT7001979 70197 TET C/ASPIRACION SUBGLOT. N7.5 20.944 20.944 20.944 20.944 20.944 20.944
MAT7001981 70198 AMBU DESECHABLE PEDIATRICO 50.069 50.069 50.069 50.069 50.069 50.069
MAT7001982 70199 BIOPATCH DISCO 3/4 1.5MM #44151 14.394 14.394 14.394 14.394 14.394 14.394
MAT7002356 70206 SIERRA SA CORTA ANGOSTA7X15MM 2296003103 59.029 59.029 59.029 59.029 59.029 59.029
MAT7002357 70208 SIERRA SA MED ANGOSTA9X25MM 2296003111 57.329 57.329 57.329 57.329 57.329 57.329
MAT7002381 70210 SIERRA SA LAR ANGOSTA5.5X25MM 2296003414 54.776 54.776 54.776 54.776 54.776 54.776
MAT7002383 70211 SIERRA SA LAR TRAUMA12X34.5MM 2296033206 81.654 81.654 81.654 81.654 81.654 81.654
MAT7002385 70212 SIERRA SAGITAL LARGA TRAUMA 12MMX34.5MM 60.390 60.390 60.390 60.390 60.390 60.390
MAT7002387 70213 HOJA REC 15THK SHT 27MM 5100137123 156.114 156.114 156.114 156.114 156.114 156.114
MAT7002390 70214 HOJA REC 15THK SHT TAPRD 27MM 5100137233 104.720 104.720 104.720 104.720 104.720 104.720
MAT7002391 70215 HOJA REC 15THK SHT RHINO 25M 5100137106 171.660 171.660 171.660 171.660 171.660 171.660
MAT7002392 70219 SIERRA CREC CRSNTIC 9.5MM CUT 2296031415 352.571 352.571 352.571 352.571 352.571 352.571
MAT7002220 70222 VALVULA HEMOSTATICA CLICK #BQ-1905D 39.270 39.270 39.270 39.270 39.270 39.270
MAT7002224 70226 INTRODUCTOR RADIAL 6FR C/AG 20G 104.720 104.720 104.720 104.720 104.720 104.720
MAT7002393 70227 SIERRA CREC CRSNTC BL15MM CUT 5400031416 330.991 330.991 330.991 330.991 330.991 330.991
MAT7002396 70230 SIERRA SA MED BL18.5X9MM 2296003105 59.369 59.369 59.369 59.369 59.369 59.369
MAT7002400 70237 STERNUM BLD (32.0mm CUT EDGE) 0298097100 117.703 117.703 117.703 117.703 117.703 117.703
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7002402 70239 SIERRA SAGITAL CORTA 35X16MM 2108113000 63.938 63.938 63.938 63.938 63.938 63.938
MAT7000066 70241 EQ. DRENAJE VESICAL 10FRX8CM 67.806 67.806 67.806 67.806 67.806 67.806
MAT7000067 70242 EQ. DRENAJE VESICAL 10FRX12CM 67.806 67.806 67.806 67.806 67.806 67.806
MAT7000068 70243 APOSITO TEGADERM IV 8.5X11.5CM #1656 2.306 2.306 2.306 2.306 2.306 2.306
MAT7002403 70244 SIERRA SA CORTA 48X17MM 2108131000 59.710 59.710 59.710 59.710 59.710 59.710
MAT7002404 70245 SIERRA SA CORTA 25X9MM 2108145000 54.023 54.023 54.023 54.023 54.023 54.023
MAT7002405 70248 SIERRA SA CORTA 35 MM X 9 MM 2108148000 57.742 57.742 57.742 57.742 57.742 57.742
MAT7002406 70249 SIERRA SA TRAUMA 25X89.5MM 2108302000 70.354 70.354 70.354 70.354 70.354 70.354
MAT7002407 70250 SIERRA SA TRAUMA 25 MM X 73MM 2108305000 67.584 67.584 67.584 67.584 67.584 67.584
MAT7002408 70251 SIERRA SA TRAUMA 12.5 X 85MM 2108352000 69.624 69.624 69.624 69.624 69.624 69.624
MAT7002409 70252 SIERRA SA ABA TRAUMA 29X83MM 2108383000 77.426 77.426 77.426 77.426 77.426 77.426
MAT7002376 70253 SIERRA SA DUAL90X1818X.97X90 4118097090 81.508 81.508 81.508 81.508 81.508 81.508
MAT7000069 70255 AGUJA CARDIOPLEJIA ANT-1014S 26.180 26.180 26.180 26.180 26.180 26.180
MAT7002377 70257 SIERRA SA CORTE DUAL 90X25MM 4125127090 66.164 66.164 66.164 66.164 66.164 66.164
MAT7002378 70259 SIERRA REC DEN DOBLE 72X12MM 277096275 51.739 51.739 51.739 51.739 51.739 51.739
MAT7002379 70260 SIERRA REC DEN SIMPLE60X6.27MM 277096250 49.089 49.089 49.089 49.089 49.089 49.089
MAT7000071 70261 CAT. URETERAL RECTO 3FR.DER.AZUL 18.300 18.300 18.300 18.300 18.300 18.300
MAT7002411 70262 SIERRA REC DEN SIMPLE70X12.5MM 277096300 49.575 49.575 49.575 49.575 49.575 49.575
MAT7002412 70263 SIERRA REC DEN SIMPLE 77X11MM 277096326 89.333 89.333 89.333 89.333 89.333 89.333
MAT7002954 70265 CANULA TQT C/ASPIRACION SUBGL.N7#306-07 130.900 130.900 130.900 130.900 130.900 130.900
MAT7002955 70266 CANULA TQT C/ASPIRACION SUBGL.N8#306-08 130.900 130.900 130.900 130.900 130.900 130.900
MAT7000073 70268 CAT. URETERAL RECTO 5 FR DER. 18.295 18.295 18.295 18.295 18.295 18.295
MAT7002956 70269 CANULA TQT C/ASPIRACION SUBGL.N9#306-09 130.900 130.900 130.900 130.900 130.900 130.900
MAT7002957 70273 KIT INSTALACION TQT PERCUTANEA N8#32208 458.150 458.150 458.150 458.150 458.150 458.150
MAT7000075 70274 PUNTAS COLORADAS N 103 A 65.450 65.450 65.450 65.450 65.450 65.450
MAT7002958 70277 CONECTOR OPTIFLOW P/TRAQUEOSTOMIA #970 86.394 86.394 86.394 86.394 86.394 86.394
MAT7000078 70282 CANULA TRAQUEOST.FENESTRADA # 8 89.585 89.585 89.585 89.585 89.585 89.585
MAT7002550 70286 APOSITO GASA ESTERIL 10X30 (P/2UN) 1.825 1.825 1.825 1.825 1.825 1.825
MAT7002468 70293 CONECTOR RECTO 1/4 X 1/4 SIN LUER 7.069 7.069 7.069 7.069 7.069 7.069
MAT7002469 70294 CONECTOR RECTO 3/8 X 3/8 SIN LUER 7.069 7.069 7.069 7.069 7.069 7.069
MAT7002470 70295 APOSITO EN MALLA OLEOSO 7.5 X 7.5 1.241 1.241 1.241 1.241 1.241 1.241
MAT7003261 70298 ADAPTADOR DE PERFUSION 1/4 REF. 10007 9.818 9.818 9.818 9.818 9.818 9.818
MAT7003262 70299 ADAPTADOR INTRACORONARI 1.00MM REF.31100 78.540 78.540 78.540 78.540 78.540 78.540
PRO4002743 70302 ESCAFANDRAS CASCOS T5 400-800 32.135 32.135 32.135 32.135 32.135 32.135
MAT7003263 70328 ADAPTADOR INTRACORONARI 1.50MM REF.31150 78.540 78.540 78.540 78.540 78.540 78.540
MAT7003264 70329 ADAPTADOR INTRACORONARI 1.75MM REF.31175 78.540 78.540 78.540 78.540 78.540 78.540
MAT7003030 70330 GASA 5X100 (1UNIDAD) 524 524 524 524 524 524
MAT7003265 70331 ADAPTADOR INTRACORONARI 2.00MM REF.31200 78.540 78.540 78.540 78.540 78.540 78.540
MAT7003266 70332 ADAPTADOR INTRACORONARI 2.50MM REF.31250 78.540 78.540 78.540 78.540 78.540 78.540
MAT7003267 70333 CANULA VENOSA MALEABL PED.12FR REF.68112 45.815 45.815 45.815 45.815 45.815 45.815
MAT7000080 70334 CAT. EPIDURAL 16 G STANDARD 6.019 6.019 6.019 6.019 6.019 6.019
MAT7000081 70335 CONTADOR DE AGUJA 2.388 2.388 2.388 2.388 2.388 2.388
MAT7000082 70336 CAT. EPIDURAL 18 G STANDARD 6.294 6.294 6.294 6.294 6.294 6.294
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7002580 70337 TUBULADURA BLANDA 5X8 3 MTS 7.592 7.592 7.592 7.592 7.592 7.592
MAT7002490 70338 TUBO DE SUCCION OTICO 1,0 X 70 MM 5.236 5.236 5.236 5.236 5.236 5.236
MAT7002492 70339 TUBO DE SUCCION OTICO 1,4 X 70 MM 5.236 5.236 5.236 5.236 5.236 5.236
MAT7002493 70340 TUBO DE SUCCION OTICO 2,0 X 70 MM 5.236 5.236 5.236 5.236 5.236 5.236
MAT7002540 70341 ADAPTADOR DE ASPIRADOR OTICO 5.236 5.236 5.236 5.236 5.236 5.236
MAT7002590 70342 PAQUETE COMPRESA 3 UDS. ESTERIL (ROJA) 3.780 3.780 3.780 3.780 3.780 3.780
MAT7003268 70344 CANULA VENOSA MALEABL PED.14FR REF.68114 45.815 45.815 45.815 45.815 45.815 45.815
MAT7003269 70345 CANULA VENOSA MALEABL PED.16FR REF.68116 45.815 45.815 45.815 45.815 45.815 45.815
MAT7003270 70349 CANULA VENOSA MALEABL PED.18FR REF.68118 45.815 45.815 45.815 45.815 45.815 45.815
MAT7000085 70352 CAT. UMBILICAL ARTERIAL 3.5FR 44.066 44.066 44.066 44.066 44.066 44.066
MAT7003271 70355 CANULA ARTERIAL PUNTA REC.18FR REF.75318 41.888 41.888 41.888 41.888 41.888 41.888
MAT7000086 70357 BERIPLAST 1ML 344.862 344.862 344.862 344.862 344.862 344.862
MAT7000087 70359 COLLAR TRAQUEAL ADULTO HUDSON 2.563 2.563 2.563 2.563 2.563 2.563
MAT7002299 70360 SIERRA EST 30/15X6X04/03MMSAW 532.041S 75.285 75.285 75.285 75.285 75.285 75.285
MAT7000088 70361 DRENAJE JACKSON PRATT 10 MM ADULTO 28.109 28.109 28.109 28.109 28.109 28.109
MAT7002310 70363 SIERRA EST 30/15X16X04/03MMSAW 532.043S 75.285 75.285 75.285 75.285 75.285 75.285
MAT7000090 70364 CATETER SWAN GANZ 7FR 131.609 131.609 131.609 131.609 131.609 131.609
MAT7002311 70365 SIERRA EST 33/18X4X04/03 532.044S 80.705 80.705 80.705 80.705 80.705 80.705
MAT7002312 70366 SIERRA EST 37/22X12 X 0.4/0.3MM 532.046S 80.705 80.705 80.705 80.705 80.705 80.705
MAT7002313 70367 SIERRA EST 42/27X10 X 0.6/0.4MM 532.062S 80.705 80.705 80.705 80.705 80.705 80.705
MAT7002314 70368 SIERRA EST 46/31X10 X 0.4/0.3MM 532.048S 80.705 80.705 80.705 80.705 80.705 80.705
MAT7002315 70369 SIERRA EST 65/50X10 X 0.6/0.4MM 532.064S 80.705 80.705 80.705 80.705 80.705 80.705
MAT7002316 70370 SIERRA EST 65/50X14 X 0.6/0.4MM 532.065S 80.705 80.705 80.705 80.705 80.705 80.705
MAT7002317 70371 SIERRA EST 65/50X20 X 0.6/0.4MM 532.066S 80.705 80.705 80.705 80.705 80.705 80.705
MAT7002318 70377 SIERRA 65/50*27*0.6/0.4 532.067S 75.285 75.285 75.285 75.285 75.285 75.285
MAT7002360 70379 SIERRA EST 70/49*14*06/04 ANCLA 519.150S 60.746 60.746 60.746 60.746 60.746 60.746
MAT7002361 70380 SIERRA EST 90/69*27*08/06 ANCLA 519.170S 47.287 47.287 47.287 47.287 47.287 47.287
MAT7000092 70381 TROCAR PLEURACAN 77.886 77.886 77.886 77.886 77.886 77.886
MAT7000093 70382 CONEXION LUER LOCK 2 VIAS 1.730 1.730 1.730 1.730 1.730 1.730
MAT7002362 70383 SIERRA EST 90/69*50*08/06 ANCLA 519.190S 51.670 51.670 51.670 51.670 51.670 51.670
MAT7002363 70384 SIERRA EST 116/95*25*1.25/1.13 519.115S 93.733 93.733 93.733 93.733 93.733 93.733
MAT7002364 70385 SIERRA EST 46/25*14*06/04 ANCLA 519.250S 79.516 79.516 79.516 79.516 79.516 79.516
MAT7000094 70387 FLEBO EXTRACTOR 38.330 38.330 38.330 38.330 38.330 38.330
MAT7002365 70388 SIERRA EST 46/25*6*06/04 ANCLA 519.230S 71.007 71.007 71.007 71.007 71.007 71.007
MAT7002366 70392 SIERRA EST 116/95*19*09/08 #05.002.001S 96.069 96.069 96.069 96.069 96.069 96.069
MAT7000096 70396 CAJA PORTA PROTESIS DENTAL 1.670 1.670 1.670 1.670 1.670 1.670
MAT7000097 70398 RINGER LACTATO 3000ML 14.223 14.223 14.223 14.223 14.223 14.223
MAT7000098 70400 CONTENEDOR URINARIO DE USO EXTERNO 6.244 6.244 6.244 6.244 6.244 6.244
MAT7000099 70401 INFUSOR LV5 2 DIAS 2C1009KP #AA2005 57.881 57.881 57.881 57.881 57.881 57.881
MAT7000100 70403 CONECTOR GIRATORIO SWIVEL P/BRONCOS 20.682 20.682 20.682 20.682 20.682 20.682
MAT7003272 70407 CANULA ARTERIAL PUNTA REC.20FR REF.75320 41.888 41.888 41.888 41.888 41.888 41.888
MAT7003273 70408 CANULA PERFUSION CORONARI 15FR REF.30315 71.995 71.995 71.995 71.995 71.995 71.995
MAT7002685 70414 SUTURA GOROTEX CV-5 48.433 48.433 48.433 48.433 48.433 48.433
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000102 70415 BOLSA ASP. 3 LT DESECHABLE 3.636 3.636 3.636 3.636 3.636 3.636
MAT7000103 70416 SOLUCION PERFADEX PLUS 3000 ML 1.466.080 1.466.080 1.466.080 1.466.080 1.466.080 1.466.080
MAT7002686 70418 SUTURA GOROTEX CV-4 71.995 71.995 71.995 71.995 71.995 71.995
MAT7002688 70419 SUTURA GOROTEX CV-6 48.433 48.433 48.433 48.433 48.433 48.433
MAT7002689 70420 STENT URETERAL 6FR X 22-30CM 107.338 107.338 107.338 107.338 107.338 107.338
MAT7002691 70421 STENT URETERAL 4.8FR X 22-30CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000104 70422 CONECTOR Y 3/8 X 3/8 X 1/2 13.090 13.090 13.090 13.090 13.090 13.090
MAT7000105 70423 CONECTOR Y 3/8 X 3/8 X 3/8 7.069 7.069 7.069 7.069 7.069 7.069
MAT7000106 70424 CONECTOR Y 1/4 X 1/4 X ¼ C/LUER 7.775 7.775 7.775 7.775 7.775 7.775
MAT7000107 70425 CONECTOR RECTO 1/4 X 3/8 7.775 7.775 7.775 7.775 7.775 7.775
MAT7000108 70426 CONECTOR RECTO 1/4 X 1/4 7.069 7.069 7.069 7.069 7.069 7.069
MAT7000109 70427 CONECTOR RECTO 3/8 X 3/8 7.082 7.082 7.082 7.082 7.082 7.082
MAT7000110 70428 CONECTOR RECTO 1/2 X 1/2 7.069 7.069 7.069 7.069 7.069 7.069
MAT7000111 70429 CONECTOR RECTO 1/2 X 3/8 7.069 7.069 7.069 7.069 7.069 7.069
MAT7002456 70430 SOLUCION PRESERVANTE SPS-1 1 LT. 381.514 381.514 381.514 381.514 381.514 381.514
MAT7002692 70431 STENT URETERAL 4.8FR X 14CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7002693 70432 VAINA ACCESO 11/13 FR X 28CM 358.190 358.190 358.190 358.190 358.190 358.190
MAT7000112 70433 NEBULIZADOR PARI CON BOQUILLA 68.801 68.801 68.801 68.801 68.801 68.801
MAT7000113 70436 PLACA ELECTRO BILOBUL VALLEY LAB ADUL. 2.058 2.058 2.058 2.058 2.058 2.058
MAT7000114 70437 PLACA ELECTRO.BILOBUL VALLEY LAB PED. 13.614 13.614 13.614 13.614 13.614 13.614
MAT7000115 70438 LINEA CONEXION MANOMETRO 150CM (M-H) 1.605 1.605 1.605 1.605 1.605 1.605
MAT7002694 70439 VAINA ACCESO 11/13 FR X 36CM 358.190 358.190 358.190 358.190 358.190 358.190
MAT7002695 70442 VAINA ACCESO 11/13 FR X 46CM 358.190 358.190 358.190 358.190 358.190 358.190
MAT7000116 70443 EJERCITADOR PULMONAR TRIFLOW 9.197 9.197 9.197 9.197 9.197 9.197
MAT7001856 70450 STATLOCK MULTIPROPOSITO 12.035 12.035 12.035 12.035 12.035 12.035
MAT7002292 70451 KIT INTRODUCT HEMOSTATIC 6FR 12CM 406103 65.974 65.974 65.974 65.974 65.974 65.974
MAT7002296 70452 SONDA MARCAPASO 401616 257.040 257.040 257.040 257.040 257.040 257.040
MAT7002297 70453 INTRODUCTOR 6FR OS ASG06010 125.664 125.664 125.664 125.664 125.664 125.664
MAT7002298 70454 GUIA AQUALINER AL35260AS 96.342 96.342 96.342 96.342 96.342 96.342
MAT7002697 70455 GUIDE WIRE 35" X 180CMS RECTA 91.630 91.630 91.630 91.630 91.630 91.630
MAT7002698 70456 T.E.T C/CAMARA 37 FR IZQUIERDO 613.088 613.088 613.088 613.088 613.088 613.088
MAT7002699 70457 T.E.T C/CAMARA 39 FR IZQUIERDO 535.118 535.118 535.118 535.118 535.118 535.118
MAT7000117 70459 RUPTURA DE MEMBRANA 13.823 13.823 13.823 13.823 13.823 13.823
MAT7002700 70461 JERINGA STAMBERGER 96.604 96.604 96.604 96.604 96.604 96.604
MAT7002701 70462 TUBO DE SUCCION OTICO 0,7X70 MM BLACK 7.592 7.592 7.592 7.592 7.592 7.592
MAT7000118 70464 PAÑAL DESECH. RN (PAQ.20UN) 7.121 7.121 7.121 7.121 7.121 7.121
MAT7000119 70465 NEBULIZADOR C/MASCARILLA ADULTO 1.958 1.958 1.958 1.958 1.958 1.958
MAT7000120 70466 NEBULIZADOR C/MASCARILLA PED. 2.736 2.736 2.736 2.736 2.736 2.736
MAT7002702 70467 TUBO DE SUCCION OTICO 0,4X70 MM PURPLE 7.592 7.592 7.592 7.592 7.592 7.592
MAT7000122 70468 BIGOTERAS DE 02 ADULTO 668 668 668 668 668 668
MAT7000123 70469 CLAMP UMBILICAL 840 840 840 840 840 840
MAT7000124 70470 CONECTOR SWIVEL 15 MM 13.875 13.875 13.875 13.875 13.875 13.875
MAT7000125 70471 MASCARILLA O2 MULTIVENT ADULTO 2.160 2.160 2.160 2.160 2.160 2.160
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000126 70472 MASCARILLA O2 MULTIVENT PED 1.898 1.898 1.898 1.898 1.898 1.898
MAT7002703 70473 CANISTER 500CC 190.400 190.400 190.400 190.400 190.400 190.400
MAT7000127 70474 MASCARILLA O2 RECIRCULACION ADULTO 2.094 2.094 2.094 2.094 2.094 2.094
MAT7000128 70476 NEBULIZADOR S/MASCARILLA C/ALARG+BOQUIL 2.094 2.094 2.094 2.094 2.094 2.094
MAT7000129 70477 VENDA SOFFBAN 7.5 CM ROLLO 864 864 864 864 864 864
MAT7000130 70478 VENDA SOFFBAN 10 CM ROLLO 888 888 888 888 888 888
MAT7000131 70479 VENDA SOFFBAN 15 CM ROLLO 1.034 1.034 1.034 1.034 1.034 1.034
MAT7002541 70483 TAPA INYECCION DE SELLADO 1.806 1.806 1.806 1.806 1.806 1.806
MAT7002704 70484 ESPONJA GRANUFOAM DE PLATA TALLA S 222.530 222.530 222.530 222.530 222.530 222.530
MAT7000858 70485 PAÑO PERFORADO DESECH. 60X60 602 602 602 602 602 602
MAT7000132 70486 MAQUINA RASURAR DESECHABLE 1.113 1.113 1.113 1.113 1.113 1.113
MAT7000133 70487 MANTILLA DESECHABLE 636 636 636 636 636 636
MAT7003274 70488 CANULA PERFUSION CORONARI 17FR REF.30317 71.995 71.995 71.995 71.995 71.995 71.995
MAT7000134 70489 PAÑAL DESECH. G (PAQ. 20UN) 7.121 7.121 7.121 7.121 7.121 7.121
MAT7000135 70490 PAÑAL DESECH. M (PAQ.24UN) 7.121 7.121 7.121 7.121 7.121 7.121
MAT7000136 70491 CALZON CLINICO MALLA ELASTICA 903 903 903 903 903 903
MAT7000137 70492 AGUA BIDESTILADA 500ML 1.086 1.086 1.086 1.086 1.086 1.086
MAT7000138 70494 BOLSA ILEOSTOMIA 1 PIEZA 60MM 9.417 9.417 9.417 9.417 9.417 9.417
MAT7000139 70496 PLACA OST.RECORTABLE 60 MM 9.930 9.930 9.930 9.930 9.930 9.930
MAT7000856 70500 PAÑO PERFORADO DESECH. 30X30 482 482 482 482 482 482
MAT7001951 70501 TORULA CLORHEX.ALCOHOLICA INCOLORA 1.6ML 1.427 1.427 1.427 1.427 1.427 1.427
MAT7002591 70502 CIRCUITO ANESTESIA PEDIATRICO JACKSON R 36.652 36.652 36.652 36.652 36.652 36.652
MAT7002775 70503 GUIA ABBOTT BMW 190CM 196.350 196.350 196.350 196.350 196.350 196.350
MAT7002777 70504 GUIA ABBOTT BMW 300CM 248.710 248.710 248.710 248.710 248.710 248.710
MAT7003275 70505 CANULA PERFUSION CORONARI 20FR REF.30320 71.995 71.995 71.995 71.995 71.995 71.995
MAT7002778 70506 CIERRE PRECLOSE PROGLIDE 6FR 295.120 295.120 295.120 295.120 295.120 295.120
MAT7003276 70507 TUBO ASPIRACION ACANALADA 16FR REF.10061 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003277 70510 CAN.VENTILACION LADO IZQU.16FR REF.12116 32.725 32.725 32.725 32.725 32.725 32.725
MAT7003278 70511 CANULA VENOSA MALEAB ADUL 30FR REF.68130 45.815 45.815 45.815 45.815 45.815 45.815
MAT7003279 70512 CANULA VENOSA MALEAB ADUL 32FR REF.68132 45.815 45.815 45.815 45.815 45.815 45.815
MAT7000140 70514 MANGO DE PRESION DESECH.NEON PED #2 14.192 14.192 14.192 14.192 14.192 14.192
MAT7000141 70515 MANGO DE PRESION DESECH.NEON PED #4 14.192 14.192 14.192 14.192 14.192 14.192
MAT7000142 70516 PUNTA PALETA PROTEGIDA CORTA #E1455 8.378 8.378 8.378 8.378 8.378 8.378
MAT7003280 70519 CANULA VENOSA MALEAB ADUL 34FR REF.68134 45.815 45.815 45.815 45.815 45.815 45.815
MAT7000144 70520 ALARGADOR VENOSO 150CM 916 916 916 916 916 916
MAT7003281 70521 CANULA VENOSA MALEAB ADUL 36FR REF.68136 45.815 45.815 45.815 45.815 45.815 45.815
MAT7000145 70522 TUBO VENTILACION EN T #2475-1 37.903 37.903 37.903 37.903 37.903 37.903
MAT7002530 70523 EQ. INFUSION MACROGOTA SIN FILTRO 720 720 720 720 720 720
MAT7003282 70524 KIT INSERCION PERCUTANEO REF. 96551 392.700 392.700 392.700 392.700 392.700 392.700
MAT7003283 70525 KIT INSERCION OPUS REF. 21030 151.190 151.190 151.190 151.190 151.190 151.190
MAT7000147 70527 JERINGA 60CC L-LOCK 576 576 576 576 576 576
MAT7000148 70528 EQ.PARA BP HEPATICA 16 G 35.605 35.605 35.605 35.605 35.605 35.605
MAT7003284 70529 CANULA ARTERIAL PEDIATRICA 8FR REF.77008 102.102 102.102 102.102 102.102 102.102 102.102
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003285 70530 CANULA ARTERIAL PEDIATRIC 10FR REF.77010 102.102 102.102 102.102 102.102 102.102 102.102
MAT7003286 70532 CANULA ARTERIAL PEDIATRIC 12FR REF.77012 102.102 102.102 102.102 102.102 102.102 102.102
MAT7000149 70535 TUBO ENDOTRAQ.RAE ORAL C/CUFF 4.0 9.401 9.401 9.401 9.401 9.401 9.401
MAT7000150 70536 TUBO ENDOTRAQ.RAE ORAL C/CUFF 4.5 9.401 9.401 9.401 9.401 9.401 9.401
MAT7002301 70542 VALVULA BIOPSIA PENTAX 35.212 35.212 35.212 35.212 35.212 35.212
MAT7003287 70543 CANULA ARTERIAL PEDIATRIC 14FR REF.77014 102.102 102.102 102.102 102.102 102.102 102.102
MAT7003288 70544 CAN.P/VENT LADO IZQ.CORAZ 16FR REF.12016 32.725 32.725 32.725 32.725 32.725 32.725
MAT7003289 70545 CAN.P/VENT LADO IZQ.CORAZ 20FR REF.12220 32.725 32.725 32.725 32.725 32.725 32.725
MAT7003290 70546 CANULA VENOSA 2 ETAPAS 29/29FR REF.91329 48.433 48.433 48.433 48.433 48.433 48.433
MAT7003291 70548 CANULA VENOSA ETAPA UNICA 20FR REF.66120 37.961 37.961 37.961 37.961 37.961 37.961
MAT7003292 70549 CANULA VENOSA ETAPA UNICA 22FR REF.66122 37.961 37.961 37.961 37.961 37.961 37.961
MAT7000151 70550 CIRCUITO VENT. MECANICA ESTERIL #FPRT380 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003293 70551 CAN VENOSA ETAP UNIC MALEA22FR REF.68122 45.815 45.815 45.815 45.815 45.815 45.815
MAT7002481 70555 KIT INSTALACION SONDA FOLEY 14.006 14.006 14.006 14.006 14.006 14.006
MAT7002482 70560 DIALIZADOR DE ALTO FLUJO 2,3 MTS 77.859 77.859 77.859 77.859 77.859 77.859
MAT7000153 70562 BOLSA PARA HIELO ICE PACK #33500 6.304 6.304 6.304 6.304 6.304 6.304
MAT7002485 70563 CANULA NASAL ALTO FLUJO PEDIATRICA 125.664 125.664 125.664 125.664 125.664 125.664
MAT7000154 70564 BOLSA PARA HIELO ICE PACK DOBLE 14.150 14.150 14.150 14.150 14.150 14.150
MAT7002486 70566 CANULA NASAL ALTO FLUJO NEONATAL 125.664 125.664 125.664 125.664 125.664 125.664
MAT7000155 70567 AGUJA HIPODERMICA 30GX1/2 B.D. AH-3013-S 42 42 42 42 42 42
MAT7002487 70568 EXTENSOR VENOSO EN Y C/MICROCLAVE 8.901 8.901 8.901 8.901 8.901 8.901
MAT7000156 70571 FAJA ABDOMINAL 4 BANDAS M #413 19.635 19.635 19.635 19.635 19.635 19.635
MAT7000157 70572 FAJA ABDOMINAL 4 BANDAS L #TA413L 19.635 19.635 19.635 19.635 19.635 19.635
MAT7002488 70573 TUBO ENDOTRAQUEAL LADO IZQ. 35FR C/CPAP 117.810 117.810 117.810 117.810 117.810 117.810
MAT7002489 70576 POWER PICC 6FR TRIPLE LUMEN 256.324 256.324 256.324 256.324 256.324 256.324
MAT7000158 70577 TORULA GASA (30UN) 1.851 1.851 1.851 1.851 1.851 1.851
MAT7000159 70578 TORULA ALGODON CHICA(4UN)#MIX9863 309 309 309 309 309 309
MAT7003294 70579 CAN VENOSA ETAP UNIC MALEA24FR REF.68124 45.815 45.815 45.815 45.815 45.815 45.815
MAT7000161 70580 TORULA ALGODON GDE.(4UN)#MIX975 602 602 602 602 602 602
MAT7000162 70581 TORULA ALGODON NO ESTERIL (50 UNI) 2.851 2.851 2.851 2.851 2.851 2.851
MAT7000164 70583 GASA 30X35 (1UN) 1.045 1.045 1.045 1.045 1.045 1.045
MAT7000165 70584 GASA TAPON NASAL 3X50CM (3UN) 778 778 778 778 778 778
MAT7000166 70585 APOSITO 5X10 CM 348 348 348 348 348 348
MAT7000167 70586 APOSITO 10X20 CM 382 382 382 382 382 382
MAT7000168 70587 APOSITO 30X30 CM 1.636 1.636 1.636 1.636 1.636 1.636
MAT7000169 70588 APOSITO 20X80 CM 1.877 1.877 1.877 1.877 1.877 1.877
MAT7000170 70589 APOSITO 10X300 CM 3.715 3.715 3.715 3.715 3.715 3.715
MAT7000171 70590 GASA TEJIDA 6X6 (1UN) 162 162 162 162 162 162
MAT7000172 70591 GASA TEJIDA 6X6 (4 UN) 361 361 361 361 361 361
MAT7000173 70592 GASA 6X6 (10UN) 867 867 867 867 867 867
MAT7000175 70594 GASA TAPON 3X70(1UN) 403 403 403 403 403 403
MAT7000176 70595 GASA TAPON 3X100(3UN) 859 859 859 859 859 859
MAT7000177 70596 GASA TAPON 5X100 CM (10 UN) 1.945 1.945 1.945 1.945 1.945 1.945
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000178 70597 GASA TAPON NASAL 5X100(50UN) 7.105 7.105 7.105 7.105 7.105 7.105
MAT7000179 70598 TORULA GASA (4UN) 387 387 387 387 387 387
MAT7000180 70599 TORULA GASA (10UN) 644 644 644 644 644 644
MAT7000181 70600 EQ. ADM. SUERO FLEBOCLISIS ADULTO 995 995 995 995 995 995
MAT7000182 70602 EQ. ADM. SUERO EN MICROGOTAS 3.453 3.453 3.453 3.453 3.453 3.453
MAT7000183 70603 STIMUPLEX 360 100MM #4892510-01 18.850 18.850 18.850 18.850 18.850 18.850
MAT7000184 70604 ELECTRODO PEDIATRICO (3UD) 864 864 864 864 864 864
MAT7000185 70605 GASA ODONTOLOGIA 5X5 511 511 511 511 511 511
MAT7000187 70608 PAÑAL DESECH. PREMATURO(PAQ.30UN) 20.944 20.944 20.944 20.944 20.944 20.944
MAT7003295 70609 CAN.ARTERIAL ALARG.1.20FR EOPA REF.77420 58.905 58.905 58.905 58.905 58.905 58.905
MAT7003296 70614 CAN.ARTERIAL ALARG.1.22FR EOPA REF.77422 58.905 58.905 58.905 58.905 58.905 58.905
MAT7003297 70615 CAN.ARTERIAL ALARG.1.24FR EOPA REF.77424 58.905 58.905 58.905 58.905 58.905 58.905
MAT7003298 70616 CAN.RAIZ AORTICA C/INTR.7FR REF.11014L 26.180 26.180 26.180 26.180 26.180 26.180
MAT7003299 70617 CANULA RETROPLEGIA 28 CM 15FR REF. 94535 113.883 113.883 113.883 113.883 113.883 113.883
MAT7000191 70618 FAJA ABDOMINAL 3 BANDAS M #TA311WMS 15.184 15.184 15.184 15.184 15.184 15.184
MAT7000192 70619 FAJA ABDOMINAL 3 BANDAS L #TA311WLS 15.184 15.184 15.184 15.184 15.184 15.184
MAT7002511 70620 APOSITO MEPILEX BORDER SACRUM 16X20CM 38.956 38.956 38.956 38.956 38.956 38.956
MAT7003308 70621 SET TRANSFERENC SURE PRO ULT COD.PEB623 78.514 78.514 78.514 78.514 78.514 78.514
MAT7000193 70622 PLACA OST.MOLDEABLE CONVEXA 57MM 9.236 9.236 9.236 9.236 9.236 9.236
MAT7001541 70623 PLACA OST.RECORTABLE 57MM 5.938 5.938 5.938 5.938 5.938 5.938
MAT7000194 70624 BOLSA OST.DRENABLE TRANSP. 57MM 3.804 3.804 3.804 3.804 3.804 3.804
MAT7000195 70625 BOLSA OST. DRENABLE PIEL 57MM 3.804 3.804 3.804 3.804 3.804 3.804
MAT7000196 70626 BOLSA UROSTOMIA PARA PLACA 57MM 5.058 5.058 5.058 5.058 5.058 5.058
MAT7001775 70631 SET CARDIOPLEJIA OXIGENADOR CEC FUSION 124.355 124.355 124.355 124.355 124.355 124.355
MAT7000199 70638 LINEA VENOSA GAMBRO #107361 4.451 4.451 4.451 4.451 4.451 4.451
MAT7000200 70639 SONDA NASOGAST.DOB.LUM 14 FR 5.262 5.262 5.262 5.262 5.262 5.262
MAT7000201 70640 SONDA NASOGAST.DOB.LUM 16 FR 5.262 5.262 5.262 5.262 5.262 5.262
MAT7000202 70641 SONDA NASOGAST.DOB.LUM 18 FR 5.262 5.262 5.262 5.262 5.262 5.262
MAT7002512 70642 CANULA NASAL ALTO FLUJO PREMATURO 125.664 125.664 125.664 125.664 125.664 125.664
MAT7002513 70643 CINTURON DE TRASLADO DE PACIENTE L 41.862 41.862 41.862 41.862 41.862 41.862
MAT7000204 70659 AQUAPAK 340 ML C/ADAPTADOR #HS00340 4.189 4.189 4.189 4.189 4.189 4.189
MAT7003306 70661 CUBETA 1/4 X 1/4 #6914 75.922 75.922 75.922 75.922 75.922 75.922
MAT7003307 70662 HOJA SAGITAL 40.3 X 0.64 X 48.4 MM #2108 58.905 58.905 58.905 58.905 58.905 58.905
MAT7000205 70664 NARICERA DE O2 PEDIATRICA 649 649 649 649 649 649
MAT7000206 70666 MANTA TERMICA CUERPO INFERIOR #52500 33.547 33.547 33.547 33.547 33.547 33.547
MAT7000208 70668 MANTA TERMICA CUERPO COMPLETO #30000 33.547 33.547 33.547 33.547 33.547 33.547
MAT7000209 70671 EQ.PARA BP HEPATICA 15 G 37.207 37.207 37.207 37.207 37.207 37.207
MAT7000210 70672 ELECTRODO CUCHILLO LARGO 5.367 5.367 5.367 5.367 5.367 5.367
MAT7000211 70674 NARICERA DE O2 NEONATAL 649 649 649 649 649 649
MAT7000213 70676 CUCHILLETE OFTALM. 15° 12.043 12.043 12.043 12.043 12.043 12.043
MAT7000214 70678 MANIPULADOR UTERINO #6003 40.579 40.579 40.579 40.579 40.579 40.579
MAT7000216 70680 CAT.VEN.CENT.2LUMEN 4FRX8CM #15402 89.627 89.627 89.627 89.627 89.627 89.627
MAT7000217 70684 MASCARA LARINGEAL # 2.5 17.802 17.802 17.802 17.802 17.802 17.802
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000218 70685 TAPON NASAL 10 CM #CANUL 406 12.095 12.095 12.095 12.095 12.095 12.095
MAT7000219 70688 TROCAR LAPAROSCOPICO 12 MM APPLE 104.458 104.458 104.458 104.458 104.458 104.458
MAT7000220 70689 SOLUCION EUROCOLLINS 1000 ML 135.482 135.482 135.482 135.482 135.482 135.482
MAT7000221 70690 CAT. MEDICION ARTERIOFIX 160MM 26.128 26.128 26.128 26.128 26.128 26.128
MAT7000222 70691 MASCARA LARINGEAL # 5 14.373 14.373 14.373 14.373 14.373 14.373
MAT7000223 70692 CATETER MEDICION ARTERIOFIXG20 X80MM 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000224 70699 AGUJA PARA INSUFLACION 14G LARGA #UV120 63.740 63.740 63.740 63.740 63.740 63.740
MAT7000225 70700 FILTRO HUMIDIF. P/TUBO ET.#100/570/022 7.330 7.330 7.330 7.330 7.330 7.330
MAT7000226 70705 TROCAR LAP. ENDOPATH 12MM #D12LT 195.623 195.623 195.623 195.623 195.623 195.623
PRO4003031 70707 MANIP.HISTER. 2.5 DELINEATOR #AD750-KE25 175.763 175.763 175.763 175.763 175.763 175.763
PRO4003033 70708 MANIP.HISTER. 3.0 DELINEATOR #AD750-KE30 175.763 175.763 175.763 175.763 175.763 175.763
MAT7000228 70723 MANTA TERMICA CUERPO SUPERIOR #62200 33.547 33.547 33.547 33.547 33.547 33.547
MAT7000229 70728 VENDA YESO GIPSONA 10 CM (VERDE) 3.927 3.927 3.927 3.927 3.927 3.927
MAT7000230 70729 VENDA YESO GIPSONA 15CM (VERDE) 1.997 1.997 1.997 1.997 1.997 1.997
MAT7000231 70730 VENDA YESO GIPSONA 20 CM (VERDE) 3.178 3.178 3.178 3.178 3.178 3.178
MAT7000232 70733 ENDOCANULA # 4 13.090 13.090 13.090 13.090 13.090 13.090
MAT7000233 70734 ENDOCANULA # 6 13.090 13.090 13.090 13.090 13.090 13.090
MAT7000234 70735 ENDOCANULA # 8 13.875 13.875 13.875 13.875 13.875 13.875
MAT7000236 70739 CANULA TRAQUEOST.N 6 SHILEY 95.557 95.557 95.557 95.557 95.557 95.557
MAT7000237 70740 CANULA TRAQUEOST. N 4 SHILEY 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000238 70741 CANULA TRAQUEOST. N 10 SHILEY 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000239 70742 CANULA TRAQUEOST. N 8 SHILEY 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000240 70745 BAJADA P/TAXOL L.CARE 5000 #P317 20.420 20.420 20.420 20.420 20.420 20.420
MAT7000241 70752 APOSITO JELONET 10X10CM 681 681 681 681 681 681
MAT7002520 70758 COLLARIN CERVICAL STIFNECK ADULTO 53.638 53.638 53.638 53.638 53.638 53.638
MAT7002521 70759 COLLARIN CERVICAL STIFNECK PEDIATRICO 53.638 53.638 53.638 53.638 53.638 53.638
MAT7003457 70762 BOTA DE MARCHA CORTA L 79.833 79.833 79.833 79.833 79.833 79.833
MAT7003458 70764 BOTA DE MARCHA CORTA M 79.833 79.833 79.833 79.833 79.833 79.833
MAT7003459 70767 BOTA DE MARCHA CORTA S 79.833 79.833 79.833 79.833 79.833 79.833
MAT7000243 70768 SONDA FOLEY SILICONA 2VIAS20FR 10.446 10.446 10.446 10.446 10.446 10.446
MAT7002561 70781 ELECTRODOS ADULTO P/ECG (3UNI) 725 725 725 725 725 725
MAT7003460 70782 BOTA DE MARCHA CORTA XS 79.833 79.833 79.833 79.833 79.833 79.833
MAT7001782 70792 POWER PICC 5FR DOBLE LUMEN P/SHERLOCK 273.774 273.774 273.774 273.774 273.774 273.774
MAT7001783 70793 POWER PICC 5FR TRIPLE LUMEN P/SHERLOCK 312.405 312.405 312.405 312.405 312.405 312.405
MAT7001784 70794 ORTESIS INMOV. METACARPIANO T S IZQ 39.360 39.360 39.360 39.360 39.360 39.360
MAT7001786 70795 ORTESIS INMOV. METACARPIANO T S DER 66.610 66.610 66.610 66.610 66.610 66.610
MAT7001787 70796 ORTESIS INMOV. METACARPIANO T M IZQ 39.360 39.360 39.360 39.360 39.360 39.360
MAT7001788 70797 ORTESIS INMOV. METACARPIANO T M DER 44.855 44.855 44.855 44.855 44.855 44.855
MAT7001789 70798 ORTESIS INMOV. METACARPIANO T L DER 39.360 39.360 39.360 39.360 39.360 39.360
MAT7001790 70799 ORTESIS INMOV. METACARPIANO T L IZQ 65.832 65.832 65.832 65.832 65.832 65.832
MAT7000244 70801 T CU OPTIMA 380 GRADOS (T COBRE) 48.402 48.402 48.402 48.402 48.402 48.402
MAT7000245 70802 SONDA FOLEY SILICONA 8FR 13.655 13.655 13.655 13.655 13.655 13.655
MAT7000246 70803 SONDA FOLEY SILICONA 2VIAS 10FR 6.545 6.545 6.545 6.545 6.545 6.545
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000247 70804 SONDA FOLEY SILICONA 12FR 10.446 10.446 10.446 10.446 10.446 10.446
MAT7000248 70805 SONDA FOLEY SILICONA 2VIAS 23FR RUSCH 8.029 8.029 8.029 8.029 8.029 8.029
MAT7000249 70806 RECOLECTOR ORINA P/ S.F CON UNION PIERNA 1.487 1.487 1.487 1.487 1.487 1.487
MAT7000250 70807 STIMUPLEX 360 50MM #4892505-01 18.850 18.850 18.850 18.850 18.850 18.850
MAT7000251 70808 LAPIZ MARCADOR QUIRURGICO 2.985 2.985 2.985 2.985 2.985 2.985
MAT7000252 70812 JERINGA INSULINA 0,5ML 31G X 6MM #326679 188 188 188 188 188 188
MAT7000253 70815 GASA HIDROFI DOBLE 5CMX2.5MT ESTERIL 1.314 1.314 1.314 1.314 1.314 1.314
MAT7002032 70821 PUNTA DE GRASPER ATRAUMATICO #3622 104.458 104.458 104.458 104.458 104.458 104.458
MAT7000254 70822 CAT. VEN CENTRAL 3 LUMEN 5FR X 8 CM COOK 130.900 130.900 130.900 130.900 130.900 130.900
MAT7000255 70825 CAT.VEN.CENT.3LUMEN 5FRX12CM COOK 141.372 141.372 141.372 141.372 141.372 141.372
MAT7000257 70830 ESPONJA CON LIQUIDO ANTIEMPAÑANTE 5.210 5.210 5.210 5.210 5.210 5.210
MAT7000258 70838 EQ.PARA BP HEPATICA 18 G 35.605 35.605 35.605 35.605 35.605 35.605
MAT7000260 70840 FILTRO BACTOGARD #6595487EN-88E 14.399 14.399 14.399 14.399 14.399 14.399
MAT7000261 70841 APOSITO TRANSP. ADHESIVO 4CM ZZ-1622W 859 859 859 859 859 859
MAT7000262 70842 PROTECTOR OCULAR VISITEC#1041 1.178 1.178 1.178 1.178 1.178 1.178
MAT7000263 70843 SUJETADOR SONDA FOLLEY 4.058 4.058 4.058 4.058 4.058 4.058
MAT7000264 70844 TRAMPA DE AGUA PARA DRENAJE TORAXICO 97.447 97.447 97.447 97.447 97.447 97.447
MAT7001705 70846 FILTRO XEVONTA HI 20 88.214 88.214 88.214 88.214 88.214 88.214
MAT7000266 70850 DRENAJE ASPIRATIVO 4.0MM 12FR 7.592 7.592 7.592 7.592 7.592 7.592
MAT7000267 70851 DRENAJE ASPIRATIVO HEMO SUC 19 FR 13.779 13.779 13.779 13.779 13.779 13.779
MAT7002531 70852 SONDA ESTIMULADORA MONOPOLAR NIM 8225101 190.815 190.815 190.815 190.815 190.815 190.815
MAT7002532 70853 ELECTRODO SUBDERMALES 2 CAN. NIM 8227410 382.734 382.734 382.734 382.734 382.734 382.734
MAT7002533 70854 ELECTRODO SUBDERMALES 4 CAN. NIM 8227411 382.734 382.734 382.734 382.734 382.734 382.734
MAT7002534 70857 TET SENSOR INTEGRIDAD NERV. 6F 8229506 593.221 593.221 593.221 593.221 593.221 593.221
MAT7002535 70858 TET SENSOR INTEGRIDAD NERV. 7F 8229507 593.221 593.221 593.221 593.221 593.221 593.221
MAT7000268 70859 SONDA PROS.DUFOUR SIL 3VIAS 22FR30-50ML 41.836 41.836 41.836 41.836 41.836 41.836
MAT7002536 70863 TET SENSOR INTEGRIDAD NERV. 8F 8229508 593.221 593.221 593.221 593.221 593.221 593.221
MAT7002682 70864 BRONCOCATH 35 FR IZQUIERDO 91.630 91.630 91.630 91.630 91.630 91.630
MAT7002683 70866 BRONCOCATH 35 FR DERECHO 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000269 70868 RECOLECTOR ORINA P/ S.F PEDIATRICO 15.787 15.787 15.787 15.787 15.787 15.787
MAT7000270 70871 VALVULA DE TROMPETA # 5552001-0026110 196.874 196.874 196.874 196.874 196.874 196.874
MAT7000271 70872 CAT.GRIPPER 19G X 25MM X 1 IN 19.538 19.538 19.538 19.538 19.538 19.538
MAT7001549 70873 FUNDA BRAZALETE ADULTO#9-7920-002 15.446 15.446 15.446 15.446 15.446 15.446
MAT7000272 70880 TUBO VENTILACION PAPARELLA 30.665 30.665 30.665 30.665 30.665 30.665
MAT7000275 70884 CANULA SUCCION ENDOMETRIAL 11.127 11.127 11.127 11.127 11.127 11.127
MAT7000276 70886 DRENAJE ASPIRATIVO 3 MM 10FR 7.592 7.592 7.592 7.592 7.592 7.592
MAT7000277 70887 CASSETTE MEDICION MEDICAMENTOS 100ML 51.051 51.051 51.051 51.051 51.051 51.051
MAT7000278 70888 EQ. DE INFUSION PCA IV. #L231 31.940 31.940 31.940 31.940 31.940 31.940
MAT7000279 70890 EQ. DE INFUSION PCA EPIDURAL #L232 31.940 31.940 31.940 31.940 31.940 31.940
MAT7000280 70891 FUNDA BRAZALETE ADULTO#9-7920-003 16.232 16.232 16.232 16.232 16.232 16.232
MAT7000281 70893 APOSITO 15X30 CM 1.152 1.152 1.152 1.152 1.152 1.152
MAT7000282 70899 EXTENSOR VENOSO 10CM C/LLAVE 3 PASO 1.518 1.518 1.518 1.518 1.518 1.518
MAT7000283 70901 EXTENSOR VENOSO 100CM C/LLAVE 3 PASO 1.780 1.780 1.780 1.780 1.780 1.780
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000284 70902 EXTENSOR VENOSO 50CM C/LLAVE 3 PASO 1.780 1.780 1.780 1.780 1.780 1.780
MAT7000286 70905 OXISENSOR ADULTO 23.562 23.562 23.562 23.562 23.562 23.562
MAT7000287 70907 LINEA ARTERIAL 8 MM S/CAMARA 3.927 3.927 3.927 3.927 3.927 3.927
MAT7002598 70908 FIBRA LASER VERDE 010-2400 1.662.668 1.662.668 1.662.668 1.662.668 1.662.668 1.662.668
MAT7000288 70913 AGUJA ESPINAL PTA. LAPIZ G27 6.807 6.807 6.807 6.807 6.807 6.807
MAT7000289 70923 ESPONJA NEUROLOGICA 1/2 X 1 1/2 14.891 14.891 14.891 14.891 14.891 14.891
MAT7000290 70930 INSERTO P/PINZA FOGARTY 61 MM 48.433 48.433 48.433 48.433 48.433 48.433
MAT7000291 70933 APOSITO TRANSP. ADHESIVO 1628 GD ZZ-1628 6.152 6.152 6.152 6.152 6.152 6.152
MAT7002647 70938 V-LOC 2/0 V-20 NO ABSORVIBLE 41.888 41.888 41.888 41.888 41.888 41.888
MAT7000292 70940 PROTESIS DE OIDO PORP DE 4.7 257.447 257.447 257.447 257.447 257.447 257.447
MAT7001794 70943 CUCHILLETE 2.4MM MANI#MSL24 15.669 15.669 15.669 15.669 15.669 15.669
MAT7001796 70944 APOSITO TEGADERM ADVANCE NEO 1680 1.270 1.270 1.270 1.270 1.270 1.270
MAT7000294 70948 CAT.GRIPPER 20G X 25MM X 1 IN 19.538 19.538 19.538 19.538 19.538 19.538
MAT7000295 70949 FUNDA BRAZALETE ADULTO#9-7920-001 19.583 19.583 19.583 19.583 19.583 19.583
MAT7000296 70950 CAT.VEN.CENT.2LUMEN 5FRX13 #14502 181.427 181.427 181.427 181.427 181.427 181.427
MAT7000297 70951 BOLSA ASP. 1 LT DESECHABLE 4.320 4.320 4.320 4.320 4.320 4.320
MAT7000298 70952 ASPIRADOR COAGULADOR E3310 25.918 25.918 25.918 25.918 25.918 25.918
MAT7000299 70953 SONDA NASOGAST.DOB. LUM 10 FR 5.262 5.262 5.262 5.262 5.262 5.262
MAT7002648 70955 V-LOC 3/0 CV-23 41.888 41.888 41.888 41.888 41.888 41.888
MAT7002649 70956 V-LOC 0 GS-21 41.888 41.888 41.888 41.888 41.888 41.888
MAT7002680 70957 V-LOC 2/0 V-20 ABSORVIBLE 41.888 41.888 41.888 41.888 41.888 41.888
MAT7000300 70972 EQ. DRENAJE VESICAL 15FR 67.806 67.806 67.806 67.806 67.806 67.806
MAT7001694 70974 BOUGGIE SUNMED 15FRX70 #SM9021270 23.300 23.300 23.300 23.300 23.300 23.300
MAT7002430 70975 AGUJA ASP. KITAZATO DOBLE LUMEN 101.840 101.840 101.840 101.840 101.840 101.840
MAT7002503 70976 VENDA TIPO COBAN ESTERIL SIN LATEX 10CM 6.752 6.752 6.752 6.752 6.752 6.752
MAT7002681 70977 V-LOC 3/0 V-20 30 CMS 36.652 36.652 36.652 36.652 36.652 36.652
MAT7000303 70987 ESTABILIZADOR DE CABEZA 18.850 18.850 18.850 18.850 18.850 18.850
MAT7002560 70990 AGUJA DE MARCACION MAMARIA 64.665 64.665 64.665 64.665 64.665 64.665
MAT7000304 70992 TEFLON P/NARIZ MEROCEL #15-22000 25.892 25.892 25.892 25.892 25.892 25.892
MAT7000305 70993 BAJADA PRIMARIA L.CARE 5000 14.661 14.661 14.661 14.661 14.661 14.661
MAT7000306 70994 BAJADA SECUNDARIA L.CARE 5000 2.880 2.880 2.880 2.880 2.880 2.880
MAT7000307 70995 BAJADA FOTOSENSIBLE PLUM 5000 12.828 12.828 12.828 12.828 12.828 12.828
MAT7003302 71003 PERROS VASCULARES RECTO REF.1001-534 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000309 71005 FILTRO HUMIDIF. OXIDONITROSO 5.236 5.236 5.236 5.236 5.236 5.236
MAT7000310 71006 CAT. PICC DOBLE LUMEN 2FR SI-581-02-30-D 162.850 162.850 162.850 162.850 162.850 162.850
MAT7000311 71010 JERINGA 5CC EMBUTIDA 149 149 149 149 149 149
MAT7000312 71012 JERINGA 10CC EMBUTIDA TERUMO 196 196 196 196 196 196
MAT7000313 71014 JERINGA 20CC EMBUTIDA 285 285 285 285 285 285
MAT7003303 71016 PERROS VASCULARES CURVO REF.1001-535 31.416 31.416 31.416 31.416 31.416 31.416
MAT7003310 71017 PASTA CONTACTO ULTROS. REF.MCP00491003 73.304 73.304 73.304 73.304 73.304 73.304
MAT7000314 71019 JERINGA INSULINA 1CC 30G X 8MM 139 139 139 139 139 139
MAT7000315 71020 JERINGA TUBERCULINA 1ML 233 233 233 233 233 233
MAT7000317 71022 SISTEMA RECOLECCION DE FLUIDO 87.965 87.965 87.965 87.965 87.965 87.965
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000318 71027 ALARGADOR 76 CM P/CASSET 13.614 13.614 13.614 13.614 13.614 13.614
MAT7000319 71029 CUCHILLETE OFTALM. CRESC 14.339 14.339 14.339 14.339 14.339 14.339
MAT7000320 71030 CUCHILLETE OFTALM. SLIT 3.2 19.166 19.166 19.166 19.166 19.166 19.166
MAT7000323 71037 EQ. CURACION DESECHABLE 2.513 2.513 2.513 2.513 2.513 2.513
MAT7000324 71039 ADAPTADOR EN Y PERFUSION CORONARIA 10004 14.432 14.432 14.432 14.432 14.432 14.432
MAT7000325 71040 ADAPTADOR EN Y CARDIOPLEJIA REF. 10005 14.399 14.399 14.399 14.399 14.399 14.399
MAT7000326 71044 CAT.VEN.CENT.1 LUMEN 14X20CM #50015 18.227 18.227 18.227 18.227 18.227 18.227
MAT7000329 71050 CATETER CERTOFIX TRIO S720 7 FR 39.807 39.807 39.807 39.807 39.807 39.807
MAT7000330 71055 CAT.VEN.CENT. 2 LUMEN 7FRX20CM 47.996 47.996 47.996 47.996 47.996 47.996
MAT7000331 71058 BOLSA ASP. 1.5 LT DESECHABLE 4.582 4.582 4.582 4.582 4.582 4.582
MAT7000332 71059 TUBO DE ASPIRACION 8X12X3 MTS 1.872 1.872 1.872 1.872 1.872 1.872
MAT7000334 71064 JERINGA 3 CC L-LOCK 181 181 181 181 181 181
MAT7000335 71065 JERINGA 5 CC L-LOCK 157 157 157 157 157 157
MAT7000336 71066 JERINGA 10 CC L-LOCK 233 233 233 233 233 233
MAT7000337 71067 JERINGA 20 CC L-LOCK 285 285 285 285 285 285
MAT7000338 71068 FILTRO F10 HPS 31.013 31.013 31.013 31.013 31.013 31.013
MAT7000342 71078 CANULA MAYO 000 (4 CM) 733 733 733 733 733 733
MAT7000343 71085 BERIPLAST 3ML 857.990 857.990 857.990 857.990 857.990 857.990
MAT7000345 71089 MASCARILLA O2 RECIRCULACION PED 3.927 3.927 3.927 3.927 3.927 3.927
MAT7000346 71090 CANULA CARDIOPLEGIA 14 FR 117.156 117.156 117.156 117.156 117.156 117.156
MAT7000347 71094 SONDA NELATON AUTOLUBRICADA 14FR 3.613 3.613 3.613 3.613 3.613 3.613
MAT7000348 71095 SONDA NELATON AUTOLUBRICADA 16FR 3.613 3.613 3.613 3.613 3.613 3.613
MAT7000349 71100 LINEA CONEXION MANOMETRO 60CM(M-H) 1.398 1.398 1.398 1.398 1.398 1.398
MAT7000350 71102 LINEA CONEXION MANOMETRO 100CM(M-H) 2.081 2.081 2.081 2.081 2.081 2.081
PRO4002097 71108 KIT BYPASS DR. FERRARIO-BUCKEL 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730
MAT7000351 71109 LIMPIADOR P/PUNTA ELECTROBISTURI 1.199 1.199 1.199 1.199 1.199 1.199
MAT7000353 71111 APOSITO DUODERM CGF 15X20CM 21.965 21.965 21.965 21.965 21.965 21.965
MAT7000358 71122 DUODERM EXTRA THIN 5X10 CM # 187900 3.649 3.649 3.649 3.649 3.649 3.649
MAT7000359 71125 APOSITO DUODERM EXTRATHIN 10X10 # 187955 5.362 5.362 5.362 5.362 5.362 5.362
MAT7000361 71127 APOSITO ALGINATO CALCIO 5X5CM 2.982 2.982 2.982 2.982 2.982 2.982
MAT7001554 71128 APO.MEPILEX PLATA 10CMX20CM 74.870 74.870 74.870 74.870 74.870 74.870
MAT7000362 71129 APOSITO ALGINATO CALCIO 10X10CM 5.079 5.079 5.079 5.079 5.079 5.079
MAT7000363 71131 FUNDA ENDOSCOPIO 0° 142.571 142.571 142.571 142.571 142.571 142.571
MAT7000364 71136 FUNDA ENDOSCOPICA 30° 113.804 113.804 113.804 113.804 113.804 113.804
MAT7000377 71175 FIJADOR ELASTICO MAMARIO M 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000379 71181 CIRCUITO BIPAP RESPIRONICS #1065832 34.819 34.819 34.819 34.819 34.819 34.819
MAT7000380 71182 FILTROS BACTERIANOS RESPIRONICS 13.352 13.352 13.352 13.352 13.352 13.352
MAT7000381 71185 TUBO ADM OXIGENO HUDSON 2.1MT RCI HS1115 1.047 1.047 1.047 1.047 1.047 1.047
MAT7000382 71188 CAT.SWAN GANZ P/DEBITO CARDIACO#745 204.509 204.509 204.509 204.509 204.509 204.509
MAT7000383 71190 CONECTOR Y 1/4X3/8X3/8 7.069 7.069 7.069 7.069 7.069 7.069
MAT7000384 71206 CANULA MAYO 00 (4 5 CM) 628 628 628 628 628 628
MAT7000385 71208 CASSETTE OFTALM. INFINITY #8065752082 111.241 111.241 111.241 111.241 111.241 111.241
MAT7000386 71209 PINZAS BIPOLAR # 8065129301 38.626 38.626 38.626 38.626 38.626 38.626
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000387 71218 MARIPOSA 19G 340 340 340 340 340 340
MAT7000388 71220 MARIPOSA 21G 340 340 340 340 340 340
MAT7000389 71221 CAT.IV.PROTECTIV 20 GX 1 1/5 1.806 1.806 1.806 1.806 1.806 1.806
MAT7000390 71222 MARIPOSA 23G 340 340 340 340 340 340
MAT7000391 71223 MARIPOSA 27G 212 212 212 212 212 212
MAT7000392 71224 MARIPOSA 25G 340 340 340 340 340 340
MAT7000393 71225 CAT. IV C/BIOPROTECCION 22G X 1 1.566 1.566 1.566 1.566 1.566 1.566
MAT7000394 71226 CAT. IV. PROTECTIV 24 G X 3/4 1.806 1.806 1.806 1.806 1.806 1.806
MAT7000395 71228 CAT.IV.PROTECTIV 18 GX11/5 1.806 1.806 1.806 1.806 1.806 1.806
MAT7001846 71238 LINEA DE INFUSION 150 CM (M-H) 937 937 937 937 937 937
MAT7000398 71243 TUBO DE PRUEBA ACT TAPA DORADA 8.796 8.796 8.796 8.796 8.796 8.796
MAT7002821 71244 SENSOR FREESTYLE LIBRE 50.623 50.623 50.623 50.623 50.623 50.623
MAT7000399 71245 COMPRESA NASAL LAMINADA CON HILO 16.258 16.258 16.258 16.258 16.258 16.258
MAT7000402 71251 FRESA CORTANTE OIDO 75X1.0MM 259.221 259.221 259.221 259.221 259.221 259.221
MAT7000404 71253 FRESA CORTANTE OIDO 64X 1.5MM 226.229 226.229 226.229 226.229 226.229 226.229
MAT7000410 71259 FRESA CORTANTE OIDO 64X 3.0MM 164.675 164.675 164.675 164.675 164.675 164.675
MAT7001854 71265 BAJADA FOTOPROTEGIDA P/NPT SAPPHIRE 12.828 12.828 12.828 12.828 12.828 12.828
MAT7000420 71271 FRESA DIAMANTE OIDO 3.5MM SKITER 237.565 237.565 237.565 237.565 237.565 237.565
MAT7000422 71273 FRESA CORTANTE NARIZ 4.0MM #1884004 255.199 255.199 255.199 255.199 255.199 255.199
MAT7000423 71274 FRESA CORTANTE NARIZ 3.2MM 468.474 468.474 468.474 468.474 468.474 468.474
MAT7000424 71275 FRESA CORTANTE NARIZ 2.9MM 261.669 261.669 261.669 261.669 261.669 261.669
MAT7000426 71277 SET IRRIGACION #18-95522 66.070 66.070 66.070 66.070 66.070 66.070
MAT7000429 71290 SET. ANESTESIA EPIDURAL COMBINADA G27 57.334 57.334 57.334 57.334 57.334 57.334
MAT7000430 71293 TRANSDUCTOR DE PR. SIMPLE 27.612 27.612 27.612 27.612 27.612 27.612
MAT7000432 71298 ASPIRADOR COAGULADOR E3305 24.871 24.871 24.871 24.871 24.871 24.871
MAT7000433 71299 JERINGA P/TOMA GASES 3ML 1.123 1.123 1.123 1.123 1.123 1.123
MAT7000434 71303 JERINGA P/TOMA GASES 1ML 1.134 1.134 1.134 1.134 1.134 1.134
MAT7000435 71304 BOLSA OSTOMIA 60MM #1698 5.733 5.733 5.733 5.733 5.733 5.733
MAT7000436 71306 CANULA ASPIRACION FRAZIER 5 12.828 12.828 12.828 12.828 12.828 12.828
MAT7000437 71307 CANULA ASPIRACION FRAZEIR 10 11.781 11.781 11.781 11.781 11.781 11.781
MAT7000438 71308 CANULA ASPIRACION FRAZIER 12 11.781 11.781 11.781 11.781 11.781 11.781
MAT7000439 71309 CANULA ASPIRACION FRAZIER 8 11.781 11.781 11.781 11.781 11.781 11.781
MAT7000440 71312 CONECTOR RECTO ESTRIADO 7X10 MM 1.440 1.440 1.440 1.440 1.440 1.440
MAT7000441 71313 FUNDA ENDOSCOPICA 70° 113.804 113.804 113.804 113.804 113.804 113.804
MAT7000442 71314 JERINGA BAJA RESISTENCIA PIRIFIX 4.458 4.458 4.458 4.458 4.458 4.458
MAT7000443 71318 CAT. IMPLANTOFIX 255.517 255.517 255.517 255.517 255.517 255.517
MAT7000444 71321 SET EXTRAC FLUIDO VISCOSO 107.725 107.725 107.725 107.725 107.725 107.725
MAT7000445 71333 PERFLUOR 7 ML 178.024 178.024 178.024 178.024 178.024 178.024
MAT7000446 71345 ALARGADOR P/OXIGENOTERAPIA 3.927 3.927 3.927 3.927 3.927 3.927
MAT7000447 71346 GANCHOS HOOK 65.424 65.424 65.424 65.424 65.424 65.424
MAT7000448 71347 CONECTOR PARA TUBO O2 419 419 419 419 419 419
MAT7000449 71351 SET PERIDURAL PED C/ CAT 20G PERIFIX 39.270 39.270 39.270 39.270 39.270 39.270
MAT7000450 71353 TAPON NASAL LAMINAD0 MEROCEL#470401 17.535 17.535 17.535 17.535 17.535 17.535
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000451 71354 BOLSA CALENTADORA DE SANGRE 44.901 44.901 44.901 44.901 44.901 44.901
MAT7000452 71355 FRESA CURVA 4.0MM #18-84006 255.199 255.199 255.199 255.199 255.199 255.199
MAT7000453 71356 FRESA ADENIODE 4.0 MM 323.710 323.710 323.710 323.710 323.710 323.710
MAT7000454 71363 MEDIA ANTIEMBOLICA M #E8V60503 9.687 9.687 9.687 9.687 9.687 9.687
MAT7000455 71366 SET DE IRRIGACION SIMPLE EN Y 8.639 8.639 8.639 8.639 8.639 8.639
MAT7000456 71367 TRANSDUCTOR DE PR. DOBLE 61.934 61.934 61.934 61.934 61.934 61.934
MAT7000457 71368 FIJADOR ELASTICO MAMARIO S 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000458 71369 FIJADOR ELASTICO MAMARIO L 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000459 71370 VALVULA ANTIRREFLUJO 838 838 838 838 838 838
MAT7000460 71372 AGUA BIDESTILADA 1LT 1.492 1.492 1.492 1.492 1.492 1.492
MAT7000461 71374 FIJADOR ELASTICO MAMARIO XL 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000462 71376 MEDIA ANTIEMBOLICA L #E8V60504 9.687 9.687 9.687 9.687 9.687 9.687
MAT7000463 71378 SILICONA BLANDA DE 5X8X 3MT. 1.982 1.982 1.982 1.982 1.982 1.982
MAT7000464 71380 GASA NEURO 6X6 (20 UNID) 1.045 1.045 1.045 1.045 1.045 1.045
MAT7000465 71382 DRENAJE ASPIRATIVO 4.6MM 14FR 7.592 7.592 7.592 7.592 7.592 7.592
MAT7000467 71389 APOSITO TRANSP. ADHESIVO 9X25CM ZZ-3591 5.142 5.142 5.142 5.142 5.142 5.142
MAT7000468 71397 KIT PIM ADULTO MAYFIELD(3 UNID)#A1072 234.086 234.086 234.086 234.086 234.086 234.086
MAT7000469 71398 FAJA ABDOMINAL 4 BANDAS XL #413 19.635 19.635 19.635 19.635 19.635 19.635
MAT7000470 71399 RETRACTOR ABDOMINAL MOBIUS 900-500 125.402 125.402 125.402 125.402 125.402 125.402
MAT7000471 71400 PIN DISPENSADOR # 412021 5.105 5.105 5.105 5.105 5.105 5.105
MAT7000472 71401 PIN DISPENSADOR MINI # 412020 5.105 5.105 5.105 5.105 5.105 5.105
MAT7000473 71403 MEDIA ANTIEMBOLICA III- 23 MMHG MUSLO 30.107 30.107 30.107 30.107 30.107 30.107
MAT7000474 71404 MEDIA ANTIEMBOLICA STRUVA IV-23MMHG 30.107 30.107 30.107 30.107 30.107 30.107
MAT7000475 71405 MEDIA ANTIEMBOLICA V-23 MMHG MUSLO 30.107 30.107 30.107 30.107 30.107 30.107
MAT7000476 71406 MEDIA ANTIOEMBOLICAS VI- 23 MMHG 30.107 30.107 30.107 30.107 30.107 30.107
MAT7000477 71407 TUBO ENDOTRAQUEAL C/CUFF 3.0 1.623 1.623 1.623 1.623 1.623 1.623
MAT7000478 71408 TUBO ENDOTRAQUEAL C/CUFF 3.5 10.210 10.210 10.210 10.210 10.210 10.210
MAT7000479 71409 TUBO ENDOTRAQUEAL C/CUFF 4.5 5.210 5.210 5.210 5.210 5.210 5.210
MAT7000482 71413 APOSITO TRANSP. C/GASA 6,5X 5CM 746 746 746 746 746 746
MAT7000483 71425 MASCARA LARINGEAL # 1.5 14.373 14.373 14.373 14.373 14.373 14.373
MAT7000484 71426 TAPON ESTERIL P/SONDA REF.4435001 367 367 367 367 367 367
MAT7000485 71431 ADAPTADOR P/INHALADOR HUDSON #HS1659 3.534 3.534 3.534 3.534 3.534 3.534
MAT7000486 71435 SILICONA P/ASPIRAC. GRUESA C/CONECTOR 6.283 6.283 6.283 6.283 6.283 6.283
MAT7000490 71441 SUSPENSOR ESCROTAL M 10.391 10.391 10.391 10.391 10.391 10.391
MAT7000491 71442 SUSPENSOR ESCROTAL L 10.391 10.391 10.391 10.391 10.391 10.391
MAT7000492 71443 FUNDA ENDOSCOPICA 45° 4 MM 113.804 113.804 113.804 113.804 113.804 113.804
MAT7000493 71444 FRESA NARIZ CURVA 3.5X12? 323.710 323.710 323.710 323.710 323.710 323.710
MAT7000494 71446 MEDIA ANTIEMBOLICA 18 MMHG XL 9.687 9.687 9.687 9.687 9.687 9.687
MAT7000495 71451 CIRCUITO ANESTESIA UNIV. ADULT.#C360-61 42.673 42.673 42.673 42.673 42.673 42.673
MAT7002172 71454 TIJERA DES. LAPAROSCOPIA PURPLE # PS4551 143.990 143.990 143.990 143.990 143.990 143.990
MAT7000497 71456 AGUJA DE ELECTROMIOGRAFO 41.888 41.888 41.888 41.888 41.888 41.888
MAT7000498 71457 PLACA ELECTROBISTURI #20193-082 2.513 2.513 2.513 2.513 2.513 2.513
MAT7000499 71458 MEDIA ANTIEMBOLICA S #E-8V60502 9.687 9.687 9.687 9.687 9.687 9.687
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000501 71461 ELECTRODOS NEONATAL (3 UNID) 6.278 6.278 6.278 6.278 6.278 6.278
MAT7000502 71465 PACK VITRECTOMIA 25G #PV1163S0015 567.465 567.465 567.465 567.465 567.465 567.465
MAT7000503 71466 PAÑAL ADULTO L (8 UNIDADES) 6.053 6.053 6.053 6.053 6.053 6.053
MAT7000504 71467 PAÑAL MEDIANO 6.053 6.053 6.053 6.053 6.053 6.053
MAT7000506 71469 AGUJA DE VERRES 120MM 20.918 20.918 20.918 20.918 20.918 20.918
MAT7000507 71470 FILTRO DE HUMO 51.967 51.967 51.967 51.967 51.967 51.967
MAT7001807 71471 SHAVER LARGO INCISOR 4.5 CURVO #72200494 269.647 269.647 269.647 269.647 269.647 269.647
MAT7001809 71473 SHAVER LARGO ABRADER 5.5MM #72200082 244.847 244.847 244.847 244.847 244.847 244.847
MAT7001811 71475 VULCAN 60º SUCCION 7210113 404.785 404.785 404.785 404.785 404.785 404.785
MAT7001812 71476 BISTURI BANANA 3MM #10630 63.545 63.545 63.545 63.545 63.545 63.545
MAT7000514 71477 MANGUITOS DE PRESION 8.257 8.257 8.257 8.257 8.257 8.257
MAT7000515 71478 APURADOR DE SUERO/SANGRE 500 ML 43.590 43.590 43.590 43.590 43.590 43.590
MAT7000516 71479 KIT CONTROL DE PRESION 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000517 71480 ELASTICOS LONG-STAR #3511-8G 171.479 171.479 171.479 171.479 171.479 171.479
MAT7000518 71481 CIRCUITO ANESTESIA ADULTO 28.301 28.301 28.301 28.301 28.301 28.301
MAT7000519 71482 KIT CIRCUITO ANESTESIA PEDIATRICO 29.060 29.060 29.060 29.060 29.060 29.060
MAT7000520 71483 KIT ANEST. COMBINADA PORTEX 18G 41.364 41.364 41.364 41.364 41.364 41.364
MAT7000521 71484 FILTRO INFUFIL 0.20 MICRAS 9.948 9.948 9.948 9.948 9.948 9.948
MAT7000522 71485 FILTRO LIPIFIL 1.20 MICRAS 7.854 7.854 7.854 7.854 7.854 7.854
MAT7001813 71486 ALMOHADILLA PERINEAL #72200637 199.136 199.136 199.136 199.136 199.136 199.136
MAT7001814 71487 SET DE IRRIGACION A25 #7211005 214.547 214.547 214.547 214.547 214.547 214.547
MAT7001816 71489 SISTEMA POSICIONADOR PACIENTE PIGAZZI 256.564 256.564 256.564 256.564 256.564 256.564
MAT7001817 71490 CLIP MICROLINE 1122 107.338 107.338 107.338 107.338 107.338 107.338
MAT7000530 71494 FUNDA P/LAMPARA QUIRURGICA DESECH. 2.168 2.168 2.168 2.168 2.168 2.168
MAT7000531 71495 SET FRYDMAN ULTRASOFT C/ECOTIP#1322801 201.586 201.586 201.586 201.586 201.586 201.586
MAT7000533 71497 AGUJA COLECTORA OVOCITOS #1403001 28.070 28.070 28.070 28.070 28.070 28.070
MAT7000534 71500 URGOTUL AG 10X12CM #508393 7.435 7.435 7.435 7.435 7.435 7.435
MAT7000535 71501 URGOTUL 10X10CM #501264 5.720 5.720 5.720 5.720 5.720 5.720
MAT7000536 71502 APOSITO ACTICOAT 5X5 24.033 24.033 24.033 24.033 24.033 24.033
MAT7000537 71503 APOSITO INTRASITE GEL 15 GR 6.592 6.592 6.592 6.592 6.592 6.592
MAT7000538 71504 APOSITO ALLEVYN SACRUM 17X17 21.716 21.716 21.716 21.716 21.716 21.716
MAT7000539 71505 APOSITO ALLEVYN HEEL 16.467 16.467 16.467 16.467 16.467 16.467
MAT7000540 71506 APOSITO ALLEVYN ADHESIVO 7.5X7.5 5.443 5.443 5.443 5.443 5.443 5.443
MAT7000541 71507 APOSITO AQUACEL+ AG 5X5CM 8.990 8.990 8.990 8.990 8.990 8.990
MAT7000542 71508 CAVILON SPRAY PROTECTOR CUTANEO 13.587 13.587 13.587 13.587 13.587 13.587
MAT7000543 71509 CAVILON SACHET 1 ML#3344 3.053 3.053 3.053 3.053 3.053 3.053
MAT7001830 71521 REFUERZO SUT. MEC. 60MM SEAMGUARD #EC60A 237.048 237.048 237.048 237.048 237.048 237.048
MAT7000545 71525 MASCARILLA BIPAP M #FPRT040M 81.158 81.158 81.158 81.158 81.158 81.158
MAT7000546 71526 MASCARILLA DESECHABLE L #FPRT040L 81.158 81.158 81.158 81.158 81.158 81.158
MAT7000547 71527 SISTEMA DE HISOPO DENTAL C/SUCCION 5.891 5.891 5.891 5.891 5.891 5.891
MAT7000548 71528 SISTEMA DE CEPILLO DENTAL C/SUCCION 6.597 6.597 6.597 6.597 6.597 6.597
MAT7000549 71529 PUNTA SHAVER CUDA 4.2 MM #C9254 155.984 155.984 155.984 155.984 155.984 155.984
MAT7000550 71530 CONTENCION DE MANO/PIE #E711 2.474 2.474 2.474 2.474 2.474 2.474
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000551 71534 KIT DE HEMOFILTRACION 179.946 179.946 179.946 179.946 179.946 179.946
MAT7000552 71535 HEMOFILTRACION L 191.017 191.017 191.017 191.017 191.017 191.017
MAT7000553 71536 HEMOFILTRACION M 216.422 216.422 216.422 216.422 216.422 216.422
MAT7000554 71538 SISTEMA DE IRRIGACION Y ASP.#C6001 74.875 74.875 74.875 74.875 74.875 74.875
MAT7000555 71539 BIOPATH DISCO 1" 4MM ADULTO #44150 14.627 14.627 14.627 14.627 14.627 14.627
MAT7000557 71541 BICARBONATO SECO BIBAG 900 GR ESTANDAR 10.899 10.899 10.899 10.899 10.899 10.899
MAT7000558 71542 KIT ROPA MESA QUIRURGICA 12.373 12.373 12.373 12.373 12.373 12.373
MAT7000560 71544 ALARGADOR PARA TUBO ENDOTRAQUEAL 5.891 5.891 5.891 5.891 5.891 5.891
MAT7000561 71545 PRIOSOL SH00 SOLUCION HEMOFILTRACION 57.586 57.586 57.586 57.586 57.586 57.586
MAT7000562 71546 PRIOSOL SH02 SOLUCION HEMOFILTRACION 57.586 57.586 57.586 57.586 57.586 57.586
MAT7000563 71547 POSICIONADOR DES. EXTREMIDAD SUP. 28.536 28.536 28.536 28.536 28.536 28.536
MAT7000564 71548 KIT ANEST. EPIDURAL O RAQUIDEA 11.127 11.127 11.127 11.127 11.127 11.127
MAT7000565 71549 KIT INSTALACION CAT. VEN. CENTRAL 21.599 21.599 21.599 21.599 21.599 21.599
MAT7000566 71551 SENSOR BIS QUATRO ADULTO 41.888 41.888 41.888 41.888 41.888 41.888
MED6000919 71552 CONECTOR HUBSON 4.570 4.570 4.570 4.570 4.570 4.570
MAT7000569 71555 MASCARA LARINGEA LMA SUPREME 2 28.536 28.536 28.536 28.536 28.536 28.536
MAT7000570 71556 MASCARA LARINGEA LMA SUPREME 3 28.536 28.536 28.536 28.536 28.536 28.536
MAT7000571 71557 MASCARA LARINGEA LMA SUPREME 4 28.536 28.536 28.536 28.536 28.536 28.536
MAT7000572 71558 MASCARA LARINGEA LMA SUPREME 5 28.536 28.536 28.536 28.536 28.536 28.536
MAT7000573 71559 ESTABILIZADOR CATETER STATLOCK #VPPCSPCE 8.728 8.728 8.728 8.728 8.728 8.728
MAT7000574 71560 PRIOSOL SH04 SOLUCION HEMOFILTRACION 57.586 57.586 57.586 57.586 57.586 57.586
MAT7000575 71561 FILTRO F8 HPS 29.447 29.447 29.447 29.447 29.447 29.447
MAT7000577 71563 LAPIZ COAGULADOR # E2608-6 29.322 29.322 29.322 29.322 29.322 29.322
MAT7000578 71564 CONECTOR LIBRE DE AGUJA TEGO #D1000 7.069 7.069 7.069 7.069 7.069 7.069
MAT7000579 71565 APOSITO AQUACEL+ AG 10X10CM ZZ-90303 18.889 18.889 18.889 18.889 18.889 18.889
MAT7000581 71567 ELECTRODO NEO. P/10UN H69 #ES40281 3.123 3.123 3.123 3.123 3.123 3.123
MAT7000583 71569 FIJACION TRAQUEOSTOMIA 9.163 9.163 9.163 9.163 9.163 9.163
MAT7000584 71570 MASCARILLA DESECHABLE S #FPRT040S 81.158 81.158 81.158 81.158 81.158 81.158
MAT7001833 71571 SHAVER INCISOR PLUS 5.5MM #72200081 253.488 253.488 253.488 253.488 253.488 253.488
MAT7000588 71575 PUNTAS MICRO AGUJA RECTA #E 1651 37.307 37.307 37.307 37.307 37.307 37.307
MAT7000589 71576 PINZA BOLSA OSTOMIA 1.814 1.814 1.814 1.814 1.814 1.814
MAT7001590 71579 CAT. VC CERTOFIX TRIO HF V 1220 183.260 183.260 183.260 183.260 183.260 183.260
MAT7000591 71580 DRENAJE TORAX ALTITUDE # 8888571370 96.452 96.452 96.452 96.452 96.452 96.452
MAT7000592 71581 POLVO STOMAHESIVE 29 GR 18.556 18.556 18.556 18.556 18.556 18.556
MAT7000593 71582 PASTA STOMAHESIVE 57 GR 18.556 18.556 18.556 18.556 18.556 18.556
MAT7000594 71583 KIT EXTRACCION DE PUNTOS DESECHABLE 1.964 1.964 1.964 1.964 1.964 1.964
MAT7000595 71584 FIJADOR DE TUBO ANCHORFAST 41.862 41.862 41.862 41.862 41.862 41.862
MAT7000596 71585 LINOVERA FRASCO 30 ML 33.510 33.510 33.510 33.510 33.510 33.510
MAT7000597 71586 CONECTOR JERINGA/JERINGA #415081 1.440 1.440 1.440 1.440 1.440 1.440
MAT7000598 71587 BAJADA SECUNDARIA FOTOSENSIBLE#11140 3.534 3.534 3.534 3.534 3.534 3.534
MAT7000599 71588 OXISENSOR NEONATAL 27.096 27.096 27.096 27.096 27.096 27.096
MAT7000600 71589 CIRCUITO VENT. MEC. PEDIATRICO #FPRT265 96.866 96.866 96.866 96.866 96.866 96.866
MAT7000601 71590 PRONTOSAN GEL 30 ML 28.798 28.798 28.798 28.798 28.798 28.798
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000602 71591 FUNDA MICROSCOPIO PENTERO#88/306027 44.506 44.506 44.506 44.506 44.506 44.506
MAT7000603 71595 APOSITO FIJACION CVC 8,5X11,5 #1657 11.951 11.951 11.951 11.951 11.951 11.951
MAT7000605 71597 KIT GASTRECTOMIA B 1.915.900 1.915.900 1.915.900 1.915.900 1.915.900 1.915.900
MAT7000606 71600 RECOLECTOR ORINA P/ S.F ADULTO 2500 CC 3.519 3.519 3.519 3.519 3.519 3.519
MAT7000607 71601 RECOLECTOR DE ORINA MEDICION HORARIO 19.949 19.949 19.949 19.949 19.949 19.949
MAT7000608 71602 RECOLECTOR ORINA PED. P/MUESTRA 100 CC 1.309 1.309 1.309 1.309 1.309 1.309
MAT7000612 71607 COJIN ABDUCTOR DE CADERA #MI3340000 27.489 27.489 27.489 27.489 27.489 27.489
MAT7000613 71608 IOBAN REF.# 6619 107.495 107.495 107.495 107.495 107.495 107.495
MAT7000614 71609 STERISTRIP AZUL REF.# 1547 ZZ-R1547 2.503 2.503 2.503 2.503 2.503 2.503
MAT7001683 71610 KIT CONEXION Y DESCONEXION DE FISTULA L 1.571 1.571 1.571 1.571 1.571 1.571
MAT7001588 71611 KIT CONEXION Y DESCONEXION DE CATETER L 4.189 4.189 4.189 4.189 4.189 4.189
MAT7001720 71612 ANGIO TOUCH - ACIST 48.433 48.433 48.433 48.433 48.433 48.433
MAT7001562 71613 MANIFOLD - ACIST 48.433 48.433 48.433 48.433 48.433 48.433
MAT7001740 71614 JERINGA - ACIST 48.433 48.433 48.433 48.433 48.433 48.433
MAT7001734 71616 ETHILON BLK 7-0 P-6 45CM 1647G 18.271 18.271 18.271 18.271 18.271 18.271
MAT7001718 71617 STATLOCK EPIDURAL #VEDC 6.029 6.029 6.029 6.029 6.029 6.029
MAT7001650 71618 CARPETERO GENERAL X 7 AGUJAS 21.735 21.735 21.735 21.735 21.735 21.735
MAT7001608 71619 MANGA RX GRANDE 34X253 #1014 6.857 6.857 6.857 6.857 6.857 6.857
MAT7001714 71620 PUNTA AGUJA E 1465-6 15.708 15.708 15.708 15.708 15.708 15.708
MAT7001570 71621 PUNTA AGUJA E 1465 7.854 7.854 7.854 7.854 7.854 7.854
MAT7001568 71622 STERI DRAPE 50 CM X 60 CM 35.681 35.681 35.681 35.681 35.681 35.681
MAT7001839 71625 TIJERA MICROLINE 3142 102.076 102.076 102.076 102.076 102.076 102.076
MAT7001844 71627 CONCENTRADO DA 3 5.885 5.885 5.885 5.885 5.885 5.885
MAT7001847 71629 LAPROCLIP 12 MM 97.638 97.638 97.638 97.638 97.638 97.638
MAT7001851 71632 SUTURA STRATAFIX PROLENE 44.024 44.024 44.024 44.024 44.024 44.024
MAT7001852 71633 MANGUITO PRESION PEDIATRICO 12-19 CM 71.995 71.995 71.995 71.995 71.995 71.995
MAT7001853 71634 MANGUITO PRESION PEDIATRICO 17-25 CM 71.995 71.995 71.995 71.995 71.995 71.995
PRO4001655 71635 LIO ACRYSOF MP CLEAR #MA60AC.160 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001656 71636 LIO ACRYSOF MP CLEAR #MA60AC.165 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001657 71637 LIO ACRYSOF MP CLEAR #MA60AC.170 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001658 71638 LIO ACRYSOF MP CLEAR #MA60AC.175 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001660 71639 LIO ACRYSOF MP CLEAR #MA60AC.180 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001664 71640 LIO ACRYSOF IQ #SN60WF.180 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001665 71641 LIO ACRYSOF IQ #SN60WF.185 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001666 71642 LIO ACRYSOF IQ #SN60WF.190 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001667 71643 LIO ACRYSOF IQ #SN60WF.195 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001668 71644 LIO ACRYSOF IQ #SN60WF.205 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001669 71645 LIO ACRYSOF IQ #SN60WF.200 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001670 71646 LIO ACRYSOF IQ #SN60WF.210 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001671 71647 LIO ACRYSOF IQ #SN60WF.215 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001672 71648 LIO ACRYSOF IQ #SN60WF.220 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001673 71649 LIO ACRYSOF IQ #SN60WF.225 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001674 71650 LIO ACRYSOF IQ #SN60WF.230 159.301 159.301 159.301 159.301 159.301 159.301
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4001675 71651 LIO ACRYSOF IQ #SN60WF.235 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001677 71652 LIO ACRYSOF IQ #SN60WF.240 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001679 71653 LIO ACRYSOF IQ #SN60WF.245 159.301 159.301 159.301 159.301 159.301 159.301
PRO4001701 71670 LIO ACRYSOF MP CLEAR #MA60AC.185 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001702 71671 LIO ACRYSOF MP CLEAR #MA60AC.190 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001704 71672 LIO ACRYSOF MP CLEAR #MA60AC.195 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001705 71673 LIO ACRYSOF MP CLEAR #MA60AC.200 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001707 71674 LIO ACRYSOF MP CLEAR #MA60AC.205 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001708 71675 LIO ACRYSOF MP CLEAR #MA60AC.210 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001709 71676 LIO ACRYSOF MP CLEAR #MA60AC.215 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001710 71677 LIO ACRYSOF MP CLEAR #MA60AC.220 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001711 71678 LIO ACRYSOF MP CLEAR #MA60AC.225 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001712 71679 LIO ACRYSOF MP CLEAR #MA60AC.230 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001714 71680 LIO ACRYSOF MP CLEAR #MA60AC.235 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001715 71681 LIO ACRYSOF MP CLEAR #MA60AC.240 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001716 71682 LIO ACRYSOF MP CLEAR #MA60AC.245 84.433 84.433 84.433 84.433 84.433 84.433
MAT7001735 71683 BOTA INMV.ADULTO TALLA XL R:MI130UXL 21.658 21.658 21.658 21.658 21.658 21.658
MAT7001542 71684 BOTA KIDS XL #BK16-TXL 37.961 37.961 37.961 37.961 37.961 37.961
MAT7001674 71685 BOTA KIDS L #BK16-TL 37.961 37.961 37.961 37.961 37.961 37.961
MAT7001555 71686 COLLAR BLANDO KIDS 4-6 #BK01-1 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001614 71687 CUELLO CERVICAL 8-10 AÑOS R: BK01 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001713 71689 CABESTRILLO 4-6 AÑOS R: BK05 4.320 4.320 4.320 4.320 4.320 4.320
MAT7001729 71690 CABESTRILLO 8-10 AÑOS R: BK05 4.320 4.320 4.320 4.320 4.320 4.320
MAT7001600 71692 INMV.DE MUÑECA DER 12-14 AÑOS R: BK101 8.378 8.378 8.378 8.378 8.378 8.378
MAT7001663 71693 INMV.MUÑECA IZQ 12-14 AÑOS R:BK101 8.378 8.378 8.378 8.378 8.378 8.378
MAT7001700 71694 INMV. DE MUÑECA IZQ 8-10 AÑOS 4.950 4.950 4.950 4.950 4.950 4.950
MAT7001595 71695 INMV. DE MUÑECA DER 8-10 AÑOS R: BK101 8.378 8.378 8.378 8.378 8.378 8.378
MAT7001665 71696 INMV. DE MUÑECA IZQ 4-6 AÑOS R: BK101 8.378 8.378 8.378 8.378 8.378 8.378
MAT7001601 71697 INMV. DE MUÑECA DER 4-6 AÑOS R: BK101 8.378 8.378 8.378 8.378 8.378 8.378
MAT7001593 71699 INMV.DE HOMBRO4-6 AÑOS R:BK07 10.734 10.734 10.734 10.734 10.734 10.734
MAT7001658 71701 INMV.DE HOMBRO 8-10 AÑOS R:BK07 10.734 10.734 10.734 10.734 10.734 10.734
MAT7000617 71704 SONDA ALIMENTACION 6 FR 340 340 340 340 340 340
MAT7001693 71705 MUÑEQUERA EXOF.DER.S R: 507073 16.517 16.517 16.517 16.517 16.517 16.517
MAT7001546 71707 MUÑEQUERA EXOF.DER.M R:507075 16.517 16.517 16.517 16.517 16.517 16.517
MAT7000618 71708 SONDA ALIMENTACION 5 FR 340 340 340 340 340 340
MAT7001716 71709 MUÑEQUERA EXOF.DER.L R:507077 16.517 16.517 16.517 16.517 16.517 16.517
MAT7000619 71710 SONDA ALIMENTACION 8 FR 340 340 340 340 340 340
MAT7001668 71711 MUÑEQUERA EXOF.DER.XS R:507072 16.517 16.517 16.517 16.517 16.517 16.517
MAT7001719 71712 MUÑEQUERA EXOF.IZQ.XS R:507082 16.517 16.517 16.517 16.517 16.517 16.517
MAT7001728 71713 MUÑEQUERA EXOF.IZQ.S R:507083 16.517 16.517 16.517 16.517 16.517 16.517
MAT7001697 71714 MUÑEQUERA.EXOF.IZQ.M R. 507085 16.517 16.517 16.517 16.517 16.517 16.517
MAT7001569 71715 MUÑEQUERA EXOF.IZQ. L R:507087 16.517 16.517 16.517 16.517 16.517 16.517
MAT7001519 71716 RETRAC. ABD. ALEXIS XS 2 - 4 CM. C8312 114.145 114.145 114.145 114.145 114.145 114.145
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001640 71719 RETRAC ABD. ALEXIS S 2.5 - 6 CM. C8301- 119.852 119.852 119.852 119.852 119.852 119.852
MAT7001725 71721 RETRAC ABD. ALEXIS M 5 - 9 CM. C8302-C 119.852 119.852 119.852 119.852 119.852 119.852
MAT7001558 71723 RETRAC. ABD. ALEXIS L 9 - 14 CM. C8303-C 156.949 156.949 156.949 156.949 156.949 156.949
MAT7001563 71725 RETRAC. ABD. ALEXIS XL 11-17 CM. C8304-C 107.652 107.652 107.652 107.652 107.652 107.652
MAT7000620 71726 SONDA ASP.GASTRICA LEVIN 10 FR 445 445 445 445 445 445
MAT7000621 71728 SONDA ASP. GASTRICA LEVIN 12 FR 445 445 445 445 445 445
MAT7000622 71729 SONDA ASP. GASTRICA LEVIN 14 FR 1.833 1.833 1.833 1.833 1.833 1.833
MAT7000623 71730 SONDA ASP. GASTRICA LEVIN 16 FR 445 445 445 445 445 445
MAT7000624 71732 SONDA ASP. GASTRICA LEVIN 18 FR 1.833 1.833 1.833 1.833 1.833 1.833
MAT7000625 71738 SONDA NELATON TRANSPARENTE 8 FR 275 275 275 275 275 275
MAT7000626 71739 SONDA NELATON TRANSPARENTE 10 FR 275 275 275 275 275 275
MAT7000627 71740 SONDA NELATON TRANSPARENTE 12 FR 550 550 550 550 550 550
MAT7000628 71742 SONDA NELATON TRANSPARENTE 14 FR 327 327 327 327 327 327
MAT7000629 71744 SONDA NELATON TRANSPARENTE 16 FR 275 275 275 275 275 275
MAT7000630 71746 SONDA NELATON TRANSPARENTE 18 FR 275 275 275 275 275 275
MAT7000632 71748 SONDA NELATON TRANSPARENTE 20 FR 288 288 288 288 288 288
MAT7000634 71763 STERI DRAPE IOBAN 56X60 CMS 42.791 42.791 42.791 42.791 42.791 42.791
MAT7000635 71765 STERI DRAPE 38X25 CM (CHICO) 13.483 13.483 13.483 13.483 13.483 13.483
MAT7000636 71766 STERI DRAPE 38X41 CM (MEDIANO) 16.253 16.253 16.253 16.253 16.253 16.253
MAT7000637 71770 STERI DRAPE CAMPO UROLOGICO 193.987 193.987 193.987 193.987 193.987 193.987
MAT7000638 71772 STERI DRAPE CUBIERTA EN U 23.363 23.363 23.363 23.363 23.363 23.363
MAT7000639 71774 STERI STRIP CHICO#1541 ZZ-R1541 1.173 1.173 1.173 1.173 1.173 1.173
MAT7000640 71776 STERI STRIP MEDIANO#1546 ZZ-R1546 2.107 2.107 2.107 2.107 2.107 2.107
MAT7000641 71778 STERI STRIP GRANDE #1548 ZZ-R1548 5.244 5.244 5.244 5.244 5.244 5.244
MAT7001677 71779 BOLSA MICROSCOPIO 10701014 2.466 2.466 2.466 2.466 2.466 2.466
MAT7000642 71782 TUBO ENDOTRAQ.RAE ORAL C/CUFF 5.0 9.401 9.401 9.401 9.401 9.401 9.401
MAT7001594 71784 PTA. CELON PROBREATH #WB990210 539.334 539.334 539.334 539.334 539.334 539.334
MAT7001651 71786 PTA COBLATOR REFLEX ULTRA 45 369.376 369.376 369.376 369.376 369.376 369.376
MAT7001526 71787 PTA COBLATOR EVAC 70 XTRA 376.992 376.992 376.992 376.992 376.992 376.992
MAT7001557 71789 PTA PALETA PROTEGIDA E1455-6 17.279 17.279 17.279 17.279 17.279 17.279
MAT7001701 71790 RESTON EN ROLLO ZZ-1563L 51.876 51.876 51.876 51.876 51.876 51.876
MAT7003311 71794 PUNCH AORTICO # 3.5 REF.1001-621 54.978 54.978 54.978 54.978 54.978 54.978
MAT7001662 71796 CAVILON CREMA PROTECTORA 92 GR 12.841 12.841 12.841 12.841 12.841 12.841
MAT7001666 71798 BAJADA PARA IRRIGACION VESICAL EN Y 13.614 13.614 13.614 13.614 13.614 13.614
MAT7001547 71799 TROCAR MIELOGRAMA 15 X15 59.036 59.036 59.036 59.036 59.036 59.036
PRO4002070 71804 FIBER TAPE 2MM CORTO AR-7237-7 120.349 120.349 120.349 120.349 120.349 120.349
PRO4002072 71806 AGUJA GUIA NITINOL AR-1249 51.221 51.221 51.221 51.221 51.221 51.221
PRO4002088 71821 BIOCOMPOSITE SUTURE TAK 3.0 AR-8934BCNF 686.716 686.716 686.716 686.716 686.716 686.716
PRO4002089 71822 ANCLA CORKSCREW 3.5 C/ AGUJA AR-1915FT-2 503.327 503.327 503.327 503.327 503.327 503.327
MAT7000643 71828 TROCAR DESECHABLE 18GX 3 1/2 2.204 2.204 2.204 2.204 2.204 2.204
MAT7000644 71830 TROCAR DESECHABLE 19GX 3 1/2 1.754 1.754 1.754 1.754 1.754 1.754
MAT7000645 71832 TROCAR DESECHABLE 21GX 3 1/2 1.754 1.754 1.754 1.754 1.754 1.754
MAT7000646 71834 TROCAR DESECHABLE 23GX 3 1/2 1.754 1.754 1.754 1.754 1.754 1.754
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000647 71836 TROCAR DESECHABLE 25GX 3 1/2 2.204 2.204 2.204 2.204 2.204 2.204
MAT7000648 71837 TROCAR EPIDURAL 16G 5.760 5.760 5.760 5.760 5.760 5.760
MAT7000649 71838 CANULA NASOFRARINGEA 6 MM 13.011 13.011 13.011 13.011 13.011 13.011
MAT7000650 71839 TROCAR EPIDURAL 18G 3 1/4 R4512383 6.283 6.283 6.283 6.283 6.283 6.283
MAT7000651 71840 CANULA NASOFRARINGEA 7 MM 14.255 14.255 14.255 14.255 14.255 14.255
MAT7000652 71842 CANULA NASOFRARINGEA 8 MM 13.011 13.011 13.011 13.011 13.011 13.011
MAT7000653 71850 TUBO ENDOTRAQUEAL S/CUFF 2.0 2.225 2.225 2.225 2.225 2.225 2.225
MAT7000654 71852 TUBO ENDOTRAQUEAL S/CUFF 3.0 2.592 2.592 2.592 2.592 2.592 2.592
MAT7000655 71854 TUBO ENDOTRAQUEAL S/CUFF 3.5 3.796 3.796 3.796 3.796 3.796 3.796
MAT7000656 71856 TUBO ENDOTRAQUEAL S/CUFF 2.5 2.225 2.225 2.225 2.225 2.225 2.225
MAT7000657 71858 TUBO ENDOTRAQUEAL S/CUFF 6.0 3.796 3.796 3.796 3.796 3.796 3.796
MAT7000658 71860 TUBO ENDOTRAQUEAL C/CUFF 6.5 3.665 3.665 3.665 3.665 3.665 3.665
PRO4002103 71867 PROTESIS BIFURCADA 14X7MM #631407P 327.250 327.250 327.250 327.250 327.250 327.250
PRO4002104 71868 PROTESIS BIFURCADA 16X8MM #631608P 327.250 327.250 327.250 327.250 327.250 327.250
MAT7000659 71870 TUBO ENDOTRAQUEAL S/CUFF 7.0 2.225 2.225 2.225 2.225 2.225 2.225
MAT7000660 71872 TUBO ENDOTRAQUEAL C/CUFF 7.5 2.867 2.867 2.867 2.867 2.867 2.867
MAT7000661 71874 TUBO ENDOTRAQUEAL C/CUFF 8.0 2.867 2.867 2.867 2.867 2.867 2.867
MAT7000662 71876 TUBO ENDOTRAQUEAL C/CUFF 8.5 3.639 3.639 3.639 3.639 3.639 3.639
MAT7000663 71878 TUBO ENDOTRAQUEAL C/C 9.0 MALLINK. 2.422 2.422 2.422 2.422 2.422 2.422
PRO4001717 71879 LIO ACRYSOF MP CLEAR #MA60AC.250 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001718 71880 LIO ACRYSOF MP CLEAR #MA60AC.255 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001720 71881 LIO ACRYSOF MP CLEAR #MA60AC.260 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001721 71882 LIO ACRYSOF MP CLEAR #MA60AC.265 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001722 71883 LIO ACRYSOF MP CLEAR #MA60AC.270 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001724 71885 LIO ACRYSOF MP CLEAR #MA60AC.280 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001726 71886 LIO ACRYSOF MP CLEAR #MA60AC.290 84.433 84.433 84.433 84.433 84.433 84.433
PRO4001728 71887 LIO ACRYSOF MP CLEAR #MA60AC.300 84.433 84.433 84.433 84.433 84.433 84.433
MAT7000664 71894 VENDA COBAN COLOR PIEL 4" ZZ-2084 7.048 7.048 7.048 7.048 7.048 7.048
MAT7000665 71895 VENDA COBAN COLORES 4" 5.444 5.444 5.444 5.444 5.444 5.444
MAT7001688 71906 SONDA SILICONA BLAKE 7 FR #2212 44.545 44.545 44.545 44.545 44.545 44.545
MAT7001727 71907 SONDA SILICONA BRAKE 10 FR REF. #2226 44.545 44.545 44.545 44.545 44.545 44.545
MAT7001682 71908 SONDA SILICONA BRAKE 15 FR REF. #2229 44.545 44.545 44.545 44.545 44.545 44.545
MAT7001586 71909 CLIP ESCALP RANEY FF015 (BOLSAX10U) 19.949 19.949 19.949 19.949 19.949 19.949
MAT7000666 71910 LLAVE 3 PASOS 445 445 445 445 445 445
MAT7000667 71914 STERI DRAPE 80X60 CM (GRANDE) 43.425 43.425 43.425 43.425 43.425 43.425
PRO4002613 71919 STENT RESOLUTE ONYX 3.50X26 #RONYX35026X 916.300 916.300 916.300 916.300 916.300 916.300
MAT7002007 71945 CAT. PLEXO CONTINUO S 18X50MM #4898650 83.776 83.776 83.776 83.776 83.776 83.776
MAT7002008 71946 CAT. PLEXO CONTINUO 18X100MM #4898610 83.776 83.776 83.776 83.776 83.776 83.776
MAT7002030 71948 APOSITO TEGADERM CHG 7X8.5CM #1660 9.532 9.532 9.532 9.532 9.532 9.532
PRO4002648 71949 PINZA BIPOLAR KALI #BP5330-V 142.310 142.310 142.310 142.310 142.310 142.310
PRO4000002 72002 FAST-FIX ULTRA EMPUJANUDOS 72201537 256.293 256.293 256.293 256.293 256.293 256.293
PRO4000012 72012 CANULA DESCARTABLE 8MM X 72MM 72200425 79.196 79.196 79.196 79.196 79.196 79.196
PRO4000014 72014 ANCLA TWINFIX 4,5MM 72202893 477.506 477.506 477.506 477.506 477.506 477.506
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000015 72015 ANCLA TWINFIX 5,5MM 72202895 477.506 477.506 477.506 477.506 477.506 477.506
PRO4000017 72017 SHAVER INCISOR PLUS 4,5MM 7210976 271.451 271.451 271.451 271.451 271.451 271.451
PRO4000018 72018 SHAVER BONECUTTER 4,5MM 7206011 329.064 329.064 329.064 329.064 329.064 329.064
PRO4000022 72022 SHAVER LARGO ABRADER 4,0MM 7220080 203.513 203.513 203.513 203.513 203.513 203.513
PRO4000026 72026 BIOPLAT KIT 40 CP 81606 559.845 559.845 559.845 559.845 559.845 559.845
PRO4000032 72032 IRRI-FLO 5920002 114.121 114.121 114.121 114.121 114.121 114.121
PRO4000057 72065 CANASTILLO NITINOL COOK NTSED-024115-UDH 366.520 366.520 366.520 366.520 366.520 366.520
PRO4000058 72066 VAINA ACCESO FLEXOR 12X35CM FUS-120035 316.540 316.540 316.540 316.540 316.540 316.540
PRO4000059 72067 VAINA ACCESO FLEXOR 12X45CM FUS-120045 316.540 316.540 316.540 316.540 316.540 316.540
PRO4000065 72073 LIGASURE BLUN TIP #LF1837 541.450 541.450 541.450 541.450 541.450 541.450
PRO4000067 72075 LIGASURE LS1020 416.500 416.500 416.500 416.500 416.500 416.500
PRO4000077 72086 FRESA CORTANTE DE CURVA DE 1MM 31151098E 836.675 836.675 836.675 836.675 836.675 836.675
PRO4000079 72088 FRESA CURVA DE 2MM 31152090E 678.165 678.165 678.165 678.165 678.165 678.165
PRO4000080 72089 FRESA CURVA DIAMANTE 15°X2.9MM 1882969 566.015 566.015 566.015 566.015 566.015 566.015
PRO4000085 72094 FRESA RAD ALT VEL BUR 40°, 3MM 1883070HS 445.209 445.209 445.209 445.209 445.209 445.209
PRO4000087 72096 TUBO ENFRIAMIEN PIEZA MANO VISAO 3318506 146.536 146.536 146.536 146.536 146.536 146.536
PRO4000088 72097 TUBO DE IRRIGACION MOTOR VISAO 3318503 101.896 101.896 101.896 101.896 101.896 101.896
PRO4000089 72098 PUNTA DE CORNETE PEDIATRICA EIC4835-01 323.204 323.204 323.204 323.204 323.204 323.204
PRO4000090 72099 PUNTA PROCISE XP EIC8872-01 293.216 293.216 293.216 293.216 293.216 293.216
PRO4000091 72101 SIERRA E-PEN 15X6.0X0.38MM 03.000.301S 118.135 118.135 118.135 118.135 118.135 118.135
MAT7000668 72102 VENDA ELASTOMULL 8 CM 327 327 327 327 327 327
PRO4000092 72103 SIERRA E-PEN 18X4.0X0.38MM 03.000.300S 118.135 118.135 118.135 118.135 118.135 118.135
MAT7000669 72104 VENDA ELASTOMULL 10 CM 406 406 406 406 406 406
PRO4000093 72105 SIERRA E-PEN 20X6.4/2.9X0.6MM03.000.321S 139.761 139.761 139.761 139.761 139.761 139.761
MAT7000670 72106 VENDA GASA DOCTOR 5.0 CM 288 288 288 288 288 288
PRO4000094 72107 SIERRA E-PEN 33.5X6.4X0.6MM 03.000.332S 139.761 139.761 139.761 139.761 139.761 139.761
MAT7000671 72108 VENDA GASA DOCTOR 7.5 CM 288 288 288 288 288 288
MAT7000672 72110 VENDA GASA DOCTOR 10.O CM 2.144 2.144 2.144 2.144 2.144 2.144
PRO4000105 72121 ORTHOCORD COM AGUJAS 223104U 42.668 42.668 42.668 42.668 42.668 42.668
MAT7000673 72130 VENDA YESO SINTETICO BLANCO 2" 4.352 4.352 4.352 4.352 4.352 4.352
MAT7000674 72131 VENDA YESO SCOTCHCAST 3" AZUL 4.641 4.641 4.641 4.641 4.641 4.641
MAT7000675 72132 VENDA YESO SINTETICO BLANCO 3" 5.552 5.552 5.552 5.552 5.552 5.552
MAT7000676 72133 VENDA YESO SCOTCHCAST 4" AZUL 5.953 5.953 5.953 5.953 5.953 5.953
MAT7000679 72136 VENDA COBAN COLOR PIEL 3" ZZ-2083 5.283 5.283 5.283 5.283 5.283 5.283
MAT7000680 72140 VENDA TENSOPLAST 7.5 CM 14.328 14.328 14.328 14.328 14.328 14.328
MAT7000681 72142 VENDA TENSOPLAST 10.0 CM 18.669 18.669 18.669 18.669 18.669 18.669
MAT7001678 72184 ADAPT. VIA AEREA CO2 86.394 86.394 86.394 86.394 86.394 86.394
MAT7001573 72185 STATLOCK ARTERIAL #ART0429 7.524 7.524 7.524 7.524 7.524 7.524
MAT7001655 72186 TALONERA ANTI PIE EQUINO 21.991 21.991 21.991 21.991 21.991 21.991
MAT7001647 72187 CIRCUITO HUMIDIF. VMNI #FPRT319 87.703 87.703 87.703 87.703 87.703 87.703
MAT7001676 72188 CIRCUITO VM TRASNPORTE HUDSON RCI#HS1696 13.349 13.349 13.349 13.349 13.349 13.349
MAT7001617 72190 MITON ADULTO #E750 18.326 18.326 18.326 18.326 18.326 18.326
MAT7001581 72191 CAT VEN CENT 5 LUMEN 8,5FR X 20CM ARROW 199.920 199.920 199.920 199.920 199.920 199.920
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001707 72192 CABLE SENSOR VIGILEO FLOTRAC 287.146 287.146 287.146 287.146 287.146 287.146
MAT7001548 72193 CONECTOR HUDSON 22MM #HS1421 749 749 749 749 749 749
MAT7001657 72194 KIT CALEFACCION AIRVO #FP900PT561 179.333 179.333 179.333 179.333 179.333 179.333
MAT7001633 72195 CANULA NASAL OPTIFLOW M #FPOPT944 82.467 82.467 82.467 82.467 82.467 82.467
MAT7001643 72196 CANULA NASAL OPTIFLOW S #FPOPT942 90.714 90.714 90.714 90.714 90.714 90.714
MAT7001574 72197 CANULA NASAL OPTIFLOW L #FPOPT946 82.467 82.467 82.467 82.467 82.467 82.467
MAT7001518 72199 KIT TQT PERCUTANEA BLUERHINO 366.520 366.520 366.520 366.520 366.520 366.520
MAT7001654 72201 BOLSA RECOLEC. LCR ACCUDRAIN 79.781 79.781 79.781 79.781 79.781 79.781
MAT7001721 72202 SISTEMA DVE ACCUADRAIN INS-8401 394.985 394.985 394.985 394.985 394.985 394.985
MAT7001605 72210 CONECTOR HUDSON 15MM #HS1422 749 749 749 749 749 749
MAT7001591 72213 AMBU DESECHABLE ADULTO 45.514 45.514 45.514 45.514 45.514 45.514
MAT7001537 72214 CATETER GROSHONG 5 FR 2 LUMENES 45 CM 255.016 255.016 255.016 255.016 255.016 255.016
MAT7001634 72215 ENDOCANULA FENESTRADA N8 11.545 11.545 11.545 11.545 11.545 11.545
MAT7001680 72216 SONDA MARCAPASO 5FR 1,67MM 183.260 183.260 183.260 183.260 183.260 183.260
MAT7001738 72217 SENSOR ADULTO SAFB-SM 130.900 130.900 130.900 130.900 130.900 130.900
MAT7001726 72219 DEFIB PADS #2345N 4.377 4.377 4.377 4.377 4.377 4.377
MAT7001671 72220 TET C/ASPIRACION SUBGLOT. N7.0 20.944 20.944 20.944 20.944 20.944 20.944
MAT7001628 72221 TET C/ASPIRACION SUBGLOT. N8.0 20.944 20.944 20.944 20.944 20.944 20.944
MAT7001532 72222 TET C/ASPIRACION SUBGLOT. N8.5 20.944 20.944 20.944 20.944 20.944 20.944
MAT7001604 72223 CHECK FLOW 6FR 115.867 115.867 115.867 115.867 115.867 115.867
MAT7001520 72224 LINEA SUMINISTRO NEOPUFF 15.315 15.315 15.315 15.315 15.315 15.315
MAT7001621 72225 MARIPOSA P/CAT CENTR INTROSYTE 5FR 31.521 31.521 31.521 31.521 31.521 31.521
MAT7001612 72226 SNG SILASTIC 7FR CORTA 15.119 15.119 15.119 15.119 15.119 15.119
MAT7001566 72227 SONDA NELATON GOMA ROJA 8FR 759 759 759 759 759 759
MAT7001521 72228 SONDA NELATON GOMA ROJA 12FR 759 759 759 759 759 759
MAT7001710 72230 PEZONERA TALLA S 27.227 27.227 27.227 27.227 27.227 27.227
MAT7001691 72231 CIRC.DESECH. NEOPUFF S/MASC. #FP900RD010 18.850 18.850 18.850 18.850 18.850 18.850
MAT7001618 72232 TUBO ENDOTRAQUEAL C/CONECTOR N 3 18.064 18.064 18.064 18.064 18.064 18.064
MAT7001578 72233 CANULA DE CPAP N 8 22.253 22.253 22.253 22.253 22.253 22.253
MAT7001739 72234 SNG SILASTIC 6FR CORTA 15.480 15.480 15.480 15.480 15.480 15.480
MAT7001522 72235 SONDA NELATON GOMA ROJA 10FR 890 890 890 890 890 890
MAT7001672 72236 TUBO ENDOTRAQUEAL C/CONECTOR N 2.5 18.064 18.064 18.064 18.064 18.064 18.064
MAT7001629 72237 CANULA DE CPAP N 6 SI-232-06 22.253 22.253 22.253 22.253 22.253 22.253
MAT7001565 72238 TUBO ENDOTRAQUEAL C/CONECTOR N 3.5 19.871 19.871 19.871 19.871 19.871 19.871
MAT7001645 72239 PEZONERA TALLA M 27.227 27.227 27.227 27.227 27.227 27.227
MAT7001599 72241 CANULA DE CPAP N 10 22.253 22.253 22.253 22.253 22.253 22.253
MAT7001649 72242 CIRC. P/NARICERA ALTO FLUJO #FPRT329 90.714 90.714 90.714 90.714 90.714 90.714
MAT7001543 72243 RECOLECTOR ORINA CERRADO 6FR #499 32.610 32.610 32.610 32.610 32.610 32.610
MAT7001540 72244 LINEA DE SUSTITUCION 8.652 8.652 8.652 8.652 8.652 8.652
MAT7001730 72246 SOLCART 650 GR (CAJA X10UN) 5.244 5.244 5.244 5.244 5.244 5.244
MAT7001733 72249 SOLCART 1100 GR 13.145 13.145 13.145 13.145 13.145 13.145
MAT7001619 72254 CAT.MAHURKAR 13.5FR (4.5MM)X 19.5CM 83.776 83.776 83.776 83.776 83.776 83.776
MAT7001673 72261 DIANEAL 2.5L AL 2.5% DEXTROSA 13.420 13.420 13.420 13.420 13.420 13.420
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001592 72264 DIANEAL 2.5L AL 1.5% DEXTROSA 7.854 7.854 7.854 7.854 7.854 7.854
MAT7001630 72265 CANULA NASAL OPTIFLOW INFANT JUNIOR 138.230 138.230 138.230 138.230 138.230 138.230
MAT7001545 72266 GRIPPER 20G X 19MM X 3/4 IN 19.538 19.538 19.538 19.538 19.538 19.538
MAT7001524 72268 SNG SILASTIC 7FR LARGA 15.119 15.119 15.119 15.119 15.119 15.119
MAT7001579 72269 KIT CALEFACCION. JR AIRVOTUBO 197.266 197.266 197.266 197.266 197.266 197.266
MAT7001623 72270 SNG SILASTIC 9FR LARGA 15.119 15.119 15.119 15.119 15.119 15.119
PRO4000273 72308 CATETER CARDIACO PERITONEAL 90 CM 43103 315.874 315.874 315.874 315.874 315.874 315.874
PRO4000276 72311 VALVULA REGULAR NORMAL STRATA 42-866 3.309.509 3.309.509 3.309.509 3.309.509 3.309.509 3.309.509
PRO4000284 72319 ANILLO CARPENT PHYSIO EDWARD MITRAL 26MM 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820
PRO4000285 72320 ANILLO CARPENT PHYSIO EDWARD MITRAL 28MM 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820
PRO4000286 72321 ANILLO CARPENT PHYSIO EDWARD MITRAL 30MM 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820
PRO4000287 72322 ANILLO CARPENT PHYSIO EDWARD MITRAL 32MM 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820
PRO4000288 72323 ANILLO CARPENT PHYSIO EDWARD MITRAL 34MM 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820 1.282.820
PRO4000300 72335 BOLSA ENDOSCOPICA 10MM CD001 129.948 129.948 129.948 129.948 129.948 129.948
PRO4000302 72338 TIJERA DESECHABLE 5MMX35CM CB030 134.946 134.946 134.946 134.946 134.946 134.946
PRO4000307 72343 VALV PERIMOUNT MAGNA AORTIC 19MM 881445 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650
PRO4000308 72344 VALV PERIMOUNT MAGNA AORTIC 21MM 881446 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650
PRO4000309 72345 VALV PERIMOUNT MAGNA AORTIC 23MM 881447 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650
PRO4000310 72346 VALV PERIMOUNT MAGNA AORTIC 25MM 881448 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650 5.039.650
PRO4000380 72419 TORNILLO BLOQUEO 5.0 x 30mm ref:71645030 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000381 72420 TORNILLO BLOQUEO 5.0 x 35mm ref:71645035 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000382 72421 TORNILLO BLOQUEO 5.0 x 40mm ref:71645040 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000383 72422 TORNILLO BLOQUEO 5.0 x 45mm ref:71645045 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000384 72423 TORNILLO BLOQUEO 5.0 x 50mm ref:71645050 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000393 72433 VARILLA GUIA 3X1000MM BALL GDE 71631626 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000448 72488 INSERTO R3 POLY 28X48 71337548 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000449 72489 INSERTO R3 POLY 28X50 71337550 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000451 72491 INSERTO R3 POLY 28X52 7337552 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000452 72492 INSERTO R3 POLY 28X54 71337554 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000453 72493 INSERTO R3 POLY 28X56 71337556 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000454 72494 INSERTO R3 POLY 28X58 71337558 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000455 72495 INSERTO R3 POLY 32X52 71339552 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000456 72496 INSERTO R3 POLY 32X54 71339554 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000457 72497 INSERTO R3 POLY 32X56 71339556 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000458 72498 INSERTO R3 POLY 32/58 71339558 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000459 72499 VASTAGO FEMOR SYN NO CEM HO,18 71306118 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000461 72501 INSERTO R3 POLY 20 28X50 71334950 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000462 72502 INSERTO R3 POLY 20 28X52 71334952 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000463 72503 INSERTO R3 POLY 20 28X54 71334954 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000464 72504 INSERTO R3 POLY 20 28X56 71334956 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000465 72505 INSERTO R3 POLY 20 28/58 71334958 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000466 72506 INSERTO R3 POLY 20 32X52 71337652 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000467 72507 INSERTO R3 POLY 20 32X54 71337654 269.600 269.600 269.600 269.600 269.600 269.600
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000468 72508 INSERTO R3 POLY 20 32/56 71337656 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000469 72509 INSERTO R3 POLY 20 32X58 71337658 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000492 72532 TROCAR VECTEC 5.5MM X 53MM 5053 26.656 26.656 26.656 26.656 26.656 26.656
PRO4000493 72533 TROCAR VECTEC 5.5 x 68 MM 5068 29.988 29.988 29.988 29.988 29.988 29.988
PRO4000494 72534 T DE SUSPENSION T LIFT-VECTEC AW16280 58.310 58.310 58.310 58.310 58.310 58.310
PRO4000496 72536 GANCHO DISECCION HOOK 5MM X 330MM H5 330 39.984 39.984 39.984 39.984 39.984 39.984
PRO4000497 72537 TIJERA INCUT 5MM 330MM AXIAL IK5 330 96.628 96.628 96.628 96.628 96.628 96.628
PRO4000498 72538 MANIPULADOR UTERINO MAUT60 158.270 158.270 158.270 158.270 158.270 158.270
PRO4000499 72539 CANULA RECTAL RCC320 44.709 44.709 44.709 44.709 44.709 44.709
PRO4000507 72547 PROTESIS NO VALV REC 32X30CM IGW0032-30 455.532 455.532 455.532 455.532 455.532 455.532
PRO4000514 72554 FRESA F-FOSFORO ESTRI. D3 L150 MA15-8NS 270.395 270.395 270.395 270.395 270.395 270.395
PRO4000515 72555 FRESA FORMA DE FOSFORO ESTRIADA MA15-8N 270.395 270.395 270.395 270.395 270.395 270.395
PRO4000516 72556 FRESA REVEST. DIAMANTADO MA15-8NSDC 344.139 344.139 344.139 344.139 344.139 344.139
PRO4000523 72563 PERFORADOR/REPANADOR CRNEO 11MM 261222 386.820 386.820 386.820 386.820 386.820 386.820
PRO4000535 72575 BOLSA EXTRACT DE ESPECIM 10MM TRS100-SB2 115.787 115.787 115.787 115.787 115.787 115.787
PRO4000540 72580 LINEAS DE OXIGENADOR PEDIATRICO P/N62446 249.900 249.900 249.900 249.900 249.900 249.900
PRO4000541 72581 LINEAS DE OXIGENADOR BABY RX 64649 299.880 299.880 299.880 299.880 299.880 299.880
PRO4000542 72582 OXIGENADOR BABY RX CX*FX05RW 466.480 466.480 466.480 466.480 466.480 466.480
PRO4000543 72583 OXIGENADOR RECUBIERTO15C/RES CX*FX15RW30 399.840 399.840 399.840 399.840 399.840 399.840
PRO4000545 72585 SET DE VACIO P/N 62432 96.628 96.628 96.628 96.628 96.628 96.628
PRO4001610 72590 FAST-FIX 360° CURVO #72202468 723.928 723.928 723.928 723.928 723.928 723.928
PRO4001609 72591 ENDOBUTTON CL ULTRA 10MM #72203331 803.066 803.066 803.066 803.066 803.066 803.066
PRO4001642 72593 VAINA ACCESO FLEXOR 10.7X35CM FUS-107035 316.540 316.540 316.540 316.540 316.540 316.540
PRO4001643 72594 VAINA ACCESO FLEXOR 10.7X45CM FUS-107045 316.540 316.540 316.540 316.540 316.540 316.540
PRO4001617 72595 NGAGENITINOL1.7X115CMX11MM NGE-017115-MB 366.520 366.520 366.520 366.520 366.520 366.520
PRO4001618 72596 NGAGE NITINOL 1.7X115CMX8MM NGE-017115 366.520 366.520 366.520 366.520 366.520 366.520
PRO4001631 72608 STAPLER CIRCULAR 28MM X 4.8MM EEA28 449.820 449.820 449.820 449.820 449.820 449.820
PRO4001635 72611 PROTECTOR HERIDAS 9CM - 14CM WPLG914 60.809 60.809 60.809 60.809 60.809 60.809
PRO4001632 72614 STAPLER CIRCULAR 31MM X 4.8MM EEA31 449.820 449.820 449.820 449.820 449.820 449.820
PRO4001638 72615 TROCAR OPTICO SIN BISTURI 12MM ONB12STF 46.648 46.648 46.648 46.648 46.648 46.648
PRO4001604 72616 CANULA TROCAR S/BISTURI 12MM UNVCA12STF 26.656 26.656 26.656 26.656 26.656 26.656
PRO4001639 72617 TROCAR OPTICO SIN BISTURI 5MM ONB5STF 46.648 46.648 46.648 46.648 46.648 46.648
PRO4001630 72622 STAPLER CIRCULAR 25MM X 4.8MM EEA25 449.820 449.820 449.820 449.820 449.820 449.820
PRO4001629 72623 STAPLER CIRCULAR 21MM X 4.8MM EEA21 449.820 449.820 449.820 449.820 449.820 449.820
PRO4001601 72626 ACCELL EVO3 5CC IN-025000050 1.422.604 1.422.604 1.422.604 1.422.604 1.422.604 1.422.604
PRO4001600 72627 ACCELL EVO3 10CC IN-025000100 2.248.903 2.248.903 2.248.903 2.248.903 2.248.903 2.248.903
PRO4001602 72629 AGUJA MET. DE INYECCION 3,6 FR PR-RINS 188.911 188.911 188.911 188.911 188.911 188.911
PRO4001644 72630 VANTRIS PR-BAR1J 937.153 937.153 937.153 937.153 937.153 937.153
PRO4001608 72631 DURAGEN SUTURABLE 5X5CM #DURS2291ITL 1.048.097 1.048.097 1.048.097 1.048.097 1.048.097 1.048.097
PRO4001607 72632 DURAGEN SUTURABLE 10X12.5CM IN-DURS 4591 2.204.421 2.204.421 2.204.421 2.204.421 2.204.421 2.204.421
PRO4001641 72633 TROCAR 12 X 150MM CON FIJACION CFF71 143.276 143.276 143.276 143.276 143.276 143.276
PRO4001626 72642 RADIOFRECUENCIA VAPR PREMIERE 50°227504 410.790 410.790 410.790 410.790 410.790 410.790
PRO4001625 72643 RADIOFRECUENCIA VAPR COOLPULSE 90°228147 301.665 301.665 301.665 301.665 301.665 301.665
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4001603 72644 ANCLA MINI QUICKANCHOR 212035 340.790 340.790 340.790 340.790 340.790 340.790
MAT7000683 72652 APOSITO TRANSPARENTE ADHESIVO 5 X7,2 CM 696 696 696 696 696 696
MAT7000684 72653 APOSITO TRANSP. ADHESIVO 1626 MED. 1.874 1.874 1.874 1.874 1.874 1.874
MAT7000685 72658 DRENAJE TORAXICO S/PUNZON 20 FR 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000686 72659 DRENAJE TORAXICO S/PUNZON 24 FR 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000687 72660 DRENAJE TORAXICO S/PUNZON 28 FR 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000688 72661 DRENAJE TORAXICO S/PUNZON 32 FR 17.017 17.017 17.017 17.017 17.017 17.017
PRO4000555 72668 BROCA D. 1 L46/34 2ARISTAS-CORTE 513.005 82.860 82.860 82.860 82.860 82.860 82.860
PRO4000556 72669 BROCA D. 1.3 L46/34 2ARIST-CORTE 513.035 73.586 73.586 73.586 73.586 73.586 73.586
PRO4000557 72670 BROCA D 0.8 L40/16 2ARISTA-CORTE 316.385 93.300 93.300 93.300 93.300 93.300 93.300
PRO4000558 72671 BROCA D. 1.1 L45/33 2ARIST-CORTE 513.030 74.355 74.355 74.355 74.355 74.355 74.355
PRO4000559 72672 BROCA D. 1.5 L52/40 2ARIST-CORTE 513.080 74.355 74.355 74.355 74.355 74.355 74.355
PRO4000560 72673 BROCA D. 1.5 L67/55 2ARIST-CORTE 513.090 80.795 80.795 80.795 80.795 80.795 80.795
PRO4000561 72674 BROCA D. 2 L67/55 2ARISTAS-CORTE 513.140 82.860 82.860 82.860 82.860 82.860 82.860
PRO4000562 72675 BROCA D. 1.8 L80/66 2ARIST-CORTE 317.861 79.838 79.838 79.838 79.838 79.838 79.838
PRO4000563 72676 BROCA D. 2.4 L80/66 2ARIST-CORTE 317.871 81.938 81.938 81.938 81.938 81.938 81.938
PRO4000566 72679 TORNILLO ACUTRAK 2.5MMX0.8MM AT2-C08-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000567 72680 TORNILLO ACUTRAK 2.5MMX0.9MM AT2-C09-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000568 72681 TORNILLO ACUTRAK 2.5MM X 10MM AT2-C10-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000569 72682 TORNILLO ACUTRAK 2.5MM X 11MM AT2-C11-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000570 72683 TORNILLO ACUTRAK 2.5MM X 12MM AT2-C12-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000571 72684 TORNILLO ACUTRAK 2.5MM X 13MM AT2-C13-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000572 72685 TORNILLO ACUTRAK 2.5MM X 14MM AT2-C14-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000573 72686 TORNILLO ACUTRAK 2.5MM X 16MM AT2-C16-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000574 72687 TORNILLO ACUTRAK 2.5MM X 18MM AT2-C18-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000575 72688 TORNILLO ACUTRAK 2.5MM X 20MM AT2-C20-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000576 72689 TORNILLO ACUTRAK 3.5MM X 16MM AT2-M16-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000577 72690 TORNILLO ACUTRAK 3.5MM X 18MM AT2-M18-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000578 72691 TORNILLO ACUTRAK 3.5MM X 20MM AT2-M20-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000579 72692 TORNILLO ACUTRAK 3.5MM X 22MM AT2-M22-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000580 72693 TORNILLO ACUTRAK 3.5MM X 24MM AT2-M24-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000581 72694 TORNILLO ACUTRAK 3.5MM X 26MM AT2-M26-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000582 72695 TORNILLO ACUTRAK 3.5MM X 28MM AT2-M28-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000583 72696 TORNILLO ACUTRAK 3.5MM X 30MM AT2-M30-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000584 72697 TORNILLO ACUTRAK 4.1MM X 16MM AT2-516-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000585 72698 TORNILLO ACUTRAK 4.1MM X 18MM AT2-518-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000586 72699 TORNILLO ACUTRAK 4.1MM X 20MM AT2-520-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000587 72700 TORNILLO ACUTRAK 4.1MM X 22MM AT2-522-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000588 72701 TORNILLO ACUTRAK 4.1MM X 24MM AT2-S24-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000589 72702 TORNILLO ACUTRAK 4.1MM X 26MM AT2-526-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000590 72703 TORNILLO ACUTRAK 4.1MM X 28MM AT2-528-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000591 72704 TORNILLO ACUTRAK 4.1MM X 30MM AT2-S30-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000592 72705 TORNILLO ACUTRAK 4.1MM X 32MM AT2-532-S 433.160 433.160 433.160 433.160 433.160 433.160
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000593 72706 TORNILLO ACUTRAK 4.1MM X 34MM AT2-S34-S 433.160 433.160 433.160 433.160 433.160 433.160
PRO4000607 72720 CANULA PASSPORT 8MM X 4CM AR-6592-08-40 109.956 109.956 109.956 109.956 109.956 109.956
PRO4000611 72724 BROCA PASO A PASO AR-1250LT 239.293 239.293 239.293 239.293 239.293 239.293
PRO4000617 72730 XTENDOBUTTON 5.5X20MM 72200134 265.991 265.991 265.991 265.991 265.991 265.991
PRO4000618 72731 ENDOBUTTON CL ULTRA 15MM 72200146 581.423 581.423 581.423 581.423 581.423 581.423
PRO4000619 72732 ENDOBUTTON CL ULTRA 20MM 72200147 581.423 581.423 581.423 581.423 581.423 581.423
PRO4000620 72733 ENDOBUTTON CL ULTRA 25MM 72200148 581.423 581.423 581.423 581.423 581.423 581.423
PRO4000621 72734 BROCA ENDOBUTTON 4.5MM 7207315 265.499 265.499 265.499 265.499 265.499 265.499
PRO4000622 72735 BROCA C/OJAL 2.4MM X 15 (ESTERIL)7208678 263.375 263.375 263.375 263.375 263.375 263.375
PRO4000623 72736 BROCA GUIA 2.4MM X 12 (ESTERIL) 14396 123.516 123.516 123.516 123.516 123.516 123.516
PRO4000624 72737 BIORCI AGUJA GUIA (ESTERIL) 14859 97.280 97.280 97.280 97.280 97.280 97.280
PRO4000625 72738 BIORCI HA TORNILLO 7X20 7207686 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000626 72739 BIORCI HA TORNILLO 7X25 7207674 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000627 72740 BIORCI HA TORNILLO 7X30 7207677 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000628 72741 BIORCI HA TORNILLO 8X20 7209012 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000629 72742 BIORCI HA TORNILLO 8X25 7207678 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000630 72743 BIORCI HA TORNILLO 8X30 7207679 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000631 72744 BIORCI HA TORNILLO 8X35 7207680 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000632 72745 BIORCI HA TORNILLO 9X20 7209013 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000633 72746 BIORCI HA TORNILLO 9X25 7207681 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000634 72747 BIORCI HA TORNILLO 9X30 7207682 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000635 72748 BIORCI HA TORNILLO 9X35 7207683 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000636 72749 BIORCI HA TORNILLO 10X25 7209016 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000637 72750 BIORCI HA TORNILLO 10X30 7209017 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000638 72751 BIORCI HA TORNILLO 10X35 7209018 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000639 72752 BIORCI HA TORNILLO 11X30 7209014 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000640 72753 BIORCI HA TORNILLO 11X35 7209022 444.503 444.503 444.503 444.503 444.503 444.503
PRO4000641 72754 SOFTSLK TORNILLO TI 7X25 7207002 260.233 260.233 260.233 260.233 260.233 260.233
PRO4000642 72755 SOFTSLK TORNILLO TI 7X30 7207003 260.233 260.233 260.233 260.233 260.233 260.233
PRO4000643 72756 SOFTSLK TORNILLO TI 8X25 7207005 260.233 260.233 260.233 260.233 260.233 260.233
PRO4000644 72757 SOFTSLK TORNILLO TI 8X30 7207006 260.233 260.233 260.233 260.233 260.233 260.233
PRO4000645 72758 SOFTSLK TORNILLO TI 9X25 7207008 260.233 260.233 260.233 260.233 260.233 260.233
PRO4000646 72759 SOFTSLK TORNILLO TI 9X30 7207009 260.233 260.233 260.233 260.233 260.233 260.233
PRO4000650 72763 ASPIREX PLUS 04-0060-000 182.465 182.465 182.465 182.465 182.465 182.465
PRO4000651 72764 VALVULA MAGNA EASY MITRAL 27MM 881490 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550
PRO4000656 72769 AGUJA KIRSCHNER WS-1106ST 21.658 21.658 21.658 21.658 21.658 21.658
PRO4000657 72770 AGUJA KIRSCHNER WS-0906ST 21.658 21.658 21.658 21.658 21.658 21.658
PRO4000658 72771 AGUJA KIRSCHNER WS-1407ST 21.658 21.658 21.658 21.658 21.658 21.658
PRO4000663 72776 VISIPORT PLUS ESTRIADO 5MM-12MM 176674PF 129.948 129.948 129.948 129.948 129.948 129.948
PRO4000680 72793 BROCA D. 1.5 C/MAR L96/82 2ARIST 310.507 109.439 109.439 109.439 109.439 109.439 109.439
PRO4000681 72794 BROCA D. 1.8 C/MAR L96/82 2ARIST 310.508 109.439 109.439 109.439 109.439 109.439 109.439
PRO4001934 72800 TAPON CLAVO 0MM TRIGEN REF. 71634000 162.517 162.517 162.517 162.517 162.517 162.517
PRO4001935 72801 TAPON CLAVO 5MM TRIGEN REF. 71634005 176.951 176.951 176.951 176.951 176.951 176.951
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4001936 72802 TAPON CLAVO 10MM TRIGEN REF. 71634010 176.951 176.951 176.951 176.951 176.951 176.951
PRO4001937 72803 TAPON CLAVO 15MM TRIGEN REF. 71634015 176.951 176.951 176.951 176.951 176.951 176.951
PRO4001938 72804 TAPON CLAVO 20MM TRIGEN REF. 71634020 176.951 176.951 176.951 176.951 176.951 176.951
MAT7000696 73022 CAT. DIAG. FL 4 6 FR. 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000697 73023 CAT.DIAG . JR4 6 FR 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000698 73024 LLAVE DE PASO ALTA PRESION 9.687 9.687 9.687 9.687 9.687 9.687
MAT7000699 73033 INTRODUCTOR 4FR 43.982 43.982 43.982 43.982 43.982 43.982
MAT7000700 73034 CAT. DIAG . PIGTAIL 4 FR 91.630 91.630 91.630 91.630 91.630 91.630
PRO4001800 73046 FIBRA LASER 273 MICRAS #HLF-S273-H30 499.800 499.800 499.800 499.800 499.800 499.800
PRO4001801 73047 FIBRA LASER 365 MICRAS #HLF-S365-H30 499.800 499.800 499.800 499.800 499.800 499.800
PRO4001802 73048 FIBRA LASER 550 MICRAS #HLF-S550-H30 499.800 499.800 499.800 499.800 499.800 499.800
PRO4001803 73049 FIBRA LASER 940 MICRAS #HLF-S940-H30 499.800 499.800 499.800 499.800 499.800 499.800
PRO4001835 73050 HUESO ESPON. GRANULADO 15CC REF.22042611 582.505 582.505 582.505 582.505 582.505 582.505
PRO4001864 73053 SHAVER INCISOR PLUS ELITE 3.5MM 72200095 272.499 272.499 272.499 272.499 272.499 272.499
PRO4001865 73054 TORNILLO BICEP BIOSURE PK 7X15 #72202283 433.455 433.455 433.455 433.455 433.455 433.455
PRO4001866 73055 TORNILLO BICEP BIOSURE PK 7X25 #72202636 433.455 433.455 433.455 433.455 433.455 433.455
PRO4001867 73056 TORNILLO BICEP BIOSURE PK 8X15 #72202284 433.455 433.455 433.455 433.455 433.455 433.455
PRO4001868 73057 TORNILLO BICEP BIOSURE PK 8X25 #72202637 433.455 433.455 433.455 433.455 433.455 433.455
PRO4001869 73058 TORNILLO BICEP BIOSURE PK 9X15 #72202285 433.455 433.455 433.455 433.455 433.455 433.455
PRO4001870 73059 TORNILLO BICEP BIOSURE PK 9X25 #72202638 433.455 433.455 433.455 433.455 433.455 433.455
PRO4001885 73070 INSUFLADOR #0218TS 333.200 333.200 333.200 333.200 333.200 333.200
PRO4001887 73072 ABSORBATACK #ABSTACK30 416.500 416.500 416.500 416.500 416.500 416.500
PRO4001892 73075 MENISCAL MENDER REPAIR SYSTEM #7209485 256.279 256.279 256.279 256.279 256.279 256.279
PRO4001893 73076 MALLA PROGRIP AUTOADH PREF DER LPG1510AR 149.940 149.940 149.940 149.940 149.940 149.940
PRO4001894 73077 MALLA PROGRIP AUTOADH PREF IZQ LPG1510AL 149.940 149.940 149.940 149.940 149.940 149.940
PRO4001895 73078 SIST VISUALIZ P/ OPTICA CLEARIFY #21-345 46.648 46.648 46.648 46.648 46.648 46.648
PRO4001896 73079 LINEAL NO CORTANTE CX COLON #TA3048S 249.900 249.900 249.900 249.900 249.900 249.900
PRO4001898 73080 LINEAL NO CORTANTE CX COLON #TA3048L 166.600 166.600 166.600 166.600 166.600 166.600
PRO4001902 73081 BIOSTEMCELL KIT #81608 1.258.228 1.258.228 1.258.228 1.258.228 1.258.228 1.258.228
PRO4001917 73084 CARGA ENDOGIA 45MM #EGIA45AMT 324.870 324.870 324.870 324.870 324.870 324.870
PRO4001919 73086 LIGASURE IMPACT #LF4418 749.700 749.700 749.700 749.700 749.700 749.700
PRO4001925 73087 CANULA UNIVERSAL 5MM #UNVCA5STF 26.656 26.656 26.656 26.656 26.656 26.656
PRO4001926 73088 SISTEMA CIERRE VENASEAL #SP-101 833.000 833.000 833.000 833.000 833.000 833.000
PRO4001961 73092 CABEZA FEMORAL COCR 32+0 #71303200 435.822 435.822 435.822 435.822 435.822 435.822
PRO4001963 73093 INSERTO R3 POLY 20 32X48 #71337648 269.600 269.600 269.600 269.600 269.600 269.600
PRO4001981 73095 KIT MANGA BUCKEL 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730
PRO4001982 73096 KIT MANGA BOZA-FUNKE 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730
PRO4001983 73097 KIT BYPASS FUNKE SEPULVEDA 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730
PRO4001984 73098 KIT MANGA MALUENDA BURDILES 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730 2.348.730
PRO4002010 73103 TVT EXACT #TVTRL 1.284.416 1.284.416 1.284.416 1.284.416 1.284.416 1.284.416
PRO4002022 73104 PROT VASC NO VALV 30MMX30CM #IGW0030-30 455.532 455.532 455.532 455.532 455.532 455.532
PRO4002601 73106 PASADOR C/ MANGO POLICARBONATO #990-010 783.020 783.020 783.020 783.020 783.020 783.020
MAT7000701 73124 CAT.DIAG. MAMARIO 6 FR. 31.416 31.416 31.416 31.416 31.416 31.416
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000702 73127 CAT. DIAG. PIGTAIL RECTO 6 FR . 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000703 73128 CAT.DIAG. PIGTAIL 5 FR . 35.864 35.864 35.864 35.864 35.864 35.864
MAT7000704 73129 CAT.DIAG. JL3.5 6 FR . 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000706 73131 GUIA J 035X260 CM 51.234 51.234 51.234 51.234 51.234 51.234
MAT7003312 73136 PUNCH AORTICO # 4.0 REF.1001-622 54.978 54.978 54.978 54.978 54.978 54.978
MAT7003362 73137 BYPASS FONASA PAD J&J 1.732.640 1.732.640 1.732.640 1.732.640 1.732.640 1.732.640
MAT7000708 73168 CAT.DIAG. COBRA (2) 5 FR .65 CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000709 73169 CATETER ANGELD TAPER 5 FR 45.815 45.815 45.815 45.815 45.815 45.815
MAT7000710 73170 CAT.DIAG . SIMONS 1 5 FR . 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000711 73171 CAT.DIAG. SIMONS 2 .5 FR . 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003313 73176 PUNCH AORTICO # 4.5 REF.1001-624 54.978 54.978 54.978 54.978 54.978 54.978
MAT7000714 73182 GUIA RADIOFOCUS J 0.35X260 CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000715 73184 CAT. DIAG. COBRA 2 4 FR. 65 CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000717 73186 CAT. DIAG. MULTIPROPOSITO 4 FR. 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000718 73187 SET MICROPUNCION 4 FR 117.810 117.810 117.810 117.810 117.810 117.810
MAT7000719 73188 SET MICROPUNCION 5 FR 117.810 117.810 117.810 117.810 117.810 117.810
MAT7003203 73203 CUCHILLETE INCISION 600 MICRAS #MLR60 20.944 20.944 20.944 20.944 20.944 20.944
MAT7003363 73204 MANGA FONASA PAD J&J 1.732.640 1.732.640 1.732.640 1.732.640 1.732.640 1.732.640
MAT7000721 73205 ADAPTADOR EN Y 28.798 28.798 28.798 28.798 28.798 28.798
MAT7003314 73206 KIT INSERCION PERCUTANEA REF.PIK150 103.411 103.411 103.411 103.411 103.411 103.411
MAT7003315 73207 CAN. VENOSA P/BYP CARDIOP. 22FR-RV-41022 39.270 39.270 39.270 39.270 39.270 39.270
MAT7003316 73208 CAN. VENOSA P/BYP CARDIOP. 24FR-RV-41024 39.270 39.270 39.270 39.270 39.270 39.270
MAT7003317 73209 CAN. ARTER. P/BYP CARDIOP 18FR-NA-4516 45.815 45.815 45.815 45.815 45.815 45.815
MAT4004414 73210 URETEROSCOPIO FLEXIB DESECHABLE PU3033A 1.082.900 1.082.900 1.082.900 1.082.900 1.082.900 1.082.900
MAT7000724 73216 SABANA ANGIOGRAFIA BRANQUIAL#65212 10.472 10.472 10.472 10.472 10.472 10.472
MAT7000725 73217 TRANSDUCTOR DE PRESION C/DOMO 82.703 82.703 82.703 82.703 82.703 82.703
MAT7000726 73218 DOMO DE PRESION #844-29 11.689 11.689 11.689 11.689 11.689 11.689
MAT7000727 73219 JERINGA PARA INYECTORA#150-FT-Q 19.635 19.635 19.635 19.635 19.635 19.635
MAT7000729 73221 DISPOSITIVO COMPRESION RADIAL 32.725 32.725 32.725 32.725 32.725 32.725
MAT7000730 73222 CAT. DIAG. RADIAL TIGII 4.0 6FR 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000731 73223 CAT. DIAG. COBRA 2 5FR 100CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7001900 73224 AGUJA KIRSHNER 1.6MM #292.180 3.868 3.868 3.868 3.868 3.868 3.868
MAT7001901 73225 AGUJA KIRSHNER C/ PUNTA ROSCADA #292.750 15.937 15.937 15.937 15.937 15.937 15.937
MAT7001902 73226 AGUJA KIRSHNER 0.60MM #292.460 10.386 10.386 10.386 10.386 10.386 10.386
MAT7001903 73227 AGUJA KIRSHNER 1.00MM #292.500 11.880 11.880 11.880 11.880 11.880 11.880
MAT7001904 73228 AGUJA KIRSHNER 1.25MM #292.520 12.168 12.168 12.168 12.168 12.168 12.168
MAT7001905 73229 AGUJA KIRSHNER 1.6MM DOBLE PUNTA 292.560 8.990 8.990 8.990 8.990 8.990 8.990
MAT7001910 73230 KIT DE COLE 170.170 170.170 170.170 170.170 170.170 170.170
MAT7001911 73231 KIT DE BASX 170.170 170.170 170.170 170.170 170.170 170.170
MAT7001912 73232 KIT COLE. DRES. BOZA-FUNKE-PUELMA 252.981 252.981 252.981 252.981 252.981 252.981
MAT7001917 73237 KIT APENDICE DRES. BOZA - FUNKE - PUELMA 221.963 221.963 221.963 221.963 221.963 221.963
MAT4004415 73239 KIT GASTROPLASTIA ENDOSCOPICA 4.414.900 4.414.900 4.414.900 4.414.900 4.414.900 4.414.900
MAT7002718 73241 LAPIZ BORRADOR 221250 59.332 59.332 59.332 59.332 59.332 59.332
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7002783 73243 GRIESHABER MAXGRIP FORCEPS 25+G 265.463 265.463 265.463 265.463 265.463 265.463
MAT7002784 73244 GRIESHABER ENDGRASPING FORCEPS 25+G 204.665 204.665 204.665 204.665 204.665 204.665
MAT7002785 73245 GRIESHABER ILM FORCEPS 25+G REF.705.88P 225.131 225.131 225.131 225.131 225.131 225.131
MAT7002860 73246 BANDA 3.5X0.75MM TIPO 41 CON CUFF 34.181 34.181 34.181 34.181 34.181 34.181
MAT7002861 73247 EXPLANTE 7.5MM TIPO 220 38.786 38.786 38.786 38.786 38.786 38.786
MAT7002788 73249 CASSETTE CENTURION TIP BAL 30 8065752200 181.016 181.016 181.016 181.016 181.016 181.016
MAT7002880 73250 SET INTUBACION LAGRIMAL 20G 66.804 66.804 66.804 66.804 66.804 66.804
MAT7003352 73251 SONDA CALIBRACION #32 REF.TUBE 32 231.693 231.693 231.693 231.693 231.693 231.693
MAT7003353 73252 SONDA CALIBRACION #34 REF.TUBE 34 231.693 231.693 231.693 231.693 231.693 231.693
MAT7003354 73253 SONDA CALIBRACION #36 REF.TUBE 36 231.693 231.693 231.693 231.693 231.693 231.693
MAT6002112 73254 JABON LIQUIDO CLORHEXIDINA 4% 1000 ML. 33.052 33.052 33.052 33.052 33.052 33.052
MAT4004416 73255 FILTRO VENA CAVA FEMORAL DENALI #DL950F 1.491.070 1.491.070 1.491.070 1.491.070 1.491.070 1.491.070
MAT4004417 73256 KIT INSERTOS CX BARIATRICA REF: KITCX 336.815 336.815 336.815 336.815 336.815 336.815
MAT4004418 73257 INSERTO FORCEPS GASTRICO REF: 108Y419 57.203 57.203 57.203 57.203 57.203 57.203
MAT4004419 73258 DISECTOR LAPAROSCOPICO MARYLAND 107Y.401 57.203 57.203 57.203 57.203 57.203 57.203
MAT4004420 73259 PINZAS REF: 106Y.401 57.203 57.203 57.203 57.203 57.203 57.203
MAT4004421 73260 RECARGA AUTOMATICA REF: TRC-TM121 157.080 157.080 157.080 157.080 157.080 157.080
MAT4004422 73261 KIT BY PASS REF: CLKBP4 2.190.980 2.190.980 2.190.980 2.190.980 2.190.980 2.190.980
PRO4002384 73262 MICROCATETER FINE CROSS NC-F863A 549.780 549.780 549.780 549.780 549.780 549.780
MAT4004423 73263 KIT TIROIDE 110 REF: KITTIROIDE110 541.450 541.450 541.450 541.450 541.450 541.450
PRO4002526 73264 GUIA PTCA RUNTHROUGH NSHYPERC TW-DS418FH 114.954 114.954 114.954 114.954 114.954 114.954
MAT4004434 73265 FIBER TAK #2 FIBER WIRE CL REF: AR-3600 433.551 433.551 433.551 433.551 433.551 433.551
MAT4004435 73267 SUTURA FIBERSTITCH REF: AR-4570 765.765 765.765 765.765 765.765 765.765 765.765
MAT4004424 73269 ASA LOOP PRÓSTATA LARGA REF: WA22707S 766.360 766.360 766.360 766.360 766.360 766.360
MAT4004425 73271 ASA BAND REF: WA22723S 766.360 766.360 766.360 766.360 766.360 766.360
MAT4004426 73273 ASA LOOP ANGULADA VEJIGA REF: WA22732S 766.360 766.360 766.360 766.360 766.360 766.360
MAT4004427 73276 ASA PLASMA BOTON REF: WA22766S 766.360 766.360 766.360 766.360 766.360 766.360
PRO4002259 73277 BALON ABBOTT TREK 3.0X15 1012274-150 241.570 241.570 241.570 241.570 241.570 241.570
MAT7003202 73278 PINZA BIPOLAR ADSON DESECH 0,5MM C/CABLE 51.836 51.836 51.836 51.836 51.836 51.836
MAT4004428 73280 ASA AGUJA RECTA REF: WA22740S 766.360 766.360 766.360 766.360 766.360 766.360
MAT4004438 73281 BISTURI CAPFIX CURVO C/ AGUJAS 72205319 558.776 558.776 558.776 558.776 558.776 558.776
MAT4004439 73282 PUSHLOCK 2.9MM CORTA CAD PEEK AR-2923PHS 826.004 826.004 826.004 826.004 826.004 826.004
MAT4004442 73283 SHAVER ARTROSCOPIA CADERA REF:AR-6420CDS 263.211 263.211 263.211 263.211 263.211 263.211
MAT4004443 73284 LOW PROFILE SUTURE LASSO 45 REF:AR-4065H 304.521 304.521 304.521 304.521 304.521 304.521
PRO4004429 73285 CEMENTO RADIOPACO C/GENTA BIOFIX1 880225 189.881 189.881 189.881 189.881 189.881 189.881
MAT7003364 73286 SONDA FIAPC 2200SC DESECHABLE C/FILTRO 291.521 291.521 291.521 291.521 291.521 291.521
MAT7003200 73287 PACK PROCED COMBINADO 25GA (PV1163S0013) 629.645 629.645 629.645 629.645 629.645 629.645
MAT7003365 73288 ASA ROTH NET EST 3X6CM 230CM LARG ADULT 199.795 199.795 199.795 199.795 199.795 199.795
MAT7003366 73289 ASA ROTH NET 1.8MM DIAM 2X4CM LARGO PED 176.715 176.715 176.715 176.715 176.715 176.715
MAT7003367 73290 PINZA RAPTOR EXTRACCION CUERPO EXTRAÑO 220.462 220.462 220.462 220.462 220.462 220.462
MAT7003368 73291 PINZA MINI RAPTOR EXTRAC CUERPO EXTRAÑO 260.547 260.547 260.547 260.547 260.547 260.547
MAT7003369 73292 AGUJA DE INYECCION 23GX4MM 2.8MM 87.703 87.703 87.703 87.703 87.703 87.703
MAT7003370 73293 BALÓN HERCULES 8-9-10 533.120 533.120 533.120 533.120 533.120 533.120
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003371 73294 BALÓN HERCULES 18-19-20 533.120 533.120 533.120 533.120 533.120 533.120
MAT7003372 73295 HEMOSPRAY 10 1.036.252 1.036.252 1.036.252 1.036.252 1.036.252 1.036.252
MAT7003373 73296 MULTILIGADOR 12 616.420 616.420 616.420 616.420 616.420 616.420
MAT7003374 73297 CAP VERDE C/ TIP ABS FL 1.1MM 8065750518 33.162 33.162 33.162 33.162 33.162 33.162
MAT7002652 73298 CENTURION ULTRAVIT 23G 197.790 197.790 197.790 197.790 197.790 197.790
MAT7002740 73299 TIP MINI FLARED KELMAN 30° 8065750852 31.895 31.895 31.895 31.895 31.895 31.895
MAT7000738 73300 MANIFOLD 2 LLAVES 13.090 13.090 13.090 13.090 13.090 13.090
MAT7002959 73301 TROCAR OSTEOCLISIS 45MM C/ESTABILIZADOR 247.330 247.330 247.330 247.330 247.330 247.330
MAT7002960 73303 TROCAR OSTEOCLISIS 25MM C/ESTABILIZADOR 247.330 247.330 247.330 247.330 247.330 247.330
MAT7000739 73304 CONECTOR DE ALTA PRESION 1200 PSI 15.446 15.446 15.446 15.446 15.446 15.446
MAT7002961 73305 TROCAR OSTEOCLISIS 15MM C/ESTABILIZADOR 285.667 285.667 285.667 285.667 285.667 285.667
MAT7003007 73310 INMOVILIZADOR DEDO ADULTO TALLA S 6.393 6.393 6.393 6.393 6.393 6.393
MAT7003008 73311 INMOVILIZADOR DEDO ADULTO TALLA M 6.393 6.393 6.393 6.393 6.393 6.393
MAT7003009 73312 INMOVILIZADOR DEDO ADULTO TALLA L 5.419 5.419 5.419 5.419 5.419 5.419
MAT7003011 73313 ORTESIS DEDO PULGAR DERECHO TALLA S 14.687 14.687 14.687 14.687 14.687 14.687
MAT7000740 73321 INTRODUCTOR 9FR 43.982 43.982 43.982 43.982 43.982 43.982
MAT7000742 73326 GUIA RADIOFOCUS RECTA 035X150 CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003012 73328 ORTESIS DEDO PULGAR IZQUIERDO TALLA S 13.352 13.352 13.352 13.352 13.352 13.352
MAT7000743 73330 TORCADOR 10.734 10.734 10.734 10.734 10.734 10.734
MAT7000744 73331 INTRODUCTOR 5FR 43.982 43.982 43.982 43.982 43.982 43.982
MAT7000745 73332 INTRODUCTOR 6FRX10 CM 43.982 43.982 43.982 43.982 43.982 43.982
MAT7000746 73333 INTRODUCTOR 7FR 43.982 43.982 43.982 43.982 43.982 43.982
MAT7000747 73334 AGUJA PUNCION PERCUTANEA 18-7. 4.974 4.974 4.974 4.974 4.974 4.974
MAT7003013 73335 ORTESIS DEDO PULGAR DERECHO TALLA M 14.687 14.687 14.687 14.687 14.687 14.687
MAT7000751 73345 INTRODUCTOR 8FR 43.982 43.982 43.982 43.982 43.982 43.982
MAT7003014 73346 ORTESIS DEDO PULGAR IZQUIERDO TALLA M 14.294 14.294 14.294 14.294 14.294 14.294
MAT7000752 73347 CAT.DIAG. MAMARIO 5FR 43.197 43.197 43.197 43.197 43.197 43.197
MAT7000754 73351 GUIA RADIFOCUS 0.35X180 CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7000755 73352 INTRODUCTOR 10FR 43.982 43.982 43.982 43.982 43.982 43.982
MAT7000757 73359 GUIA J 035X150 CM 51.234 51.234 51.234 51.234 51.234 51.234
MAT7003015 73363 ORTESIS DEDO PULGAR DERECHO TALLA L 14.687 14.687 14.687 14.687 14.687 14.687
MAT7003016 73366 ORTESIS DEDO PULGAR IZQUIERDO TALLA L 14.294 14.294 14.294 14.294 14.294 14.294
MAT7003017 73371 ORTESIS P/ TUNEL CARPIANO AMBIDIESTRO 14.294 14.294 14.294 14.294 14.294 14.294
MAT7003375 73373 TIP/PUNTAULTRAS 30D R1.1MM FL 8065740806 44.215 44.215 44.215 44.215 44.215 44.215
MAT7003383 73374 BYPASS FONASA PAD MEDTRONIC 1.729.308 1.729.308 1.729.308 1.729.308 1.729.308 1.729.308
MAT7003384 73376 MANGA FONASA PAD MEDTRONIC 1.729.308 1.729.308 1.729.308 1.729.308 1.729.308 1.729.308
MAT7003385 73377 OMNI SET TPE 0.5 COD: 7211153 566.440 566.440 566.440 566.440 566.440 566.440
MAT7003387 73379 PUNZON COD: 7210151 2.094 2.094 2.094 2.094 2.094 2.094
MAT7003388 73380 OMNIBAG COD: 7212065 17.672 17.672 17.672 17.672 17.672 17.672
MAT7003391 73381 ETHIBOND 2-0 30 SH-1 REF.KV15G 131.094 131.094 131.094 131.094 131.094 131.094
MAT7003392 73382 PROLENE 2-0 KS REF.8623H 4.451 4.451 4.451 4.451 4.451 4.451
MAT7003395 73383 VICRYL RAPID 2-0 REF.KVR14G 12.807 12.807 12.807 12.807 12.807 12.807
MAT7003396 73384 ETHIBOND 2-0 30 RB-1 REF.AKV15G 152.540 152.540 152.540 152.540 152.540 152.540
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003397 73386 PDS PLUS 2-0 SH REF.PDP317 9.598 9.598 9.598 9.598 9.598 9.598
MAT7003398 73391 VICRYL 1 150CM REF. JS617H 5.231 5.231 5.231 5.231 5.231 5.231
MAT7003399 73392 VICRYL RAPID 3-0 SH-1 REF.VR2190G 10.956 10.956 10.956 10.956 10.956 10.956
MAT7000759 73393 TUBO ENDOTRAQ.RAE ORAL C/CUFF 5.5 11.051 11.051 11.051 11.051 11.051 11.051
MAT7003400 73394 VICRYL RAPID 5-0 RB-1 REF.VR2130G 12.661 12.661 12.661 12.661 12.661 12.661
MAT7003390 73395 SUTURA STRATAFIX PDS 1 REF.SXPP1A400 53.130 53.130 53.130 53.130 53.130 53.130
MAT7003401 73396 VYCRYL O V-34 REF. VR9963G 8.412 8.412 8.412 8.412 8.412 8.412
MAT7003402 73402 PDS 5/0 P-2 REF- Z503G 32.173 32.173 32.173 32.173 32.173 32.173
MAT7003403 73403 PROLENE 2-0 CT1 REF.8423T 7.286 7.286 7.286 7.286 7.286 7.286
MAT7003404 73404 PROLENE 3/0 V-5 REF.8936H 24.887 24.887 24.887 24.887 24.887 24.887
MAT7003405 73405 PROLENE 5-0 2TF1 REF.7831T 21.941 21.941 21.941 21.941 21.941 21.941
MAT7000760 73406 CAT.DIAG. AL1 6 FR . 27.489 27.489 27.489 27.489 27.489 27.489
MAT7000761 73407 CAT.DIAG . AL2 6 FR 43.197 43.197 43.197 43.197 43.197 43.197
MAT7003406 73409 PROLENE 6/0 P-1 REF. 8697T 14.569 14.569 14.569 14.569 14.569 14.569
MAT7003407 73410 PROLENE 4-0 C-1 REF. 9706H 20.206 20.206 20.206 20.206 20.206 20.206
MAT7003408 73411 ETHIBOND 2-0 RB-1 REF.B-553 10.291 10.291 10.291 10.291 10.291 10.291
MAT7003409 73412 ACIFLEX 4 CCS REF.M652G 38.186 38.186 38.186 38.186 38.186 38.186
MAT7003410 73413 PROLENE 4-0 2TF REF. 8204T 11.503 11.503 11.503 11.503 11.503 11.503
MAT7003411 73414 PROLENE 7-0 CC REF.8704T 19.397 19.397 19.397 19.397 19.397 19.397
MAT7003389 73415 OMNISET 1,6 COD: 7211370 352.240 352.240 352.240 352.240 352.240 352.240
MAT7000763 73416 CAT.DIAG. FR 3.5 5 FR . 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000764 73417 CAT.DIAGNOSTICO JL 3.5 5 FR 51.051 51.051 51.051 51.051 51.051 51.051
MAT7000765 73418 CAT.DIAG.JL4 5 FR 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000766 73419 CAT.DIAG. JR4 5 FR 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000770 73424 CAT.DIAG . MULTIPROPOSITO 5 FR 115.192 115.192 115.192 115.192 115.192 115.192
MAT7003440 73425 SET DE BYPASS JENNER 1.616.020 1.616.020 1.616.020 1.616.020 1.616.020 1.616.020
MAT7003441 73426 SET DE MANGA JENNER 1.713.498 1.713.498 1.713.498 1.713.498 1.713.498 1.713.498
MAT7003443 73427 SONDA F SOFTSIMPLAS 3V 22FR 75CC C (M) 39.244 39.244 39.244 39.244 39.244 39.244
MAT7003444 73428 SONDA F SOFTSIMPLAS 3V 24FR 75CC C (M) 36.626 36.626 36.626 36.626 36.626 36.626
MAT7003445 73432 SONDA F SOFTSIMPLAS 3V 22FR 75CC D (M) 34.008 34.008 34.008 34.008 34.008 34.008
MAT7003446 73433 SONDA F SOFTSIMPLAS 3V 24FR 75CC D (M) 34.008 34.008 34.008 34.008 34.008 34.008
MAT7003447 73434 LECTOR FREESTYLE LIBRE 89.012 89.012 89.012 89.012 89.012 89.012
MAT7003412 73435 BOTA DE MARCHA M 8-10 40.841 40.841 40.841 40.841 40.841 40.841
MAT7003413 73437 BOTA DE MARCHA S 4-6 40.841 40.841 40.841 40.841 40.841 40.841
MAT7003414 73438 BOTA DE MARCHA L 12-14 40.841 40.841 40.841 40.841 40.841 40.841
MAT7000774 73444 CAT.DIAG. AR 1 6 FR . 31.416 31.416 31.416 31.416 31.416 31.416
MAT7000775 73446 CAT.DIAG. MULTIPROPOSITO 6 FR. 31.416 31.416 31.416 31.416 31.416 31.416
MAT7003415 73450 FERULA DE CODO ROM DERECHA 86.394 86.394 86.394 86.394 86.394 86.394
MAT7000776 73452 JERINGA 1CC L-L (ARGET) 15.446 15.446 15.446 15.446 15.446 15.446
MAT7003416 73453 FERULA DE CODO ROM IZQ 86.394 86.394 86.394 86.394 86.394 86.394
MAT7003417 73454 FERULA DE DEDO Nº5.5 3.482 3.482 3.482 3.482 3.482 3.482
MAT4003209 73455 CANULA CADERA 8.5X110 MM 72200436 48.929 48.929 48.929 48.929 48.929 48.929
MAT7002748 73456 CASSETTE OFTALM. CENTURION 8065752182 109.838 109.838 109.838 109.838 109.838 109.838
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7002754 73457 TIP POLIMERO 80657512 8065751512 21.452 21.452 21.452 21.452 21.452 21.452
MAT7003150 73458 FILTRO ULPA CIRUGIA LAPARO #0620030100 50.391 50.391 50.391 50.391 50.391 50.391
MAT7003151 73459 LANCETAS MULTITEST MH-BLK 6.108 6.108 6.108 6.108 6.108 6.108
MAT7003152 73460 STERI DRAPE IOBAN 60X35 CMS #6640EZ 26.691 26.691 26.691 26.691 26.691 26.691
MAT7003418 73461 INM. DE CLAVICULA 4-6 11.231 11.231 11.231 11.231 11.231 11.231
MAT7003419 73462 INM. DE CODO 4- 6 7.069 7.069 7.069 7.069 7.069 7.069
MAT7003420 73463 INM. DE DEDO MEDIO 12-14 7.592 7.592 7.592 7.592 7.592 7.592
MAT7003164 73464 APOSITO ESPUMA HIDROFILICA 10X20CM 18.326 18.326 18.326 18.326 18.326 18.326
MAT7003421 73465 INM. DE RODILLA 4-6 25.918 25.918 25.918 25.918 25.918 25.918
MAT7003422 73466 INM. DE RODILLA 8-10 25.918 25.918 25.918 25.918 25.918 25.918
MAT7003423 73467 ORTESIS DE MUÑECA CON DEDO DER L 23.065 23.065 23.065 23.065 23.065 23.065
MAT7002238 73469 GEL LUBRICANTE ESTERIL POMO 5G OPTILUBE 1.728 1.728 1.728 1.728 1.728 1.728
MAT7002011 73471 OXIG. MAQUET ADULTO #BE-PLS2050 4.317.406 4.317.406 4.317.406 4.317.406 4.317.406 4.317.406
MAT7002014 73474 OXIG. EUROSET ADULTO #EU5019 1.332.800 1.332.800 1.332.800 1.332.800 1.332.800 1.332.800
MAT7002015 73475 LINEA OXIG. EUROSET ADULTO #EU70316 380.800 380.800 380.800 380.800 380.800 380.800
MAT7002017 73476 OXIG. EUROSET PEDIATRICO #EU5045 1.649.340 1.649.340 1.649.340 1.649.340 1.649.340 1.649.340
MAT7002018 73477 LINEA OXIG. EUROSET PEDIATRICO #AG7493 380.800 380.800 380.800 380.800 380.800 380.800
MAT7002041 73519 RETRACTOR FLEXIBLE DE IRIS 126.580 126.580 126.580 126.580 126.580 126.580
MAT7002044 73522 CUCHILLETE 2.75MM MANI 16.493 16.493 16.493 16.493 16.493 16.493
MAT7002046 73524 APOSITO PROTECTOR DE OJO 804 804 804 804 804 804
MAT7002051 73528 VENDA ELASTICADA 5CM 1.045 1.045 1.045 1.045 1.045 1.045
MAT7002052 73529 PRONEVIEW INSERTO ADULTO 143.990 143.990 143.990 143.990 143.990 143.990
MAT7002053 73530 PRONEVIEW INSERTO PEDIATRICO 117.810 117.810 117.810 117.810 117.810 117.810
MAT7002054 73531 COJIN ABDUCTOR DE HOMBRO 70.686 70.686 70.686 70.686 70.686 70.686
MAT7002055 73532 AGUJA EPIDURAL C/ BISEL TUOHY 14.137 14.137 14.137 14.137 14.137 14.137
MAT7002057 73533 KIT MANGA P/ ECOGRAFO 122CM 10.996 10.996 10.996 10.996 10.996 10.996
MAT7002059 73534 TORNILLO DISTRACTOR-CERVIC ACERO 14MM 154.941 154.941 154.941 154.941 154.941 154.941
MAT7002061 73536 SPLINT NASAL LARGE 87.250 87.250 87.250 87.250 87.250 87.250
MAT7002120 73537 SPLINT NASAL SMALL 87.250 87.250 87.250 87.250 87.250 87.250
MAT7002062 73538 SPLINT NASAL SEPTAL DE SILICONA DOYLE II 65.269 65.269 65.269 65.269 65.269 65.269
MAT7002063 73539 CATETER LEADER-FLEX 22G X 4CM #121204 67.414 67.414 67.414 67.414 67.414 67.414
MAT7002064 73540 CLIP DE POLIMERO XL DORADO #0301-03XL 36.652 36.652 36.652 36.652 36.652 36.652
MAT7002066 73541 CLIP DE POLIMERO L MORADO #0301-03L 37.961 37.961 37.961 37.961 37.961 37.961
MAT7002067 73542 AGUJA ENDOSONOGRAFIA BRONQUIAL 0.7MM/22G 304.259 304.259 304.259 304.259 304.259 304.259
MAT7002069 73543 ARGON HANDSET 149.226 149.226 149.226 149.226 149.226 149.226
MAT7002070 73544 CABLE P/ PINZA BIPOLAR 7.815 7.815 7.815 7.815 7.815 7.815
MAT7002071 73545 CAPROSYN 4/0 #CV23 5.498 5.498 5.498 5.498 5.498 5.498
MAT7002074 73547 ELECTRODO HOOK P/ ARTROSCOPIA DE TOBILLO 25.526 25.526 25.526 25.526 25.526 25.526
MAT7002075 73548 KIT COLECISTECTMIA 127.235 127.235 127.235 127.235 127.235 127.235
MAT7002077 73549 PLACA NEONATAL 19.635 19.635 19.635 19.635 19.635 19.635
MAT7002078 73550 LAPIZ MARCADOR ROYAL 1.754 1.754 1.754 1.754 1.754 1.754
MAT7002080 73551 BLOQUEO MORDIDA LIBRE DE LATEX 7.854 7.854 7.854 7.854 7.854 7.854
MAT7002081 73552 CLIP MEDIUM ROJO HORIZON 7.854 7.854 7.854 7.854 7.854 7.854
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7002082 73553 CLIP MEDIUM CELESTE HORIZON 7.854 7.854 7.854 7.854 7.854 7.854
MAT7002083 73554 FERULA NASAL TERMOPLASTICA LARGE 33.772 33.772 33.772 33.772 33.772 33.772
MAT7002084 73555 FERULA NASAL TERMOPLASTICA SMALL 33.772 33.772 33.772 33.772 33.772 33.772
MAT7002085 73556 FERULA NASAL TERMOPLASTICA REGULAR 33.772 33.772 33.772 33.772 33.772 33.772
MAT7002090 73561 SET ELECTRODO QUIK-COMBO PEDIATRICO 189.831 189.831 189.831 189.831 189.831 189.831
MAT7002091 73562 JERINGA TOOMEY C/ PERA VERDE 41.888 41.888 41.888 41.888 41.888 41.888
MAT7002092 73563 SPONGOSTAN STANDARD 7X5X1CM 8.817 8.817 8.817 8.817 8.817 8.817
MAT7002093 73564 SPONGOSTAN STANDARD 20X7X0.05CM 12.053 12.053 12.053 12.053 12.053 12.053
MAT7002095 73565 ENDOLOOP PDS II CAJA #EZ10G 60.994 60.994 60.994 60.994 60.994 60.994
MAT7002096 73566 CINTA TAPE SCANLAN CELESTE 8.529 8.529 8.529 8.529 8.529 8.529
MAT7002098 73567 CINTA TAPE SCANLAN ROJA REF 1001-76 8.529 8.529 8.529 8.529 8.529 8.529
MAT7002099 73568 ELECTROCAUTERIO ST. JUDE MEDICAL 130.900 130.900 130.900 130.900 130.900 130.900
MAT7002100 73569 HEARTSTRING AORTICO 869.438 869.438 869.438 869.438 869.438 869.438
MAT7002101 73570 MEMBRANA CORTEX 20 49.742 49.742 49.742 49.742 49.742 49.742
MAT7002102 73571 HEMOFILTRO 0.9M2 CON LINEAS 209.440 209.440 209.440 209.440 209.440 209.440
MAT7002105 73574 CONTADOR DE AGUJAS DOBLE MAGNETO 60-120 5.186 5.186 5.186 5.186 5.186 5.186
MAT7002106 73575 POWER PICC 5FR DOBLE LUMEN SIN SHERLOCK 194.728 194.728 194.728 194.728 194.728 194.728
MAT7002107 73576 CATETER PORT A CARTH LOW PROFILE 5.8FR 423.107 423.107 423.107 423.107 423.107 423.107
MAT7002108 73577 KIT AUTOLONG 437.325 437.325 437.325 437.325 437.325 437.325
MAT7002109 73578 SET DE CARDIOPLEGIA MGMT 40.305 40.305 40.305 40.305 40.305 40.305
MAT7002110 73579 KIT DE TORNIQUETE 14CM 16.493 16.493 16.493 16.493 16.493 16.493
MAT7002111 73580 ASPIRADOR FLEXIBLE 20FR 68.723 68.723 68.723 68.723 68.723 68.723
MAT7002121 73581 TUBO DE ASPIRACION 33.424 33.424 33.424 33.424 33.424 33.424
MAT7002124 73583 LICOX 1.899.943 1.899.943 1.899.943 1.899.943 1.899.943 1.899.943
MAT7002126 73585 CATETER PUNTA ABIERTA 6FR X70 20.944 20.944 20.944 20.944 20.944 20.944
MAT7002127 73586 HIDROGEL POMO 30GR 15.119 15.119 15.119 15.119 15.119 15.119
MAT7002128 73587 SURGILAV 81.158 81.158 81.158 81.158 81.158 81.158
MAT7002129 73588 GLIDE WIRE 0.035X150 RECTA 91.630 91.630 91.630 91.630 91.630 91.630
MAT7002130 73589 SISTEMA EXTRACTOR DE VENAS VIRTUOSAPH 749.700 749.700 749.700 749.700 749.700 749.700
MAT7002131 73590 CUBETA 3/8X3/8 103.411 103.411 103.411 103.411 103.411 103.411
PRO4002985 73593 COLECTOR HUESO 3/16 A 9 #B-COLLECTOR-1 264.691 264.691 264.691 264.691 264.691 264.691
PRO4002986 73594 CORTADOR CARBURO ACANALADA #MHD-15C-G1 270.395 270.395 270.395 270.395 270.395 270.395
PRO4002987 73595 FRESA ESFERICA ESTRIADA D 2MM #MA15-2SB 270.395 270.395 270.395 270.395 270.395 270.395
PRO4002988 73596 FRESA ESFERICA ESTRIADA D 3MM #MA15-3SB 270.395 270.395 270.395 270.395 270.395 270.395
PRO4002989 73597 FRESA ESFERICA REVEST DIAMANTE #MA15-3SD 270.395 270.395 270.395 270.395 270.395 270.395
PRO4002990 73598 PERFORADOR CRANEO 14MM #261221 386.820 386.820 386.820 386.820 386.820 386.820
PRO4003001 73599 PERFORADOR CRANEO 9MM #261223 386.820 386.820 386.820 386.820 386.820 386.820
PRO4003002 73600 PUNTA BELLOTA ACANALADA 5MM #M-5AC-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003003 73601 PUNTA CERILLO ACANALADA 3MM #L-8NS-G1 270.395 270.395 270.395 270.395 270.395 270.395
PRO4003004 73602 PUNTA CERILLO ACANALADA 3MM #M-8NS-G1 270.395 270.395 270.395 270.395 270.395 270.395
PRO4003005 73603 PUNTA CERILLO DIAMANTE 3.2MM #L-8NSD-G1 270.395 270.395 270.395 270.395 270.395 270.395
PRO4003006 73604 PUNTA REDONDA ACANALADA 2MM #M-2B-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003007 73605 PUNTA REDONDA ACANALADA 3MM #M-3B-G1 344.139 344.139 344.139 344.139 344.139 344.139
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4003008 73606 PUNTA REDONDA ACANALADA 4MM #L-4B-G1 270.395 270.395 270.395 270.395 270.395 270.395
PRO4003009 73607 PUNTA REDONDA ACANALADA 5MM #L-5B-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003010 73608 PUNTA REDONDA ACANALADA 5MM #S-5B-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003011 73609 PUNTA REDONDA ACANALADA 6MM #S-6B-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003012 73610 PUNTA REDONDA DIAMANTE 2MM #M-2D-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003013 73611 PUNTA REDONDA DIAMANTE 3MM #M-3D-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003014 73612 PUNTA REDONDA DIAMANTE 3MM #M-4B-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003015 73613 PUNTA REDONDA DIAMANTE 4MM #M-4D-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003016 73614 ROUTER ACANALADO 1.4X12.8MM #P-CRN-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003017 73615 ROUTER ACANALADO 1.85X16MM #A-CRN-G1 344.139 344.139 344.139 344.139 344.139 344.139
PRO4003018 73616 ROUTER ACANALADO 2.5X25.4MM #L-CRN-G1 344.139 344.139 344.139 344.139 344.139 344.139
MAT7002217 73617 ANCLA OSTEORAPTOR 2.3MM #72201993 554.344 554.344 554.344 554.344 554.344 554.344
MAT7002941 73619 COLLAR CERVICAL MIAMI JEROME ADULTO 123.046 123.046 123.046 123.046 123.046 123.046
MAT7002943 73620 COLLAR CERVICAL MIAMI JEROME PED 6-12 A. 123.046 123.046 123.046 123.046 123.046 123.046
MAT7002944 73621 OXIGENADOR ADULTO C/FILTRO ARTERIAL 433.160 433.160 433.160 433.160 433.160 433.160
MAT7002945 73622 TUBULADURA PARA OXIGENADOR 285.600 285.600 285.600 285.600 285.600 285.600
MAT7003424 73623 ORTESIS DE MUÑECA CON DEDO DER M 23.065 23.065 23.065 23.065 23.065 23.065
MAT7003425 73624 ORTESIS DE MUÑECA CON DEDO DER S 23.065 23.065 23.065 23.065 23.065 23.065
MAT7003426 73625 ORTESIS DE MUÑECA CON DEDO IZQ M 23.065 23.065 23.065 23.065 23.065 23.065
MAT7003427 73626 ORTESIS DE MUÑECA CON DEDO IZQ S 23.065 23.065 23.065 23.065 23.065 23.065
MAT7003428 73627 RODILLERA ROM L 128.282 128.282 128.282 128.282 128.282 128.282
MAT7003429 73628 RODILLERA ROM M 128.282 128.282 128.282 128.282 128.282 128.282
MAT7003430 73629 RODILLERA ROM S 128.282 128.282 128.282 128.282 128.282 128.282
MAT7003431 73630 RODILLERA ROM XL 128.282 128.282 128.282 128.282 128.282 128.282
MAT7003432 73631 SOPORTE CODO EPIBRACE 73.697 73.697 73.697 73.697 73.697 73.697
MAT7003433 73632 TALONERA S/ ESPOLON A (ANTI-IMPACTO) 26.070 26.070 26.070 26.070 26.070 26.070
MAT7003435 73633 TALONERA S/ ESPOLON B (ANTI-IMPACTO) 26.070 26.070 26.070 26.070 26.070 26.070
MAT7003436 73634 TALONERA S/ ESPOLON C (ANTI-IMPACTO) 26.070 26.070 26.070 26.070 26.070 26.070
MAT7003437 73635 ZAPATO DARCO L (OQ3B) 74.534 74.534 74.534 74.534 74.534 74.534
MAT7003438 73636 ZAPATO DARCO M (OQ2B) 74.534 74.534 74.534 74.534 74.534 74.534
MAT7003439 73637 ZAPATO DARCO S (OQ1B) 74.534 74.534 74.534 74.534 74.534 74.534
MAT7003470 73638 FRESA CORTANTE ESTÁNDAR 5MM 227.547 227.547 227.547 227.547 227.547 227.547
MAT7003471 73639 FRESA CORTANTE ESTÁNDAR 4MM 227.547 227.547 227.547 227.547 227.547 227.547
MAT7003472 73640 FRESA CORTANTE ESTÁNDAR 3MM 227.547 227.547 227.547 227.547 227.547 227.547
MAT7003473 73641 FRESA CORTANTE ESTÁNDAR 2,5MM 227.547 227.547 227.547 227.547 227.547 227.547
MAT7003474 73642 FRESA CORTANTE ESTÁNDAR 2MM 227.547 227.547 227.547 227.547 227.547 227.547
MAT7003475 73643 FRESA CORTANTE ESTÁNDAR 1MM 227.547 227.547 227.547 227.547 227.547 227.547
MAT7003476 73644 FRESA CORTANTE CARBURO 5MM 363.230 363.230 363.230 363.230 363.230 363.230
MAT7003477 73645 FRESA CORTANTE CARBURO 3MM 363.230 363.230 363.230 363.230 363.230 363.230
MAT7003478 73646 FRESA DIAMANTE FINO 2MM 245.997 245.997 245.997 245.997 245.997 245.997
MAT7003479 73647 FRESA DIAMANTE MEDIANO 2MM 248.457 248.457 248.457 248.457 248.457 248.457
MAT7003480 73648 FRESA DIAMANTE GRUESO (COARSE) 5MM 245.997 245.997 245.997 245.997 245.997 245.997
MAT7003481 73649 FRESA DIAMANTE GRUESO (COARSE) 4MM 245.997 245.997 245.997 245.997 245.997 245.997
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003482 73650 FRESA DIAMANTE GRUESO (COARSE) 3MM 276.746 276.746 276.746 276.746 276.746 276.746
MAT7003483 73651 FRESA DIAMANTE GRUESO (COARSE) 2MM 276.746 276.746 276.746 276.746 276.746 276.746
MAT7003484 73652 FRESA DIAMANTE GRUESO (COARSE) 1MM 276.746 276.746 276.746 276.746 276.746 276.746
MAT7003485 73653 FRESA DIAMANTE EXTRA COARSE 5MM 276.746 276.746 276.746 276.746 276.746 276.746
MAT7003486 73654 FRESA DIAMANTE EXTRA COARSE 4MM 276.746 276.746 276.746 276.746 276.746 276.746
MAT7003487 73655 FRESA CURVA PROTEGIDA CORTANTE 2MM 1.017.043 1.017.043 1.017.043 1.017.043 1.017.043 1.017.043
MAT7003488 73656 FRESA CURVA PROTEGIDA DIAMANT GRUESO 2MM 1.097.761 1.097.761 1.097.761 1.097.761 1.097.761 1.097.761
MAT7003489 73657 LINEA IRRIGACION MRB ENT FRESAS RECTAS 913.078 913.078 913.078 913.078 913.078 913.078
MAT7003490 73658 LINEA IRRIGACION MRB ENT FRESAS CURVAS 904.038 904.038 904.038 904.038 904.038 904.038
MAT7003491 73659 AMBU DESECHABLE NEONATAL 50.323 50.323 50.323 50.323 50.323 50.323
MAT7003554 73660 PROLENE 3-0 8534H 15.708 15.708 15.708 15.708 15.708 15.708
PRO4004448 73661 HYALOFAST 2X2 1.466.080 1.466.080 1.466.080 1.466.080 1.466.080 1.466.080
MAT7003555 73662 AGUJAS BIOPSIA 18X9 CM SIN COAXIAL 70.686 70.686 70.686 70.686 70.686 70.686
MAT7003556 73663 AGUJAS BIOPSIA 18X15 CM SIN COAXIAL 70.686 70.686 70.686 70.686 70.686 70.686
MAT7003557 73664 INTROD.COAXIAL 17GX10.6CM MDMCXS1816AX 34.034 34.034 34.034 34.034 34.034 34.034
MAT7003558 73665 AGUJAS BIOPSIA 20X20 CM CON COAXIAL 83.776 83.776 83.776 83.776 83.776 83.776
MAT7003559 73666 AGUJAS BIOPSIA 11X4 ÓSEA 96.866 96.866 96.866 96.866 96.866 96.866
MAT7003560 73667 DRENAJE PERC ONE STEP 6 FR.15CM MULT 234.311 234.311 234.311 234.311 234.311 234.311
MAT7002668 73668 VALVULAS PARA CANAL DE TRABAJO DESECHAB 4.974 4.974 4.974 4.974 4.974 4.974
MAT7003562 73669 DRENAJE PERC ONE STEP 6 FR.25CM MULT 234.311 234.311 234.311 234.311 234.311 234.311
MAT7003563 73670 DRENAJE PERC ONE STEP 8 FR.30CM MULTIP 234.311 234.311 234.311 234.311 234.311 234.311
MAT7003111 73671 RASTREADOR DE INSTRUMENTAL #9733533 267.843 267.843 267.843 267.843 267.843 267.843
MAT4003972 73673 KIT IMH LAPARO GINE S/BOLSA 277.984 277.984 277.984 277.984 277.984 277.984
MAT4003973 73674 BOLSA EXTRACTORA 130X180MM #PS3443 99.196 99.196 99.196 99.196 99.196 99.196
MAT4003974 73675 BOLSA EXTRACTORA 190X230MM #PS3444 193.444 193.444 193.444 193.444 193.444 193.444
MAT4003981 73676 BOLSA EXTRACTORA 500ML #PS3401 44.480 44.480 44.480 44.480 44.480 44.480
MAT4003982 73677 HARMONICO HD 20CM #HARHD20 835.239 835.239 835.239 835.239 835.239 835.239
MAT4003983 73678 HARMONICO HD 36CM #HARHD36 835.239 835.239 835.239 835.239 835.239 835.239
MAT7003564 73679 DRENAJE PERC ONE STEP 10 FR.30CM MULT 234.311 234.311 234.311 234.311 234.311 234.311
MAT7003565 73680 DRENAJE PERC ONE STEP 12 FR.30CM MULT 234.311 234.311 234.311 234.311 234.311 234.311
MAT7003567 73681 DRENAJE PERC ONE STEP 14 FR.30CM MULT 234.311 234.311 234.311 234.311 234.311 234.311
MAT7003568 73682 BOLSAS DE DRENAJE URESIL 600 CC 41.888 41.888 41.888 41.888 41.888 41.888
MAT7003461 73683 BOTA DE MARCHA XS 91.682 91.682 91.682 91.682 91.682 91.682
MAT7003464 73684 FERULA DIGITAL DE EXTENSION L 110.343 110.343 110.343 110.343 110.343 110.343
MAT7003465 73685 FERULA DIGITAL DE EXTENSION M 110.343 110.343 110.343 110.343 110.343 110.343
MAT7003466 73686 FERULA DIGITAL DE EXTENSION S 110.343 110.343 110.343 110.343 110.343 110.343
MAT7003494 73687 FERULA OVAL #8 Nº10 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003495 73688 FERULA OVAL #8 Nº11 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003496 73689 FERULA OVAL #8 Nº4 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003497 73690 FERULA OVAL #8 Nº5 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003498 73691 FERULA OVAL #8 Nº6 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003499 73692 FERULA OVAL #8 Nº7 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003500 73693 FERULA OVAL #8 Nº8 29.950 29.950 29.950 29.950 29.950 29.950
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003501 73694 FERULA OVAL #8 Nº9 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003502 73695 FERULA OVAL #8 Nº12 29.950 29.950 29.950 29.950 29.950 29.950
MAT7003511 73696 INMOV. HOMBTO FORM FIT 246.390 246.390 246.390 246.390 246.390 246.390
MAT7003516 73697 INMV. DE RODILLA C/RANGO 220.485 220.485 220.485 220.485 220.485 220.485
MAT7003523 73698 RODILLERA C/ BARRAS LATERLS OSSUR L 82.137 82.137 82.137 82.137 82.137 82.137
MAT7003524 73699 RODILLERA C/ BARRAS LATERLS OSSUR M 82.137 82.137 82.137 82.137 82.137 82.137
MAT7003525 73700 RODILLERA C/ BARRAS LATERLS OSSUR S 82.137 82.137 82.137 82.137 82.137 82.137
MAT7003613 73701 PINZA DE BIOPSIA JUMBO 68.068 68.068 68.068 68.068 68.068 68.068
MAT7002706 73706 VICRYL 10/0 REFV448G 82.755 82.755 82.755 82.755 82.755 82.755
MAT7002707 73707 NYLON 9/0 REFW1769 38.474 38.474 38.474 38.474 38.474 38.474
MAT7002708 73708 SEDA 7/0 REF7733G 30.013 30.013 30.013 30.013 30.013 30.013
MAT7003210 73710 CANULA TQT C/ BALON 8.0 FR 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003211 73711 CANULA TQT C/ BALON 8.5 FR 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003212 73712 CANULA TQT C/ASPIRACION SUBLGOTICA 7.0 104.720 104.720 104.720 104.720 104.720 104.720
MAT7003213 73713 CANULA TQT C/ASPIRACION SUBLGOTICA 8.0 104.720 104.720 104.720 104.720 104.720 104.720
MAT7002714 73714 SUTURA GORETEX CV-8 (18) TTC-09 REF8J02A 75.922 75.922 75.922 75.922 75.922 75.922
MAT7002615 73715 ENDODIATERMIA 25 247.139 247.139 247.139 247.139 247.139 247.139
MAT7002717 73717 LAPIZ BORRADOR RECTO 221265 128.368 128.368 128.368 128.368 128.368 128.368
MAT7002720 73720 PROLENE 10/0 REF788G 41.940 41.940 41.940 41.940 41.940 41.940
MAT7002721 73721 PROLENE 10/0 REF1713G 115.873 115.873 115.873 115.873 115.873 115.873
MAT7003042 73742 ANTIFAZ HEATING PAD CONEXION USB 75.124 75.124 75.124 75.124 75.124 75.124
MAT7003033 73755 KIT BALON INTRAGASTRICO ELIPSE 2.042.063 2.042.063 2.042.063 2.042.063 2.042.063 2.042.063
MAT7003034 73756 ESTILETE DE INSTALACION BALON ELIPSE 65.549 65.549 65.549 65.549 65.549 65.549
MAT7003038 73757 S FOLEY 3 VIA COUVALIER N22 C/BALON 75ML 36.652 36.652 36.652 36.652 36.652 36.652
MAT7003037 73758 S FOLEY 3 VIA COUVALIER N24 C/BALON 75ML 36.652 36.652 36.652 36.652 36.652 36.652
MAT7003044 73759 PINZA COCODRILO 25G 250.719 250.719 250.719 250.719 250.719 250.719
MAT7003045 73760 MICROTIJERA 25G 705.52P 268.624 268.624 268.624 268.624 268.624 268.624
MAT7002762 73762 VALVULA BARVELD 516.960 516.960 516.960 516.960 516.960 516.960
MAT7003055 73765 GUIA RIGIDA RECTA 0,35X450CM RWHS-35451 257.040 257.040 257.040 257.040 257.040 257.040
MAT7003057 73766 CLIP DE HEMOSTASIA 16MM 230CM 149.750 149.750 149.750 149.750 149.750 149.750
MAT7002609 73769 LASER CONSTELLATION 25G 260.848 260.848 260.848 260.848 260.848 260.848
MAT7003170 73770 SET FACOFRAGMENTACION 67.256 67.256 67.256 67.256 67.256 67.256
MAT7001528 73789 CAT.VEN. CENTRAL 3 LUM. 7FR*20CM ARROW 57.334 57.334 57.334 57.334 57.334 57.334
MAT7002792 73792 CORNEAL LIGHT SHIELD 7.142 7.142 7.142 7.142 7.142 7.142
MAT7003198 73798 CANULA TQT C/ BALON 6.5 FR 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003199 73799 CANULA TQT C/ BALON 7.0 FR 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003214 73814 CANULA TQT C/ASPIRACION SUBLGOTICA 8.5 109.956 109.956 109.956 109.956 109.956 109.956
MAT7003215 73815 CANULA TQT XL DISTAL 8.0 CON BALON 109.956 109.956 109.956 109.956 109.956 109.956
MAT7003216 73816 CANULA TQT XL PROXIMAL 8.0 CON BALON 117.810 117.810 117.810 117.810 117.810 117.810
MAT7003217 73817 ENDOCANULA TQT XL 8.0 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003218 73818 ENDOCANULA TQT 6.5MM 13.090 13.090 13.090 13.090 13.090 13.090
MAT7003219 73819 ENDOCANULA TQT 7.0MM 13.090 13.090 13.090 13.090 13.090 13.090
MAT7003220 73820 ENDOCANULA TQT 8.0MM 13.875 13.875 13.875 13.875 13.875 13.875
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003221 73821 ENDOCANULA TQT 8.5MM 13.090 13.090 13.090 13.090 13.090 13.090
MAT7003124 73876 CAPNOGRAFO #XS04620 39.794 39.794 39.794 39.794 39.794 39.794
MAT7003125 73879 CIRCUITO DE VENTILACION #260128/03 180.642 180.642 180.642 180.642 180.642 180.642
MAT7003126 73880 VALVULA PEEP DESECHABLE 15.747 15.747 15.747 15.747 15.747 15.747
MAT7003127 73881 KIT SENSOR FLOW DUAL FLIGHT 60 96.342 96.342 96.342 96.342 96.342 96.342
MAT7003129 73883 CIRCUITO TRANSPORTE DRAGER 82.467 82.467 82.467 82.467 82.467 82.467
MAT7003155 73895 AMBU DESECHABLE ADULTO C/VALVULA PEEP 50.069 50.069 50.069 50.069 50.069 50.069
MAT7003102 73898 FIBRO DESECHABLE ASCOPE 4 REGULAR 5/2.2 632.247 632.247 632.247 632.247 632.247 632.247
MAT7003230 73902 FIBRA PIC NEUROVENT PTO2 + KIT INSTALACI 2.982.140 2.982.140 2.982.140 2.982.140 2.982.140 2.982.140
MAT7003021 73921 SUTURA BARBADA FILBOC 24MM ASU-FV089KHAT 117.810 117.810 117.810 117.810 117.810 117.810
MAT7000777 73981 ASA CORTE MONOPOLAR DES. #011110-10 84.056 84.056 84.056 84.056 84.056 84.056
MAT7000778 74001 TUBO DE ASPIRACION 5X8X3 MTS 1.872 1.872 1.872 1.872 1.872 1.872
MAT7000779 74002 SILICONA BLANDA DE 8X12 (3 MT) 10.210 10.210 10.210 10.210 10.210 10.210
MAT7000780 74004 TUBO SILICONA 6X9 (1.8MTS) 1.204 1.204 1.204 1.204 1.204 1.204
MAT4004444 74006 AGUJA 0.8X70MM KIRSCHNER IN2BONES K11NS0 15.029 15.029 15.029 15.029 15.029 15.029
MAT7003526 74007 RODILLERA C/ BARRAS LATERLS OSSUR XL 48.536 48.536 48.536 48.536 48.536 48.536
MAT7003528 74008 SOPORTE DE PULGAR DER. L 40.777 40.777 40.777 40.777 40.777 40.777
MAT7003529 74009 SOPORTE DE PULGAR DER. M 40.777 40.777 40.777 40.777 40.777 40.777
MAT7003530 74010 SOPORTE DE PULGAR DER. S 40.777 40.777 40.777 40.777 40.777 40.777
MAT7003531 74011 SOPORTE DE PULGAR IZQ. L 40.777 40.777 40.777 40.777 40.777 40.777
MAT7000781 74012 SONDA ASP.C/VAL CONTR. 6FR 340 340 340 340 340 340
MAT7003532 74022 SOPORTE DE PULGAR IZQ. M 40.777 40.777 40.777 40.777 40.777 40.777
MAT7000782 74029 GASA HIDROFI DOBLE 10CMX2.5MT ESTERIL 1.126 1.126 1.126 1.126 1.126 1.126
MAT7000783 74030 AGUJA KIRSCHNER 3.0X150 MM # 292.300 6.160 6.160 6.160 6.160 6.160 6.160
MAT7000784 74031 CAT. SIMPLE WALLACE #131181 24.871 24.871 24.871 24.871 24.871 24.871
MAT7000785 74032 SET FRYDMAN ULTRA SOFT 45.668 45.668 45.668 45.668 45.668 45.668
MAT7000786 74036 FILTRO EPIDURAL 10.996 10.996 10.996 10.996 10.996 10.996
MAT7000787 74038 DRENAJE PLEURAL C/PUNZON 28FR 30.107 30.107 30.107 30.107 30.107 30.107
MAT7000788 74040 DRENAJE PLEURAL C/PUNZON 24FR 30.107 30.107 30.107 30.107 30.107 30.107
MAT7000789 74042 DRENAJE PLEURAL C/PUNZON 20FR 30.107 30.107 30.107 30.107 30.107 30.107
MAT7003533 74043 SOPORTE DE PULGAR IZQ. S 40.777 40.777 40.777 40.777 40.777 40.777
MAT7000790 74044 DRENAJE PLEURAL C/PUNZON 16FR 30.107 30.107 30.107 30.107 30.107 30.107
MAT7000791 74045 SONDA FOLEY NELATON-2 VIAS 10 FR 3.068 3.068 3.068 3.068 3.068 3.068
MAT7000792 74048 SONDA FOLEY NELATON-2 VIAS 12 FR 2.024 2.024 2.024 2.024 2.024 2.024
MAT7000793 74050 SONDA FOLEY LATEX 2VIAS 14FR 1.969 1.969 1.969 1.969 1.969 1.969
MAT7000794 74052 SONDA FOLEY LATEX 2VIAS 20FR 1.927 1.927 1.927 1.927 1.927 1.927
MAT7000795 74054 SONDA FOLEY SILICONADA 2 VIAS 22 FR. 2.000 2.000 2.000 2.000 2.000 2.000
MAT7000796 74056 SONDA FOLEY NEATON-2 VIAS 24 FR 1.806 1.806 1.806 1.806 1.806 1.806
MAT7000797 74058 SONDA FOLEY SILICONA 3VIAS 16 FR 7.069 7.069 7.069 7.069 7.069 7.069
MAT7000798 74059 SONDA FOLEY SILICONA 3VIAS 18FR 20.918 20.918 20.918 20.918 20.918 20.918
MAT7000799 74060 SONDA FOLEY SILIC. 3VIAS20FR#ABC6 33.720 33.720 33.720 33.720 33.720 33.720
MAT7000800 74062 SONDA FOLEY SILICONA 3VIAS 22 FR 33.720 33.720 33.720 33.720 33.720 33.720
MAT7000801 74064 SONDA FOLEY SILICONA - 3 VIAS 24 FR 6.545 6.545 6.545 6.545 6.545 6.545
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000802 74068 SONDA FOLEY NELATON-2 VIAS 8 FR C/INTRO 17.692 17.692 17.692 17.692 17.692 17.692
MAT7000803 74072 CANULA YANKAHUER #34880 1.911 1.911 1.911 1.911 1.911 1.911
MAT7000804 74074 SONDA NELATON TRANSPARENTE 22 FR 275 275 275 275 275 275
MAT7000805 74080 TUBO ENDOTRAQUEAL S/CUFF 4.0 3.796 3.796 3.796 3.796 3.796 3.796
MAT7000806 74082 TUBO ENDOTRAQUEAL S/CUFF 4.5 2.225 2.225 2.225 2.225 2.225 2.225
MAT7000807 74084 TUBO ENDOTRAQUEAL S/CUFF 5.0 2.330 2.330 2.330 2.330 2.330 2.330
MAT7003536 74086 SOPORTE TENDON ROTULIANO L 57.799 57.799 57.799 57.799 57.799 57.799
MAT7003537 74088 SOPORTE TENDON ROTULIANO M 57.799 57.799 57.799 57.799 57.799 57.799
MAT7000809 74094 SONDA FOLEY NELATON-2 VIAS 16 FR 2.032 2.032 2.032 2.032 2.032 2.032
MAT7003538 74097 SOPORTE TENDON ROTULIANO S 57.799 57.799 57.799 57.799 57.799 57.799
MAT7000811 74100 SONDA FOLEY SILICONA 14FR 7.854 7.854 7.854 7.854 7.854 7.854
MAT7000812 74102 SONDA FOLEY SILICONA 2 VIAS 16FR 7.854 7.854 7.854 7.854 7.854 7.854
MAT7000813 74104 SONDA FOLEY SILICONA 2VIAS 18FR 7.854 7.854 7.854 7.854 7.854 7.854
MAT7003539 74121 TALONERA PARA ESPOLON A 20.040 20.040 20.040 20.040 20.040 20.040
MAT7003540 74136 TALONERA PARA ESPOLON B 20.040 20.040 20.040 20.040 20.040 20.040
MAT7003541 74185 TALONERA PARA ESPOLON C 20.040 20.040 20.040 20.040 20.040 20.040
MAT7003542 74186 TALONERA PARA ESPOLON D 20.040 20.040 20.040 20.040 20.040 20.040
MAT7003543 74187 TALONERA S/ ESPOLON D (ANTI-IMPACTO) 20.040 20.040 20.040 20.040 20.040 20.040
MAT7003544 74188 ZAP. PLANTILLA CON DESCARGA L 111.452 111.452 111.452 111.452 111.452 111.452
MAT7003545 74189 ZAP. PLANTILLA CON DESCARGA M 111.452 111.452 111.452 111.452 111.452 111.452
MAT7003190 74190 ESTABILIZADOR DE CABEZA PEDIATRICO 15.708 15.708 15.708 15.708 15.708 15.708
MAT7003546 74191 ZAP. PLANTILLA CON DESCARGA S 111.452 111.452 111.452 111.452 111.452 111.452
MAT7000823 74192 EXCILON AMD 10X10 P/TRAQUEOSTOMIA 526 526 526 526 526 526
MAT7001561 74196 SURGICEL SMOW 5.1X10.2 REF. #2092 194.297 194.297 194.297 194.297 194.297 194.297
MAT7001625 74197 SURGICEL ORIGINAL 10.2X20.3 (REF.# 1952) 35.555 35.555 35.555 35.555 35.555 35.555
MAT7001607 74198 SURGICEL FIBRILAR 10.2X10.2 (REF.# 4119 220.417 220.417 220.417 220.417 220.417 220.417
MAT7001587 74199 SURGICEL FIBRILAR 2.5X5.1 (REF.# 411961 136.123 136.123 136.123 136.123 136.123 136.123
MAT7001732 74200 PQTE BILATERAL EXTREMIDADES SUPERIORES 46.252 46.252 46.252 46.252 46.252 46.252
MAT7000065 74203 ADAPTADOR LUER #367300 325 325 325 325 325 325
MAT7003547 74209 ZAP. PLANTILLA CON DESCARGA XL 111.452 111.452 111.452 111.452 111.452 111.452
MAT7000825 74223 SONDA NELATON GOMA ROJA 28FR 890 890 890 890 890 890
MAT7001860 74224 KIT CIRCUITO ANESTESIA ADULTO 3MTS 37.961 37.961 37.961 37.961 37.961 37.961
MAT7001861 74225 KIT CIRCUITO ANESTESIA PEDIATRICO 3 MTS 37.961 37.961 37.961 37.961 37.961 37.961
MAT7001862 74226 BAIR HUGGER UNDERBODY ADULTO MODELO #635 42.579 42.579 42.579 42.579 42.579 42.579
MAT7001863 74227 BAIR HUGGER PEDIATRICO LARGE MODELO 550 42.579 42.579 42.579 42.579 42.579 42.579
MAT7001864 74228 BAIR HUGGER PEDIATRICO MODELO 555 42.579 42.579 42.579 42.579 42.579 42.579
MAT7001865 74229 BAIR HUGGER LITOTOMIA MODELO 585 42.579 42.579 42.579 42.579 42.579 42.579
MAT7000826 74230 BISTURI DESECHABLE # 10 552 552 552 552 552 552
MAT7002873 74232 VALVULA DE GLAUCOMA AHMED FP7 833.000 833.000 833.000 833.000 833.000 833.000
MAT7002889 74233 COBERTOR DE CAMARA 44.506 44.506 44.506 44.506 44.506 44.506
MAT7002890 74234 VENDAJE DE OIDO CON VELCRO 37.725 37.725 37.725 37.725 37.725 37.725
MAT7002891 74235 CEMENTO VIDRIO IONOMERO 172.788 172.788 172.788 172.788 172.788 172.788
MAT7002875 74236 JERINGA 60 ML CON BULBO 2.490 2.490 2.490 2.490 2.490 2.490
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003575 74237 ARNES FULL FACEPERFORMAX LARGE HEADGEAR 64.926 64.926 64.926 64.926 64.926 64.926
MAT7000827 74238 CANULA YANKAHUER #34980 1.911 1.911 1.911 1.911 1.911 1.911
PRO4002024 74239 ANILLO TRICUSPIDEO 26MM 881504 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610
PRO4002025 74240 ANILLO TRICUSPIDEO 28MM 881505 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610
PRO4002026 74241 ANILLO TRICUSPIDEO 30MM 881506 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610
PRO4002027 74242 ANILLO TRICUSPIDEO 32MM 881507 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610
PRO4002028 74243 ANILLO TRICUSPIDEO 34MM 881508 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610 1.688.610
PRO4002029 74244 VALVULA MAGNA EASY MITRAL 25MM 881489 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550
PRO4002041 74245 VALVULA MAGNA EASY MITRAL 29MM 881491 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550
PRO4002042 74246 VALVULA MAGNA EASY MITRAL 31MM 881492 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550
PRO4002043 74247 VALV PERIMOUNT MAGNA AORTICA 27MM 881485 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550 5.170.550
MAT7003581 74248 MASCARA L PERFORMAX SU INTL W/SE 216.390 216.390 216.390 216.390 216.390 216.390
MAT7003582 74249 FAJA DE OSTOMIA 3 BANDAS XL 31.416 31.416 31.416 31.416 31.416 31.416
MAT7003583 74250 FAJA DE OSTOMIA 4 BANDAS XL 36.390 36.390 36.390 36.390 36.390 36.390
MAT7003584 74251 FAJA DE OSTOMIA 3 BANDAS M 31.416 31.416 31.416 31.416 31.416 31.416
MAT7003585 74252 FAJA OSTOMIA 3 BANDAS L 31.416 31.416 31.416 31.416 31.416 31.416
MAT7003586 74253 FAJA POST OPERATORIA TALLA S 20.918 20.918 20.918 20.918 20.918 20.918
MAT7003587 74254 FAJA DE OSTOMIA 4 BANDAS L 36.390 36.390 36.390 36.390 36.390 36.390
MAT7003588 74255 FAJA DE OSTOMIA 4 BANDAS M 36.390 36.390 36.390 36.390 36.390 36.390
MAT7003589 74256 BOLSA LITTLE ONE CONVATEC 32MM 5.765 5.765 5.765 5.765 5.765 5.765
MAT7003591 74257 PLACA COLOSTOMIA LITTLE ONES 32 125016 7.655 7.655 7.655 7.655 7.655 7.655
MAT7003592 74258 BOLSA SONDA RECTAL FLEXISEAL 411108 18.944 18.944 18.944 18.944 18.944 18.944
MAT7003600 74259 SONDA FLEXISEAL 418000 348.707 348.707 348.707 348.707 348.707 348.707
MAT7003601 74260 BOLSAS NEOHELP MENOS DE 1 KG 26.154 26.154 26.154 26.154 26.154 26.154
MAT7000830 74261 CATETER CHECK FLOW 8.5 FR 115.867 115.867 115.867 115.867 115.867 115.867
MAT7000831 74262 SISTEMA PARA INYECCION EN FRIO 62.308 62.308 62.308 62.308 62.308 62.308
MAT7003602 74263 ACAPELLA CHOISE 27-7000 64.141 64.141 64.141 64.141 64.141 64.141
MAT7000832 74264 SET ARTERIA RADIAL 3FR 20G 49.742 49.742 49.742 49.742 49.742 49.742
MAT7003603 74267 CANULA TQT 4.5 SIN CUFF (REF 4.5 PED) 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003604 74271 SENSOR CABECERA OXINELLCOR MASXFAST 65.450 65.450 65.450 65.450 65.450 65.450
MAT7003605 74273 VALVULA FONACION C/PORTAL DE O2 26.180 26.180 26.180 26.180 26.180 26.180
MAT7003606 74274 PEZONERAS L +CAPSULA L 30.801 30.801 30.801 30.801 30.801 30.801
MAT7003608 74275 CUBETA DESECH CO2 ADULTO MP01062 35.893 35.893 35.893 35.893 35.893 35.893
MAT7000837 74277 COMPRESA CHICA 1.958 1.958 1.958 1.958 1.958 1.958
MAT7003619 74279 CAT VEN CENTRAL 4,5FR 3 L 12,5CM 1231122 173.312 173.312 173.312 173.312 173.312 173.312
MAT7003620 74280 CAT VENOSO CENTRAL 4FR 3 L 8CM 261.276 261.276 261.276 261.276 261.276 261.276
MAT7003621 74281 CATETER 4 FR 2L 13 CM (CS-14402) 201.324 201.324 201.324 201.324 201.324 201.324
MAT7003622 74282 CATETER 4 FR 3 L 13CM (14403) 218.960 218.960 218.960 218.960 218.960 218.960
MAT7000841 74283 GASA 2.5X2.5CM #MIX973 301 301 301 301 301 301
MAT7003623 74284 PARCHE ARCTIC SUN TALLA M 832.833 832.833 832.833 832.833 832.833 832.833
MAT7003624 74285 PARCHE ARTIC SUN TALLA L 864.654 864.654 864.654 864.654 864.654 864.654
MAT7000843 74287 GASA LARGA ANESTESIA NO ESTERIL#GLG241 348 348 348 348 348 348
MAT7000844 74288 ELECTRODOS ADULTO P/ECG (10 UND) 2.422 2.422 2.422 2.422 2.422 2.422
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003625 74290 PARCHE ARTIC SUN TALLA S 832.833 832.833 832.833 832.833 832.833 832.833
MAT7000847 74291 MANGA PLEGABLE 3 MT 1.579 1.579 1.579 1.579 1.579 1.579
MAT7003626 74292 SONDA FOLEY FR22 3 VIAS DUFOUR BALON 80 54.978 54.978 54.978 54.978 54.978 54.978
MAT7000849 74293 SONDA ASP. C/VALV.CONTR. 8FR 340 340 340 340 340 340
MAT7000850 74294 SONDA ASPIRACION C/VALV.CONTR. 10FR 340 340 340 340 340 340
MAT7003627 74295 CIRCUITO FPRT330 153.938 153.938 153.938 153.938 153.938 153.938
MAT7000851 74296 SONDA ASPIRACION C/VALV.CONTR. 12FR 340 340 340 340 340 340
MAT7000852 74297 MOCHILA LAPAROSCOPICA 5.760 5.760 5.760 5.760 5.760 5.760
MAT7000853 74299 MOCHILA SIMPLE 5.760 5.760 5.760 5.760 5.760 5.760
MAT7000854 74300 PACK ANGIOGRAFIA 69.785 69.785 69.785 69.785 69.785 69.785
MAT7003628 74301 ADAPTADOR OMNIFLEX 15 X 22 CM 3222 16.363 16.363 16.363 16.363 16.363 16.363
MAT7002019 74303 CAT. INTRAVENOSO TEFLON 18GX32MM #4035 895 895 895 895 895 895
MAT7002020 74304 CAT. INTRAVENOSO TEFLON 20G #4036 641 641 641 641 641 641
MAT7002021 74305 CAT. INTRAVENOSO TEFLON 20G #4039 641 641 641 641 641 641
MAT7002022 74306 CAT. INTRAVENOSO TEFLON 22G #4030 641 641 641 641 641 641
MAT7002023 74307 CAT. INTRAVENOSO TEFLON 24G #4033 641 641 641 641 641 641
MAT7002024 74308 TET C/ASPIRACION SUBGLOT. N 9.0 20.944 20.944 20.944 20.944 20.944 20.944
MAT7002025 74309 BOUGGIE PEDIATRICO 10FR 23.300 23.300 23.300 23.300 23.300 23.300
MAT7002026 74310 BOUGGIE PEDIATRICO 6FR 24.217 24.217 24.217 24.217 24.217 24.217
MAT7003629 74312 SENSOR TEMP.ESOF/RECTAL MOLEX CZ39409 30.631 30.631 30.631 30.631 30.631 30.631
MAT7003630 74313 CONECTOR TRAQ AIRVO HOPSITAL FPOPT970 98.960 98.960 98.960 98.960 98.960 98.960
MAT7003631 74314 CAT LUM DRENAJE EXT 46418 400.506 400.506 400.506 400.506 400.506 400.506
MAT7000865 74316 TROCAR LAPAROSC.EXCEL 12MM B12LT 195.623 195.623 195.623 195.623 195.623 195.623
MAT7000866 74317 TROCAR LAPAROSC. EXCEL 5MM B5LT 251.260 251.260 251.260 251.260 251.260 251.260
MAT7000867 74319 PAQUETE COMPRESA 5 UDS. ESTERIL 2.094 2.094 2.094 2.094 2.094 2.094
MAT7003632 74320 INTRODUCTOR PELABLE SILFLASH 2FR 64.141 64.141 64.141 64.141 64.141 64.141
MAT7002769 74321 PACK VITRECTOMIA 27G #PV1163S0014 599.260 599.260 599.260 599.260 599.260 599.260
MAT7000869 74322 BOLSA CAMARA FOTOGRAFICA 644 644 644 644 644 644
MAT7000870 74323 TUBULAR 2X90CM ESTERIL 2.170 2.170 2.170 2.170 2.170 2.170
MAT7000871 74324 TUBULAR 5X120CM ESTERIL 885 885 885 885 885 885
MAT7003633 74326 SACALECHE DESECHABLE AR127 38.485 38.485 38.485 38.485 38.485 38.485
MAT7000875 74328 BANDEJA ANESTESIA EST. 2.079 2.079 2.079 2.079 2.079 2.079
MAT7000877 74330 CIRCUITO ANESTESIA PED. UNIVERSAL FLEX 2 46.077 46.077 46.077 46.077 46.077 46.077
MAT7000879 74333 ELASTICO BILLETE ESTERIL(10UN) 403 403 403 403 403 403
MAT7000881 74335 CINTA ARTERIAL GRUESA 120CM. ESTERIL 1.089 1.089 1.089 1.089 1.089 1.089
PRO4000737 74384 TORNILLO BLOQUEO 4.5 x 25mm ref:71645425 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000738 74385 TORNILLO BLOQUEO 4.5 x 30mm ref:71645430 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000739 74386 TORNILLO BLOQUEO 4.5 x 35mm ref:71645435 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000740 74387 TORNILLO BLOQUEO 4.5 x 40mm ref:71645440 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000741 74388 TORNILLO BLOQUEO 4.5 x 45mm ref:71645445 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000742 74389 TORNILLO BLOQUEO 4.5 x 50mm ref:71645450 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000746 74393 PROTESIS NO VALV REC 24X15CM IGW0024-15 408.170 408.170 408.170 408.170 408.170 408.170
PRO4000751 74398 AGUJA GUIA PTA ROSCAD 3.2X343MM 71631436 142.624 142.624 142.624 142.624 142.624 142.624
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000756 74403 SIERRA ANG 105°7.0X11.5X0.4MM03.000.340S 270.040 270.040 270.040 270.040 270.040 270.040
PRO4000757 74404 CLAVO TRIG META TIB 11.5MMX30CM 71655230 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000758 74405 CLAVO TRIG META TIB 11.5MMX32CM 71655232 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000759 74406 CLAVO TRIG META TIB 11.5MMX34CM 71655234 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000760 74407 CLAVO TRIG META TIB 11.5MMX35CM 71655235 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000761 74408 CLAVO TRIG META TIB 11.5MMX36CM 71655236 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000762 74409 CLAVO TRIG META TIB 11.5MMX37CM 71655237 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000763 74410 CLAVO TRIG META TIB 11.5MMX38CM 71655238 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000764 74411 CLAVO TRIG META TIB 11.5MMX39CM 71655239 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000765 74412 CLAVO TRIG META TIB 11.5MMX40CM 71655240 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000766 74413 SSMETA SEMIEXTENDED DRILL GUIDE 71692803 762.873 762.873 762.873 762.873 762.873 762.873
PRO4000767 74414 SIERRA ANG 105°12X11.5X0.4MM 03.000.341S 270.040 270.040 270.040 270.040 270.040 270.040
PRO4000769 74416 CLAVO TRIG META TIB 8.5MMX24CM 71655024 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000770 74417 CLAVO TRIG META TIB 8.5MMX26CM 71655026 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000771 74418 CLAVO TRIG META TIB 8.5MMX28CM 71655028 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000772 74419 CLAVO TRIG META TIB 8.5MMX30CM 71655030 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000773 74420 CLAVO TRIG META TIB 8.5MMX32CM 71655032 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000774 74421 CLAVO TRIG META TIB 8.5MMX33CM 71655033 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000775 74422 CLAVO TRIG META TIB 8.5MMX34CM 71655034 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000776 74423 CLAVO TRIG META TIB 8.5MMX35CM 71655035 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000777 74424 CLAVO TRIG META TIB 8.5MMX36CM 71655036 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000778 74425 CLAVO TRIG META TIB 8.5MMX37CM 71655037 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000779 74426 CLAVO TRIG META TIB 8.5MMX38CM 71655038 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000781 74428 SIERRA ANG 105° 12X9.5X0.4MM 03.000.342S 270.040 270.040 270.040 270.040 270.040 270.040
PRO4000782 74429 SIERRA ANG 105° 12X4.5X0.4MM 03.000.343S 270.040 270.040 270.040 270.040 270.040 270.040
PRO4000783 74430 CLAVO TRIG META TIB 10MM X 28CM 71655128 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000784 74431 CLAVO TRIG META TIB 10MM X 30CM 71655130 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000785 74432 CLAVO TRIG META TIB 10MM X 32CM 71655132 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000786 74433 CLAVO TRIG META TIB 10MM X 34CM 71655134 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000787 74434 CLAVO TRIG META TIB 10MM X 35CM 71655135 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000788 74435 CLAVO TRIG META TIB 10MM X 36CM 71655136 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000789 74436 CLAVO TRIG META TIB 10MM X 37CM 71655137 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000790 74437 CLAVO TRIG META TIB 10MM X 38CM 71655138 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000791 74438 CLAVO TRIG META TIB 10MM X 39CM 71655139 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000792 74439 CLAVO TRIG META TIB 10MM X 40CM 71655140 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760 1.662.760
PRO4000800 74447 CEMENTO RALLY 40GR REF 55600012 94.940 94.940 94.940 94.940 94.940 94.940
PRO4000803 74450 VASTAGO FEMOR SYN NO CEM HO,10 71306110 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000804 74451 VASTAGO FEMOR SYN NO CEM HO,11 71306111 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000805 74452 VASTAGO FEMOR SYN NO CEM HO,12 71306112 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000806 74453 VASTAGO FEMOR SYN NO CEM HO,13 71306113 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000807 74454 VASTAGO FEMOR SYN NO CEM HO,14 71306114 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000808 74455 VASTAGO FEMOR SYN NO CEM HO,15 71306115 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000809 74456 VASTAGO FEMOR SYN NO CEM HO,16 71306116 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000810 74457 VASTAGO FEMOR SYN NO CEM HO,17 71306117 1.469.335 1.469.335 1.469.335 1.469.335 1.469.335 1.469.335
PRO4000814 74461 VASTAGO FEMOR SYN NO CEM HO,9 71306109 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000823 74470 BROCA TORNILLO COTILO MEDIANO 71362935 310.940 310.940 310.940 310.940 310.940 310.940
PRO4000825 74472 VASTAGO FEMORAL SYN NO CEM,13 71306613 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000826 74473 VASTAGO FEMORAL SYN NO CEM,14 71306614 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000827 74474 VASTAGO FEMORAL SYN NO CEM,15 71306615 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000828 74475 VASTAGO FEMORAL SYN NO CEM,16 71306616 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000829 74476 VASTAGO FEMORAL SYN NO CEM,17 71306617 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000830 74477 BROCA TORNILLO COTILO GRANDE 71362950 310.940 310.940 310.940 310.940 310.940 310.940
PRO4000831 74478 VASTAGO FEMORAL SYN NO CEM,10 71306610 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000832 74479 VASTAGO FEMORAL SYN NO CEM,11 71306611 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000833 74480 VASTAGO FEMORAL SYN NO CEM,12 71306612 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000834 74481 PUNTA 2,3MM X 25° SHORT BEVEL AC2823-01 445.917 445.917 445.917 445.917 445.917 445.917
PRO4000842 74489 VASTAGO FEMORAL CPCS CEM HO.0 #71312370 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000843 74490 VASTAGO FEMORAL CPCS CEM HO.1 #71312371 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000844 74491 VASTAGO FEMORAL CPCS CEM HO.2 #71312372 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000845 74492 VASTAGO FEMORAL CPCS CEM HO.3 #71312373 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000846 74493 VASTAGO FEMORAL CPCS CEM HO.4 #71312374 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000847 74494 VASTAGO FEMORAL CPCS CEM HO.5 #71312375 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000848 74495 BROCA TORNILLO COTILO CHICO 71362925 310.940 310.940 310.940 310.940 310.940 310.940
PRO4000849 74496 VASTAGO FEMORAL SYN NO CEM,8 71306608 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000850 74497 VASTAGO FEMORAL SYN NO CEM,9 71306609 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478 1.154.478
PRO4000855 74502 TORNILLO TRIGEN FIJACION 0MM 71656000 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000857 74504 HARMONICO CURVO 45CM HARH45 775.693 775.693 775.693 775.693 775.693 775.693
PRO4000859 74506 SHAVER INCISOR CURVED 4,5 MM 7205332 291.244 291.244 291.244 291.244 291.244 291.244
PRO4000860 74507 MEZCLADOR DE VACIO VORTEX 71270070 94.939 94.939 94.939 94.939 94.939 94.939
PRO4000861 74508 TORNILLO COTILO NO CENTRAL 71369894 34.840 34.840 34.840 34.840 34.840 34.840
PRO4000862 74509 VASTAGO FEMORAL CPCS CEM.0 #71312360 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000863 74510 VASTAGO FEMORAL CPCS CEM.1 #71312361 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000864 74511 VASTAGO FEMORAL CPCS CEM.2 #71312362 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000865 74512 VASTAGO FEMORAL CPCS CEM.3 #71312363 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000866 74513 VASTAGO FEMORAL CPCS CEM.4 #71312364 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000867 74514 VASTAGO FEMORAL CPCS CEM.5 #71312365 797.486 797.486 797.486 797.486 797.486 797.486
PRO4000868 74515 CABEZA FEMORAL COCR 22+12 71302212 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000869 74516 INSERTO R3 POLY 20. 22X40 71334940 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000870 74517 INSERTO R3 POLY 20. 22X42 71334942 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000871 74518 INSERTO R3 POLY 20. 22X44 71334944 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000872 74519 INSERTO R3 POLY 20. 28X46 71334946 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000873 74520 INSERTO R3 POLY 20. 28X48 71334948 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000874 74521 INSERTO R3 POLY 20. 32X50 71337650 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000875 74522 INSERTO R3 POLY 20. 36X52 71335752 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000876 74523 INSERTO R3 POLY 20. 36X54 71335754 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000877 74524 INSERTO R3 POLY 20. 36X56 71335756 269.600 269.600 269.600 269.600 269.600 269.600
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000878 74525 INSERTO R3 POLY 20. 36X58 71335758 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000879 74526 INSERTO R3 POLY 20. 36X60 71335760 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000880 74527 INSERTO R3 POLY 20. 36X62 71335762 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000881 74528 CABEZA FEMORAL COCR 28+12 71302812 515.063 515.063 515.063 515.063 515.063 515.063
PRO4000882 74529 CABEZA FEMORAL COCR 28+16 71302816 515.063 515.063 515.063 515.063 515.063 515.063
PRO4000883 74530 CABEZA FEMORAL COCR 32+12 71303212 515.063 515.063 515.063 515.063 515.063 515.063
PRO4000884 74531 CABEZA FEMORAL COCR 32+16 71303216 515.063 515.063 515.063 515.063 515.063 515.063
PRO4000885 74532 CABEZA FEMORAL COCR 36+12 71303612 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000886 74533 INSERTO R3 POLY 20. 36X64 71335764 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000894 74541 CARGA ENDOGIA 60MM MORADA EGIA60AMT 324.870 324.870 324.870 324.870 324.870 324.870
PRO4000896 74543 SHAVER ACROMIONIZER 4,0 MM 7205326 242.045 242.045 242.045 242.045 242.045 242.045
PRO4000897 74544 CABEZA FEMORAL COCR 22+0 71302200 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000898 74545 CABEZA FEMORAL COCR 22+4 71302204 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000899 74546 CABEZA FEMORAL COCR 22+8 71302208 554.683 554.683 554.683 554.683 554.683 554.683
PRO4000900 74547 INSERTO R3 POLY 0. 22X40 71334840 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000901 74548 INSERTO R3 POLY 0. 22X42 71334842 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000902 74549 INSERTO R3 POLY 0. 22X44 71334844 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000903 74550 INSERTO R3 POLY 0. 28X46 #71337546 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000904 74551 INSERTO R3 POLY 0. 32X48 71339548 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000905 74552 INSERTO R3 POLY 0. 32X50 71339550 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000906 74553 INSERTO R3 POLY 0. 36X52 71332752 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000907 74554 INSERTO R3 POLY 0. 36X54 71332754 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000908 74555 INSERTO R3 POLY 0. 36X56 71332756 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000909 74556 INSERTO R3 POLY 0. 36X58 71332758 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000910 74557 INSERTO R3 POLY 0. 36X60 71332760 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000911 74558 INSERTO R3 POLY 0. 36X62 71332762 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000912 74559 INSERTO R3 POLY 0. 36X64 71332764 269.600 269.600 269.600 269.600 269.600 269.600
PRO4000913 74560 CABEZA FEMORAL COCR 28+0 71302800 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000914 74561 CABEZA FEMORAL COCR 28-3 71302803 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000915 74562 CABEZA FEMORAL COCR 28+4 71302804 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000916 74563 CABEZA FEMORAL COCR 28+8 71302808 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000917 74564 CABEZA FEMORAL COCR 32-3 71303203 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000918 74565 CABEZA FEMORAL COCR 32+4 71303204 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000919 74566 CABEZA FEMORAL COCR 32+8 71303208 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000920 74567 CABEZA FEMORAL COCR 36+0 71303600 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000921 74568 CABEZA FEMORAL COCR 36-3 71303603 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000922 74569 CABEZA FEMORAL COCR 36+4 71303604 435.822 435.822 435.822 435.822 435.822 435.822
PRO4000923 74570 CABEZA FEMORAL COCR 36+8 71303608 515.063 515.063 515.063 515.063 515.063 515.063
PRO4000926 74573 CARGA ENDOGIA 60MM NEGRA EGIA60AXT 358.190 358.190 358.190 358.190 358.190 358.190
PRO4000931 74578 CABEZA FEMORAL OX 28+16 71342816 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
PRO4000932 74579 CABEZA FEMORAL OX 32+12 71343212 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
PRO4000933 74580 CABEZA FEMORAL OX 32+16 71343216 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
PRO4000934 74581 CABEZA FEMORAL OX 36+12 71343612 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000935 74582 CENTRALIZADOR CPCS 10MM 71312410 76.643 76.643 76.643 76.643 76.643 76.643
PRO4000936 74583 CENTRALIZADOR CPCS 12MM 71312412 76.643 76.643 76.643 76.643 76.643 76.643
PRO4000937 74584 CENTRALIZADOR CPCS 14MM 71312414 76.643 76.643 76.643 76.643 76.643 76.643
PRO4000938 74585 CENTRALIZADOR CPCS 16MM 71312416 76.643 76.643 76.643 76.643 76.643 76.643
PRO4000939 74586 CABEZA FEMORAL OX 22+12 71342212 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
PRO4000940 74587 CABEZA FEMORAL OX 28+12 71342812 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
PRO4000941 74588 TORNILLO COTILO CENTRAL 71336500 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000944 74591 CABEZA FEMORAL OX 32+0 71343200 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000945 74592 CABEZA FEMORAL OX 32-3 71343203 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000946 74593 CABEZA FEMORAL OX 32+4 71343204 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000947 74594 CABEZA FEMORAL OX 32+8 71343208 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
PRO4000948 74595 CABEZA FEMORAL OX 36+0 71343600 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000949 74596 CABEZA FEMORAL OX 36-3 71343603 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000950 74597 CABEZA FEMORAL OX 36+4 71343604 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000951 74598 CABEZA FEMORAL OX 36+8 71343608 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000952 74599 CENTRALIZADOR CPCS 0MM 71312400 97.546 97.546 97.546 97.546 97.546 97.546
PRO4000953 74600 CENTRALIZADOR CPCS 8MM 71312408 76.643 76.643 76.643 76.643 76.643 76.643
PRO4000954 74601 PRESURIZADOR ESTANDAR 71270027 23.952 23.952 23.952 23.952 23.952 23.952
PRO4000955 74602 CABEZA FEMORAL OX 22+0 71342200 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000956 74603 CABEZA FEMORAL OX 22+4 71342204 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332 1.043.332
PRO4000957 74604 CABEZA FEMORAL OX 22+8 71342208 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000958 74605 CABEZA FEMORAL OX 28+0 71342800 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000959 74606 CABEZA FEMORAL OX 28-3 71342803 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000960 74607 CABEZA FEMORAL OX 28+4 71342804 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000961 74608 CABEZA FEMORAL OX 28+8 71342808 882.820 882.820 882.820 882.820 882.820 882.820
PRO4000964 74611 TORNILLO BLOQUEO 5.0 x100mm ref:71645100 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000965 74612 TORNILLO BLOQUEO 5.0 x105mm ref:71645105 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000966 74613 TORNILLO BLOQUEO 5.0 x110mm ref:71645110 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000968 74615 TORNILLO BLOQUEO 5.0 x 25mm ref:71645025 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000969 74616 TORNILLO BLOQUEO 5.0 x 55mm ref:71645055 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000970 74617 TORNILLO BLOQUEO 5.0 x 60mm ref:71645060 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000971 74618 TORNILLO BLOQUEO 5.0 x 65mm ref:71645065 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000972 74619 TORNILLO BLOQUEO 5.0 x 70mm ref:71645070 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000973 74620 TORNILLO BLOQUEO 5.0 x 75mm ref:71645075 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000974 74621 TORNILLO BLOQUEO 5.0 x 80mm ref:71645080 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000975 74622 TORNILLO BLOQUEO 5.0 x 85mm ref:71645085 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000976 74623 TORNILLO BLOQUEO 5.0 x 90mm ref:71645090 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000977 74624 TORNILLO BLOQUEO 5.0 x 95mm ref:71645095 166.123 166.123 166.123 166.123 166.123 166.123
PRO4000978 74625 COTILO R3 3/ORF 40MM 71335540 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000979 74626 COTILO R3 3/ORF 42MM 71335542 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000980 74627 COTILO R3 3/ORF 44MM 71335544 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000981 74628 COTILO R3 3/ORF 46MM 71335546 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000982 74629 COTILO R3 3/ORF 48MM 71335548 556.758 556.758 556.758 556.758 556.758 556.758
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4000983 74630 COTILO R3 3/ORF 50MM 71335550 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000984 74631 COTILO R3 3/ORF 52MM 71335552 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000985 74632 COTILO R3 3/ORF 54MM 71335554 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000986 74633 COTILO R3 3/ORF 56MM 71335556 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000987 74634 COTILO R3 3/ORF 58MM 71335558 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000988 74635 COTILO R3 3/ORF 60MM 71335560 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000989 74636 COTILO R3 3/ORF 62MM 71335562 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000990 74637 COTILO R3 3/ORF 64MM 71335564 556.758 556.758 556.758 556.758 556.758 556.758
PRO4000992 74639 TORNILLO COTILO 15MM 71332515 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000993 74640 TORNILLO COTILO 20MM 71332520 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000994 74641 TORNILLO COTILO 25MM 71332525 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000995 74642 TORNILLO COTILO 30MM 71332530 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000996 74643 TORNILLO COTILO 35MM 71332535 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000997 74644 TORNILLO COTILO 40MM 71332540 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000998 74645 TORNILLO COTILO 45MM 71332545 62.083 62.083 62.083 62.083 62.083 62.083
PRO4000999 74646 TORNILLO COTILO 50MM 71332550 62.083 62.083 62.083 62.083 62.083 62.083
PRO4001013 74660 SURESHOT META PROBE 71692814 632.636 632.636 632.636 632.636 632.636 632.636
PRO4001016 74663 TROCAR 12X100 ADVANCE CFR73 82.467 82.467 82.467 82.467 82.467 82.467
PRO4001017 74664 CANULA 12X100 ADVANCE CFS22 34.689 34.689 34.689 34.689 34.689 34.689
PRO4001018 74665 TROCAR 5X100 ADVANCE CFF03 85.799 85.799 85.799 85.799 85.799 85.799
PRO4001019 74666 CANULA 5X100 ADVANCE CFS02 44.149 44.149 44.149 44.149 44.149 44.149
PRO4001021 74668 TAPON UNIVERSAL 129419 34.840 34.840 34.840 34.840 34.840 34.840
MAT7001675 74795 DELTA CAST 5 CM X 3.6 M PASTEL 7.304 7.304 7.304 7.304 7.304 7.304
MAT4003035 74966 FRESA PERFORACION SINUSAL 3.2 1883262HS 538.744 538.744 538.744 538.744 538.744 538.744
MAT4003421 74968 VAL.AORTICA MECANICA TOP HAT 19MM S5-019 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003422 74969 VAL.AORTICA MECANICA TOP HAT 21MM S5-021 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003423 74970 VAL.AORTICA MECANICA TOP HAT 23MM S5-023 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003424 74971 VAL.AORTICA MECANICA TOP HAT 25MM S5-025 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003425 74972 VAL.AORTICA MECANICA TOP HAT 27MM S5-027 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003426 74973 VAL.MITRAL MECANICA OPTIFORM 27MM F7-027 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003427 74974 VAL.MITRAL MECANICA OPTIFORM 29MM F7-029 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003428 74975 VAL.MITRAL MECANICA OPTIFORM 31MM F7-031 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003429 74976 VAL.MITRAL MECANICA OPTIFORM 33MM F7-033 890.094 890.094 890.094 890.094 890.094 890.094
MAT4003430 74977 VAL.AORTI BIOLOGICA CROWN PRT 19MM CNA19 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850
MAT4003431 74978 VAL.AORTI BIOLOGICA CROWN PRT 21MM CNA21 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850
MAT4003432 74979 VAL.AORTI BIOLOGICA CROWN PRT 23MM CNA23 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850
MAT4003433 74980 VAL.AORTI BIOLOGICA CROWN PRT 25MM CNA25 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850
MAT4003434 74981 VAL.AORTI BIOLOGICA CROWN PRT 27MM CNA27 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850 2.159.850
MAT7003081 74984 TREPANO DONANTE 7.5 MM 235.256 235.256 235.256 235.256 235.256 235.256
MAT7003082 74985 TREPANO DONANTE 7.75 MM 235.256 235.256 235.256 235.256 235.256 235.256
MAT7003083 74986 TREPANO DONANTE 8.0 MM 213.869 213.869 213.869 213.869 213.869 213.869
MAT7003085 74987 TREPANO DONANTE 8.25 MM 235.256 235.256 235.256 235.256 235.256 235.256
MAT7003086 74988 TREPANO DONANTE 8.5 MM 213.869 213.869 213.869 213.869 213.869 213.869
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003087 74989 TREPANO RECEPTOR 7.5 MM 241.446 241.446 241.446 241.446 241.446 241.446
MAT7003088 74990 TREPANO RECEPTOR 7.75 MM 207.989 207.989 207.989 207.989 207.989 207.989
MAT7003090 74991 TREPANO RECEPTOR 8.0 MM 241.446 241.446 241.446 241.446 241.446 241.446
MAT7001237 74992 CAMISA PARA TUBO #364893 188 188 188 188 188 188
MAT7001342 74993 AGUJA VENOJECT 22G X 1 183 183 183 183 183 183
MAT7003449 75002 BOTA DE MARCHA C/RANGO L 41.986 41.986 41.986 41.986 41.986 41.986
MAT7003450 75003 BOTA DE MARCHA C/RANGO M 41.986 41.986 41.986 41.986 41.986 41.986
MAT7003451 75004 BOTA DE MARCHA C/RANGO S 41.986 41.986 41.986 41.986 41.986 41.986
MAT7003456 75005 BOTA DE MARCHA C/RANGO XL 41.986 41.986 41.986 41.986 41.986 41.986
MAT7003462 75006 FERULA DE CADERA ROM DER. 137.064 137.064 137.064 137.064 137.064 137.064
MAT7003463 75007 FERULA DE CADERA ROM IZQ. 137.064 137.064 137.064 137.064 137.064 137.064
MAT7003467 75008 FERULA DIGITAL PINZA L 2.127 2.127 2.127 2.127 2.127 2.127
MAT7003468 75009 FERULA DIGITAL PINZA M 2.127 2.127 2.127 2.127 2.127 2.127
MAT7003469 75010 FERULA DIGITAL PINZA S 2.127 2.127 2.127 2.127 2.127 2.127
MAT7003503 75011 INM. DE CLAVICULA 12-14 6.637 6.637 6.637 6.637 6.637 6.637
MAT7003504 75015 INM. DE CLAVICULA 8-10 6.637 6.637 6.637 6.637 6.637 6.637
MAT7003506 75016 INM. DE CODO 12- 14 3.945 3.945 3.945 3.945 3.945 3.945
MAT7003507 75017 INM. DE CODO 8- 10 3.945 3.945 3.945 3.945 3.945 3.945
MAT7003509 75018 INM. DE DEDO MEDIO 4-6 3.775 3.775 3.775 3.775 3.775 3.775
MAT7003510 75019 INM. DE DEDO MEDIO 8-10 3.775 3.775 3.775 3.775 3.775 3.775
MAT7003514 75020 INMV. DE DEDO PULGAR 12-14 4.486 4.486 4.486 4.486 4.486 4.486
MAT7003515 75021 INMV. DE DEDO PULGAR 8-10 4.486 4.486 4.486 4.486 4.486 4.486
MAT7003517 75022 INMV. DE RODILLA XL 25.832 25.832 25.832 25.832 25.832 25.832
MAT7003518 75023 ORTESIS DE MUÑECA CON DEDO IZQ L 13.629 13.629 13.629 13.629 13.629 13.629
MAT7003519 75024 REGATONES (GOMA BASTON) 1.532 1.532 1.532 1.532 1.532 1.532
MAT7000525 75025 MICROESPONJA 7.069 7.069 7.069 7.069 7.069 7.069
MAT7003520 75026 RODILLERA C/ BARRAS LATERALES L 19.531 19.531 19.531 19.531 19.531 19.531
MAT7000883 75027 LINEA P/CAPNOGRAFIA 7.668 7.668 7.668 7.668 7.668 7.668
MAT7003521 75028 RODILLERA C/ BARRAS LATERALES M 19.531 19.531 19.531 19.531 19.531 19.531
MAT7003522 75029 RODILLERA C/ BARRAS LATERALES S 19.531 19.531 19.531 19.531 19.531 19.531
MAT7003527 75037 RODILLERA POLICENTRICA XL 19.531 19.531 19.531 19.531 19.531 19.531
MAT7000886 75041 CORTADORA TLC 55MM 364.964 364.964 364.964 364.964 364.964 364.964
MAT7000887 75042 CORTADORA TLC 75MM 370.956 370.956 370.956 370.956 370.956 370.956
MAT7000889 75044 CARGA CORTADORA LINEAL TCR 75 209.691 209.691 209.691 209.691 209.691 209.691
MAT7000890 75045 CARGA CORTADORA LINEAL TRT 75 215.503 215.503 215.503 215.503 215.503 215.503
MAT7000891 75046 CLIPERA ETHICON MSM / 20 CON 20 CLIPS 351.644 351.644 351.644 351.644 351.644 351.644
MAT7000892 75047 CLIPERA ETHICON MCM /30 CLIPS DE TITANIO 361.135 361.135 361.135 361.135 361.135 361.135
MAT7000893 75051 ENDOGRAPADORA RECARGABLE 60-3.8 237.619 237.619 237.619 237.619 237.619 237.619
MAT7000894 75052 ENDOGRAPADORA RECARGABLE 80-4.8 237.619 237.619 237.619 237.619 237.619 237.619
MAT7000895 75053 ENDOGRAPADORA RECARGABLE 80-3.8 237.619 237.619 237.619 237.619 237.619 237.619
MAT7000896 75054 CARGA ENDOGRAPADORA GIA 60 3.8 234.217 234.217 234.217 234.217 234.217 234.217
MAT7000897 75055 CARGA ENDOGRAPADORA GIA 80 4.8 257.873 257.873 257.873 257.873 257.873 257.873
MAT7000898 75056 CARGA ENDOGRAPADORA GIA 80 3.8 199.920 199.920 199.920 199.920 199.920 199.920
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000902 75063 BRONCOCATH 37 IZQ. C/CPAP 170.170 170.170 170.170 170.170 170.170 170.170
MAT7000903 75065 BRONCOCATH 39 IZQ. C/CPAP 170.170 170.170 170.170 170.170 170.170 170.170
MAT7000905 75067 KIT CAT. GROSHONG 4FR C/MICROINTRODU?4.5 255.016 255.016 255.016 255.016 255.016 255.016
MAT7000906 75068 CAT. PORTA CATH II #44053-2 423.107 423.107 423.107 423.107 423.107 423.107
MAT7000908 75076 BOLSA PARA EXTRACCION 10 MM 3X 6 57.596 57.596 57.596 57.596 57.596 57.596
MAT7000909 75077 BOLSA PARA EXTRACCION 10 MM 5 X 8 71.995 71.995 71.995 71.995 71.995 71.995
MAT7000910 75078 AGUJA PARA INSUFLACION 14G CORTA 34.558 34.558 34.558 34.558 34.558 34.558
MAT7000911 75079 TROCAR LAPAR. 5MM ETHICON C/INTROD. K5LT 228.392 228.392 228.392 228.392 228.392 228.392
MAT7000912 75080 TAPON NASAL 5.5 REMOVIBLE# RR500 25.656 25.656 25.656 25.656 25.656 25.656
MAT7000913 75081 TAPON NASAL SINUS-KNIT# RR 600 41.364 41.364 41.364 41.364 41.364 41.364
MAT7000914 75082 TAPON NASAL 8 CM REMOVIBLE#RR800 28.536 28.536 28.536 28.536 28.536 28.536
MAT7001696 75083 DANUMULL DE DEDO 4 CM 377 377 377 377 377 377
MAT7001580 75085 ELECTRODO RECTANGULAR 22.423 22.423 22.423 22.423 22.423 22.423
MAT7001572 75086 AGUJA SUBDERM SIMP 1.5 MT74512-150/24 7.315 7.315 7.315 7.315 7.315 7.315
MAT7001684 75087 AGUJA TWISTED SUBDER. 2,5 MT74612-250/20 16.318 16.318 16.318 16.318 16.318 16.318
MAT7001681 75088 AGUJA CORKSCREW CABLE 1.2 MTNES-D2D1-120 19.839 19.839 19.839 19.839 19.839 19.839
MAT7001642 75089 TABLILLA INMOV.15 X 5 1.833 1.833 1.833 1.833 1.833 1.833
MAT7003534 75090 SOPORTE TENDON ROTULIANO C/GEL 6.327 6.327 6.327 6.327 6.327 6.327
MAT7003535 75091 SOPORTE TENDON ROTULIANO C/NEOP 4.950 4.950 4.950 4.950 4.950 4.950
MAT7003640 75092 FLUJOMETRO MINI-WRIGT 60-800 ADULTO 76.781 76.781 76.781 76.781 76.781 76.781
MAT7003641 75093 CAT.MAHURKAR 11,5 FR X 16 CMS 86.394 86.394 86.394 86.394 86.394 86.394
MAT7003643 75094 CAT.MAHURKAR 11,5 FR X 19,5 86.394 86.394 86.394 86.394 86.394 86.394
MAT7003658 75095 TROCAR BIOP MEDULA 11GX100MM TRAPJ1110 99.484 99.484 99.484 99.484 99.484 99.484
MAT7003659 75096 APOSITO ALLEVYN 10 X10 NO ADHESIVO 8.961 8.961 8.961 8.961 8.961 8.961
MAT7003651 75097 BOTON DE GASTROSTOIMIA 12 FRX1.2 353.727 353.727 353.727 353.727 353.727 353.727
MAT7003652 75098 BOTON DE GASTROSTOIMIA 14 FRX 1.5 353.727 353.727 353.727 353.727 353.727 353.727
MAT7003653 75099 JERINGA 10 ML PURPLE ENTERAL EISO-10 581 581 581 581 581 581
MAT7002882 75100 APOSITO DUODERM EXTRA THIN 7.5X7.5 CM 3.506 3.506 3.506 3.506 3.506 3.506
MAT7002883 75101 PARCHE HIDROGEL MEDELA 6.875 6.875 6.875 6.875 6.875 6.875
MAT7003654 75102 JERINGA 60 ML PURPLE ENTERAL EISO-60 1.534 1.534 1.534 1.534 1.534 1.534
MAT7003660 75103 VALVULA THRESHOLD IMT 730 REF H730-010 48.433 48.433 48.433 48.433 48.433 48.433
MAT7003644 75104 CANULA TQT 4.5 CON CUFF (REF 4.5 PCF) 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003645 75105 CANULA TQT 4.0 SIN CUFF (REF 4.0 PEF) 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003646 75106 CANULA TQT 4.0 CON CUFF 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003647 75107 CANULA TQT 5.0 SIN CUFF (REF 5 PEF) 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003648 75108 CANULA TQT 5.0 CON CUFF (REF 5 PCF) 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003649 75109 CANULA TQT 5.5 SIN CUFF (REF 5 PEF) 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003650 75110 CANULA TQT 5.5 CON CUFF (REF 5 PCF) 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003661 75111 CIRCUITO AC PED HEAD DESECHABLE 115.192 115.192 115.192 115.192 115.192 115.192
MAT7003662 75112 TRILOGY 202 PROX FLOW SENSOR 106.029 106.029 106.029 106.029 106.029 106.029
MAT7003655 75113 CAMARA HUMIDIFICADORA DESCH FPMR290 40.055 40.055 40.055 40.055 40.055 40.055
MAT7003663 75114 REUSABLEADULT /PED AIRWAY ADAPTER 369.947 369.947 369.947 369.947 369.947 369.947
MAT7003664 75115 SONDA FOLEY DOS VIAS 6 FR SI-450-06 5.760 5.760 5.760 5.760 5.760 5.760
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4002603 75116 KIT PREPARACION TOTAL CADERA #121010 75.414 75.414 75.414 75.414 75.414 75.414
MAT7003656 75117 TUBO ALIMENTACION MINIONE RECTO 30CM ISO 36.626 36.626 36.626 36.626 36.626 36.626
MAT7003657 75118 TUBO ALIMENTACION MINIONE/ G-JET YEYU 36.626 36.626 36.626 36.626 36.626 36.626
MAT7003702 75119 EJERCITADOR VOLUMETRICO PED 22-2000 21.496 21.496 21.496 21.496 21.496 21.496
MAT7003665 75120 CANULA FEMORAL ARTERIAL OPSITE OPTI20 391.510 391.510 391.510 391.510 391.510 391.510
MAT7003666 75121 KIT INSERCIÓN FEMORAL ARTERIAL PIKA 204.204 204.204 204.204 204.204 204.204 204.204
MAT7003667 75122 BALON BAKRI J-SOSR-10050 542.283 542.283 542.283 542.283 542.283 542.283
MAT7003668 75123 PINZA EN BAYONETA 210-370-10 65.450 65.450 65.450 65.450 65.450 65.450
MAT7003569 75124 CONECTOR LUER PARA BOLSAS DE DRENAJE 10.865 10.865 10.865 10.865 10.865 10.865
MAT7003678 75125 ASA 25MM 230CM (ASA ESTANDAR) 112.574 112.574 112.574 112.574 112.574 112.574
MAT7003679 75126 ASA FRÍA (ASA MINI) 112.574 112.574 112.574 112.574 112.574 112.574
MAT7003680 75127 BALÓN EXTRACCIÓN TRI-EX 350.336 350.336 350.336 350.336 350.336 350.336
MAT7003681 75128 SET GASTROSTOMÍA PERCUTÁNEA PEG 24 298.928 298.928 298.928 298.928 298.928 298.928
MAT7003682 75129 INTRODUCTOS OASIS 193.256 193.256 193.256 193.256 193.256 193.256
MAT7003683 75130 ELECTRODOS DE COPA DESECHABLE 1.5 MTS 6.807 6.807 6.807 6.807 6.807 6.807
MAT7003684 75131 VALVULA URINARIA 78.959 78.959 78.959 78.959 78.959 78.959
MAT7003685 75132 SONDA FIAPC 2200 A 20132-221 ARGON FRONT 291.521 291.521 291.521 291.521 291.521 291.521
MAT7003686 75133 CÁNULA SIMCOE EXTRACTOR CURVED 3005 20.944 20.944 20.944 20.944 20.944 20.944
MAT4004452 75134 BULKAMID HIDROGEL 50012 2.249.100 2.249.100 2.249.100 2.249.100 2.249.100 2.249.100
MAT4004521 75135 CDH29P CIRCULAR POWER 724.710 724.710 724.710 724.710 724.710 724.710
MAT4004522 75136 CDH31P CIRCULAR POWER 724.710 724.710 724.710 724.710 724.710 724.710
MAT4004523 75137 STAPLER CIRCULAR NEGRO 28 MM TRIEEA28XT 583.100 583.100 583.100 583.100 583.100 583.100
MAT4004524 75138 STAPLER CIRCULAR NEGRO 31 MM TRIEEA31XT 583.100 583.100 583.100 583.100 583.100 583.100
MAT4004525 75139 TROCAR 11 MM ONB11STF 68.068 68.068 68.068 68.068 68.068 68.068
MAT4004526 75140 KIT DESCARTABLE PARA HIGADO HOPE 9.163.000 9.163.000 9.163.000 9.163.000 9.163.000 9.163.000
MAT4004527 75141 SOLUCION BELZER MPS BOLSA DE 1 LITRO 416.500 416.500 416.500 416.500 416.500 416.500
PRO4004453 75142 COMPONENTE ACETAB G7 PPS 42A 10000658 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004454 75143 COMPONENTE ACETAB G7 PPS 44A 10000659 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004455 75144 COMPONENTE ACETAB G7 PPS 46B 10000660 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004456 75145 COMPONENTE ACETAB G7 PPS 48C 10000661 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004457 75146 COMPONENTE ACETAB G7 PPS 50D 10000662 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004458 75147 COMPONENTE ACETAB G7 PPS 52E 10000663 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004459 75148 COMPONENTE ACETAB G7 PPS 54F 10000664 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004460 75149 COMPONENTE ACETAB G7 PPS 56F 10000665 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004461 75150 COMPONENTE ACETAB G7 PPS 58G 10000666 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004462 75151 COMPONENTE ACETAB G7 PPS 60G 10000667 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004463 75152 COMPONENTE ACETAB G7 PPS 62H 10000668 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004464 75153 COMPONENTE ACETAB G7 PPS 64H 10000669 662.235 662.235 662.235 662.235 662.235 662.235
PRO4004465 75154 TAPON ORIF APICAL G7 10000994 123.452 123.452 123.452 123.452 123.452 123.452
PRO4004466 75155 TAPON ORIF TORNILLO ACETAB G7 10000995 190.400 190.400 190.400 190.400 190.400 190.400
PRO4004467 75156 TORNILLO ACETABULAR G7 6.5X15MM 10000996 133.798 133.798 133.798 133.798 133.798 133.798
PRO4004468 75157 TORNILLO ACETABULAR G7 6.5X20MM 10000997 133.798 133.798 133.798 133.798 133.798 133.798
PRO4004469 75158 TORNILLO ACETABULAR G7 6.5X25MM 10000998 133.798 133.798 133.798 133.798 133.798 133.798
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4004470 75159 TORNILLO ACETABULAR G7 6.5X30MM 10000999 133.798 133.798 133.798 133.798 133.798 133.798
PRO4004471 75160 TORNILLO ACETABULAR G7 6.5X35MM 10001000 133.798 133.798 133.798 133.798 133.798 133.798
PRO4004472 75161 TORNILLO ACETABULAR G7 6.5X40MM 10001001 133.798 133.798 133.798 133.798 133.798 133.798
PRO4004473 75162 TORNILLO ACETABULAR G7 6.5X45MM 10001002 133.798 133.798 133.798 133.798 133.798 133.798
PRO4004474 75163 TORNILLO ACETABULAR G7 6.5X50MM 10001003 133.798 133.798 133.798 133.798 133.798 133.798
PRO4004475 75164 INSERT ACETAB G7 HI-WALL 28MM A 30122801 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004476 75165 INSERT ACETAB G7 HI-WALL 28MM B 30122802 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004477 75166 INSERT ACETAB G7 HI-WALL 32MM B 30123202 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004478 75167 INSERT ACETAB G7 HI-WALL 32MM C 30123203 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004479 75168 INSERT ACETAB G7 HI-WALL 32MM D 30123204 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004480 75169 INSERT ACETAB G7 HI-WALL 32MM E 30123205 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004481 75170 INSERT ACETAB G7 HI-WALL 36MM D 30123604 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004482 75171 INSERT ACETAB G7 HI-WALL 36MM E 30123605 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004483 75172 INSERT ACETAB G7 HI-WALL 36MM F 30123606 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004484 75173 INSERT ACETAB G7 HI-WALL 36MM G 30123607 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004485 75174 INSERT ACETAB G7 HI-WALL 36MM H 30123608 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004486 75175 BROCA ACETAB RINGLO 3.2MMx20MM 31-323220 128.282 128.282 128.282 128.282 128.282 128.282
PRO4004487 75176 BROCA ACETAB RINGLO 3.2MMx30MM 31-323230 128.282 128.282 128.282 128.282 128.282 128.282
PRO4004488 75177 BROCA ACETAB RINGLO 3.2MMx40MM 31-323240 128.282 128.282 128.282 128.282 128.282 128.282
PRO4004489 75178 INSER ACETAB G7 VIT E N. 28MM A 30102801 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004490 75179 INSER ACETAB G7 VIT E N. 28MM B 30102802 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004491 75180 INSER ACETAB G7 VIT E N. 32MM B 30103202 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004492 75181 INSER ACETAB G7 VIT E N. 32MM C 30103203 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004493 75182 INSER ACETAB G7 VIT E N. 32MM D 30103204 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004494 75183 INSER ACETAB G7 VIT E N. 32MM E 30103205 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004495 75184 INSER ACETAB G7 VIT E N. 36MM D 30103604 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004496 75185 INSER ACETAB G7 VIT E N. 36MM E 30103605 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004497 75186 INSER ACETAB G7 VIT E N. 36MM F 30103606 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004498 75187 INSER ACETAB G7 VIT E N. 36MM G 30103607 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004499 75188 INSER ACETAB G7 VIT E N. 36MM H 30103608 351.931 351.931 351.931 351.931 351.931 351.931
PRO4004500 75189 VASTAGO TAPER COMP133 STD 4MM 51-100040 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004501 75190 VASTAGO TAPER COMP133 STD 5MM 51-100050 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004502 75191 VASTAGO TAPER COMP133 STD 6MM 51-100060 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004503 75192 VASTAGO TAPER COMP133 STD 7MM 51-100070 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004504 75193 VASTAGO TAPER COMP133 STD 8MM 51-100080 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004505 75194 VASTAGO TAPER COMP133 HIGH 5MM 51-101050 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
MAT7003195 75195 TREPANO DONANTE 7,25MM 213.869 213.869 213.869 213.869 213.869 213.869
MAT7003196 75196 TREPANO RECEPTOR 7,00 MM 219.497 219.497 219.497 219.497 219.497 219.497
MAT7003197 75197 CANULAS MEIBOMIAN 2 MM 86.394 86.394 86.394 86.394 86.394 86.394
PRO4004506 75198 VASTAGO TAPER COMP133 HIGH 6MM 51-101060 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004507 75199 VASTAGO TAPER COMP133 HIGH 7MM 51-101070 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004508 75200 VASTAGO TAPER COMP133 HIGH 8MM 51-101080 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004509 75201 VAST TAPER COMP133 STD 9X137MM 51-103090 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4004510 75202 VAST TAPE COMP133 STD 10X140MM 51-103100 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004511 75203 VAST TAPE COMP133 STD 11X142MM 51-103110 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004512 75204 VAST TAPE COMP133 STD 12X144MM 51-103120 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004513 75205 VAST TAPE COMP133 STD 13X146MM 51-103130 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004514 75206 VAST TAPE COMP133 STD 14X148MM 51-103140 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004515 75207 VAST TAPE COMP133 STD 15X150MM 51-103150 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004516 75208 VAST TAPE COMP133 STD 16X152MM 51-103160 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004517 75209 VAST TAPE COMP133 STD 17X154MM 51-103170 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004518 75210 VAST TAPE COMP133 STD 18X156MM 51-103180 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004519 75211 VAST TAPE COMP133 HIGH 9X137MM 51-104090 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004528 75212 VAST TAPE COMP133 HIGH10X140MM 51-104100 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004529 75213 VAST TAPE COMP133 HIGH11X142MM 51-104110 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004530 75214 VAST TAPE COMP133 HIGH12X144MM 51-104120 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004531 75215 VAST TAPE COMP133 HIGH13X146MM 51-104130 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004532 75216 VAST TAPE COMP133 HIGH14X148MM 51-104140 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004533 75217 VAST TAPE COMP133 HIGH15X150MM 51-104150 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004534 75218 VAST TAPE COMP133 HIGH16X152MM 51-104160 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004535 75219 VAST TAPE COMP133 HIGH17X154MM 51-104170 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004536 75220 VAST TAPE COMP133 HIGH18X156MM 51-104180 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880 1.006.880
PRO4004537 75221 CABEZA FEMORAL CRCO 36MM - 6 11-363660 330.523 330.523 330.523 330.523 330.523 330.523
MAT7003222 75222 CONO FEMTO SEGUNDO #8065998298 221.334 221.334 221.334 221.334 221.334 221.334
PRO4004538 75223 CABEZA FEMORAL CRCO 36MM - 3 11-363661 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004539 75224 CABEZA FEMORAL CRCO 36MM STD 11-363662 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004540 75225 CABEZA FEMORAL CRCO 36MM +3 11-363663 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004541 75226 CABEZA FEMORAL CRCO 36MM +6 11-363664 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004542 75227 CABEZA FEMORAL CRCO 36MM +9 11-363665 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004543 75228 CABEZA FEMORAL CRCO 10/12 28MM +6 163638 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004544 75229 CABEZA FEMORAL CRCO 10/12 28MM -6 163660 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004545 75230 CABEZA FEMORAL CRCO 10/12 28MM -3 163661 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004546 75231 CABEZA FEMORA CRCO 10/12 28MM STD 163662 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004547 75232 CABEZA FEMORAL CRCO 10/12 28MM +3 163663 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004548 75233 CABEZA FEMORAL CRCO 10/12 28MM +9 163665 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004549 75234 CABEZA FEMORAL CRCO 10/12 32MM -6 163667 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004550 75235 CABEZA FEMORAL CRCO 10/12 32MM -3 163668 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004551 75236 CABEZA FEMORA CRCO 10/12 32MM STD 163669 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004552 75237 CABEZA FEMORAL CRCO 10/12 32MM +3 163670 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004553 75238 CABEZA FEMORAL CRCO 10/12 32MM +9 163672 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004554 75239 CABEZA FEMORAL CRCO 10/12 32MM +6 163674 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004555 75240 CABEZA FEM CERAM DELTA 36MM -3 650-0660 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004557 75241 CABEZA FEM CERAM DELTA 36MM +0 650-0661 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004558 75242 CABEZA FEM CERAM DELTA 36MM +3 650-0662 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004559 75243 CABEZA FEM CERAM DELTA 36MM +6 650-0663 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004560 75244 CABEZA FEM CERAM DELTA 28MM +3 650-1157 567.873 567.873 567.873 567.873 567.873 567.873
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4004561 75245 CABEZA FEM CERAM DELTA 28MM +0 650-1158 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004562 75246 CABEZA FEM CERAM DELTA 28MM -3 650-1159 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004563 75247 CABEZA FEM CERAM DELTA 32MM +3 650-1161 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004564 75248 CABEZA FEM CERAM DELTA 32MM +0 650-1162 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004565 75249 CABEZA FEM CERAM DELTA 32MM -3 650-1163 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004566 75250 VASTAGO CEM CPT STD 0MM 00-8114-000-00 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004567 75251 VASTAGO CEM CPTOFFSET 0MM 00-8114-000-10 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004568 75252 VASTAGO CEM CPT STD 1MM 00-8114-001-00 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004569 75253 VASTAGO CEM CPTOFFSET 1MM 00-8114-001-10 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004570 75254 VASTAGO CEM CPT STD 2MM 00-8114-002-00 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004571 75255 VASTAGO CEM CPTOFFSET 2MM 00-8114-002-10 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004572 75256 VASTAGO CEM CPT STD 3MM 00-8114-003-00 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004573 75257 VASTAGO CEM CPTOFFSET 3MM 00-8114-003-10 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004574 75258 VASTAGO CEM CPT STD 4MM 00-8114-004-00 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004575 75259 VASTAGO CEM CPTOFFSET 4MM 00-8114-004-10 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004576 75260 VASTAGO CEM CPT STD 5MM 00-8114-005-00 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004577 75261 VASTAGO CEM CPTOFFSET 5MM 00-8114-005-10 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779 1.034.779
PRO4004578 75262 TAPON INTRAMEDULAR STD 11-13MM 130611 73.356 73.356 73.356 73.356 73.356 73.356
PRO4004579 75263 TAPON INTRAMEDULAR LG 14-17MM 130613 73.356 73.356 73.356 73.356 73.356 73.356
PRO4004580 75264 CEMENTO REFOBACIN PLUS 40GR 3020830401-3 112.312 112.312 112.312 112.312 112.312 112.312
PRO4004581 75265 CENTRALIZADOR PRIMARI CPT 32-8333-055-00 38.223 38.223 38.223 38.223 38.223 38.223
PRO4004582 75266 KIT DOBLE PARA CEMENTO OPTIVAC 80GR 4160 157.750 157.750 157.750 157.750 157.750 157.750
PRO4004583 75267 CABEZ CRCO 12/14 28M -3.5 00-8018-028-01 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004584 75268 CABEZA CRCO 12/14 28MM +0 00-8018-028-02 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004585 75269 CABEZ CRCO 12/14 28M +3.5 00-8018-028-03 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004586 75270 CABEZA CRCO 12/14 28MM +7 00-8018-028-14 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004587 75271 CABEZ CRCO 12/14 32M -3.5 00-8018-032-01 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004588 75272 CABEZA CRCO 12/14 32MM +0 00-8018-032-02 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004589 75273 CABEZ CRCO 12/14 32M +3.5 00-8018-032-03 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004590 75274 CABEZA CRCO 12/14 32MM +7 00-8018-032-14 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004591 75275 CABEZ CRCO 12/14 36M -3.5 00-8018-036-01 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004592 75276 CABEZA CRCO 12/14 36MM +0 00-8018-036-02 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004593 75277 CABEZ CRCO 12/14 36M +3.5 00-8018-036-03 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004594 75278 CABEZA CRCO 12/14 36MM +7 00-8018-036-04 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004595 75279 CABEZCERAM 12/14 28M -3.5 00-8775-028-01 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004596 75280 CABEZ CERAM 12/14 28MM +0 00-8775-028-02 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004597 75281 CABEZCERA 12/14 28MM +3.5 00-8775-028-03 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004598 75282 CABEZCERA 12/14 32MM -3.5 00-8775-032-01 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004599 75283 CABEZ CERAM 12/14 32MM +0 00-8775-032-02 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004600 75284 CABEZCERA 12/14 32MM +3.5 00-8775-032-03 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004601 75285 CABEZ CERAM 12/14 32MM +7 00-8775-032-04 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004602 75286 CABEZCERA 12/14 36MM -3.5 00-8775-036-01 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004603 75287 CABEZ CERAM 12/14 36MM +0 00-8775-036-02 567.873 567.873 567.873 567.873 567.873 567.873
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4004604 75288 CABEZCERA 12/14 36MM +3.5 00-8775-036-03 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004605 75289 CABEZ CERAM 12/14 36MM +7 00-8775-036-04 567.873 567.873 567.873 567.873 567.873 567.873
PRO4004606 75290 CABEZA CRCO 12/14 22MM +0 00-8018-022-02 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004607 75291 CABEZA CRCO 12/14 22MM -2 00-8018-022-20 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004608 75292 CABEZA CRCO 12/14 22MM +3 00-8018-022-30 330.523 330.523 330.523 330.523 330.523 330.523
PRO4004609 75293 SIERRA SOUTTER 71X12X1.0MM ZB-S84-373 158.389 158.389 158.389 158.389 158.389 158.389
PRO4004610 75294 ESCAFANDRA VIVI ZB-80200 52.229 52.229 52.229 52.229 52.229 52.229
MAT7003703 75295 EJERCITADOR VOLUMETRICO ADULTO 22-4000 18.740 18.740 18.740 18.740 18.740 18.740
MAT7003704 75296 POWER PICC 5FR 3 LUM S/SHERLOCK 352.798 352.798 352.798 352.798 352.798 352.798
MAT7003705 75297 SET PRISMA FLEX ST 100 372.096 372.096 372.096 372.096 372.096 372.096
MAT7003706 75298 SET PRISMA FLEX ST60 372.096 372.096 372.096 372.096 372.096 372.096
MAT7003707 75299 FILTRO F4HPS 34.482 34.482 34.482 34.482 34.482 34.482
MAT7003708 75300 SET DE LINEAS AV-PED 6,4MM 28.932 28.932 28.932 28.932 28.932 28.932
MAT7003709 75301 TRACH CARE 8 FR TQT 44.092 44.092 44.092 44.092 44.092 44.092
MAT7003710 75302 TRACH CARE 10 FR TQT 44.092 44.092 44.092 44.092 44.092 44.092
MAT7003711 75303 TRACH CARE 12 FR TQT 52.360 52.360 52.360 52.360 52.360 52.360
MAT7003618 75304 PAÑAL XG PAMPERS CONFOR.SEC PAQUETE 33.094 33.094 33.094 33.094 33.094 33.094
MAT7003712 75305 PAÑAL XXG PAMPERS P.CARE PAQUETE 43.687 43.687 43.687 43.687 43.687 43.687
MAT7003749 75306 DIASTREAM CLASSIC HDF 40.171 40.171 40.171 40.171 40.171 40.171
MAT7003692 75314 JERINGA 20 ML L.LOCK BD 319 319 319 319 319 319
MAT7002226 75451 SET LINEAS AV ONLINE PLUS 5008-R 24.468 24.468 24.468 24.468 24.468 24.468
MAT7002207 75461 MASCARA FACIAL #1 KINGSTONE 10.210 10.210 10.210 10.210 10.210 10.210
MAT7002208 75462 MASCARA FACIAL #2 KINGSTONE 3.142 3.142 3.142 3.142 3.142 3.142
MAT7002209 75463 MASCARA FACIAL C/ CAPNOGRAFIA #1143000 9.032 9.032 9.032 9.032 9.032 9.032
MAT7002230 75464 CANULA NASAL C/ CAPNOGRAFIA #1144002 8.613 8.613 8.613 8.613 8.613 8.613
MAT7002231 75465 COPELA ORINA DESECHABLE #110AA100 1.914 1.914 1.914 1.914 1.914 1.914
MAT7002232 75466 FILTRO CANISTER 40 PACK #DAAC14073201000 196.350 196.350 196.350 196.350 196.350 196.350
MAT7002235 75468 VALVULA B SMART MONITOREO #4894000-01 13.823 13.823 13.823 13.823 13.823 13.823
MAT7002236 75469 SENSOR ESOFAGICO PEDI DES 9FR #81-040409 8.522 8.522 8.522 8.522 8.522 8.522
MAT7002237 75470 SENSOR MULTIPRO DESECH 9FR #81-020409 7.626 7.626 7.626 7.626 7.626 7.626
MAT7000915 75518 AGUJA KIRSCHNER 3.0 MM # 292.310 14.454 14.454 14.454 14.454 14.454 14.454
MAT7000916 75520 AGUJA KIRSCHNER 2.5 MM # 292.260 15.407 15.407 15.407 15.407 15.407 15.407
MAT7000917 75522 AGUJA KIRSCHNER 2.0 MM # 292.210 11.912 11.912 11.912 11.912 11.912 11.912
MAT7000918 75524 AGUJA KIRSCHNER 1.6 MM # 292.180 12.545 12.545 12.545 12.545 12.545 12.545
MAT7000919 75526 AGUJA KIRSCHNER 1.25 MM # 292.130 9.888 9.888 9.888 9.888 9.888 9.888
MAT7000920 75528 AGUJA KIRSCHNER 1.0 MM # 292.110 9.223 9.223 9.223 9.223 9.223 9.223
MAT7000921 75530 AGUJA KIRSCHNER 0.80 MM # 292.090 7.315 7.315 7.315 7.315 7.315 7.315
MAT7000922 75552 SONDA ASPIRACION C/VALV.CONTR. 5FR 416 416 416 416 416 416
MAT7000923 75554 SONDA ASPIRACION C/VALV.CONTR. 14FR 340 340 340 340 340 340
MAT7000924 75556 SONDA ASPIRACION C/VALV.CONTR. 16FR 340 340 340 340 340 340
MAT7000925 75574 DRENAJE PLEURAL C/PUNZON 12FR 30.107 30.107 30.107 30.107 30.107 30.107
MAT7001622 75577 CANISTER P/VAC 300CC 235.620 235.620 235.620 235.620 235.620 235.620
MAT7001687 75578 CANISTER P/VAC 1000CC 304.640 304.640 304.640 304.640 304.640 304.640
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001636 75579 ESPONJA P/VAC S 157.080 157.080 157.080 157.080 157.080 157.080
MAT7001686 75580 ESPONJA P/VAC M 209.440 209.440 209.440 209.440 209.440 209.440
MAT7001638 75581 ESPONJA C/PLATA P/VAC M 248.710 248.710 248.710 248.710 248.710 248.710
MAT7001743 75583 ESPONJA C/PLATA P/VAC L 285.600 285.600 285.600 285.600 285.600 285.600
MAT7000928 75593 TUBO ENDOTRAQUEAL C/C 5.0 MALLINK. 8.247 8.247 8.247 8.247 8.247 8.247
MAT7000929 75594 TUBO ENDOTRAQUEAL C/C 6.0 MALLINK. 2.867 2.867 2.867 2.867 2.867 2.867
MAT7000930 75595 TUBO ENDOTRAQUEAL C/C 4.0 MALLINK. 5.210 5.210 5.210 5.210 5.210 5.210
MAT7000931 75596 TUBO ENDOTRAQUEAL S/CUFF 6.5 2.225 2.225 2.225 2.225 2.225 2.225
MAT7000932 75598 TUBO ENDOTRAQUEAL C/CUFF 7.0 2.867 2.867 2.867 2.867 2.867 2.867
MAT7000933 75600 TUBO ENDOTRAQ.RAE NASAL C/CUFF 7.0 9.163 9.163 9.163 9.163 9.163 9.163
MAT7000935 75604 TUBO ENDOTRAQ.RAE NASAL C/CUFF 6.5 8.247 8.247 8.247 8.247 8.247 8.247
MAT7000936 75606 TUBO ENDOTRAQUEAL S/CUFF 5.5 2.068 2.068 2.068 2.068 2.068 2.068
MAT7000937 75608 TUBO ENDOTRAQ.RAE NASAL C/CUFF 7.5 9.163 9.163 9.163 9.163 9.163 9.163
MAT7000938 75610 TUBO ENDOTRAQ.RAE NASAL C/CUFF 8.0 9.163 9.163 9.163 9.163 9.163 9.163
MAT7000940 75614 TUBO ENDOTRAQ.RAE NASAL S/CUFF 4.0 8.221 8.221 8.221 8.221 8.221 8.221
MAT7000941 75616 TUBO ENDOTRAQ.RAE NASAL S/CUFF 4.5 7.990 7.990 7.990 7.990 7.990 7.990
MAT7000942 75618 TUBO ENDOTRAQ.RAE NASAL S/CUFF 5.0 7.330 7.330 7.330 7.330 7.330 7.330
MAT7000943 75620 TUBO ENDOTRAQ.RAE NASAL S/CUFF 5.5 7.566 7.566 7.566 7.566 7.566 7.566
MAT7000944 75622 TUBO ENDOTRAQ.RAE NASAL C/CUFF 6.0 9.163 9.163 9.163 9.163 9.163 9.163
MAT7000945 75624 TUBO ENDOTRAQ.RAE ORAL C/CUFF 6.0 9.163 9.163 9.163 9.163 9.163 9.163
MAT7000947 75628 TUBO ENDOTRAQ.RAE ORAL C/CUFF 7.0 9.401 9.401 9.401 9.401 9.401 9.401
MAT7000948 75630 TUBO ENDOTRAQ.RAE ORAL C/CUFF 7.5 11.257 11.257 11.257 11.257 11.257 11.257
MAT7000949 75631 TUBO ENDOTRAQ.RAE ORAL C/CUFF 8.5 9.401 9.401 9.401 9.401 9.401 9.401
MAT7000950 75632 TUBO ENDOTRAQ.RAE ORAL C/CUFF 8.0 11.257 11.257 11.257 11.257 11.257 11.257
MAT7000951 75633 TUBO ENDOTRAQ.RAE ORAL S/CUFF 3.0 7.330 7.330 7.330 7.330 7.330 7.330
MAT7000952 75634 TUBO ENDOTRAQ.RAE ORAL S/CUFF 3.5 7.045 7.045 7.045 7.045 7.045 7.045
MAT7000954 75638 TUBO ENDOTRAQ.RAE ORAL S/CUFF 4.5 8.221 8.221 8.221 8.221 8.221 8.221
MAT7000955 75640 TUBO ENDOTRAQ.RAE ORAL S/CUFF 5.0 7.330 7.330 7.330 7.330 7.330 7.330
MAT7000956 75642 TUBO ENDOTRAQ.RAE ORAL S/CUFF 5.5 7.330 7.330 7.330 7.330 7.330 7.330
MAT7000958 75644 TUBO ENDOTRAQ.RAE ORAL S/CUFF 6.0 6.545 6.545 6.545 6.545 6.545 6.545
MAT7000959 75645 TUBO ENDOTRAQ.RAE ORAL S/CUFF 7.0 7.330 7.330 7.330 7.330 7.330 7.330
MAT7000960 75646 TUBO ENDOTRAQ.REFORZADO #6.5 18.117 18.117 18.117 18.117 18.117 18.117
MAT7000961 75648 TUBO ENDOTRAQ.REFORZADO #7.0 17.187 17.187 17.187 17.187 17.187 17.187
MAT7000962 75650 TUBO ENDOTRAQ.REFORZADO #7.5 17.017 17.017 17.017 17.017 17.017 17.017
MAT7000963 75651 TUBO ENDOTRAQ.REFORZADO #8.0 19.242 19.242 19.242 19.242 19.242 19.242
MAT7000964 75652 TUBO ENDOTRAQ.REFORZADO #8.5 17.187 17.187 17.187 17.187 17.187 17.187
MAT7000967 75666 TAPON NASAL 8.0CM CANUL #400-410 12.095 12.095 12.095 12.095 12.095 12.095
MAT7000968 75667 TAPON NASAL DOYLE 8.0CM# 400-411 23.038 23.038 23.038 23.038 23.038 23.038
MAT7000969 75668 TAPON NASAL SINUS PACK #400-407 27.819 27.819 27.819 27.819 27.819 27.819
MAT7000528 75672 LENTES DE CONTACTO DIA/NOCHE 17.287 17.287 17.287 17.287 17.287 17.287
MAT7002993 75675 GASA CON MIEL LAMINA 10CM X 12CM 15.682 15.682 15.682 15.682 15.682 15.682
MAT7002994 75676 APOSITO COLAGENO LAMINA 5CM X 5CM 21.897 21.897 21.897 21.897 21.897 21.897
MAT7000970 75678 MASCARA LARINGEAL # 1 14.373 14.373 14.373 14.373 14.373 14.373
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7000971 75679 MASCARA LARINGEAL # 2 14.373 14.373 14.373 14.373 14.373 14.373
MAT7000972 75680 MASCARA LARINGEAL # 3 14.373 14.373 14.373 14.373 14.373 14.373
MAT7000973 75681 MASCARA LARINGEAL # 4 14.373 14.373 14.373 14.373 14.373 14.373
MAT7002997 75683 APOSITO ANTIMICROBIANO MALLA 4CM X 6CM 4.875 4.875 4.875 4.875 4.875 4.875
MAT7000974 75777 ZAPATO ANTIDESLIZANTE CHICO 23.562 23.562 23.562 23.562 23.562 23.562
MAT7000975 75778 ZAPATO ANTIDESLIZANTE MEDIANO 28.510 28.510 28.510 28.510 28.510 28.510
MAT7000976 75779 ZAPATO ANTIDESLIZANTE GRANDE 6.126 6.126 6.126 6.126 6.126 6.126
MAT7002199 75796 BANDA ELASTICA 45MT ROJA 62.832 62.832 62.832 62.832 62.832 62.832
MAT7002196 75798 BANDA ELASTICA 45MT VERDE 84.038 84.038 84.038 84.038 84.038 84.038
MAT7000977 75799 TUBO ENDOTRAQUEAL C/C 5.5 MALLINK. 8.247 8.247 8.247 8.247 8.247 8.247
MAT7000979 75821 CATETER DE EMBOLECTOMIA # 3 104.196 104.196 104.196 104.196 104.196 104.196
MAT7000980 75822 CATETER DE EMBOLECTOMIA # 4 104.196 104.196 104.196 104.196 104.196 104.196
MAT7000981 75823 CATETER DE EMBOLECTOMIA # 5 104.196 104.196 104.196 104.196 104.196 104.196
MAT7000982 75824 CATETER DE EMBOLECTOMIA # 6 (FOGARTI) 52.098 52.098 52.098 52.098 52.098 52.098
MAT7000983 75825 CATETER DE EMBOLECTOMIA # 7 (FOGARTI) 52.098 52.098 52.098 52.098 52.098 52.098
MAT7000984 75843 TUBO VENTILACION SHEPARD #10-28020 15.234 15.234 15.234 15.234 15.234 15.234
MAT7000985 75844 TUBO VENTILACION DONNALDSON # 10-13020 15.234 15.234 15.234 15.234 15.234 15.234
MAT7000988 75848 VENDA ELASTICA 10CM X 2 MT BLANDA 2.785 2.785 2.785 2.785 2.785 2.785
MAT7000989 75852 VENDA ELASTICA 10CM X 4 MT BLANDA 6.188 6.188 6.188 6.188 6.188 6.188
MAT7000990 75853 VENDA ELASTICA 12CM X 4 MT BLANDA 5.260 5.260 5.260 5.260 5.260 5.260
MAT7000991 75862 SONDA PROSTATICA DUFOUR SILIC -3 VIAS 1 47.124 47.124 47.124 47.124 47.124 47.124
MAT7000992 75863 SONDA PROSTA. COUVELAIRE SILIC. 3VIA20FR 52.098 52.098 52.098 52.098 52.098 52.098
MAT7000993 75870 JERINGA 50CC P/AGUJA 550 550 550 550 550 550
MAT7000994 75889 SONDA PROSTA. DUFOUR SILIC 3VIAS 24 FR 41.836 41.836 41.836 41.836 41.836 41.836
PRO4002602 75891 KIT BYPASS DR. BERRY 1.915.900 1.915.900 1.915.900 1.915.900 1.915.900 1.915.900
PRO3515678 75897 PROCESADOR DE IMPLANTE COCLEAR (SOLO GES HIPOACUSIA) 12.387.247 12.387.247 12.387.247 12.387.247 12.387.247 12.387.247
PRO3515679 75899 ACCESORIOS IMPLANTE COCLEAR (SOLO GES HIPOACUSIA) 1.827.772 1.827.772 1.827.772 1.827.772 1.827.772 1.827.772
MAT7000995 75904 SONDA URETERAL CHEVASSU 5 FR PORGES 40.142 40.142 40.142 40.142 40.142 40.142
MAT7000996 75905 SONDA URETERAL CHEVASSU 6 FR PORGES 40.142 40.142 40.142 40.142 40.142 40.142
MAT7000997 75907 SONDA ASP ENDOTRAQ.TRACH CARE #2271418-5 36.128 36.128 36.128 36.128 36.128 36.128
MAT7000998 75908 SONDA ASP TRAQUEO.TRACH CARE #22714183-5 36.128 36.128 36.128 36.128 36.128 36.128
PRO4004611 75925 BULKAMID HIDROGEL 50012 2.249.100 2.249.100 2.249.100 2.249.100 2.249.100 2.249.100
MAT7000999 75999 MALLA VICRYL 15 X 15 #VKMM 140.634 140.634 140.634 140.634 140.634 140.634
MAT7001001 76004 CATGUT SIMPLE 1 CT1 845T 2.992 2.992 2.992 2.992 2.992 2.992
MAT7003240 76005 MASCARILLA FULL FACE M 190.400 190.400 190.400 190.400 190.400 190.400
MAT7003241 76006 MASCARILLA FULL FACE L 190.400 190.400 190.400 190.400 190.400 190.400
MAT7001002 76007 PDS 6-0 2C1 #PDP127H 16.766 16.766 16.766 16.766 16.766 16.766
MAT7001003 76008 CATGUT SIMPLE 0 CT1 844T 3.296 3.296 3.296 3.296 3.296 3.296
MAT7001004 76009 PDS 7-6 2BV1 Z135H 25.007 25.007 25.007 25.007 25.007 25.007
MAT7001005 76010 CATGUT SIMPLE 0 CT 854T 3.296 3.296 3.296 3.296 3.296 3.296
MAT7001006 76011 PROLENE 2-0 MH 8843 11.072 11.072 11.072 11.072 11.072 11.072
MAT7001007 76012 PROLENE 4-0 2SH 8521T 10.810 10.810 10.810 10.810 10.810 10.810
MAT7001008 76016 CATGUT SIMPLE 2/0 MH-G343T 3.092 3.092 3.092 3.092 3.092 3.092
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001009 76018 CATGUT SIMPLE 2/0 SH-G323T 3.207 3.207 3.207 3.207 3.207 3.207
MAT7001010 76019 ETHIBOND 3/0 SH1 B762H 6.731 6.731 6.731 6.731 6.731 6.731
MAT7001011 76020 CATGUT SIMPLE 2/0 CT1 843T 3.529 3.529 3.529 3.529 3.529 3.529
MAT7001013 76022 LIGACLIP TITANIO MED-LAR TI-300 19.685 19.685 19.685 19.685 19.685 19.685
MAT7001014 76023 LIGACLIP TITANIUM TI-200 15.441 15.441 15.441 15.441 15.441 15.441
MAT7001015 76026 CATGUT SIMPLE 3/0 SH- G322T 3.152 3.152 3.152 3.152 3.152 3.152
MAT7003091 76031 TREPANO RECEPTOR 8.25 MM 207.989 207.989 207.989 207.989 207.989 207.989
MAT7001017 76032 CATGUT SIMPLE 4-0 HR17 20.159 20.159 20.159 20.159 20.159 20.159
MAT7001018 76034 CATGUT SIMPLE 4/0 SH1 G319T 3.152 3.152 3.152 3.152 3.152 3.152
MAT7001019 76036 VICRYL 1 CT J353H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001020 76037 VICRYL 4/0 E-19 JP496G INCOLORO 8.700 8.700 8.700 8.700 8.700 8.700
MAT7001021 76038 CATGUT SIMPLE 5/0 RB-1 U208 19.051 19.051 19.051 19.051 19.051 19.051
MAT7001022 76039 S-NUROLON 0.75 CM. 5424H 4.076 4.076 4.076 4.076 4.076 4.076
MAT7001024 76045 VICRYL 2/0 UR-5 J375H 4.691 4.691 4.691 4.691 4.691 4.691
MAT7001025 76046 S-NYLON MONOFIL.6/0 P -1 697T 7.778 7.778 7.778 7.778 7.778 7.778
MAT7001026 76047 SEDA SUTUPAK #SA86T 6.042 6.042 6.042 6.042 6.042 6.042
MAT7001027 76048 S-MONOCRYL 5/0 P3 MCP493G 10.320 10.320 10.320 10.320 10.320 10.320
MAT7001028 76049 MONOCRYL 4/0 PS-2 Y496G 8.645 8.645 8.645 8.645 8.645 8.645
MAT7001029 76051 S-MONOCRYL 3/0 PS1 MCP936H 7.516 7.516 7.516 7.516 7.516 7.516
MAT7001030 76053 MONOCRYL 3/0 SH Y316H 5.231 5.231 5.231 5.231 5.231 5.231
MAT7001031 76054 CATGUT SIMPLE S/AG. 0 S104 SH 2.746 2.746 2.746 2.746 2.746 2.746
MAT7001032 76055 MONOCRYL 4/0 ROI Y304H 5.144 5.144 5.144 5.144 5.144 5.144
MAT7001034 76057 S-MONOCRYL 5/0 RB-1 Y303H 5.231 5.231 5.231 5.231 5.231 5.231
MAT7001036 76059 SEDA 2/0 SUTUPAK SA 85T 5.841 5.841 5.841 5.841 5.841 5.841
MAT7001038 76061 SEDA 4/0 SUTUPAK SA 83T 7.487 7.487 7.487 7.487 7.487 7.487
MAT7001040 76065 ETHIBOND EXTRA 2/0 2SH1 BR763T 8.645 8.645 8.645 8.645 8.645 8.645
MAT7001041 76066 S-NYLON MONOFIL.4/0 PS-2 INC. P1611T 7.254 7.254 7.254 7.254 7.254 7.254
MAT7001042 76067 SEDA AZUL W 1782 29.950 29.950 29.950 29.950 29.950 29.950
MAT7001043 76068 PROLENE 6/0 C/AG. BU1 M88005T 12.370 12.370 12.370 12.370 12.370 12.370
MAT7001044 76071 MONOCRYL 4/0 Y315H 5.231 5.231 5.231 5.231 5.231 5.231
MAT7001045 76072 MONOCRYL 2/0 Y317H 5.349 5.349 5.349 5.349 5.349 5.349
MAT7001046 76073 CATGUT SIMPLE 2-0 #G323T 2.783 2.783 2.783 2.783 2.783 2.783
MAT7001047 76074 PROLENE 1TP1 882G 16.247 16.247 16.247 16.247 16.247 16.247
MAT7001048 76075 DERMABOND #AHV12 31.885 31.885 31.885 31.885 31.885 31.885
MAT7001049 76076 VICRYL 5/0 2 S14 J571G 32.288 32.288 32.288 32.288 32.288 32.288
MAT7001050 76077 PDS PLUS VLT 3-0 70 CM SH PDP316H 6.097 6.097 6.097 6.097 6.097 6.097
MAT7001051 76078 PDS 1 TP1 PDP880G 25.929 25.929 25.929 25.929 25.929 25.929
MAT7001052 76081 S-NYLON MONOFIL.INC.4/0 P1603T 7.833 7.833 7.833 7.833 7.833 7.833
MAT7001053 76082 S-NYLON MONOFIL INC.5/0 P1602T 7.951 7.951 7.951 7.951 7.951 7.951
MAT7001054 76084 CATGUT CROMADO 1 CT 915T 3.296 3.296 3.296 3.296 3.296 3.296
MAT7001055 76085 PROLENE 4-0 SH 1 9521T 11.072 11.072 11.072 11.072 11.072 11.072
MAT7001056 76086 VICRYL RAPID 3/0 FS VR9940G 8.121 8.121 8.121 8.121 8.121 8.121
MAT7001057 76087 PROLENE 3-0 RB 9558T 11.072 11.072 11.072 11.072 11.072 11.072
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001058 76088 CATGUT CROMADO 0 CT 914T 3.207 3.207 3.207 3.207 3.207 3.207
MAT7001060 76096 CATGUT CROMADO 2/0 MH G127T 3.296 3.296 3.296 3.296 3.296 3.296
MAT7001061 76098 CATGUT CROMADO 2/0 SH G123T 3.296 3.296 3.296 3.296 3.296 3.296
MAT7001062 76100 SEDA 3-0 SH CO13D 32.434 32.434 32.434 32.434 32.434 32.434
MAT7001063 76104 CATGUT CROMADO 3/0 SH G 122T 3.207 3.207 3.207 3.207 3.207 3.207
MAT7001064 76110 CATGUT CROMADO 4/0 RB1 U203T 3.749 3.749 3.749 3.749 3.749 3.749
MAT7001065 76111 PROLENE 6-0 CC-1 M8707 (LARGA) 69.000 69.000 69.000 69.000 69.000 69.000
MAT7001066 76114 CATGUT CROMADO 5/0 RB-1 U202T 3.652 3.652 3.652 3.652 3.652 3.652
MAT7001069 76140 S-NYLON NEGRO 5-0 7731G 58.460 58.460 58.460 58.460 58.460 58.460
MAT7001070 76146 MERSILENE 4-0 1779G 52.638 52.638 52.638 52.638 52.638 52.638
MAT7001071 76147 CATGUT CROMICO 4-0 793G 51.831 51.831 51.831 51.831 51.831 51.831
MAT7001072 76148 PDS II 5.0 AGUJA RB-1 #PDP303H 7.718 7.718 7.718 7.718 7.718 7.718
MAT7001073 76149 SUTURA PDS II 2/0 CT-1 #PDP339H 8.760 8.760 8.760 8.760 8.760 8.760
MAT7001074 76150 VICRYL 1 TP-1 J650 G 30.932 30.932 30.932 30.932 30.932 30.932
MAT7001075 76151 VICRYL 0 C/A UR6 J603H 7.891 7.891 7.891 7.891 7.891 7.891
MAT7001076 76152 VICRYL 1 CTX J371H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001077 76153 PROLENE 5/0 AGUJA P- 3 PRIME P8698T 14.394 14.394 14.394 14.394 14.394 14.394
MAT7001078 76154 VICRYL 1 CT1 J347H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001079 76155 PROLENE 4/0 AGUJA PS-2 PRIME P8682T 14.627 14.627 14.627 14.627 14.627 14.627
MAT7001080 76156 VICRYL 1 CT2 J335H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001571 76157 SUTURA FIBER WIRE #AX-AR-7200 71.995 71.995 71.995 71.995 71.995 71.995
MAT7001659 76158 VICRYL 3/0 X 20 COD.J160H 6.244 6.244 6.244 6.244 6.244 6.244
MAT7001535 76159 VICRYL J602 H 10.553 10.553 10.553 10.553 10.553 10.553
MAT7001869 76161 BAJADA DE AGUA MOTOR W-H 19.025 19.025 19.025 19.025 19.025 19.025
MAT7001081 76162 VICRYL 0 CTX J370 H 5.723 5.723 5.723 5.723 5.723 5.723
MAT7001082 76164 S-VICRYL 0 CT J352H 5.694 5.694 5.694 5.694 5.694 5.694
MAT7001083 76166 VICRYL 0 CT1 J 346 H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001084 76168 VICRYL 0 CT2 J 334H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001085 76178 VICRYL 2 /0 CT1 XYVCP345H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001086 76180 VICRYL 2/0 CT2 J333H 5.781 5.781 5.781 5.781 5.781 5.781
MAT7001087 76182 VICRYL 2/0 MH J323H 4.741 4.741 4.741 4.741 4.741 4.741
MAT7001088 76184 VICRYL 2/0 SH J317H 4.741 4.741 4.741 4.741 4.741 4.741
MAT7001906 76185 CANULA P/TROCAR 10/12MM 100MM #CB12LT 94.813 94.813 94.813 94.813 94.813 94.813
MAT7001907 76186 CANULA P/TROCAR 5MM 100MM #CB5LT 94.813 94.813 94.813 94.813 94.813 94.813
MAT7001089 76190 VICRYL 3/0 MH J322H 4.741 4.741 4.741 4.741 4.741 4.741
MAT7001090 76192 VICRYL 3/0 SH XYVCP316H 4.741 4.741 4.741 4.741 4.741 4.741
MAT7001091 76194 VICRYL 3/0 SH1 J311H 4.741 4.741 4.741 4.741 4.741 4.741
MAT7001092 76202 VICRYL 4/0 SH J315H 4.741 4.741 4.741 4.741 4.741 4.741
MAT7001093 76204 VICRYL 4/0 SH1 J310H 5.144 5.144 5.144 5.144 5.144 5.144
MAT7001094 76206 VICRYL 4/0 RB-1 J304H 5.317 5.317 5.317 5.317 5.317 5.317
MAT7001095 76212 VICRYL 5/0 RB-1 J303H 5.927 5.927 5.927 5.927 5.927 5.927
MAT7001096 76214 VICRYL 5/0 PS-4 JP506G INCOLORO 8.700 8.700 8.700 8.700 8.700 8.700
MAT7001097 76216 VICRYL 5/0 E-16 P500G 8.469 8.469 8.469 8.469 8.469 8.469
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001098 76222 VICRYL 6/0 CC1 J301H 5.686 5.686 5.686 5.686 5.686 5.686
MAT7001099 76224 VICRYL 6/0 2S14 J 570G 31.798 31.798 31.798 31.798 31.798 31.798
MAT7001100 76226 VICRYL 6/0 PS-4 JP 505G 8.469 8.469 8.469 8.469 8.469 8.469
MAT7001101 76232 VICRYL 7/0 2 TG140-8 J546G 32.605 32.605 32.605 32.605 32.605 32.605
MAT7001102 76238 VICRYL 8/0 TG140-8 J547G 32.605 32.605 32.605 32.605 32.605 32.605
MAT7001103 76250 VICRYL SUTUPAK 1-J113T 15.551 15.551 15.551 15.551 15.551 15.551
MAT7001104 76252 VICRYL SUTUPAK 0 J106T 15.957 15.957 15.957 15.957 15.957 15.957
MAT7001105 76254 VICRYL SUTUPAK 2/0 J905T 18.441 18.441 18.441 18.441 18.441 18.441
MAT7001106 76256 VICRYL SUTUPAK 3/0 J904T 18.441 18.441 18.441 18.441 18.441 18.441
MAT7001107 76284 LINO 1 (EQUIV. #25) S/A. SL 1325G 5.074 5.074 5.074 5.074 5.074 5.074
MAT7001108 76286 SEDA 0 (SA86T) 10x75 5.029 5.029 5.029 5.029 5.029 5.029
MAT7001109 76288 LINO 2 (EQUIV. #60) S/AG. SL 1323G 2.555 2.555 2.555 2.555 2.555 2.555
MAT7001110 76290 LINO 3-0 (EQUIV. #80) S/AG.SL 1322G 2.466 2.466 2.466 2.466 2.466 2.466
MAT7001111 76300 SEDA 0 SH C/AG.K834H 3.440 3.440 3.440 3.440 3.440 3.440
MAT7001112 76306 SEDA 2/0 C/AG.SH- K833H 3.440 3.440 3.440 3.440 3.440 3.440
MAT7001113 76308 SEDA 2-0 C/AG.HR-26 2.217 2.217 2.217 2.217 2.217 2.217
MAT7001114 76316 SEDA 3/0 K872T 5.432 5.432 5.432 5.432 5.432 5.432
MAT7001115 76318 SEDA 3/0 C/AG. SH-K832H 3.440 3.440 3.440 3.440 3.440 3.440
MAT7001116 76320 SEDA 3-0 C/AGUJA HR 22-HR22 2.304 2.304 2.304 2.304 2.304 2.304
MAT7001117 76324 SEDA 3/0 SC-24 184 T 2.919 2.919 2.919 2.919 2.919 2.919
MAT7001118 76332 SEDA 4/0 C/AG.SH-K831H 3.325 3.325 3.325 3.325 3.325 3.325
MAT7001119 76334 SEDA 4/0 RB1 K871 5.349 5.349 5.349 5.349 5.349 5.349
MAT7001120 76336 SEDA 4/0 C/AG. FS2- 183T 2.919 2.919 2.919 2.919 2.919 2.919
MAT7001121 76338 SEDA 4/0 E-13 P641TH 3.699 3.699 3.699 3.699 3.699 3.699
MAT7001122 76344 SEDA 5/0 C/AG. RB1- K870T 5.349 5.349 5.349 5.349 5.349 5.349
MAT7001123 76346 SEDA 5/0 C/AG. FS2- 182T 2.833 2.833 2.833 2.833 2.833 2.833
MAT7001124 76358 SEDA 6/0 C/AG. 2C1 706G 9.375 9.375 9.375 9.375 9.375 9.375
MAT7001125 76369 SEDA S/AG.SUTUPAK 3/0 SA 84T 6.042 6.042 6.042 6.042 6.042 6.042
MAT7001126 76374 S-NYLON MONOFIL.2/0 SC-26 164T 3.354 3.354 3.354 3.354 3.354 3.354
MAT7001127 76378 S-NYLON MONOFIL.3/0 SC-24 163T 2.286 2.286 2.286 2.286 2.286 2.286
MAT7001128 76390 S-NYLON MONOFIL. 4/0 SC-20 14502T 3.757 3.757 3.757 3.757 3.757 3.757
MAT7001129 76392 S-NYLON MONOFIL.4/0 P1667T 7.778 7.778 7.778 7.778 7.778 7.778
MAT7001130 76394 S-NYLON MONOFIL.4/0 P1662T 7.778 7.778 7.778 7.778 7.778 7.778
MAT7001131 76396 S-NYLON MONOFYL 4/0 SC-24 1129T NEGRO 3.757 3.757 3.757 3.757 3.757 3.757
MAT7003148 76398 MANGA NEUMATICA CDS EXPRESS M #73012 73.304 73.304 73.304 73.304 73.304 73.304
MAT7001132 76406 S-NYLON MONOFIL.5/0 P1666T 7.778 7.778 7.778 7.778 7.778 7.778
MAT7001133 76408 S-NYLON MONOFIL.5/0 SC-20 14501T 3.757 3.757 3.757 3.757 3.757 3.757
MAT7001134 76410 S-NYLON MONOFIL.5-0 PS-4 P1661T 7.778 7.778 7.778 7.778 7.778 7.778
PRO4002994 76418 TUEBINGEN TYPE AERIAL TOTAL #1004241 396.508 396.508 396.508 396.508 396.508 396.508
MAT7001135 76420 S-NYLON MONOFIL.6/0 P1665T 7.778 7.778 7.778 7.778 7.778 7.778
MAT7001136 76422 S-NYLON MONOFIL 6/0 PS-4 P1660T 7.778 7.778 7.778 7.778 7.778 7.778
MAT7001137 76438 S-NYLON MONOFIL. 9-0 TG140-8 7717G. 34.775 34.775 34.775 34.775 34.775 34.775
MAT7001138 76449 S-NYLON MONOFIL.10/0 W1770 38.909 38.909 38.909 38.909 38.909 38.909
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001139 76452 S-NYLON MONOFIL.8/0 BV-130-5 V2808G 58.130 58.130 58.130 58.130 58.130 58.130
MAT7001140 76453 S-NYLON MONOFIL 9/0 BV-130-3-W2813 59.405 59.405 59.405 59.405 59.405 59.405
MAT7001141 76454 S-NYLON MONOFIL.10/0 BV-130 2820G 59.405 59.405 59.405 59.405 59.405 59.405
MAT7001142 76481 PROLENE 1 C/AG. CT-1 8425H 7.084 7.084 7.084 7.084 7.084 7.084
MAT7001143 76483 PROLENE 0 C/AG. CT-1 8424T 6.995 6.995 6.995 6.995 6.995 6.995
MAT7001144 76488 PROLENE 8/0 BV 130 5 87302H 57.813 57.813 57.813 57.813 57.813 57.813
MAT7001145 76490 PROLENE 2-0 C/AG. 2SH 8523T 10.637 10.637 10.637 10.637 10.637 10.637
MAT7001146 76496 PROLENE 3-0 C/AG.2SH 8522T 10.810 10.810 10.810 10.810 10.810 10.810
MAT7001147 76498 PROLENE 3-0 C/AG.1SH1 9522T 10.522 10.522 10.522 10.522 10.522 10.522
MAT7003070 76499 RASTREADOR NO INVASIVO #9734887XOM 455.218 455.218 455.218 455.218 455.218 455.218
MAT7003071 76500 BISTURI LARINGEO SATALOFF #MCL-S33 207.378 207.378 207.378 207.378 207.378 207.378
MAT7001148 76502 PROLENE 3-0 C/AG. KS 8622H 4.100 4.100 4.100 4.100 4.100 4.100
MAT7001149 76512 PROLENE 4/0 C/AG.2RB1 9557T 10.810 10.810 10.810 10.810 10.810 10.810
MAT7001150 76518 PROLENE 5/0 C/AG. 2RB1 9556T 10.810 10.810 10.810 10.810 10.810 10.810
MAT7001151 76520 PROLENE 5-0 C/AG. 2C1 8725 H 15.724 15.724 15.724 15.724 15.724 15.724
MAT7001152 76526 PROLENE 6/0 C/AG. 2C1 M8706T 10.810 10.810 10.810 10.810 10.810 10.810
MAT7001153 76528 PROLENE 6/0 C/AG. 8707T 19.397 19.397 19.397 19.397 19.397 19.397
MAT7001154 76534 PROLENE 7/0 C/AG. 2 BV-1 M8702T 12.517 12.517 12.517 12.517 12.517 12.517
MAT7002970 76541 SOLUCION PERFADEX PLUS 1LT. 499.800 499.800 499.800 499.800 499.800 499.800
MAT7003005 76549 SENSOR P/MONITOR SEDLINE #4248 48.433 48.433 48.433 48.433 48.433 48.433
MAT7001155 76562 ETHIBOND VITALON 1CT1 X425H 7.689 7.689 7.689 7.689 7.689 7.689
MAT7001156 76568 ETHIBOND VITALON OCT1 B424H 7.550 7.550 7.550 7.550 7.550 7.550
MAT7001157 76576 ETHIBOND VITALON 2-0 2SH-B523T 8.412 8.412 8.412 8.412 8.412 8.412
MAT7001158 76580 ETHIBOND VITALON 2/0 25H PXX86 140.634 140.634 140.634 140.634 140.634 140.634
MAT7001159 76584 ETHIBOND EXTRA 2/0 2V5 PXX52 162.515 162.515 162.515 162.515 162.515 162.515
MAT7001160 76592 ETHIBOND VITALON 3/0 2SH-B522T 8.145 8.145 8.145 8.145 8.145 8.145
MAT7001161 76604 ETHIBOND 4-0 RO1 B557T 7.878 7.878 7.878 7.878 7.878 7.878
MAT7001162 76605 ETHIBOND-VITALON 5/0 2RB1 B556T 8.210 8.210 8.210 8.210 8.210 8.210
PRO4002438 76606 6 ROW 45MM BLUE RELOAD 6R45B 256.854 256.854 256.854 256.854 256.854 256.854
PRO4002442 76609 RECARGA GST AZUL 60MM GST60B 333.986 333.986 333.986 333.986 333.986 333.986
PRO4002443 76610 RECARGA GST DORADA 60MM GST60D 333.986 333.986 333.986 333.986 333.986 333.986
PRO4002444 76611 RECARGA GST VERDE 60MM GST60G 333.986 333.986 333.986 333.986 333.986 333.986
PRO4002445 76612 RECARGA GST BLANCA 60MM GST60W 333.986 333.986 333.986 333.986 333.986 333.986
PRO4002446 76613 PROCEED 7.5 X 15CM RECTANGULA PCDR1 515.787 515.787 515.787 515.787 515.787 515.787
PRO4002447 76614 PWRD ECH FLEX 60MM VASTAGO 28C PCE60A 478.221 478.221 478.221 478.221 478.221 478.221
PRO4002448 76615 PWRD ECHELON PLUS LONG 60MM PLEE60A 704.633 704.633 704.633 704.633 704.633 704.633
PRO4002449 76616 PWRD ECHELON PLUS 60MM PSEE60A 704.633 704.633 704.633 704.633 704.633 704.633
PRO4002450 76617 PWRD VASCULAR ECHELON 35MM PVE35A 517.130 517.130 517.130 517.130 517.130 517.130
PRO4002452 76619 RECARGA VASCULAR PWRD 35MM VASECR35 280.123 280.123 280.123 280.123 280.123 280.123
MAT7001163 76651 PDS MONOFIL.1CT1 Z341H 8.558 8.558 8.558 8.558 8.558 8.558
MAT7001164 76653 PDS MONOFIL.4-0 RB1 #PDP304H 7.778 7.778 7.778 7.778 7.778 7.778
PRO4002091 76662 INT. PARA SUTURE TAK 3.0 AR-8934DSC 299.600 299.600 299.600 299.600 299.600 299.600
PRO4002094 76665 TIGHT ROPE KNOTLESS AR-8926 SS 1.501.630 1.501.630 1.501.630 1.501.630 1.501.630 1.501.630
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4002125 76688 ANGIOSCULPT 2.5X10 2001-2510 1.032.920 1.032.920 1.032.920 1.032.920 1.032.920 1.032.920
PRO4002127 76690 ANGIOSCULPT 3.5X10 2001-3510 1.032.920 1.032.920 1.032.920 1.032.920 1.032.920 1.032.920
PRO4002129 76692 ANGIOSCULPT OTW 4.0X20 2076-4020 1.300.146 1.300.146 1.300.146 1.300.146 1.300.146 1.300.146
PRO4002432 76703 LAZO ANDRASNARE 15 # AS-15 749.700 749.700 749.700 749.700 749.700 749.700
PRO4002433 76704 LAZO ANDRASNARE 20 # AS-20 749.700 749.700 749.700 749.700 749.700 749.700
PRO4002144 76709 GUIA ROADRUNNER RFSPC-35-260 158.270 158.270 158.270 158.270 158.270 158.270
PRO4002143 76710 GUIA ROSEN THSCF-35-260-15-ROSEN 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002142 76711 GUIA LUNDERQUIST DC TSCMG 35-260-LESDC 158.270 158.270 158.270 158.270 158.270 158.270
PRO4002145 76712 BALON CODA 32MM CODA-2-10.0-35-120-32 649.740 649.740 649.740 649.740 649.740 649.740
PRO4002147 76714 BALON CODA 40MM CODA-2-10.0-35-140-46 649.740 649.740 649.740 649.740 649.740 649.740
PRO4002152 76719 INTRODUCTOR KCFW-7.0-38-90-RB-RAABE 249.900 249.900 249.900 249.900 249.900 249.900
PRO4002154 76720 INTRODUCTOR KCFW 6-38-90 RB-RABBE 249.900 249.900 249.900 249.900 249.900 249.900
PRO4002156 76722 INTRODUCTOR KCFW 60-38-55 RB 249.900 249.900 249.900 249.900 249.900 249.900
PRO4002157 76723 INTRODUCTOR KCFW-6.0-38-40-RB-BLKN 299.880 299.880 299.880 299.880 299.880 299.880
PRO4002118 76728 STENT RESOLUTE ONYX 4.00X18 #RONYX40018X 1.166.200 1.166.200 1.166.200 1.166.200 1.166.200 1.166.200
PRO4002171 76731 STENT RESOLUTE ONYX 3.50X34 #RONYX35034X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002172 76732 STENT RESOLUTE ONYX 3.50X30 #RONYX35030X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002174 76734 STENT RESOLUTE ONYX 3.50X18 #RONYX35018X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002175 76735 STENT RESOLUTE ONYX 3.50X15 #RONYX35015X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002176 76736 STENT RESOLUTE ONYX 2.25X15 #RONYX22515X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002177 76737 STENT RESOLUTE ONYX 2.25X18 #RONYX22518X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002181 76741 STENT RESOLUTE ONYX 2.50X12 #RONYX25012X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002182 76742 STENT RESOLUTE ONYX 2.50X15 #RONYX25015X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002183 76743 STENT RESOLUTE ONYX 2.50X18 #RONYX25018X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002187 76747 STENT RESOLUTE ONYX 2.75X12 #RONYX27512X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002188 76748 STENT RESOLUTE ONYX 2.75X15 #RONYX27515X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002189 76749 STENT RESOLUTE ONYX 2.75X18 #RONYX27518X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002190 76750 STENT RESOLUTE ONYX 2.75X22 #RONYX27522X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002169 76755 STENT RESOLUTE ONYX 3.00X15 #RONYX30015X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002191 76757 STENT RESOLUTE ONYX 3.00X22 #RONYX30022X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002192 76758 STENT RESOLUTE ONYX 3.00X26 #RONYX30026X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002193 76759 STENT RESOLUTE ONYX 3.00X30 #RONYX30030X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002194 76760 STENT RESOLUTE ONYX 3.00X34 #RONYX30034X 916.300 916.300 916.300 916.300 916.300 916.300
PRO4002206 76772 CATETER 6F 100CM EBU35 LA6EBU35 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002208 76774 CATETER 6F 100CM JR40 LA6JR40 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002209 76775 CATETER 6F 100CM JL40 LA6JL40 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002211 76777 CATETER 6F 100CM AL10 LA6AL10 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002212 76778 CATETER 6F 100CM AR10 LA6AR10 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002246 76812 CATETER 7F LA7JL40 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002248 76813 CATETER 7F LA7AL10 74.970 74.970 74.970 74.970 74.970 74.970
PRO4002249 76814 ASPIRADOR TROMBO ADVANCECE 399.840 399.840 399.840 399.840 399.840 399.840
PRO4002252 76817 GUIA ABBOTT HT PILOT 50 190CM 1010480HOO 141.610 141.610 141.610 141.610 141.610 141.610
PRO4002253 76818 GUIA ABBOT HT PILOT 150 190CM 1010481HOO 141.610 141.610 141.610 141.610 141.610 141.610
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4002254 76819 GUIA ABBOT HT PILOT 200 190CM 1010482HOO 258.230 258.230 258.230 258.230 258.230 258.230
PRO4002454 76820 GUIA WHISPER EX SUPP 190CM 1011834-HOOO 141.610 141.610 141.610 141.610 141.610 141.610
PRO4002455 76821 BALON ABBOTT MINITREK 1.2X15 1012268-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002456 76822 BALON ABBOTT MINITREK 1.5X12 1012269-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002457 76823 BALON ABBOTT MINITREK 1.5X15 1012269-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002458 76824 BALON ABBOTT MINITREK 2.0X12 1012270-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002459 76825 BALON ABBOTT MINITREK 2.0X15 1012270-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002460 76826 BALON ABBOTT MINITREK 2.0X20 1012270-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002256 76828 BALON ABBOTT TREK 2.5X15 1012272-150 241.570 241.570 241.570 241.570 241.570 241.570
MAT7001165 76834 MERSILENE BCO. 5/0 2SIA (1760G) 30.468 30.468 30.468 30.468 30.468 30.468
MAT7000859 76836 ROPA RECIEN NACIDO 8.579 8.579 8.579 8.579 8.579 8.579
MAT7001166 76852 CORCHETERA PIEL 30 CORCHETES #PMW35 32.982 32.982 32.982 32.982 32.982 32.982
MAT7001167 76856 EXTRACTOR DE CORCHETES PSX 15.902 15.902 15.902 15.902 15.902 15.902
MAT7002140 76865 CATETER LEADER-FLEX 20G X 12CM #121112 66.235 66.235 66.235 66.235 66.235 66.235
MAT7002142 76866 CATETER LEADER-FLEX 20G X 4CM #121104 71.995 71.995 71.995 71.995 71.995 71.995
MAT7002143 76867 CATETER LEADER-FLEX 20G X 8CM #121108 67.414 67.414 67.414 67.414 67.414 67.414
MAT7002144 76868 CATETER LEADER-FLEX 22G X 8CM #121208 67.414 67.414 67.414 67.414 67.414 67.414
MAT7002147 76871 SURGICEL FIBRILAR 5.1X10.2CM 224.174 224.174 224.174 224.174 224.174 224.174
MAT7001168 76889 LIGACLIP TI-IOO 15.724 15.724 15.724 15.724 15.724 15.724
MAT7002163 76948 PUNTA NEURO EXTENDIDA CURVA #C4611S 372.369 372.369 372.369 372.369 372.369 372.369
MAT7001169 76954 CINTA CERCLAJE 78.137 78.137 78.137 78.137 78.137 78.137
MAT7001171 76960 CERA PARA HUESO W31G-BW10 4.582 4.582 4.582 4.582 4.582 4.582
MAT7001172 76966 HISTOACRYL 27.751 27.751 27.751 27.751 27.751 27.751
MAT7001173 76980 ACIFLEX ELECT. P/MARCAPASO TPW30 31.076 31.076 31.076 31.076 31.076 31.076
MAT7001174 76982 ACIFLEX 5 C/AG. CCS M653G 39.084 39.084 39.084 39.084 39.084 39.084
MAT7003778 77016 AGUJAS BIOPSIA 20X9 CM S/COAXIAL MEDONE 75.922 75.922 75.922 75.922 75.922 75.922
MAT7001189 77033 PERA ASPIRACION DESECH.#20Z 4.241 4.241 4.241 4.241 4.241 4.241
MAT7002844 77036 CANULAS ROSEN LASIK 25 7125 10.472 10.472 10.472 10.472 10.472 10.472
MAT7001193 77047 AGUJA COOK AUS. DOBL.LUMEN OVUM 16G 193.808 193.808 193.808 193.808 193.808 193.808
MAT7003780 77048 AGUJAS BIOPSIA 20X15 CM S/COAXIAL MEDONE 75.922 75.922 75.922 75.922 75.922 75.922
MAT7003782 77049 AGUJAS BIOPSIA 14X9 CM SIN COAXIAL 81.158 81.158 81.158 81.158 81.158 81.158
MAT7003783 77055 AGUJAS DE RADIOFRECUENCIA 2,0 CM 15 759.696 759.696 759.696 759.696 759.696 759.696
MAT7002850 77060 CUCHILLETE MINI CRECENT 15.669 15.669 15.669 15.669 15.669 15.669
MAT7002851 77062 GAS C3F8 80.977 80.977 80.977 80.977 80.977 80.977
MAT7002852 77064 GAS SF6 87.266 87.266 87.266 87.266 87.266 87.266
MAT7003784 77068 AGUJAS DE RADIOFRECUENCIA 3,0 CM 15 759.696 759.696 759.696 759.696 759.696 759.696
MAT7003785 77070 SET DE ACCESO PERCUTANEO NEFF 228.480 228.480 228.480 228.480 228.480 228.480
MAT7003786 77072 AGUJA DE PUNCIÓN CHIBA 22GX 10CM 75.922 75.922 75.922 75.922 75.922 75.922
MAT7003787 77074 AGUJA DE PUNCIÓN CHIBA 22GX20 CM 75.922 75.922 75.922 75.922 75.922 75.922
MAT7003788 77076 AGUJA RING 5FRX15CM 248.710 248.710 248.710 248.710 248.710 248.710
MAT7003789 77078 AGUJA RING 5FRX25CM 248.710 248.710 248.710 248.710 248.710 248.710
MAT7003790 77080 GUIA HIDROFILICA ANG 0.35X153CM GA35153M 104.720 104.720 104.720 104.720 104.720 104.720
MAT7003791 77082 GUIA TEFLONADA AMPLATZ0.035X 145CM 209.440 209.440 209.440 209.440 209.440 209.440
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003792 77084 GUIA TEFLONADA AMPLATZ0.035X 180CM 209.440 209.440 209.440 209.440 209.440 209.440
MAT7003793 77086 AGUJA BIOPSIA MAGNUM 12GX 10CM 62.832 62.832 62.832 62.832 62.832 62.832
MAT7003794 77088 GUIA EVIVA NG09R 26.376 26.376 26.376 26.376 26.376 26.376
MAT7003795 77090 ULTRACORT TWIRL 17G NITINOL RING 257.040 257.040 257.040 257.040 257.040 257.040
MAT7003796 77092 BISTURI CON MANGO N 11 REF 02934 707 707 707 707 707 707
MAT7003798 77094 DRENAJE MULTIPROPOSITO 6.3 FRX15CM 238.000 238.000 238.000 238.000 238.000 238.000
MAT7003799 77096 DRENAJE MULTIPROPOSITO 8.5FRX25CM 238.000 238.000 238.000 238.000 238.000 238.000
MAT7003800 77098 DRENAJE MULTIPROPOSITO 10.2FRX25CM 238.000 238.000 238.000 238.000 238.000 238.000
MAT7003801 77100 DRENAJE MULTIPROPOSITO 12FRX25CM 238.000 238.000 238.000 238.000 238.000 238.000
MAT7003802 77102 DRENAJE MULTIPROPOSITO 14FRX25CM 238.000 238.000 238.000 238.000 238.000 238.000
MAT7003841 77111 ASPIRADOR AMEU DOBLE VALVULA 60ML 65.450 65.450 65.450 65.450 65.450 65.450
MAT7003842 77112 CANULA ASPIR AMEU RECTA /FLEXIBLE 4MM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7001195 77113 TORULAS DE AMIGDALAS (4UN) 618 618 618 618 618 618
MAT7003843 77114 CANULA ASPIR AMEU RECTA /FLEXIBLE 5MM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7003844 77116 CANULA ASPIR AMEU RECTA /FLEXIBLE 6MM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7001197 77117 AGUJA P/DIALISIS 17GX1 ROTATORIA 916 916 916 916 916 916
MAT7003845 77118 CANULA ASPIR AMEU RECTA /FLEXIBLE 7MM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7003846 77120 CANULA ASPIR AMEU RECTA /FLEXIBLE 8MM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7003847 77121 CANULA ASPIR AMEU RECTA /FLEXIBLE 9MM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7003848 77122 CANULA ASPIR AMEU RECTA /FLEXIBLE 10MM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7003849 77123 ELECTRODOS ASA 5*5 MM 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003850 77124 ELECTRODOS ASA 10*10 MM 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003851 77126 ELECTRODOS ASA 15*12 MM 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003852 77128 ELECTRODOS ASA 20*10 MM 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003853 77129 ELECTRODOS ASA 25*10 MM 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003854 77130 ELECTRODOS ASA 20*12 MM 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003855 77131 ELECTRODOS ASA 10*10 MM 48.433 48.433 48.433 48.433 48.433 48.433
MAT7003856 77132 ELECTRODOS TRIANG s15*12MM 48.433 48.433 48.433 48.433 48.433 48.433
MAT7001202 77133 HOJA BISTURI BB-367 6.058 6.058 6.058 6.058 6.058 6.058
MAT7003857 77134 ELECTRODOS TRIANG s18*15MM 51.051 51.051 51.051 51.051 51.051 51.051
MAT7003858 77136 ELECTRODOS BOLITA 5MM 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003861 77137 CUBRE PELOTA 8.116 8.116 8.116 8.116 8.116 8.116
MAT7003862 77138 ASA CORTE BIPOLAR DESECHABLE 24/26 FR 197.888 197.888 197.888 197.888 197.888 197.888
MAT7003863 77140 ELECTRODO DE COAGULACIÓN UNIPOLAR 105.312 105.312 105.312 105.312 105.312 105.312
MAT7001204 77141 APOSITO IV ADULTO 7X6,5 #1683 1.105 1.105 1.105 1.105 1.105 1.105
MAT7003812 77150 SEPARADOR BUCAL ADULTO 2X4X3CM 7.592 7.592 7.592 7.592 7.592 7.592
MAT7003813 77151 SEPARADOR BUCLA PEDIATRICO 1.7X3X2.5CM 7.592 7.592 7.592 7.592 7.592 7.592
MAT7003814 77152 HOJA DERMATOMO 24.478 24.478 24.478 24.478 24.478 24.478
MAT7003815 77153 RETRACTOR ALEXIS XXS 123.640 123.640 123.640 123.640 123.640 123.640
MAT7003819 77153 ELECTRODO DESECHABLE NEUROLINE 720 1.799 1.799 1.799 1.799 1.799 1.799
MAT7003816 77154 STEEN SOLUTION X VIVO 2.832.200 2.832.200 2.832.200 2.832.200 2.832.200 2.832.200
MAT7003817 77156 PLENIT.A.PLUS.PANTS P/M 16 28.583 28.583 28.583 28.583 28.583 28.583
MAT7003818 77157 PLENIT.A.PLUS.PANTS G/XG 16 28.583 28.583 28.583 28.583 28.583 28.583
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003839 77158 INMV DE RODILLA TALLA 12-14 15.315 15.315 15.315 15.315 15.315 15.315
MAT7003820 77160 ELECTRODO TM PARA ECOCHG 104.131 104.131 104.131 104.131 104.131 104.131
MAT7003821 77161 AMNISURE ROM TEST 92.436 92.436 92.436 92.436 92.436 92.436
MAT7003822 77162 CAT.ARROW 8.5FRX14CM INFUSION RAPIDA 78.016 78.016 78.016 78.016 78.016 78.016
MAT7001220 77163 HISOPOS 511 511 511 511 511 511
MAT7001221 77164 TORULAS DE PULMON#MIX971 2.744 2.744 2.744 2.744 2.744 2.744
MAT7003823 77165 CATETER HEMODIALISIS 14.5 23 CM 416.500 416.500 416.500 416.500 416.500 416.500
MAT7003824 77166 EQUISTREAM 14,5X19 CM 349.860 349.860 349.860 349.860 349.860 349.860
MAT7001223 77167 BANDEJA T.M.ORINA 1.262 1.262 1.262 1.262 1.262 1.262
MAT7003825 77168 EQUISTREAM 14,5X27 CM 349.860 349.860 349.860 349.860 349.860 349.860
MAT7003826 77169 GANCHO LONGSTAR 12MM 3350-8G 180.118 180.118 180.118 180.118 180.118 180.118
MAT7003827 77170 COBLEITOR REFLEX 55 391.510 391.510 391.510 391.510 391.510 391.510
MAT7001225 77171 APOSITO 20X20 670 670 670 670 670 670
MAT7003828 77173 COBLEITOR PROCISE 471.478 471.478 471.478 471.478 471.478 471.478
MAT7001227 77174 ASAS P/AMIGDALOTOMO 50 MM 2.173 2.173 2.173 2.173 2.173 2.173
MAT7003829 77175 ASCOPE 5.8 /2.8 FIBRO 699.720 699.720 699.720 699.720 699.720 699.720
MAT7003830 77176 CYSTOFIX 10FR PED.REF. 4450180 92.415 92.415 92.415 92.415 92.415 92.415
MAT7003832 77177 CAT.MULTICATH PED 3FRX10 CM 157.054 157.054 157.054 157.054 157.054 157.054
MAT7003833 77178 CAT.MULTICATH PED 5.5FRX12.5 CM 212.032 212.032 212.032 212.032 212.032 212.032
MAT7001232 77180 BANDEJA RESONANCIA MAGNETICA 772 772 772 772 772 772
MAT7001967 77181 PREMILENE 4/0 DRT C/LOOP #C2095345 70.126 70.126 70.126 70.126 70.126 70.126
MAT7001970 77182 ANGIO SEAL 6FR #610132 257.040 257.040 257.040 257.040 257.040 257.040
MAT7003837 77183 SET INTRODUCTOR FEMORAL ARTERIAL 96552 157.080 157.080 157.080 157.080 157.080 157.080
MAT7001971 77184 ANGIO SEAL 8FR #610133 257.040 257.040 257.040 257.040 257.040 257.040
MAT7001977 77187 SENSOR D/SATURACION PED. <40KG 130.900 130.900 130.900 130.900 130.900 130.900
MAT7003859 77188 SONDA ENDOSCOPIO 19 G CURVA ENDO OPTIKS 351.254 351.254 351.254 351.254 351.254 351.254
PRO7003831 77189 MALLA DUALMESH 1DLMC02 516.460 516.460 516.460 516.460 516.460 516.460
PRO7003868 77190 CORNEA DSEK-1000 3.995.068 3.995.068 3.995.068 3.995.068 3.995.068 3.995.068
PRO7003869 77192 CORNEA PKP-1000 2.823.870 2.823.870 2.823.870 2.823.870 2.823.870 2.823.870
MAT7001238 77193 GUANTE DE VINILO M (CAJA 100 UNIDADES) 118 118 118 118 118 118
MAT7001239 77194 GUANTE DE VINILO L (CAJA 100 UNIDADES) 118 118 118 118 118 118
PRO7003880 77195 CORNEA DSAEK-1001 4.329.101 4.329.101 4.329.101 4.329.101 4.329.101 4.329.101
PRO7003881 77196 CORNEA DMEK-1000 5.262.894 5.262.894 5.262.894 5.262.894 5.262.894 5.262.894
PRO7003882 77197 CORNEA DMEK-1001 5.596.094 5.596.094 5.596.094 5.596.094 5.596.094 5.596.094
PRO7003883 77198 MEMBRANA AMNIOTICA 1x1CM CR-471011 432.987 432.987 432.987 432.987 432.987 432.987
PRO7003884 77199 MEMBRANA AMNIOTICA 2x2CM CR-471022 681.061 681.061 681.061 681.061 681.061 681.061
PRO7003885 77200 MEMBRANA AMNIOTICA 3x3CM CR-471033 1.249.233 1.249.233 1.249.233 1.249.233 1.249.233 1.249.233
PRO7003886 77201 DISCO AMNIOTICO 10 MM CRT-472010 432.987 432.987 432.987 432.987 432.987 432.987
PRO7003887 77202 DISCO AMNIOTICO 12 MM CRT-472012 445.980 445.980 445.980 445.980 445.980 445.980
PRO7003888 77204 DISCO AMNIOTICO 14 MM CRT-472014 463.981 463.981 463.981 463.981 463.981 463.981
PRO7003889 77205 DISCO AMNIOTICO 16 MM CRT-472016 608.090 608.090 608.090 608.090 608.090 608.090
MAT7001243 77206 TUBO AMARILLO 3.5 ML #367957 207 207 207 207 207 207
PRO4002726 77209 FRESA RAD 60 BLADE 11CM X 4MM #1884016HR 492.586 492.586 492.586 492.586 492.586 492.586
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4002728 77211 FRESA TRICUT BLADE 11CM X 4MM #1884004HR 333.137 333.137 333.137 333.137 333.137 333.137
PRO4002729 77212 FRESA INFERIOR TURBINATE BLADE #1882940 296.122 296.122 296.122 296.122 296.122 296.122
PRO4002991 77213 FIJACION AJUSTABLE ULTRABUTTON #72290003 607.744 607.744 607.744 607.744 607.744 607.744
MAT7003691 77215 JER MUNCARE L.LOK 20ML S/AG 236 236 236 236 236 236
MAT7003929 77217 CONECTOR DE CIRCULACION 1.309 1.309 1.309 1.309 1.309 1.309
MAT7003931 77218 DIALIZADOR DIACAP PRO 13L 41.391 41.391 41.391 41.391 41.391 41.391
MAT7003932 77219 DIALIZADOR DIACAP PRO 16L 41.391 41.391 41.391 41.391 41.391 41.391
MAT7003933 77220 DIALIZADOR DIACAP PRO 19L 41.391 41.391 41.391 41.391 41.391 41.391
MAT7001250 77221 FILTRO F7 HPS 31.641 31.641 31.641 31.641 31.641 31.641
MAT7003934 77223 BOLSA EFLUENTE 9LT SP-418 21.640 21.640 21.640 21.640 21.640 21.640
MAT7003955 77224 PRISMAFLEX ST150 SET 353.492 353.492 353.492 353.492 353.492 353.492
MAT7003956 77225 SET REUSABLE EXTRACTOR SYMPHONY 54.779 54.779 54.779 54.779 54.779 54.779
MAT7003958 77226 EXTRACTOR DE LECHE MANUAL HARMONY 92.180 92.180 92.180 92.180 92.180 92.180
MAT7003960 77227 SISTEMA RECOLECTOR ORINA N 8 SI-499-08 39.270 39.270 39.270 39.270 39.270 39.270
MAT7001252 77228 CONECTOR RECTO DOBLE ESTRIADO 1.571 1.571 1.571 1.571 1.571 1.571
MAT7003961 77229 PRONG S 8418605 37.307 37.307 37.307 37.307 37.307 37.307
MAT7003962 77230 ARNES S MP03882 22.868 22.868 22.868 22.868 22.868 22.868
MAT7003966 77231 SPECIMEN CUP #57247 65.450 65.450 65.450 65.450 65.450 65.450
MAT7001255 77232 CONECTOR RECTO ESTRIADO (7-13) 1.571 1.571 1.571 1.571 1.571 1.571
MAT7001256 77233 TORULA COLUMNA TRAUMT.(10UD)#MIX959 804 804 804 804 804 804
MAT7001257 77234 CONECTOR RECTO LISO DE 4.8 MM 3.142 3.142 3.142 3.142 3.142 3.142
MAT7001259 77236 CONCENTRADO DIALISIS#DA1 5.885 5.885 5.885 5.885 5.885 5.885
MAT7001260 77237 CONCENTRADO DIALISIS#DA2 5.885 5.885 5.885 5.885 5.885 5.885
MAT7001261 77238 CONECTOR TUBO T (ADAPTADOR ) 694 694 694 694 694 694
MAT7001922 77239 SET MONITOREO VOLUMEVIEW EDACVLV8R520 654.738 654.738 654.738 654.738 654.738 654.738
MAT7003974 77240 ANTENA Y CABLE NUCLEUS 7 802.667 802.667 802.667 802.667 802.667 802.667
MAT7003975 77241 PASTILLA DESHUMED (PAQ 3 UND) NUCLEUS 7 44.037 44.037 44.037 44.037 44.037 44.037
MAT7003976 77243 BATERIA RECARGABLE NUCLEUS 7 661.848 661.848 661.848 661.848 661.848 661.848
MAT7001265 77244 CONECTOR Y 7MM AC-9 #SC75121 3.744 3.744 3.744 3.744 3.744 3.744
MAT7001266 77246 CONECTOR EN Y 9MM AC-10 #SC75123 3.403 3.403 3.403 3.403 3.403 3.403
MAT7001267 77247 ESPONJA C/CLORHEXIDINA 4% 919 919 919 919 919 919
MAT7001268 77248 COMPRESA FRIO/CALOR RODILLA 26.539 26.539 26.539 26.539 26.539 26.539
MAT7001269 77249 COMPRESA FRIO/CALOR HOMBRO 44.912 44.912 44.912 44.912 44.912 44.912
MAT7001270 77250 COMPRESA FRIO /CALOR ANTIFAZ 12.566 12.566 12.566 12.566 12.566 12.566
MAT7002801 77252 LAPIZ CAUTERIO CON PILAS 35.935 35.935 35.935 35.935 35.935 35.935
MAT7002822 77260 SONDA MINI MONOKA 191.931 191.931 191.931 191.931 191.931 191.931
MAT7002831 77264 SONDA INTUBACION EAGLE PUNTA OLIVA 27GA 84.459 84.459 84.459 84.459 84.459 84.459
MAT7002832 77265 CUCHILLETE 25G MANI MPK25 18.541 18.541 18.541 18.541 18.541 18.541
MAT7001272 77266 APOSITO NO ADHERENTE TELFA 10X12,5 CM 12.642 12.642 12.642 12.642 12.642 12.642
MAT7001273 77267 APOSITO TEGADERM I.V PEDIATRICO 1682 1.333 1.333 1.333 1.333 1.333 1.333
MAT7001274 77268 PAÑO DE BAÑO SECO 2.592 2.592 2.592 2.592 2.592 2.592
MAT7003977 77271 KIT AQUA + NUCLEUS 7 729.441 729.441 729.441 729.441 729.441 729.441
MAT7003978 77274 CARGADOR DE BATERÍA USB NUCLEUS 7 209.217 209.217 209.217 209.217 209.217 209.217
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003979 77275 MINI MICROPHONE 2+ NUCLEUS 7 1.112.467 1.112.467 1.112.467 1.112.467 1.112.467 1.112.467
MAT7003980 77276 COCHLEAR NUCLEUS CP1150 KANSO 2 19.837.483 19.837.483 19.837.483 19.837.483 19.837.483 19.837.483
MAT7004020 77277 CABLES NAIDA 247.520 247.520 247.520 247.520 247.520 247.520
MAT7001276 77278 FIXOMULL 15 CM (ROLLO) 24.740 24.740 24.740 24.740 24.740 24.740
MAT7004022 77279 BATERÍA 230 GRANDE NAIDA 433.160 433.160 433.160 433.160 433.160 433.160
MAT7004023 77280 UHP 2.0 ANTENA NAIDA 649.740 649.740 649.740 649.740 649.740 649.740
MAT7004024 77281 PASTILLAS DESHUMED (PAQ 3 UN) NAIDA 73.304 73.304 73.304 73.304 73.304 73.304
MAT7001280 77282 GUANTE DE VINILO S (CAJA 100 UNI) 118 118 118 118 118 118
MAT7001281 77283 MANGA NEUMATICA M # MPP02 47.124 47.124 47.124 47.124 47.124 47.124
MAT7001282 77284 PIERNERAS 8.239 8.239 8.239 8.239 8.239 8.239
MAT7004025 77285 KIT AQUACASE (ACCESORIO PARA AGUA) NAIDA 1.982.540 1.982.540 1.982.540 1.982.540 1.982.540 1.982.540
MAT7004026 77286 NAIDA EARHOOK NAIDA 96.866 96.866 96.866 96.866 96.866 96.866
MAT7004027 77288 COLOR CUP UHP 2.0 NAIDA 83.776 83.776 83.776 83.776 83.776 83.776
MAT7004028 77289 KIT PROCESADOR NAIDA CIQ70 16.143.540 16.143.540 16.143.540 16.143.540 16.143.540 16.143.540
MAT7001288 77291 ESPONJA C/ CLORHEXIDINA 2% 1.003 1.003 1.003 1.003 1.003 1.003
PRO7004030 77292 IMPLANTE COCLEAR AB HIRES NAIDA CIQ70 17.003.910 17.003.910 17.003.910 17.003.910 17.003.910 17.003.910
MAT7004040 77293 PIPETAS ENDOTOXINAS P101161 516 516 516 516 516 516
MAT7004031 77295 CORSET MEDI 4C FLEX SHORT S 433.160 433.160 433.160 433.160 433.160 433.160
MAT7004032 77297 CORSET MEDI 4C FLEX SHORT M 433.160 433.160 433.160 433.160 433.160 433.160
MAT7004033 77299 CORSET MEDI 4C FLEX SHORT L 433.160 433.160 433.160 433.160 433.160 433.160
MAT7004034 77303 AMNIOSURE ROM TEST 92.436 92.436 92.436 92.436 92.436 92.436
MAT7004035 77304 SET CIRCUITO DESECHABLE CAREFUSION 3100 1.112.888 1.112.888 1.112.888 1.112.888 1.112.888 1.112.888
MAT7004036 77305 SONDA DE PLATA 14 FR 5CC/2 VIAS 36.652 36.652 36.652 36.652 36.652 36.652
MAT7004037 77306 SONDA DE PLATA 16 FR 5CC/2 VIAS 37.961 37.961 37.961 37.961 37.961 37.961
MAT7004038 77307 SONDA DE PLATA 18 FR 5CC/2 VIAS 26.180 26.180 26.180 26.180 26.180 26.180
MAT7004039 77308 ELECTRODOSDESFRIBILADOR PED 22550P 112.574 112.574 112.574 112.574 112.574 112.574
MAT7004050 77309 EXCILON 5,1X 5,1 REF7089 340 340 340 340 340 340
MAT7004051 77310 ESFERAS 1 UNIDADES 8801071 52.360 52.360 52.360 52.360 52.360 52.360
MAT7004052 77311 PINZA P/BIOPSIA 1.8 30.709 30.709 30.709 30.709 30.709 30.709
MAT7004053 77312 CLIP POLYMERO MORADO L 47.124 47.124 47.124 47.124 47.124 47.124
MAT7004054 77313 CLIP POLYMERO DORADO XL 47.124 47.124 47.124 47.124 47.124 47.124
MAT7004055 77314 CLIP POLYMERO VERDE M 47.124 47.124 47.124 47.124 47.124 47.124
MAT7004056 77315 SONDA LOFRIC TIEMANN 14 FR 4.414 4.414 4.414 4.414 4.414 4.414
MAT7004057 77316 SONDA LOFRIC TIEMANN 16 FR 4.414 4.414 4.414 4.414 4.414 4.414
MAT7004058 77317 SONDA LOFRIC TIEMANN 18 FR 4.414 4.414 4.414 4.414 4.414 4.414
MAT7004059 77318 SONDA LOFRIC NELATON CORTA 14-20 CM 4.414 4.414 4.414 4.414 4.414 4.414
MAT7004060 77319 SONDA LOFRIC NELATON LARGA 20 FR 4.414 4.414 4.414 4.414 4.414 4.414
MAT7001685 77320 CIRCUITO NEUMO COMP. EQUIPO STORZ PS3603 15.446 15.446 15.446 15.446 15.446 15.446
MAT7001656 77321 TUBING SET REF.# 1912030 66.764 66.764 66.764 66.764 66.764 66.764
MAT7001295 77322 HOJA BISTURI ESTERIL #10 314 314 314 314 314 314
MAT7001606 77323 CORTADOR 4.0MM OVAL #H9101 136.136 136.136 136.136 136.136 136.136 136.136
MAT7001296 77324 HOJA BISTURI ESTERIL #11 314 314 314 314 314 314
MAT7001550 77325 CLIP LIGADURA MED-GRAN20 REF.# PL568T 15.708 15.708 15.708 15.708 15.708 15.708
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001297 77326 HOJA BISTURI ESTERIL #15 99 99 99 99 99 99
MAT7001635 77327 BLAKE HUB19961015*HUBLE #2231 65.764 65.764 65.764 65.764 65.764 65.764
MAT7001298 77328 HOJA BISTURI ESTERIL #20 314 314 314 314 314 314
MAT7001598 77329 BLAKE DRN 24 FR RND HUBLESS SIL #2234 121.436 121.436 121.436 121.436 121.436 121.436
MAT7001299 77330 HOJA BISTURI ESTERIL #21 123 123 123 123 123 123
MAT7001741 77331 RESERVORIO ASPIRACION 100 ML #2160 40.498 40.498 40.498 40.498 40.498 40.498
MAT7004061 77332 DURASEAL 3ML 763.809 763.809 763.809 763.809 763.809 763.809
MAT7001715 77333 RESERVORIO ASPIRACION 150 ML.#2161 40.498 40.498 40.498 40.498 40.498 40.498
MAT7001300 77334 HOJA BISTURI ESTERIL #23 314 314 314 314 314 314
MAT7001301 77335 HOJA BISTURI ESTERIL #15 SWAN MORTON 351 351 351 351 351 351
MAT7004062 77336 DURASEAL 5ML 763.809 763.809 763.809 763.809 763.809 763.809
MAT7004063 77337 CORSE TLSO ASPEN TALLA M 812.488 812.488 812.488 812.488 812.488 812.488
MAT7001582 77338 RESERVORIO ASPIRACION 300ML #2163 40.498 40.498 40.498 40.498 40.498 40.498
MAT7001609 77339 RESERVORIO ASPIRACION 450ML #2162 40.498 40.498 40.498 40.498 40.498 40.498
MAT7004064 77340 SONDA SOFSIMP 20FR 3V B/30CC COUV 570620 40.108 40.108 40.108 40.108 40.108 40.108
MAT7004065 77341 SONDA SOFSIMP 20FR 3V B/75CC COUV570820 40.108 40.108 40.108 40.108 40.108 40.108
MAT7003040 77342 OXISENSOR PEDIATRICO 3 A 20 KG (MASIMO) 36.717 36.717 36.717 36.717 36.717 36.717
MAT7003041 77343 PAQUETE ROPA CIRUGIA CADERA 65.424 65.424 65.424 65.424 65.424 65.424
MAT7004066 77344 SONDA SOFSIMP 22FR 3V B/30CC COUV 570622 40.108 40.108 40.108 40.108 40.108 40.108
MAT7003050 77345 INSUFLADORA EVEREST 30 TJM #AC3205P 77.231 77.231 77.231 77.231 77.231 77.231
MAT7003052 77346 INYECTOR DE COLON #NM-400U-0423 71.341 71.341 71.341 71.341 71.341 71.341
MAT7003054 77347 GUIA FLEXIBLE RECTA 0,35X450CM G2403545S 323.680 323.680 323.680 323.680 323.680 323.680
MAT7003056 77349 CLIP DE HEMOSTASIA 11MM 230CM 120.952 120.952 120.952 120.952 120.952 120.952
MAT7004067 77351 BRONCOCATH DOBLE LUM 26 FR REF.116100260 117.286 117.286 117.286 117.286 117.286 117.286
PRO7004068 77352 PARCHE PERICARDIO 0,8 X 8CM 391.510 391.510 391.510 391.510 391.510 391.510
PRO7004069 77353 PARCHE PERICARDIO 10 X 16CM 1.241.170 1.241.170 1.241.170 1.241.170 1.241.170 1.241.170
PRO7004070 77354 PARCHE PERICARDIO 8 X 14 941.290 941.290 941.290 941.290 941.290 941.290
MAT7004071 77355 NAVAJA MANGO AZUL 11.781 11.781 11.781 11.781 11.781 11.781
MAT7003945 77356 ADAPTADOR TITANIO P/PERITONEO PPC4129 289.545 289.545 289.545 289.545 289.545 289.545
MAT7003946 77357 LINEA TRANSFERENCIA /PERITONEO 5C4482S 39.723 39.723 39.723 39.723 39.723 39.723
MAT7003947 77358 CANULA ARTERIAL FEMORAL 23 FR PAS2315 775.523 775.523 775.523 775.523 775.523 775.523
MAT7003948 77359 CANULA ARTERIAL FEMORAL 15FR PAS1515 775.523 775.523 775.523 775.523 775.523 775.523
MAT7003949 77360 CANULA ARTERIAL FEMORAL 21 FR PAS2115 775.523 775.523 775.523 775.523 775.523 775.523
MAT7003950 77361 CANULA VENOSA FEMORAL 21 FR PVL2155 1.234.506 1.234.506 1.234.506 1.234.506 1.234.506 1.234.506
MAT7003951 77362 CANULA VENOSA FEMORAL 25 FR PVL 2555 1.234.506 1.234.506 1.234.506 1.234.506 1.234.506 1.234.506
MAT7003952 77363 CANULA VENOSA FEMORAL 29 FR PVL 2955 1.234.506 1.234.506 1.234.506 1.234.506 1.234.506 1.234.506
MAT7003953 77364 CAT.PALINDROME 19CM C/PLATA 888145057P 349.860 349.860 349.860 349.860 349.860 349.860
MAT7003954 77365 CAT.PALINDROME 23CM C/PLATA 888145048P 349.860 349.860 349.860 349.860 349.860 349.860
MAT7003968 77366 BRONCOCATH 28FR 125028 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003969 77367 CANULA ARTERIAL FEMORAL 17 FR 96570-117 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003970 77368 CANULA ARTERIAL FEMORAL 19 FR 96570-119 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003971 77369 CANULA ARTERIAL FEMORAL 21 FR 96570-121 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003972 77370 CANULA ARTERIAL FEMORAL 15 FR 96570-115 466.480 466.480 466.480 466.480 466.480 466.480
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003973 77371 CANULA VENOSA FEMORAL 25 FR 96670-125 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003983 77372 CANULA VENOSA FEMORAL 27 FR 96670-127 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003984 77373 CANULA VENOSA FEMORAL 29 FR 96670-129 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003985 77374 CANULA VENOSA FEMORAL 17 FR 96670-117 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003986 77375 CANULA VENOSA FEMORAL 19 FR 96670-119 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003987 77376 CANULA VENOSA FEMORAL 21 FR 96670-121 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003988 77377 CANULA VENOSA FEMORAL 15 FR 96670-115 466.480 466.480 466.480 466.480 466.480 466.480
MAT7003990 77378 ESFERAS 5 UNIDADES 8801075 248.710 248.710 248.710 248.710 248.710 248.710
MAT7004086 77379 OBTURADOR GUARDIA COOK MEDICAL 102.102 102.102 102.102 102.102 102.102 102.102
MAT7004088 77380 OXIRIS SET 825.816 825.816 825.816 825.816 825.816 825.816
PRO7003921 77381 PROTESIS GOROTEX 70 X70 RRTO8070070L 2.315.740 2.315.740 2.315.740 2.315.740 2.315.740 2.315.740
MAT7003925 77382 CANULA PERFUSIO ARTERIAL 16FR 503.965 503.965 503.965 503.965 503.965 503.965
MAT7003926 77383 CANULA PERFUSIO ARTERIAL 18FR 503.965 503.965 503.965 503.965 503.965 503.965
MAT7003927 77384 CANULA PERFUSIO ARTERIAL 22FR 503.965 503.965 503.965 503.965 503.965 503.965
MAT7003871 77385 MICROCLIP TITANIUM GEM2431 41.307 41.307 41.307 41.307 41.307 41.307
MAT7003865 77386 MICROCLIP TITANIUM SUPERFINE GEM1521 41.307 41.307 41.307 41.307 41.307 41.307
MAT7003866 77387 DERMACARRIER 1.5MM 50.972 50.972 50.972 50.972 50.972 50.972
MAT7003867 77388 DERMACARRIER 3.1MM 50.972 50.972 50.972 50.972 50.972 50.972
MAT7003900 77389 SENSOR 035 DUAL-FLEX STR 150 243.474 243.474 243.474 243.474 243.474 243.474
MAT7003901 77390 STENT URETERAL 7FR X 22-30CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7003902 77391 CUTICELL CLASSIC ROLLO 10CM X 7MTS 29.104 29.104 29.104 29.104 29.104 29.104
MAT7003903 77392 GUIA NITINOL 25" X 150 CM G30480 118.072 118.072 118.072 118.072 118.072 118.072
MAT7003904 77393 GUIA NITINOL 35" X 150CM G30476 118.072 118.072 118.072 118.072 118.072 118.072
MAT7003905 77394 SONDA DORMIA WEB REF.WEB2X4 574.770 574.770 574.770 574.770 574.770 574.770
MAT7003906 77395 STENT URETERAL 7FR X 75CM G14809 65.450 65.450 65.450 65.450 65.450 65.450
MAT7003907 77396 CATETAR PIGTAIL WAYNE 14 FR G56535 257.040 257.040 257.040 257.040 257.040 257.040
MAT7003908 77397 STETN URETERAL DOBLE J 4. 7FR X 22-32CM 248.710 248.710 248.710 248.710 248.710 248.710
MAT7003909 77398 CAT. MULTICATH 3 FR X 6 CM 157064 157.054 157.054 157.054 157.054 157.054 157.054
MAT7003910 77399 CAT. MULTICATH 7 FR X 15CM 157167 102.076 102.076 102.076 102.076 102.076 102.076
MAT7003911 77400 CAT. VYGON 1 LUM X 5FR 124817 154.436 154.436 154.436 154.436 154.436 154.436
MAT7003912 77401 CAT. VYGON PED. 4.5 X 8CM 1203082 183.234 183.234 183.234 183.234 183.234 183.234
MAT7003913 77402 CAT.CENTRAL PED. 4.5 X 20CM 1233202 198.942 198.942 198.942 198.942 198.942 198.942
MAT7003914 77403 CAT.CENTRAL PED. 4.5 X 6CM 1233062 173.312 173.312 173.312 173.312 173.312 173.312
MAT7003915 77404 CAT.CENTRAL PED. 4.5 X 6CM 1202062 188.470 188.470 188.470 188.470 188.470 188.470
MAT7003916 77405 CAT.CENTRAL PED. 5X5 F X 12.5CM 155512 209.414 209.414 209.414 209.414 209.414 209.414
MAT7003917 77406 CAT.MULTICATCH 5FR X 15CM 157515 157.054 157.054 157.054 157.054 157.054 157.054
MAT7003918 77407 CAT.MULTICATCH 5FR X 8CM 157508 158.363 158.363 158.363 158.363 158.363 158.363
MAT7003919 77408 CAT.PED. 2LUM 2FR X 30CM 1252235 225.122 225.122 225.122 225.122 225.122 225.122
MAT7003920 77409 CAT.VYGON 1LUM X 4FR X 10CM 121310 49.716 49.716 49.716 49.716 49.716 49.716
MAT7003928 77410 CLIP C/RESORTE SOFTWAY 6MM 65.974 65.974 65.974 65.974 65.974 65.974
MAT7003935 77411 SONDA FOLEY SILICONA 18FR 2V B/30CC 31.416 31.416 31.416 31.416 31.416 31.416
MAT7003936 77412 SONDA FOLEY SILICONA 18FR 3V B/30CC 34.034 34.034 34.034 34.034 34.034 34.034
MAT7003937 77413 SONDA FOLEY SILICONA 20FR 2V B/30CC 31.416 31.416 31.416 31.416 31.416 31.416
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003938 77414 SONDA FOLEY SILICONA 20FR 3V B/30CC 34.034 34.034 34.034 34.034 34.034 34.034
MAT7003939 77415 SONDA FOLEY SILICONA 22FR 3V B/30CC 34.034 34.034 34.034 34.034 34.034 34.034
MAT7003940 77416 SONDA FOLEY SILICONA 24FR 3V B/30CC 34.034 34.034 34.034 34.034 34.034 34.034
MAT7003941 77417 TELFA CLEAR 30 X 30 REF.1113 18.064 18.064 18.064 18.064 18.064 18.064
MAT7003942 77418 TELFA 30 X 60 REF.1114 31.416 31.416 31.416 31.416 31.416 31.416
MAT7003943 77419 CAT.C/BALON P/DILAT. 6FR5MMX4CM 606.132 606.132 606.132 606.132 606.132 606.132
MAT7004122 77420 SET INTUBACION RETROG 14FRX70CM G10554 916.300 916.300 916.300 916.300 916.300 916.300
MAT7004123 77421 CUCHILLETE KAHOOK DUAL BLADE 449.820 449.820 449.820 449.820 449.820 449.820
PRO7004120 77422 IMPLANTE CLEAR PATH MODELO 250 613.088 613.088 613.088 613.088 613.088 613.088
MAT7004266 77423 CUCHILLETE 3.0 MANI CAJAX6 19.373 19.373 19.373 19.373 19.373 19.373
MAT7004121 77424 INTREPID TRANSFORMER 8065752885 56.208 56.208 56.208 56.208 56.208 56.208
MAT7004126 77425 TRI FUNNEL 24 FR REEMP GASTRO REF 724 117.810 117.810 117.810 117.810 117.810 117.810
MAT7004127 77426 DISPARADOR DE CAPSULA BX00711144 183.260 183.260 183.260 183.260 183.260 183.260
MAT7004128 77427 ASA ESTANDAR AS -1 -S 112.574 112.574 112.574 112.574 112.574 112.574
MAT7004129 77428 ASA ESTANDAR MINI ASM - 1-S 112.574 112.574 112.574 112.574 112.574 112.574
MAT7004130 77429 KAP (CAPUCHÓN) 15,2 MM DH-28GR 170.170 170.170 170.170 170.170 170.170 170.170
MAT7001313 77430 PARCHE OCULAR ADULTO 579 579 579 579 579 579
MAT7004131 77431 KAP (CAPUCHÓN) 15,8 MM DH-29CR 170.170 170.170 170.170 170.170 170.170 170.170
MAT7001314 77432 PARCHE OCULAR JUNIOR 448 448 448 448 448 448
MAT7004133 77433 SET DE GTT FLOW-20-PULL-S 298.928 298.928 298.928 298.928 298.928 298.928
MAT7004134 77434 BALÓN DILATACIÓN HERCULES HBD-W-10-11-12 533.120 533.120 533.120 533.120 533.120 533.120
MAT7004135 77435 BALÓN DILATAC HERCULES HBD-W-12-13,5-15 533.120 533.120 533.120 533.120 533.120 533.120
MAT7004136 77436 BALÓN DILATAC HERCULES HBD-W-15-16,5-18 533.120 533.120 533.120 533.120 533.120 533.120
MAT7004137 77437 HEMOSPRAY # 7 HEMO-7 1.036.252 1.036.252 1.036.252 1.036.252 1.036.252 1.036.252
MAT7004138 77438 PAPILOTOMO DE PUNTA, DOBLE LUMEN HPC-2 298.928 298.928 298.928 298.928 298.928 298.928
MAT7004139 77439 PAPILOTOMO DE PUNTA, TRIPLE LUMEN HPC-3 298.928 298.928 298.928 298.928 298.928 298.928
MAT7004140 77440 LIGADURA DE VARICES DE 6 BANDAS 481.474 481.474 481.474 481.474 481.474 481.474
MAT7004141 77441 INTRODUCTOR OASIS 10FR OA-10 298.928 298.928 298.928 298.928 298.928 298.928
MAT7004142 77442 EMPUJADOR PROTESIS 10FR PC-10 298.928 298.928 298.928 298.928 298.928 298.928
MAT7004143 77443 EMPUJADOR PROTESIS 5FR PC-5 181.951 181.951 181.951 181.951 181.951 181.951
MAT7004144 77444 EMPUJADOR PROTESIS 7FR PC-7 181.951 181.951 181.951 181.951 181.951 181.951
MAT7004145 77445 SET DE GTT PEG-24-PULL-S 261.562 261.562 261.562 261.562 261.562 261.562
MAT7004146 77446 SONDA GASTROYEYUNAL12FR/60 CM PEGJ-12-24 361.522 361.522 361.522 361.522 361.522 361.522
MAT7004147 77447 SOBRETUBO PARA ENTEROSCOPIA TS-1314B 591.430 591.430 591.430 591.430 591.430 591.430
MAT7004148 77448 BALÓN EXTRAC TRIPLE LUM TXR-8.5-12-15-A 306.544 306.544 306.544 306.544 306.544 306.544
MAT7002159 77449 CANULA YANKAUER VERDE #LY-3501 1.770 1.770 1.770 1.770 1.770 1.770
MAT7002158 77450 CAPROSYN 5/0 #UC202 5.445 5.445 5.445 5.445 5.445 5.445
MAT7002157 77451 FUNDA MICROSCOPIO ZEISS #306070 36.652 36.652 36.652 36.652 36.652 36.652
MAT7002156 77452 V-LOC 3/0 15CM #VLOCL0604 41.888 41.888 41.888 41.888 41.888 41.888
MAT7002155 77453 SUTURA STRATAFIX #SXMP1B408 46.857 46.857 46.857 46.857 46.857 46.857
MAT7002153 77455 BOLSA ELASTICADA 75X75CM #2700031 8.116 8.116 8.116 8.116 8.116 8.116
MAT7002151 77457 LIGA CLIP EXTRA #LT400 21.248 21.248 21.248 21.248 21.248 21.248
MAT7001316 77460 SONDA DRENAJE PENROSE 1 2.563 2.563 2.563 2.563 2.563 2.563
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7004150 77461 PILLCAM SB3 (CAPSULA ENDOSCOPICA) 599.760 599.760 599.760 599.760 599.760 599.760
MAT7001317 77462 SONDA DRENAJE PENROSE 1/2" 2.330 2.330 2.330 2.330 2.330 2.330
MAT7004151 77463 NM-401L-0423 94.248 94.248 94.248 94.248 94.248 94.248
MAT7001318 77464 SONDA DRENAJE PENROSE 1/4 2.563 2.563 2.563 2.563 2.563 2.563
MAT7004152 77465 BATERIA 110 PEQUEÑA NAIDA 399.840 399.840 399.840 399.840 399.840 399.840
MAT7004153 77466 ARO DE SILICONA NAIDA 49.742 49.742 49.742 49.742 49.742 49.742
MAT7004160 77467 NAIDA CLIP (SUJETADOR) NAIDA 151.844 151.844 151.844 151.844 151.844 151.844
MAT7004170 77468 CABLE 6,5 CMS SONNET 2 246.867 246.867 246.867 246.867 246.867 246.867
MAT7004171 77469 IMÁN 3 S SONNET 2 209.440 209.440 209.440 209.440 209.440 209.440
MAT7004172 77470 ANTENA O BOBINA SONNET 2 966.280 966.280 966.280 966.280 966.280 966.280
MAT7004173 77471 PROCESADOR DE AUDIO MEDEL SONNET 2 16.643.340 16.643.340 16.643.340 16.643.340 16.643.340 16.643.340
MAT7004156 77473 CABLE N5 NUCLEUS 5 254.279 254.279 254.279 254.279 254.279 254.279
MAT7004157 77474 ANTENA N5 NUCLEUS 5 863.019 863.019 863.019 863.019 863.019 863.019
MAT7004158 77475 IMAN 3 S NUCLEUS 5 70.410 70.410 70.410 70.410 70.410 70.410
MAT7004159 77476 SNUGFIT NUCLEUS 5 101.389 101.389 101.389 101.389 101.389 101.389
MAT7004166 77477 EARHOOK (PACK DE 3) NUCLEUS 5 98.574 98.574 98.574 98.574 98.574 98.574
MAT7004167 77478 CUBIERTA PORTA PILAS NUCLEUS 5 305.779 305.779 305.779 305.779 305.779 305.779
MAT7004168 77479 PORTA PILAS NUCLEUS 5 947.991 947.991 947.991 947.991 947.991 947.991
MAT7004169 77480 DESHUMEDIFICADOR NUCLEUS 5 257.338 257.338 257.338 257.338 257.338 257.338
MAT7004190 77481 BATERÍA RECARGABLE N6NUCLEUS 6 924.979 924.979 924.979 924.979 924.979 924.979
MAT7004191 77482 CABLE N6 NUCLEUS 6 254.279 254.279 254.279 254.279 254.279 254.279
MAT7004192 77483 ANTENTA N6 NUCLEUS 6 862.147 862.147 862.147 862.147 862.147 862.147
MAT7004193 77484 KIT AQUA + NUCLEUS 6 929.403 929.403 929.403 929.403 929.403 929.403
MAT7004194 77485 IMAN NUCLEUS 6 70.410 70.410 70.410 70.410 70.410 70.410
MAT7004195 77486 SNUGFIT NUCLEUS 6 101.389 101.389 101.389 101.389 101.389 101.389
MAT7004196 77487 EARHOOK (PACK DE 3) NUCLEUS 6 76.077 76.077 76.077 76.077 76.077 76.077
MAT7004197 77488 PORTA PILAS NUCLEUS 6 796.631 796.631 796.631 796.631 796.631 796.631
MAT7004198 77489 CUBIERTA PORTA PILAS NUCLEUS 6 305.779 305.779 305.779 305.779 305.779 305.779
MAT7004199 77490 DESHUMEDIFICADOR NUCLEUS 6 257.338 257.338 257.338 257.338 257.338 257.338
MAT7004200 77491 SAFETY CORD UNI Y BILATERALNUCLEUS 6 14.082 14.082 14.082 14.082 14.082 14.082
MAT7004201 77492 DESHUMEDIFICADOR NUCLEUS 7 257.335 257.335 257.335 257.335 257.335 257.335
MAT7004202 77493 PROTECTOR DE MICROFONO NUCLEUS 7 98.574 98.574 98.574 98.574 98.574 98.574
MAT7001321 77494 TAPA DE OBTURACION 220 220 220 220 220 220
MAT7004203 77495 IMÁN NUCLEUS 7 78.859 78.859 78.859 78.859 78.859 78.859
MAT7004204 77496 SAFETY CORD UNI Y BILATERAL NUCLEUS 7 14.082 14.082 14.082 14.082 14.082 14.082
MAT7004205 77497 EARHOOK (PACK DE 3)NUCLEUS 7 84.491 84.491 84.491 84.491 84.491 84.491
MAT7004206 77498 SNUGFITNUCLEUS 7 109.839 109.839 109.839 109.839 109.839 109.839
MAT7004207 77499 HUGFITNUCLEUS 7 128.748 128.748 128.748 128.748 128.748 128.748
MAT7003751 77500 EXTRANEAL 2L 7,5% BOLSA SIMPLE 26.115 26.115 26.115 26.115 26.115 26.115
MAT7003753 77501 EXTRANEAL 2L 7,5% BOLSA DOBLE 26.115 26.115 26.115 26.115 26.115 26.115
MAT7001322 77502 TELA DURAPORE 2" ROLLO 6.634 6.634 6.634 6.634 6.634 6.634
MAT7004208 77503 KOALA CLIP NUCLEUS 7 56.327 56.327 56.327 56.327 56.327 56.327
MAT7004209 77504 PORTA PILAS + CUBIERTA NUCLEUS 7 1.115.283 1.115.283 1.115.283 1.115.283 1.115.283 1.115.283
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7004210 77505 CARGADOR DE BATERÍA EN Y NUCLEUS 7 512.761 512.761 512.761 512.761 512.761 512.761
MAT7004211 77506 PHONE CLIP NUCLEUS 7 1.305.588 1.305.588 1.305.588 1.305.588 1.305.588 1.305.588
MAT7004212 77507 ANTENA Y CABLE NUCLEUS 7S 1.261.335 1.261.335 1.261.335 1.261.335 1.261.335 1.261.335
MAT7004213 77508 DESHUMEDIFICADOR NUCLEUS 7S 257.335 257.335 257.335 257.335 257.335 257.335
MAT7004214 77509 BATERIÍA RECARGABLE NUCLEUS 7S 1.040.048 1.040.048 1.040.048 1.040.048 1.040.048 1.040.048
MAT7004215 77510 PROTECTOR DE MICROFONO NUCLEUS 7S 98.574 98.574 98.574 98.574 98.574 98.574
MAT7004216 77511 IMAN NUCLEUS 7S 78.859 78.859 78.859 78.859 78.859 78.859
MAT7004217 77512 SAFETY CORD UNI Y BILATERAL NUCLEUS 7S 14.082 14.082 14.082 14.082 14.082 14.082
MAT7003742 77513 SET POSI -STICK PS2-35 266.560 266.560 266.560 266.560 266.560 266.560
MAT7003743 77514 SET BIOPSIA EVIVA ESTANDAR 0913-20 486.499 486.499 486.499 486.499 486.499 486.499
MAT7003744 77515 SET BIOPSIA EVIVA PETITE 0913-12T 486.499 486.499 486.499 486.499 486.499 486.499
MAT7003746 77516 SET BIOPSIA ATEC ESTAND 0920 RESONANCIA 1.956.317 1.956.317 1.956.317 1.956.317 1.956.317 1.956.317
MAT7003747 77517 ULTRACLIP DUAL TRIGGER 17Gx10 CM 864017D 199.920 199.920 199.920 199.920 199.920 199.920
MAT7001328 77518 TELA MICROPORE COLOR PIEL 1" ROLLO 2.262 2.262 2.262 2.262 2.262 2.262
MAT7004223 77519 PORTA PILAS + CUBIERTANUCLEUS 7S 1.115.283 1.115.283 1.115.283 1.115.283 1.115.283 1.115.283
MAT7004224 77521 SAFETY CORD UNI Y BILATERALNUCLEUS 6 512.761 512.761 512.761 512.761 512.761 512.761
MAT7004225 77522 CARGADOR DE BATERÍA USBNUCLEUS 7S 209.217 209.217 209.217 209.217 209.217 209.217
MAT7004226 77523 MINI MICROPHONE 2+NUCLEUS 7S 1.748.161 1.748.161 1.748.161 1.748.161 1.748.161 1.748.161
MAT7001331 77524 TELA TRANSPORE 2" 4.885 4.885 4.885 4.885 4.885 4.885
MAT7004227 77525 PHONE CLIPNUCLEUS 7S 1.305.588 1.305.588 1.305.588 1.305.588 1.305.588 1.305.588
MAT7004228 77526 MINI MICROPHONE 2+KANSO 2 1.748.159 1.748.159 1.748.159 1.748.159 1.748.159 1.748.159
MAT7004229 77527 PHONE CLIPKANSO 2 1.305.586 1.305.586 1.305.586 1.305.586 1.305.586 1.305.586
MAT7001332 77528 TERMOMETRO DIGITAL 3.597 3.597 3.597 3.597 3.597 3.597
MAT7004230 77529 IMANKANSO 2 46.869 46.869 46.869 46.869 46.869 46.869
MAT7004231 77530 KIT AQUA +KANSO 2 1.146.265 1.146.265 1.146.265 1.146.265 1.146.265 1.146.265
MAT7004232 77531 HILO DE SEGURIDAD LARGOKANSO 2 36.726 36.726 36.726 36.726 36.726 36.726
MAT7004233 77532 CINTILLO KANSO 2 46.869 46.869 46.869 46.869 46.869 46.869
PRO7004234 77533 IMPLANTE COCLEAR CI 622 + PROC NUCLEUS7S 17.017.000 17.017.000 17.017.000 17.017.000 17.017.000 17.017.000
PRO7004235 77534 IMPLANTE COCLEAR CI 422 + PROC NUCLEUS7S 18.195.100 18.195.100 18.195.100 18.195.100 18.195.100 18.195.100
MAT7004161 77535 BATERÍA 170 PARA ROGER NAIDA 680.680 680.680 680.680 680.680 680.680 680.680
MAT7004162 77536 NAIDA T-MIC (MICRÓFONO) NAIDA 628.320 628.320 628.320 628.320 628.320 628.320
MAT7004163 77537 DESHUMEDIFICADOR ELÉCTR S/PASTILLASNAIDA 247.520 247.520 247.520 247.520 247.520 247.520
MAT7004164 77538 AQUAMIC (ANTENA PARA EL AGUA)NAIDA 1.021.020 1.021.020 1.021.020 1.021.020 1.021.020 1.021.020
MAT7004165 77539 CABLE PARA AQUAMIC NAIDA 281.792 281.792 281.792 281.792 281.792 281.792
MAT7004181 77540 PROCESADOR DE AUDIO MEDEL SONNET 2 697.686 697.686 697.686 697.686 697.686 697.686
MAT7004182 77541 PROCESADOR MICRÓFONO SONNET 2 445.060 445.060 445.060 445.060 445.060 445.060
MAT7004184 77542 PORTAPILAS SONNET 2 751.345 751.345 751.345 751.345 751.345 751.345
MAT7004185 77543 PILA 675 DESECHABLE SONNET 2 139.373 139.373 139.373 139.373 139.373 139.373
MAT7004186 77544 HERRAMIENTAS SONNET 2 27.309 27.309 27.309 27.309 27.309 27.309
MAT7004187 77545 PILA 675 DESECHABLE SONNET 2 9.096 9.096 9.096 9.096 9.096 9.096
MAT7004188 77546 HERRAMIENTAS SONNET 2 35.186 35.186 35.186 35.186 35.186 35.186
MAT7004189 77547 TAPA ANTENA SONNET 2 27.309 27.309 27.309 27.309 27.309 27.309
MAT7001333 77548 TUBO CORRUGADO 150CM X60 #1417 8.168 8.168 8.168 8.168 8.168 8.168
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4002355 77549 STENT TANSEI 3.5X15MM DE-RQ3515KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002356 77550 STENT TANSEI 3.5X18MM DE-RQ3518KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002357 77551 STENT TANSEI 3.5X28MM DE-RQ3528KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002363 77557 STENT TANSEI 4X18MM DE-RQ4018KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002365 77559 STENT TANSEI 4X28MM DE-RQ4028KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002371 77560 ELIMINATE EG1602 466.480 466.480 466.480 466.480 466.480 466.480
PRO4002372 77561 CATETER GUIA 6FR AL1 #GC-F6AL010N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002373 77562 CATETER GUIA 6FR AL2 GC-F6ALD20N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002374 77563 CATETER GUIA 6FR AR1 GC-F6AR010N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002375 77564 CATETER GUIA 6FR BL3.5 GC-F6BL350N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002376 77565 CATETER GUIA 6FR BL4 GC-F6BL400N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002377 77566 CATETER GUIA 6FR JL3.5 GC-F6JL350N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002378 77567 CATETER GUIA 6FR JL4 GC-F6JL400N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002379 77568 CATETER GUIA 6FR JR4 GC-F6JR400N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002380 77569 CATETER GUIA 7FR JR3.5 GC-F7JR350N 91.630 91.630 91.630 91.630 91.630 91.630
PRO4002524 77571 CAT GUIA HEARTRAIL 115FRECT GC-H5ST012NQ 249.900 249.900 249.900 249.900 249.900 249.900
PRO4002382 77572 MICROCATETER PROGREAT COAXIAL MC-PE28131 383.180 383.180 383.180 383.180 383.180 383.180
PRO4002383 77573 MICROCATETER PROGREAT COAXIAL MC-PP27131 383.180 383.180 383.180 383.180 383.180 383.180
MAT7001334 77574 TUBO GRIS 4 ML #367922 178 178 178 178 178 178
MAT7004240 77647 KIT CONEXIÓN SISTEMA FM SONNET 2 669.161 669.161 669.161 669.161 669.161 669.161
MAT7004241 77648 CODO Y PIN DE SEGURIDAD SONNET 2 27.309 27.309 27.309 27.309 27.309 27.309
MAT7004242 77649 TAPA PORTAPILAS PEQUEÑA SONNET 2 29.988 29.988 29.988 29.988 29.988 29.988
MAT7004243 77650 CARGADOR DE BATERÍAS SONNET 2 583.207 583.207 583.207 583.207 583.207 583.207
MAT7004244 77651 SUJETADOR ARO DE SILICONA SONNET 2 697.686 697.686 697.686 697.686 697.686 697.686
MAT7004221 77652 KOALA CLIPNUCLEUS 7S 56.327 56.327 56.327 56.327 56.327 56.327
MAT7004218 77653 EARHOOK (PACK DE 3)NUCLEUS 7S 84.491 84.491 84.491 84.491 84.491 84.491
MAT7004219 77655 SNUGFIT NUCLEUS 7S 109.839 109.839 109.839 109.839 109.839 109.839
MAT7004220 77656 HUGFITNUCLEUS 7S 128.748 128.748 128.748 128.748 128.748 128.748
MAT7004155 77657 BATERIA RECARGABLE NUCLEUS 5 924.979 924.979 924.979 924.979 924.979 924.979
MAT7004222 77658 KIT AQUA +NUCLEUS 7S 1.146.265 1.146.265 1.146.265 1.146.265 1.146.265 1.146.265
MAT7004260 77659 ASPIRADOR DE MECONIO N0101 12.305 12.305 12.305 12.305 12.305 12.305
MAT7004262 77660 AG- AS 3350 AEROGEN SOLO CONVENIENCE 849.660 849.660 849.660 849.660 849.660 849.660
MAT7004263 77661 AG-AS 7000 AEROGEN ULTRA 189.923 189.923 189.923 189.923 189.923 189.923
MAT7001345 77692 TELA DURAPORE 1" ROLLO 3.314 3.314 3.314 3.314 3.314 3.314
MAT7001346 77694 TELA MICROFOAM 2" ROLLO 11.365 11.365 11.365 11.365 11.365 11.365
MAT7001347 77722 LAPIZ PORTAELECTRODO VALLEY 5.367 5.367 5.367 5.367 5.367 5.367
MAT7001348 77728 AISLADORES DE PRESION P/DIALISIS 442 442 442 442 442 442
MAT7001349 77730 AGUJA P/DIALISIS 16GX1" 162530-BCR 916 916 916 916 916 916
MAT7001350 77736 ESTILETE DE INTUBACION MEDIANO 10.996 10.996 10.996 10.996 10.996 10.996
PRO4002995 77749 CORKNOT MINI COMBO KIT #03-1450 974.610 974.610 974.610 974.610 974.610 974.610
PRO4002996 77750 CORKNOT GANCHO INDIVIDUAL #03-0951 74.720 74.720 74.720 74.720 74.720 74.720
MAT7001354 77753 ESTILETE DE INTUBACCION GRANDE 10.210 10.210 10.210 10.210 10.210 10.210
MAT7001355 77754 ESTILETE DE INTUBACION PEQUENO 10.341 10.341 10.341 10.341 10.341 10.341
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7001356 77756 ELECTRODO AGU.P/ELECTROBIST.#E1552 3.142 3.142 3.142 3.142 3.142 3.142
PRO4002262 77760 BALON ABBOTT TREK 4.0X12 1012278-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002264 77762 BALON ABBOTT TREK 4.5X12 1012279-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002268 77766 BALON ABBOTT NC TREK 3.0X12 1012449-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002269 77767 BALON ABBOTT NC TREK 3.0X15 1012449-150 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002270 77768 BALON ABBOTT NC TREK 3.0X20 1012449-200 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002272 77770 BALON ABBOTT NC TREK 4.0X12 1012453-120 241.570 241.570 241.570 241.570 241.570 241.570
PRO4002464 77777 XIENCE SKYPOINT 2.25 X 15 1800225-150 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002467 77780 XIENCE SKYPOINT 2.75 X 12 1800275-120 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002468 77781 XIENCE SKYPOINT 2.75 X 15 1800275-150 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002472 77785 XIENCE SKYPOINT 2.5 X 12 1800250-120 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002474 77787 XIENCE SKYPOINT 2.5 X 18 1800250-180 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002475 77788 STENT XIENCE ALPI 2.5X23 REF 1070250-230 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002476 77789 XIENCE SKYPOINT 2.5 X 28 1800250-280 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002477 77790 XIENCE SKYPOINT 2.75 X 18 1800275-180 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002478 77791 XIENCE SKYPOINT 2.75 X 28 1800275-280 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002479 77792 XIENCE SKYPOINT 2.75 X 33 1800275-330 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002480 77793 XIENCE SKYPOINT 3.0 X 15 1800300-150 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002481 77794 XIENCE SKYPOINT 3.0 X 33 1800300-330 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002482 77795 XIENCE SKYPOINT 3.0 X 38 1800300-380 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002483 77796 XIENCE SKYPOINT 3.5 X 12 1800350-120 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002484 77797 XIENCE SKYPOINT 3.5 X 15 1800350-150 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002485 77798 XIENCE SKYPOINT 3.5 X 18 1800350-180 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002486 77799 XIENCE SKYPOINT 3.5 X 23 1800350-230 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002488 77801 XIENCE SKYPOINT 4.0 X 08 1800400-080 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002489 77802 XIENCE SKYPOINT 4.0 X 12 1800400-120 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002490 77803 XIENCE SKYPOINT 4.0 X 15 1800400-150 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002492 77805 XIENCE SKYPOINT 4.0 X 23 1800400-230 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002493 77806 XIENCE SKYPOINT 4.0 X 33 1800400-330 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555 1.171.555
PRO4002277 77810 ACIST NAVVUS MICROCATHETER 146675000000 991.270 991.270 991.270 991.270 991.270 991.270
PRO4002496 77811 G.MIRACLE 6 PTA RECTA 180CM AG14M060000 274.890 274.890 274.890 274.890 274.890 274.890
PRO4002498 77812 G. MIRACLE12 P.RECTA 180CM AG14M070000 274.890 274.890 274.890 274.890 274.890 274.890
PRO4002278 77813 GUIA ASAHI FIELDER XT 190CM AGP14000200 258.230 258.230 258.230 258.230 258.230 258.230
PRO4002500 77815 MICROCAT CORSAIR 0.014 150CM CSR150-26P 824.670 824.670 824.670 824.670 824.670 824.670
PRO4002501 77816 GUIA 0.018 ASTATO 30 300CM PAGH 18M3710 231.574 231.574 231.574 231.574 231.574 231.574
PRO4002504 77819 QUICK-CROSS 5F 0.035X150CM 518-0380000 416.500 416.500 416.500 416.500 416.500 416.500
PRO4002279 77822 AZUR VGRIP CONTROLLER FOR 45-4001 149.940 149.940 149.940 149.940 149.940 149.940
PRO4002280 77823 AZUR 018 PERIPHERAL V-TRAK 45-480310 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002281 77824 AZUR REP 0.018 4MM 10CM 45-480410 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002282 77825 AZUR REP 0.018 6MM 10CM 45-480610 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002283 77826 AZUR REP 0.018 6MM 20CM 45-480620 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002284 77827 AZUR 018 PERIPHERAL V-TRAK 45-480815 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002285 77828 AZUR 018 PERIPHERAL V-TRAK 45-481015 833.000 833.000 833.000 833.000 833.000 833.000
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4002286 77829 AZUR REP 0.018 12MM 20CM 45-481220 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002287 77830 AZUR REP 0.018 15MM 20CM 45-481520 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002288 77831 AZUR 018 PERIPHERAL V-TRAK 45-481530 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002289 77832 AZUR REP 0.018 20MM 20CM 45-482020 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002290 77833 AZUR REP 0.018 20MM 30CM 45-482030 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002291 77834 AZUR 0.018 PERIPHERAL FRAMING 45-680820 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002292 77835 AZUR 0.018 PERIPHERAL FRAMING 45-681026 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002293 77836 AZUR 0.018 PERIPHERAL FRAMING 45-681434 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002294 77837 AZUR 0.018 PERIPHERAL FRAMING 45-682050 833.000 833.000 833.000 833.000 833.000 833.000
PRO4002311 77854 BALON RYUREI 2.0X15MM DC-RR2015HHW 191.590 191.590 191.590 191.590 191.590 191.590
PRO4002312 77855 BALON RYUREI 2.0X30MM DC-RR2030HHW 191.590 191.590 191.590 191.590 191.590 191.590
PRO4002316 77859 BALON RYUREI 2.5X30MM DC-RR2530HHW 191.590 191.590 191.590 191.590 191.590 191.590
PRO4002318 77861 BALON RYUREI 3.0X10MM DC-RR3010HHW 191.590 191.590 191.590 191.590 191.590 191.590
PRO4002321 77864 BALON RYUREI 3.5X15MM DC-RR3515HHW 191.590 191.590 191.590 191.590 191.590 191.590
PRO4002333 77875 BALON RYUREI 1,25X10MM DC-RR1210HH 306.544 306.544 306.544 306.544 306.544 306.544
PRO4002514 77886 STENT TANSEI 2.25X38MM DE-RQ2238KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002339 77889 STENT TANSEI 2.5X15MM DE-RQ2515KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002344 77894 STENT TANSEI 2.5X38MM DE-RQ2538KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002518 77898 STENT TANSEI 2.75X18MM DE-RQ2718KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002519 77899 STENT TANSEI 2.75X24MM DE-RQ2724KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002523 77902 STENT TANSEI 2.75X38MM DE-RQ2738KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002345 77903 STENT TANSEI 3.0X09MM DE-RQ3009KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002347 77905 STENT TANSEI 3.0X15MM DE-RQ3015KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002349 77907 STENT TANSEI 3.0X24MM DE-RQ3024KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
PRO4002350 77908 STENT TANSEI 3.0X28MM DE-RQ3028KSM 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650 1.112.650
MAT7001960 77950 AGUJA BIOPSIA RENAL 18X15CM ACHIEVE 81.449 81.449 81.449 81.449 81.449 81.449
MAT7001961 77951 CATETER MAHURKAR 11.5 X 24CM 81.158 81.158 81.158 81.158 81.158 81.158
MAT7001962 77952 CATETER MAHURKAR 13.5 X 24CM 91.630 91.630 91.630 91.630 91.630 91.630
MAT7001963 77953 KIT PLASMAFERESIS 234.311 234.311 234.311 234.311 234.311 234.311
MAT7001965 77954 PLASMAFILTROS 429.828 429.828 429.828 429.828 429.828 429.828
MAT7001923 77956 RESTON CONFORTABLE #2851H ZZ-2851H 25.848 25.848 25.848 25.848 25.848 25.848
MAT7001937 77957 TUBERIA IRRIGACION ARTROSCOPICA #AR6410 117.993 117.993 117.993 117.993 117.993 117.993
MAT7001938 77958 PUNTA OPES 90° C/ASPIRACION #AR9803A90 267.314 267.314 267.314 267.314 267.314 267.314
MAT7001942 77962 PUNTA SHAVER 4.0X13 EXCALIBUR #AR8400EX 172.469 172.469 172.469 172.469 172.469 172.469
MAT7001943 77963 PUNTA SHAVER 4.0X13 OVAL BURR #AR8400OBE 172.469 172.469 172.469 172.469 172.469 172.469
MAT7001944 77964 PUNTA SHAVER 4.0X13 DOUBLE CUT #AR8400DC 212.269 212.269 212.269 212.269 212.269 212.269
MAT7001945 77965 PUNTA SHAVER 4.0X13 BONE CUT #AR8400BC 193.123 193.123 193.123 193.123 193.123 193.123
MAT7001946 77966 PUNTA SHAVER 3.8X13 #AR8380EX 189.905 189.905 189.905 189.905 189.905 189.905
MAT7001947 77967 POWER PICC PUNTA SHAVER 317.362 317.362 317.362 317.362 317.362 317.362
MAT7001948 77968 CONECTOR LIBRE AGUJA P/CITOTOX. SPIROS 10.446 10.446 10.446 10.446 10.446 10.446
MAT7001949 77969 ESPIGA P/ACCESO A VIAL 13MM 7.828 7.828 7.828 7.828 7.828 7.828
MAT7001950 77970 CONECTOR LIBRE AGUJA P/SONDA FOLEY 9.556 9.556 9.556 9.556 9.556 9.556
MAT7003060 77987 KIT COLECISTECTOMIA LAGIS Y ACCESORIOS 327.488 327.488 327.488 327.488 327.488 327.488
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
MAT7003061 77988 CLIP HEMOSTAT 11MM 230CM #CJ-HC11-25-230 126.188 126.188 126.188 126.188 126.188 126.188
MAT7003062 77989 PINZA/ASA LARIAT #711119 62.832 62.832 62.832 62.832 62.832 62.832
MAT7003063 77990 ATRAPAPOLIPOS #711099 19.635 19.635 19.635 19.635 19.635 19.635
MAT7003064 77991 MANGUITO PRESION DESECHABLE ADUL 24-34CM 20.892 20.892 20.892 20.892 20.892 20.892
MAT7003065 77992 PAPILOTOMO TRIPLE LUMEN KD-V411M-0720 257.040 257.040 257.040 257.040 257.040 257.040
MAT7003066 77993 ASA POLIPECTOMIA MINI 1.5X3CM #ASM-1-S 91.892 91.892 91.892 91.892 91.892 91.892
PRO4001156 78010 CATETER VENTRICULAR 35 CMS., EDM 46118 278.032 278.032 278.032 278.032 278.032 278.032
PRO4001157 78011 CATETER VENTRICULAR STANDARD 41101 224.755 224.755 224.755 224.755 224.755 224.755
PRO4001158 78026 CONECTOR DE CATETER RECTO 45103 149.107 149.107 149.107 149.107 149.107 149.107
PRO4001160 78038 KIT HIDROCEFALIA REG. PRES. MEDIA 9003-E 760.696 760.696 760.696 760.696 760.696 760.696
PRO4001163 78044 KIT HIDROCEF ULTRA SMALL P MEDIA 22011-M 850.660 850.660 850.660 850.660 850.660 850.660
PRO4001164 78052 PASADOR CATETER DESECH 38 CMS. 48407 335.866 335.866 335.866 335.866 335.866 335.866
PRO4001165 78056 PASADOR CATETER DESECH 60 CMS. 48409 350.860 350.860 350.860 350.860 350.860 350.860
PRO4001166 78058 SIST LUMBOPERITONEAL RECTO 84CM #44410 1.378.115 1.378.115 1.378.115 1.378.115 1.378.115 1.378.115
PRO4001167 78061 VALVULA STRATA NSC REGUL PROGR 42365 2.278.088 2.278.088 2.278.088 2.278.088 2.278.088 2.278.088
PRO4001168 78062 VALVULA STRATA NSC SMALL PROGR 42355 2.273.560 2.273.560 2.273.560 2.273.560 2.273.560 2.273.560
PRO4001169 78065 VALVULA STRATA PROGR SMALL 42856 3.309.509 3.309.509 3.309.509 3.309.509 3.309.509 3.309.509
PRO4001170 78091 CARGAS ENDOCORTADORA COD:TR45W 247.784 247.784 247.784 247.784 247.784 247.784
PRO4001172 78113 CATETER VENTRICULAR #INS-8420 205.220 205.220 205.220 205.220 205.220 205.220
PRO4001175 78117 CARGAS MULTIFIRE TA3035L 166.600 166.600 166.600 166.600 166.600 166.600
PRO4001177 78119 CORTADORA LINEAL 100MM COD:TLC 10 474.047 474.047 474.047 474.047 474.047 474.047
PRO4001178 78130 CATETER LUMBAR DRENAJE EXT 46418 400.506 400.506 400.506 400.506 400.506 400.506
PRO4001196 78166 PROTESIS NO VALV REC 6X70CM IGK0006-70 375.683 375.683 375.683 375.683 375.683 375.683
PRO4001199 78189 DURAGEN 2.5X2.5 IN-DP-1011 162.597 162.597 162.597 162.597 162.597 162.597
PRO4001200 78190 DURAGEN 5X5 IN-DP1022 520.316 520.316 520.316 520.316 520.316 520.316
PRO4001201 78191 DURAGEN 7.5X7.5 IN-DP1033 953.909 953.909 953.909 953.909 953.909 953.909
PRO4001202 78197 ENDO CATCH 10MM COD. 173050 121.618 121.618 121.618 121.618 121.618 121.618
PRO4001203 78199 ENDO CLINCH II COD. 174317 199.920 199.920 199.920 199.920 199.920 199.920
PRO4001204 78202 ENDO MINI- RETRACT 5 MM COD. 174209 363.188 363.188 363.188 363.188 363.188 363.188
PRO4001205 78205 ENDO RETRACT II COD. 176647 183.260 183.260 183.260 183.260 183.260 183.260
PRO4001207 78209 ENDOCLIP 5 MM COD. 176620 303.212 303.212 303.212 303.212 303.212 303.212
PRO4001208 78210 ENDOCLIP II 10MM COD. 176657 216.580 216.580 216.580 216.580 216.580 216.580
PRO4001209 78211 ENDOCLOSE COD. 173022 48.314 48.314 48.314 48.314 48.314 48.314
PRO4001210 78214 ENDOGIA UNIVERSAL #EGIAUSTND 341.530 341.530 341.530 341.530 341.530 341.530
PRO4001211 78216 ENDOPOUCH COD. EP 44 237.005 237.005 237.005 237.005 237.005 237.005
PRO4001214 78253 GRAPA DE LIGAMENTO 11X20 AR-1011 223.877 223.877 223.877 223.877 223.877 223.877
PRO4001220 78321 MALLA PROLENE MESH 15 X15 CM COD. PMH 116.352 116.352 116.352 116.352 116.352 116.352
PRO4001224 78342 PREMIUM MULTIFIRE TA 3035S 254.898 254.898 254.898 254.898 254.898 254.898
PRO4001227 78346 PREMIUM SURGICLIP M-11.5 COD. 134053 149.940 149.940 149.940 149.940 149.940 149.940
PRO4001231 78351 PROTESIS VASCULAR 14X7X50 CM IGK 1407 606.722 606.722 606.722 606.722 606.722 606.722
PRO4001232 78352 PROTESIS VASCULAR 16X8X50 CM IGK 1608 606.722 606.722 606.722 606.722 606.722 606.722
PRO4001233 78353 PROTESIS VASCULAR 18X9X50 CM IGK 1809 606.722 606.722 606.722 606.722 606.722 606.722
PRO4001234 78354 PROTESIS VASCULAR 20X10X50 CM IGK 2010 606.722 606.722 606.722 606.722 606.722 606.722
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4001235 78358 PROTESIS VASCULAR 26X15 CM IGW 0026-15 320.705 320.705 320.705 320.705 320.705 320.705
PRO4001236 78359 PROTESIS VASCULAR 28X15 CM IGW 0028-15 320.705 320.705 320.705 320.705 320.705 320.705
PRO4001237 78360 PROTESIS VASCULAR 30X15 CM IGW 0030-15 320.705 320.705 320.705 320.705 320.705 320.705
PRO4001238 78362 GRAPADORA CIRCULAR STAPLER 21MM CDH21B 560.229 560.229 560.229 560.229 560.229 560.229
PRO4001239 78363 GRAPADORA CIRCULAR STAPLER 25MM CDH25B 560.229 560.229 560.229 560.229 560.229 560.229
PRO4001240 78364 GRAPADORA CIRCULAR STAPLER 29MM CDH29B 560.229 560.229 560.229 560.229 560.229 560.229
PRO4001241 78365 GRAPADORA CIRCULAR STAPLER 33MM CDH33B 560.229 560.229 560.229 560.229 560.229 560.229
PRO4001245 78399 RECARGA CORTADORA LINEAL 100MM COD:TCR10 172.383 172.383 172.383 172.383 172.383 172.383
PRO4001247 78410 STEP DE 10MM CORTO COD. S100710 139.944 139.944 139.944 139.944 139.944 139.944
PRO4001250 78420 SURGINEEDLE COD. 172015 41.650 41.650 41.650 41.650 41.650 41.650
PRO4001252 78429 THORACOPORT 11.5 MM COD. 179303 86.632 86.632 86.632 86.632 86.632 86.632
PRO4001271 78469 SURGINEEDLE #172016 41.650 41.650 41.650 41.650 41.650 41.650
PRO4001281 78516 THORACOPORT COD 179301 86.632 86.632 86.632 86.632 86.632 86.632
PRO4001282 78517 THORACOPORT COD. 179305 86.632 86.632 86.632 86.632 86.632 86.632
PRO4001283 78523 TROCAR COD. 23NBS 157.297 157.297 157.297 157.297 157.297 157.297
PRO4001284 78525 HELITENE 0.5GR COD. 1692-2L 87.914 87.914 87.914 87.914 87.914 87.914
PRO4001285 78526 VALVULA NEONATAL COD. NL850-1124 1.577.077 1.577.077 1.577.077 1.577.077 1.577.077 1.577.077
PRO4001287 78535 PROTESIS VASC RECTA 8X40CM R IGK0008-40 363.902 363.902 363.902 363.902 363.902 363.902
PRO4001295 78560 PUNTA PARA SHAVER C9253 164.316 164.316 164.316 164.316 164.316 164.316
PRO4001298 78569 TVT OBTURADOR 810081 780.016 780.016 780.016 780.016 780.016 780.016
PRO4001302 78577 FRESA MIDAS MR8-F1/7TA15 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001303 78578 FRESA MIDAS MR8-F2/7TA23 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001304 78579 FRESA MIDAS MR8-9BA50 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001305 78580 FRESA MIDAS 9BA30D 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001306 78581 FRESA MIDAS MR8-9MH30 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001307 78582 FRESA MIDAS MR8-9MH30D 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001308 78584 FRESA MIDAS MR8-10MH22 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001309 78585 FRESA MIDAS MR8-14BA50 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001312 78588 FRESA MIDAS MR8-14MH30 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001313 78589 FRESA MIDAS MR8-14MH30D 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001314 78590 FRESA MIDAS MR8-9MC30 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001315 78594 FRESA MIDAS MR8-T12MH25 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001316 78596 FRESA MIDAS MR8-T12MH20 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001320 78609 FASTAK C/FIBER WIRE 2.8X11.7MM AR-1324SF 343.644 343.644 343.644 343.644 343.644 343.644
MAT7001533 78623 TRANSD. PRESION # DLP 61000 41.234 41.234 41.234 41.234 41.234 41.234
MAT7000121 78624 AGUASONIC ESTERIL SOBRE 3.063 3.063 3.063 3.063 3.063 3.063
MAT7000511 78627 GUANTES PROFEEL 7.5 1.995 1.995 1.995 1.995 1.995 1.995
MAT7001184 78630 AGUJA DESECHABLE 21G X 1 1/2 58 58 58 58 58 58
MAT7001185 78631 AGUJA DESECHABLE 23G X 1 58 58 58 58 58 58
MAT7001187 78632 AGUJA DESECHABLE 25G X 5/8 144 144 144 144 144 144
PRO4001322 78641 BIOMATERIAL CHRONOS 7 CONVEXO 710.933S 490.179 490.179 490.179 490.179 490.179 490.179
PRO4001323 78642 BIOMATERIAL CHRONOS 8 CONVEXO 710.934S 490.179 490.179 490.179 490.179 490.179 490.179
PRO4001324 78643 BIOMATERIAL CHRONOS 5 CUNEIFORM 710.921S 490.179 490.179 490.179 490.179 490.179 490.179
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4001325 78644 BIOMATERIAL CHRONOS 6 CUNEIFORM 710.922S 490.179 490.179 490.179 490.179 490.179 490.179
PRO4001326 78645 BIOMATERIAL CHRONOS 7 CUNEIFORM 710.923S 490.179 490.179 490.179 490.179 490.179 490.179
PRO4001327 78646 BIOMATERIAL CHRONOS 8 CUNEIFORM 710.924S 490.179 490.179 490.179 490.179 490.179 490.179
PRO4001328 78647 BIOMATERIAL CHRONOS 5 CONVEXO 710.931S 490.179 490.179 490.179 490.179 490.179 490.179
PRO4001991 78669 SISTEMA IRRIGACION P/ URETEROCOP 050350 66.640 66.640 66.640 66.640 66.640 66.640
PRO4001992 78670 CONECTOR UTEROS.C/DIAFR.C/AJUS SIM TBA-6 58.310 58.310 58.310 58.310 58.310 58.310
PRO4001329 78690 AGUJA DE VERRES 120MM C2201 45.815 45.815 45.815 45.815 45.815 45.815
MAT7001880 78740 ESPATULA CEREBRAL 10 MM 25.046 25.046 25.046 25.046 25.046 25.046
MAT7001881 78741 ESPATULA CEREBRAL 12.5 MM 25.046 25.046 25.046 25.046 25.046 25.046
MAT7001883 78742 ESPATUAL CEREBRAL 7,5 MM 25.046 25.046 25.046 25.046 25.046 25.046
MAT7001884 78744 ESPATULA CEREBRAL 15 MM 25.046 25.046 25.046 25.046 25.046 25.046
PRO4001332 78750 PREMIUM MULTIFIRE TA 6048S 259.896 259.896 259.896 259.896 259.896 259.896
PRO4001333 78762 ENDOGUIA UNIVERSAL XL EGIAUXL 358.190 358.190 358.190 358.190 358.190 358.190
PRO4001346 78776 CAGE CERVICAL CERVIO 889.921S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001347 78777 CAGE CERVICAL CERVIO 889.922S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001348 78778 CAGE CERVICAL CERVIO 889.923S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001349 78779 CAGE CERVICAL CERVIO 889.924S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001350 78780 CAGE CERVICAL CERVIO 889.931S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001351 78781 CAGE CERVICAL CERVIO 889.932S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001352 78782 CAGE CERVICAL CERVIO 889.933S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001353 78783 CAGE CERVICAL CERVIO 889.934S 901.216 901.216 901.216 901.216 901.216 901.216
PRO4001363 78793 FRESA MIDAS MR8-14BA40 469.645 469.645 469.645 469.645 469.645 469.645
PRO4001366 78817 CANASTILLO DE NITINOL NCT4 024115 366.520 366.520 366.520 366.520 366.520 366.520
MAT7002188 78905 SET DE TUBOS AL VACIO 86.394 86.394 86.394 86.394 86.394 86.394
PRO4001369 78949 PROMIXATE HCS (HEMORROIDES) PPH03 603.310 603.310 603.310 603.310 603.310 603.310
MAT7001365 79034 COMPRESA FRIO-CALOR 28 X 13 CM #PK51TU 3.534 3.534 3.534 3.534 3.534 3.534
PRO4001409 79061 BALLON OMSPDBS2 139.944 139.944 139.944 139.944 139.944 139.944
PRO4001416 79075 CARGA MULTIFIRE TA 6048L 173.264 173.264 173.264 173.264 173.264 173.264
PRO4001425 79089 ENDOCATH 173049 138.278 138.278 138.278 138.278 138.278 138.278
PRO4001429 79100 PARIETENE PPL0611X3 53.312 53.312 53.312 53.312 53.312 53.312
PRO4001431 79127 RECARGA ENGRAPADORA CR40G 387.846 387.846 387.846 387.846 387.846 387.846
PRO4001435 79143 RELOADS ETS/ETS FLEX ENDOCUTTE TR45G 247.784 247.784 247.784 247.784 247.784 247.784
PRO4001436 79151 ENGRAPADORA CORTANTE CURVA 40MM CS40G 711.052 711.052 711.052 711.052 711.052 711.052
PRO4001438 79153 HARMONICO CURVO 36CM HARH36 775.693 775.693 775.693 775.693 775.693 775.693
PRO4001439 79159 AGUJA DE VERRES 150MM C2202 45.815 45.815 45.815 45.815 45.815 45.815
PRO4001440 79160 CANULA 12X100 MM CTS22 36.652 36.652 36.652 36.652 36.652 36.652
PRO4001442 79165 TROCAR 11X100 MM CTR33 104.958 104.958 104.958 104.958 104.958 104.958
PRO4001443 79167 TROCAR 12X100 MM CTF73 104.958 104.958 104.958 104.958 104.958 104.958
PRO4001444 79170 KIT SEPARATOR 5X100 MM CTF12 104.958 104.958 104.958 104.958 104.958 104.958
PRO4001445 79177 MALLA POLIPRO LIGHT DE 15X15 CM PPL1515 69.972 69.972 69.972 69.972 69.972 69.972
PRO4001446 79178 MALLA POLIPRO LIGHT DE 30X30 CM PPL3030 174.930 174.930 174.930 174.930 174.930 174.930
PRO4001450 79190 FRESA ESFERICA 3,0X28 03.000.170S 176.822 176.822 176.822 176.822 176.822 176.822
PRO4001451 79191 FRESA ESFER 45MM ANCL DENTAL 03.000.172S 176.822 176.822 176.822 176.822 176.822 176.822
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4001452 79192 FRESA OVALADA 7X45MM 03.000.174S 190.424 190.424 190.424 190.424 190.424 190.424
PRO4001454 79194 SIERRA MOTOR E-PEN 22X8X0,38 03.000.303S 118.135 118.135 118.135 118.135 118.135 118.135
PRO4001455 79195 SIERRA E-PEN 22X12X0,38 03.000.306S 118.135 118.135 118.135 118.135 118.135 118.135
PRO4001456 79196 SIERRA E-PEN 18X2,5X0,38 03.000.314S 110.004 110.004 110.004 110.004 110.004 110.004
PRO4001457 79197 BIOMATERIAL CHRONOS 6 CONVEXO 710.932S 490.179 490.179 490.179 490.179 490.179 490.179
MAT7001377 79204 ESCOBILLA QUIRURGICA SECA 589 589 589 589 589 589
PRO4001460 79222 HARMONICO CURVO 23CM HARH23 735.812 735.812 735.812 735.812 735.812 735.812
PRO4001461 79224 ENDOPATH XCEL BLADELESS TROCAR B5ST 269.436 269.436 269.436 269.436 269.436 269.436
PRO4001464 79227 ENDOPATH XCEL BLADELESS TROCAR CB5ST 60.336 60.336 60.336 60.336 60.336 60.336
PRO4001466 79230 ENDOAPLICADOR DE CLIPS MULTIPL EL5ML 323.206 323.206 323.206 323.206 323.206 323.206
PRO4001467 79231 MALLA PROLENE 10CM X 15CM GYNEMESH GPSL 323.206 323.206 323.206 323.206 323.206 323.206
PRO4001470 79235 PROCEED 15 X 20CM, OVAL PCDG1 1.139.846 1.139.846 1.139.846 1.139.846 1.139.846 1.139.846
PRO4001472 79237 PROCEED 10 X 15CM, OVAL PCDN1 667.971 667.971 667.971 667.971 667.971 667.971
PRO4001481 79249 ULTRAPRO 15 X 15 CM, 1 / BOX UMM1 168.059 168.059 168.059 168.059 168.059 168.059
PRO4001482 79250 ULTRAPRO 10 X 15 CM, 1 / BOX UMN1 155.146 155.146 155.146 155.146 155.146 155.146
PRO4001483 79251 ULTRAPRO 10 X 12 CM, 3 / BOX UMP3 150.841 150.841 150.841 150.841 150.841 150.841
PRO4001488 79260 CANULA HOMBRO 8.25 MM AR-6530 75.108 75.108 75.108 75.108 75.108 75.108
PRO4001499 79281 CANULA 5.5 AR-6560 62.581 62.581 62.581 62.581 62.581 62.581
PRO4001500 79283 CATETER VENTRICULAR 18CM #NL850-1228 130.159 130.159 130.159 130.159 130.159 130.159
PRO4001501 79284 CATETER PERITONEAL 120CM #NL850-1376 303.252 303.252 303.252 303.252 303.252 303.252
PRO4001505 79315 TROCAR SEPARATOR 15X100MM Z-THREAD COR37 149.940 149.940 149.940 149.940 149.940 149.940
MAT7001380 79316 FERULA DE TRACCION BLANDA GRANDE 116.501 116.501 116.501 116.501 116.501 116.501
PRO4001509 79321 GELPORT 120MM C8XX2 837.998 837.998 837.998 837.998 837.998 837.998
PRO4001550 79438 ESTABILIZADOR TS2000 1.082.900 1.082.900 1.082.900 1.082.900 1.082.900 1.082.900
PRO4001551 79439 POSICIONADOR HP3500 583.100 583.100 583.100 583.100 583.100 583.100
PRO4001552 79442 SURGITIE POLYSORB EL20L 53.312 53.312 53.312 53.312 53.312 53.312
PRO4001553 79444 MINI STEP 5MM MS100705 129.948 129.948 129.948 129.948 129.948 129.948
PRO4001554 79447 CORKSCREW 5.5X16.3 C/AGUJA AR-1928SNF-2 531.087 531.087 531.087 531.087 531.087 531.087
PRO4001555 79482 ADHESIVO QUIRURGICO BIOGLUE 2ML BG3002-5 483.140 483.140 483.140 483.140 483.140 483.140
PRO4001557 79484 ADHESIVO QUIRURGICO BIOGLUE 5ML BG3515-G 1.099.560 1.099.560 1.099.560 1.099.560 1.099.560 1.099.560
PRO4001558 79485 HARMONICO FOCUS 9CM HAR9F 775.693 775.693 775.693 775.693 775.693 775.693
PRO4001560 79788 SELLADOR DE TEJIDO 5MM 35CM NSLG2C35 775.693 775.693 775.693 775.693 775.693 775.693
PRO4001561 79789 SUTURA SEAMGUARD 60 BLUE 12BSGUSS60B 266.560 266.560 266.560 266.560 266.560 266.560
PRO4001562 79790 SUTURA SEAMGUARD 60 GREEN 12BSGUSS60G 274.890 274.890 274.890 274.890 274.890 274.890
PRO4001563 79794 ENDO PEANUT #173019 45.815 45.815 45.815 45.815 45.815 45.815
PRO4001568 79804 PUNTA ARTHROCARE #ASC4830-01 445.917 445.917 445.917 445.917 445.917 445.917
PRO4001570 79806 PUNTA ARTHROCARE #ASC4250-01 445.917 445.917 445.917 445.917 445.917 445.917
PRO4001572 79808 ANCLA BIORAPTOR 72201541 505.328 505.328 505.328 505.328 505.328 505.328
PRO4001580 79816 SET DE AGUJAS DESCARTABLE 7209874 508.320 508.320 508.320 508.320 508.320 508.320
PRO4001581 79817 ANCLA TWIFINIX 5,0 7210708 627.137 627.137 627.137 627.137 627.137 627.137
PRO4001589 79831 ENDOPATH ETS - FLEX45 ATS45 287.003 287.003 287.003 287.003 287.003 287.003
PRO4002046 79917 CARGA PARA ENDOCORT. AZUL 45MM ECR45B 333.986 333.986 333.986 333.986 333.986 333.986
PRO4002048 79919 CARGA PARA ENDOCORT. VERDE 45MM ECR45G 333.986 333.986 333.986 333.986 333.986 333.986
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRO4002050 79921 CARGA PARA ENDOCORT. BLANCA 45MM ECR45W 333.986 333.986 333.986 333.986 333.986 333.986
PRO4002051 79922 CLIPERA LIGACLIP 10MM ER320 387.846 387.846 387.846 387.846 387.846 387.846
PRO4002052 79924 CARGA PARA ENDOCORT 60MM NEGRA GST60T 333.986 333.986 333.986 333.986 333.986 333.986
PRO4002053 79928 SELLADOR DE TEJIDO 5MM 14CM NSLG2C14 646.430 646.430 646.430 646.430 646.430 646.430
PRO4002055 79929 SELLADOR DE TEJIDO 5MM 25CM NSLG2C25 689.511 689.511 689.511 689.511 689.511 689.511
PRO4002056 79930 SELLADOR DE TEJIDO 5MM 45CM NSLG2C45 775.693 775.693 775.693 775.693 775.693 775.693
PRO4002058 79932 CORTADORA LINEAL SELEC 75MM NTLC75 215.464 215.464 215.464 215.464 215.464 215.464
PRO4002059 79933 ENDOCORT LINEAL ROT ECHELON FLEX PSE45A 538.688 538.688 538.688 538.688 538.688 538.688
PRO4002060 79934 CARGA LINEAL SR75 PARA NTLC75 193.924 193.924 193.924 193.924 193.924 193.924
PRO4002061 79935 DISP. DE FIJACION SECURESTRAP 12 STRAP12 430.929 430.929 430.929 430.929 430.929 430.929
PRO4002062 79936 DISP. DE FIJACION SECURESTRAP 25 STRAP25 495.587 495.587 495.587 495.587 495.587 495.587
PRO4002063 79937 MALLA PROLENE MESH 30X30CM XYPML1 170.230 170.230 170.230 170.230 170.230 170.230
MAT7001991 79948 FILTRO RESPIRATORIO RT020 3.875 3.875 3.875 3.875 3.875 3.875
MAT7001396 81096 AGUJA DE BIOPSIA MAGNUM 14GX10CM 51.051 51.051 51.051 51.051 51.051 51.051
MAT7001403 81136 CANULA ESTEROTAXIA DE 11G 299.067 299.067 299.067 299.067 299.067 299.067
MAT7002596 82596 PAQUETE ROPA QUIRURGICA LASIK II 25.892 25.892 25.892 25.892 25.892 25.892
MAT7002637 82637 PAQUETE QUIRURGICO CATARATAS 44.506 44.506 44.506 44.506 44.506 44.506
MAT8000176 82825 TORULAS ESTERILES 68 68 68 68 68 68
MAT7001405 83001 PACK UNIVER. IV C 2 DELANTALES 39.270 39.270 39.270 39.270 39.270 39.270
MAT7001406 83002 PACK LAPAROSCOPIA ABDOMINAL 43.344 43.344 43.344 43.344 43.344 43.344
MAT7001407 83003 CONJUNTO CABEZA Y CUELLO 35.780 35.780 35.780 35.780 35.780 35.780
MAT7001408 83004 BATA ESTANDAR ESTERIL TALLA L 4.074 4.074 4.074 4.074 4.074 4.074
MAT7001409 83005 CONJUNTO P PARTO DESECHABLE 42.637 42.637 42.637 42.637 42.637 42.637
MAT7001410 83006 CUBIERTA MESA MAYO STANDARD 3.553 3.553 3.553 3.553 3.553 3.553
MAT7001411 83007 PACK ORTOPEDICO 41.527 41.527 41.527 41.527 41.527 41.527
MAT7001412 83008 PACK BASICO I C 2 DELANTALES 20.072 20.072 20.072 20.072 20.072 20.072
MAT7001413 83009 CONJUNTO ARTROSC C/ BOLSA RECO 30.719 30.719 30.719 30.719 30.719 30.719
MAT7001414 83010 CAMPO MEDIANO 3.796 3.796 3.796 3.796 3.796 3.796
MAT7001415 83011 PACK CESAREA C 3 DELANTALES 50.904 50.904 50.904 50.904 50.904 50.904
MAT7001416 83012 COBERTOR DE CARDIOLOGIA 3.563 3.563 3.563 3.563 3.563 3.563
MAT7001418 83014 CONJUNTO ARTROSCOPIA HOMBRO 63.581 63.581 63.581 63.581 63.581 63.581
MAT7001419 83015 PACK CARDIOVASCULAR SPLIT 48.582 48.582 48.582 48.582 48.582 48.582
MAT7001420 83016 PACK CISTOSCOPIA PIERNERA 33.453 33.453 33.453 33.453 33.453 33.453
MAT7001421 83017 CAMPO PEDIATRICO 14.640 14.640 14.640 14.640 14.640 14.640
MAT7001422 83018 DELANTAL XXL #670106 (*56) 10.865 10.865 10.865 10.865 10.865 10.865
MAT7001424 83021 CAMPO NEURO CON DRAPE 29.932 29.932 29.932 29.932 29.932 29.932
MAT7001425 83022 PAÑOS CLINICOS CON ADHESIVO 2.037 2.037 2.037 2.037 2.037 2.037
MAT7001426 83023 SABANA EN U LARGE 14.585 14.585 14.585 14.585 14.585 14.585
MAT7001427 83024 BOLSA RECOLECTORA DE FLUIDOS 6.079 6.079 6.079 6.079 6.079 6.079
MAT7001428 83025 PACK LITHOTOMIA 25.806 25.806 25.806 25.806 25.806 25.806
MAT7001434 84022 EQUIPO ADMINISTRADOR SANGRE #1TBU300B 2.618 2.618 2.618 2.618 2.618 2.618
MAT7001435 84024 FILTRO PARA GLOBULOS ROJOS #1TFIR1602ES 31.416 31.416 31.416 31.416 31.416 31.416
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

MAT7003250 84030 SET PRIMARIO PLUM SANGRE COD.14212-01 11.781 11.781 11.781 11.781 11.781 11.781
MAT7001438 84032 EQ.ADM.SANGRE MACROGOTA PED #TBM270L59SA 7.330 7.330 7.330 7.330 7.330 7.330
MAT7001439 84034 BOLSA TRANSFER 600 CC #1BBT060CB 3.927 3.927 3.927 3.927 3.927 3.927
MAT7001447 84051 BOLSA RECOL. SANGRE CUADRUPLE # 730241 15.708 15.708 15.708 15.708 15.708 15.708
MAT7001648 84053 FILTRO DE PLAQUETA P/1-10 U #1TFIP1AS2DS 37.961 37.961 37.961 37.961 37.961 37.961
MAT7001449 84054 FILTRO LEUCO R.N. PLAQUETAS 32.861 32.861 32.861 32.861 32.861 32.861
MAT7001450 86024 FERULA DIGITAL TIRA 10 CM. 2.330 2.330 2.330 2.330 2.330 2.330
MAT7001451 86026 FERULA DIGITAL TIRA 20 CM. 2.880 2.880 2.880 2.880 2.880 2.880
MAT7001456 86067 CABESTRILLO BRAZO M #HM1100GM 3.115 3.115 3.115 3.115 3.115 3.115
MAT7001457 86068 CABESTRILLO BRAZO L #HM1100GL 3.115 3.115 3.115 3.115 3.115 3.115
MAT7001458 86165 FIJADOR DEDO PULGAR #HM011500 7.828 7.828 7.828 7.828 7.828 7.828
MAT7001459 86184 CABESTRILLO BRAZO S #HM1100GS 3.115 3.115 3.115 3.115 3.115 3.115
MAT7001460 86187 INMOVILIZADOR DE RODILLA L#MI043OL 34.558 34.558 34.558 34.558 34.558 34.558
MAT7001461 86188 INMOVILIZADOR DE RODILLA S #MI043W0S 34.558 34.558 34.558 34.558 34.558 34.558
MAT7001462 86203 COLLAR CERVICAL SEMIRIG.KIDS 12-14(XS) 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001463 86204 COLLAR CERVICAL SEMI RIGIDO S #CC019S 4.739 4.739 4.739 4.739 4.739 4.739
MAT7001464 86205 COLLAR CERVICAL SEMI RIGIDO M #CC019M 4.739 4.739 4.739 4.739 4.739 4.739
MAT7001465 86206 COLLAR CERVICAL SEMI RIGIDO L #CC019L 4.739 4.739 4.739 4.739 4.739 4.739
MAT7001466 86216 INMOVILIZADOR DE RODILLA M #MI043W0M 34.558 34.558 34.558 34.558 34.558 34.558
MAT7001467 86239 INMOVILIZADOR DE HOMBRO #01310UNI 15.446 15.446 15.446 15.446 15.446 15.446
MAT7001468 86240 FERULA FROG L 3.273 3.273 3.273 3.273 3.273 3.273
MAT7001469 86241 FERULA FROG M 3.273 3.273 3.273 3.273 3.273 3.273
MAT7001470 86242 FERULA FROG S 3.273 3.273 3.273 3.273 3.273 3.273
MAT7001471 86243 FERULA DE DEDO N1 #USTE100 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001472 86244 FERULA DE DEDO N2 #USTE074 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001473 86245 FERULA DE DEDO N3 #USTE101 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001474 86246 FERULA DE DEDO N4 #USTE075 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001475 86247 FERULA DE DEDO N5 #USTE102 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001476 86248 FERULA DE DEDO N6 #USTE076 4.974 4.974 4.974 4.974 4.974 4.974
MAT7001477 86249 FERULA BASEBALL S 3.273 3.273 3.273 3.273 3.273 3.273
MAT7001478 86250 FERULA BASEBALL M 3.273 3.273 3.273 3.273 3.273 3.273
MAT7001479 86251 FERULA BASEBALL L 3.273 3.273 3.273 3.273 3.273 3.273
MAT7001480 86286 INMOVILIZADOR CLAVICULA SMALL 17.740 17.740 17.740 17.740 17.740 17.740
MAT7001481 86287 INMOVILIZADOR CLAVICULA MEDIUM 17.740 17.740 17.740 17.740 17.740 17.740
MAT7001482 86288 ORTESIS DE MUÑECA C/FERULA DER#HM170 13.064 13.064 13.064 13.064 13.064 13.064
MAT7001483 86289 INMOVILIZADOR MUÑECA IZQ. 13.064 13.064 13.064 13.064 13.064 13.064
MAT7001484 86314 CABESTRILLO XS 3.115 3.115 3.115 3.115 3.115 3.115
MAT7001490 86321 INMOVILIZADOR CLAVICULA XS 12.354 12.354 12.354 12.354 12.354 12.354
MAT7001491 86322 BASTONES CODERA FIJA AJUSTABLE 27.227 27.227 27.227 27.227 27.227 27.227
MAT7001492 86434 ORTESIS DE TOBILLO SMALL 77.058 77.058 77.058 77.058 77.058 77.058
MAT7001493 86435 ORTESIS DE TOBILLO MEDIUM 77.058 77.058 77.058 77.058 77.058 77.058
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

MAT7001494 86436 ORTESIS DE TOBILLO LARGE 77.058 77.058 77.058 77.058 77.058 77.058
MAT7001495 86437 TOBILLERA ESTABILIZADORA S #MI123FRS 33.078 33.078 33.078 33.078 33.078 33.078
MAT7001496 86438 TOBILLERA ESTABILIZADORA M #MI123FRM 33.078 33.078 33.078 33.078 33.078 33.078
MAT7001497 86439 TOBILLERA ESTABILIZADORA L #MI123FRL 33.078 33.078 33.078 33.078 33.078 33.078
MAT7001498 86440 TOBILLERA ESTABILIZADORA XL 33.078 33.078 33.078 33.078 33.078 33.078
MAT7001500 86459 INMOVILIZADOR HOMBRO XS 15.446 15.446 15.446 15.446 15.446 15.446
MAT7001501 86460 INMOVILIZADOR CLAVICULA L 14.661 14.661 14.661 14.661 14.661 14.661
MAT7001502 86477 PUNTA ARTHROCARE #AC2430-1 491.387 491.387 491.387 491.387 491.387 491.387
MAT7001503 86486 BOTA INMOVILIZADORA S #MI130US 36.652 36.652 36.652 36.652 36.652 36.652
MAT7001504 86487 BOTA INMOVILIZADORA M #MI130UM 36.652 36.652 36.652 36.652 36.652 36.652
MAT7001505 86488 BOTA INMOVILIZADORA L #MI130UL 36.652 36.652 36.652 36.652 36.652 36.652
MAT7001506 86489 BOTA INMOV.KIDS XXL #BK16 37.961 37.961 37.961 37.961 37.961 37.961
MAT7001539 86490 ZAPATO POST. OP.HOMBRE S 19.583 19.583 19.583 19.583 19.583 19.583
MAT7001704 86491 ZAPATO POST.OP.HOMBRE M 19.583 19.583 19.583 19.583 19.583 19.583
MAT7001564 86492 ZAPATO POST.OP HOMBRE L 19.583 19.583 19.583 19.583 19.583 19.583
MAT7001699 86493 ZAPATO POST.OP MUJER S 19.583 19.583 19.583 19.583 19.583 19.583
MAT7001712 86494 ZAPATO POST.OP MUJER M 19.583 19.583 19.583 19.583 19.583 19.583
MAT7001583 86495 ZAPATO POST.OP MUJER L 19.583 19.583 19.583 19.583 19.583 19.583
MAT7001613 86496 TOBILLERA ASO KIDS 4-6 AÑOS R. BK 15 15.708 15.708 15.708 15.708 15.708 15.708
MAT7001722 86497 TOBILLERA ASO KIDS 8-10 AÑOS R. BK 15 19.583 19.583 19.583 19.583 19.583 19.583
MAT7001690 86498 TOBILLERA KIDS 12-14 #BK153 15.708 15.708 15.708 15.708 15.708 15.708
MAT7001717 86499 SOPORTE CODO TENISTA C/GEL HM014N00G 9.687 9.687 9.687 9.687 9.687 9.687
MAT7001624 86503 SOPORTE CODO TENISTA SIN GELHM012WUO 3.713 3.713 3.713 3.713 3.713 3.713
MAT7001664 86633 RODILLERA POLICENTRICA BARRAS S#MI47S 26.128 26.128 26.128 26.128 26.128 26.128
MAT7001589 86635 RODILLERA POLICENTRICA BARRAS M#MI47M 26.128 26.128 26.128 26.128 26.128 26.128
MAT7001616 86640 RODILLERA POLICENTRICA BARRAS L#MI47L 26.128 26.128 26.128 26.128 26.128 26.128
MAT7001527 86641 INMV.DE RODILLAC/RANGO BLUNDING MI-52 143.087 143.087 143.087 143.087 143.087 143.087
MAT7001556 86653 DELTA DRY 7,5 CM 7.854 7.854 7.854 7.854 7.854 7.854
MAT7001737 86654 DELTA DRY 5 CM 6.833 6.833 6.833 6.833 6.833 6.833
MAT7001507 86797 FERULA DIGITAL TIRA 15 CM. 2.330 2.330 2.330 2.330 2.330 2.330
MAT7002500 97032 ETHIBOND EXCEL KV17G 175.003 175.003 175.003 175.003 175.003 175.003
MAT7002501 97039 ETHIBOND EXCEL KV22G 175.003 175.003 175.003 175.003 175.003 175.003
MAT7003738 BOLSA ASPIRACIÓN 2 LTS 389257 4.582 4.582 4.582 4.582 4.582 4.582
MAT7003959 INSERTO CALESCA 275.200 275.200 275.200 275.200 275.200 275.200
MAT7003989 SET INTRODUCTOR FEMORAL ARTERIAL 96552 157.080 157.080 157.080 157.080 157.080 157.080
MAT7004089 SET INTUBACION RETROG 14FRX70CM G10554 266.560 266.560 266.560 266.560 266.560 266.560
MAT7004095 PUNTAS P1000 C/FILTRO 8.378 8.378 8.378 8.378 8.378 8.378
MAT7004096 PLACA DE 96 POCILLOS NEGR 709.694 709.694 709.694 709.694 709.694 709.694
MAT7004097 RIBOFLAVIN 5'-MONPHOSPHA 342.444 342.444 342.444 342.444 342.444 342.444
MAT7004101 SET DE CRICOTIROTOMIA MALKER CON BALON 342.720 342.720 342.720 342.720 342.720 342.720
MAT7004102 SET CRICOTOM MELKEN S/BALON3,5MM*3,8CM 247.520 247.520 247.520 247.520 247.520 247.520
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

MAT7004103 SET CRICOTOM MELKEN S/BALON4,0MM*4,8CM 247.520 247.520 247.520 247.520 247.520 247.520
MAT7004104 SET CRICOTOMIA MELKEN S/BALON6MM*7,5CM 247.520 247.520 247.520 247.520 247.520 247.520
MAT7004105 TROCAR BIG ADULTO 255.136 255.136 255.136 255.136 255.136 255.136
MAT7004106 TROCAR BIG PEDIATRICO 255.136 255.136 255.136 255.136 255.136 255.136
MAT7004107 GOMAS PARA CISTOSCOPIO SET 10 UND 70.573 70.573 70.573 70.573 70.573 70.573
MAT7004108 PESARIO CERCLAJE ARABIN 70/25/32 183.260 183.260 183.260 183.260 183.260 183.260
MAT7004109 MASCARA FULL FACE TALLA S BSCA63607 190.400 190.400 190.400 190.400 190.400 190.400
MAT7004110 ABDUCTOR DE HOMBRO EN 45° HM-137000 52.838 52.838 52.838 52.838 52.838 52.838
MAT7004111 INMOVILIZADOR DE DEDO PULGAR 4-6 4.486 4.486 4.486 4.486 4.486 4.486
PRO4003514 CLAVO GAMMA L DER 11x320x125° 4225-0320S 977.729 977.729 977.729 977.729 977.729 977.729
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00
HRS. EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

LHE0301000 26119 ACIDO FOLICO EN SUERO 301002 51.396 51.396 7.070 7.070 47.974 47.974
LHE0301001 26111 ACIDO FOLICO O FOLATOS (SANGRE Y SUERO) 301002 94.784 94.784 7.070 7.070 71.745 83.469
LHE0301002 58604 ADENOGRAMA, MIELOGRAMA C/U 301003 91.548 91.548 11.660 11.660 68.191 80.575
LHE0301005 54010 AGREGACION PLAQUETARIA 301006 90.129 90.129 6.820 6.820 79.793 79.793
LHE0301006 58716 ANTICOAGULANTE LUPICO (COAGULACION) 301007 71.319 71.319 7.390 7.390 49.923 54.582
LHE0301007 54022 ANTITROMBINA III 301008 52.496 52.496 7.390 7.390 36.746 40.179
LHE0301039 58506 TIEMPO DE PROTROMBINA 301011 26.009 26.009 2.110 2.110 18.206 19.906
LHE0301008 28001 COOMBS DIRECTO.TEST DE 301014 17.917 17.917 1.970 1.970 13.794 13.794
LHE0301100 28018 COOMBS DIRECTO MONOESPECIFICO 301014 5.065 5.065 1.970 1.970 5.065 5.065
LBQ0302134 54520 DESHIDROGENASA GLUCOSA-6-FOSFATO EN ERITROCITOS 301017 75.958 75.958 6.750 6.750 70.951 70.951
LHE0301011 58642 FACTOR V(LABIL) 301024 71.889 71.889 3.170 3.170 50.323 55.022
LHE0301012 54062 CUANTIFICACION FACTOR VIII 301025 64.754 64.754 7.120 7.120 57.328 57.328
LHE0301014 54758 FACTORES DE COAGULACION (CUANTIF) C/U 301025 54.218 54.218 7.120 7.120 50.705 50.705
LHE0301015 26162 FERRITINA 301026 91.397 91.397 8.480 8.480 68.325 80.712
LHE0301010 58508 FIBRINOGENO FACTOR I 301027 31.836 31.836 7.090 7.090 22.285 24.368
LHE0301017 26019 FERREMIA. FIERRO SERICO 301028 37.383 37.383 2.990 2.990 26.168 28.612
LHE0301018 26138 FERREMIA CAPACIDAD DE FIJACION DE FE % SATURACION 301030 59.439 59.439 7.340 7.340 48.002 52.730
LHE0301020 28093 GRUPO SANGUINEO RECIEN NACIDO 301034 25.694 25.694 3.540 3.540 19.811 19.811
LHE0301021 28005 GRUPOS SANGUINEOS ABO Y RH 301034 25.694 25.694 3.540 3.540 19.811 19.811
LBQ0302135 54072 HAPTOGLOBINA CUANTITATIVA 301035 69.364 69.364 6.720 6.720 64.790 64.790
LHE0301023 58513 HEMATOCRITO EN LIQUIDO 301036 11.341 11.341 1.090 1.090 7.977 8.677
LHE0301024 58501 HEMATOCRITO EN SANGRE 301036 11.341 11.341 1.090 1.090 7.977 8.505
LHE0301096 26253 HEMATOCRITO GEM 301036 10.240 10.240 1.090 1.090 10.240 10.240
LHE0301026 58707 HEMOGLOBINA EN LIQUIDO 301038 11.536 11.536 1.090 1.090 9.142 10.153
LHE0301027 58502 HEMOGLOBINA EN SANGRE 301038 13.266 13.266 1.090 1.090 9.287 10.153
LHE0301097 26254 HEMOGLOBINA GEM 301038 10.240 10.240 1.090 1.090 10.240 10.240
LHE0301028 54952 HEMOGLOBINA FETAL CUANTITATIVA 301040 63.440 63.440 6.830 6.830 56.167 56.167
LHE0301029 26087 HEMOGLOBINA GLICOSILADA 301041 48.838 48.838 6.380 6.380 34.187 37.377
LHE0301030 26088 HEMOGLOBINA GLICOSILADA CAPILAR 301041 10.285 10.285 6.380 6.380 9.600 9.600
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LHE0301031 54304 HEMOGLOBINEMIA (HB PLASMATICA ) 301042 13.590 13.590 1.460 1.460 12.030 12.030
LHE0301032 54400 ELECTROFORESIS DE HEMOGLOBINA 301044 83.819 83.819 7.470 7.470 74.209 74.209
LHE0301033 58500 HEMOGRAMA Y VHS 301045 35.001 35.001 4.350 4.350 27.290 31.146
LHE0301034 58617 HEMOGRAMA 301045 40.694 40.694 4.350 4.350 28.487 31.146
LHE0301035 54075 HEMOSIDERINA MEDULAR 301048 12.277 12.277 1.730 1.730 10.868 10.868
LHE0301013 58025 FACTOR ANTI X ACTIVADO (NIVELES DE HEPARINA) 301049 83.130 83.130 8.190 8.190 58.190 63.623
LHE0301038 26081 METAHEMOGLOBINA 301054 94.887 94.887 2.180 2.180 66.421 72.623
LHE0301098 26255 METAHEMOGLOBINA GEM 301054 48.046 48.046 2.180 2.180 48.046 48.046
LHE0301040 58726 TIEMPO PROTROMBINA/INR - ELA SCREENING 301059 19.280 19.280 2.190 2.190 17.070 17.070
LHE0301589 58589 TIEMPO PROTROMBINA CON MEZCLA 1:1 301059 26.009 26.009 2.190 2.190 26.009 26.009
LHE0301590 58590 TTPK (TTPA) CON MEZCLA 1:1 301059 29.818 29.818 2.190 2.190 29.818 29.818
LHE0301041 58704 RECUENTO DE EOSINOFILOS 301063 13.174 13.174 1.390 1.390 9.223 10.082
LHE0301044 58713 RECUENTO DE LEUCOCITOS 301065 11.341 11.341 1.040 1.040 7.977 8.677
LHE0301045 58708 RECUENTO DE LEUCOCITOS, ABSOLUTO (PROC.AUT.) 301065 11.341 11.341 1.040 1.040 7.977 8.677
LHE0301065 58002 FORMULA Y RCTO DE LEUCOCITOS EN SANGRE 301065 35.145 35.145 1.040 1.040 32.827 32.827
LHE0301046 58904 RECUENTO ABSOLUTO DE LINFOCITOS 301066 22.988 22.988 1.790 1.790 16.091 17.591
LHE0301047 58503 RECUENTO DE PLAQUETAS 301067 15.513 15.513 1.840 1.840 10.859 11.873
LHE0301048 58710 RECUENTO DE RETICULOCITOS 301068 13.174 13.174 1.420 1.420 9.223 10.082
LHE0301049 58037 FORMULA LEUCOCITARIA 301069 24.413 24.413 2.990 2.990 18.671 21.487
LHE0301170 58014 RESISTENCIA GLOBULAR OSMOTICA O FRAGILIDAD OSMOTICA 301070 7.635 7.635 7.635 7.635 5.344 5.726
LHE0301050 58505 TIEMPO DE SANGRIA (IVY) 301072 20.943 20.943 2.110 2.110 14.660 16.029
LHE0301052 26061 TRANSFERRINA 301082 73.666 73.666 7.760 7.760 51.566 56.379
LHE0301053 58507 TIEMPO DE TROMBOPLASTINA PARCIAL (T.T.PK 301085 29.818 29.818 3.360 3.360 20.873 22.820
LHE0301054 58724 VELOCIDAD DE SEDIMENTACION (VHS) 301086 13.316 13.316 780 780 9.321 10.191
LHE0301057 54513 FACTOR ANTIGENICO VON WILLEBRAN 301089 84.231 84.231 14.210 14.210 74.572 74.572
LHE0301064 54502 ESTUDIO VON WILLEBRAND 301089 320.210 320.210 14.210 14.210 299.100 299.100
LHE0301058 54425 PROTEINA C (COAGULACION) 301091 87.347 87.347 43.980 43.980 77.335 77.335
LHE0301060 58010 PROTEINA C ANTIGENICA 301091 137.468 137.468 43.980 43.980 96.227 103.100
LHE0301061 54377 PROTEINA S (COAGULACION) 301092 84.197 84.197 52.020 52.020 74.544 74.544
LHE0301062 54719 RESISTENCIA A LA PROTEINA C ACTIVADA 301093 64.973 64.973 32.770 32.770 57.518 57.518
LIN0305120 24105 INMUNO FENOTIPO (HPN) 301094 269.303 269.303 67.570 67.570 239.782 264.955
LHE0301016 26109 DIMERO D 301095 138.304 138.304 16.900 16.900 96.813 105.851
LHO0303049 97170 PROCALCITONINA 301096 100.524 100.524 38.430 38.430 84.957 87.166
LHE0301197 58015 INHIBIDORES DE FACTOR DE LA COAGULACION 301097 130.029 130.029 130.029 130.029 91.021 97.522
LIN0305190 97114 ACIDO CITRICO EN LIQUIDO SEMINAL 302002 41.571 41.571 4.590 4.590 41.571 41.571
LBQ0302000 26301 ACIDO LACTICO (LACTATO) 302004 58.765 58.765 5.740 5.740 45.711 51.977
LBQ0302001 26210 LACTATO EN LCR 302004 58.765 58.765 5.740 5.740 45.849 51.977
LHE0301094 26251 ACIDO LACTICO GEM 302004 50.099 50.099 5.740 5.740 50.099 50.099
LBQ0302002 26305 ACIDO URICO (URICEMIA) 302005 13.084 13.084 2.140 2.140 10.326 11.765
LBQ0302004 26311 AMILASA EN SANGRE (AMILASEMIA) 302008 23.875 23.875 3.360 3.360 18.774 21.343
LBQ0302005 54018 AMINOACIDOS EN SANGRE CUALITATIVO 302009 15.650 15.650 9.490 9.490 13.855 13.855
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LBQ0302127 54430 CUANTIFICACION DE AMINOACIDOS EN SANGRE 302009 166.392 166.392 9.490 9.490 153.667 155.424
LBQ0302006 26315 AMONIO (AMONEMIA) 302010 52.794 52.794 3.490 3.490 41.262 46.345
LBQ0302007 26319 BICARBONATO EN SANGRE 302011 35.358 35.358 1.020 1.020 27.669 30.838
LOR0309043 26067 BICARBONATO EN OTROS LIQUIDOS 302011 35.250 35.250 1.020 1.020 32.926 32.926
LBQ0302008 26091 BILIRRUBINA DIRECTA 302012 13.059 13.059 2.190 2.190 9.365 9.993
LBQ0302009 26022 BILIRRUBINA RECIEN NACIDO 302012 13.059 13.059 2.190 2.190 9.365 9.993
LBQ0302010 26323 BILIRRUBINA TOTAL 302012 13.059 13.059 2.190 2.190 9.365 9.993
LBQ0302011 26321 BILIRRUBINA TOTAL EN SANGRE 302012 11.123 11.123 2.190 2.190 9.365 9.993
LBQ0302012 26011 BILIRRUBINA TOTAL Y DIRECTA 302013 17.086 17.086 2.050 2.050 11.960 13.078
LBQ0302013 26327 CALCEMIA 302015 11.099 11.099 1.950 1.950 9.353 9.981
LBQ0302178 26097 CALCIO EN OTROS LIQUIDOS 302015 12.161 12.161 1.950 1.950 8.512 9.305
LBQ0302015 26329 CAROTENO BASAL(CAROTINEMIA ) 302017 28.089 28.089 3.120 3.120 21.959 24.921
LBQ0302016 26331 CAROTENO PRUEBA DE SOBRECARGA 302018 26.432 26.432 6.770 6.770 21.220 24.200
LBQ0302017 54170 CERULOPLASMINA 302019 12.579 12.579 5.200 5.200 11.138 11.138
LBQ0302018 54326 COBRE 302020 70.649 70.649 2.900 2.900 62.551 62.551
LBQ0302019 26229 COLINESTERASA 302021 32.036 32.036 4.190 4.190 24.302 28.192
LBQ0302020 26351 CREATININA EN SANGRE (CREATININEMIA ) 302023 14.269 14.269 1.900 1.900 10.130 10.920
LBQ0302022 26353 CLEARENCE DE CREATININA 302024 39.976 39.976 4.140 4.140 27.983 30.596
LBQ0302023 26199 CK MB MASA 302025 27.917 27.917 7.490 7.490 23.673 25.490
LBQ0302123 26211 CREATINQUINASA CK - MB MIOCARDICA (I-STAT) 302025 81.809 81.809 7.490 7.490 81.809 81.809
LBQ0302024 26355 CK-TOTAL (CREANTINQUINASA ) 302026 35.633 35.633 5.380 5.380 24.944 27.271
LBQ0302026 26611 TROPONINA 302027 40.174 40.174 16.030 16.030 35.563 35.563
LBQ0302027 26237 LDH EN OTROS LIQUIDOS 302030 24.182 24.182 3.360 3.360 19.208 21.563
LBQ0302028 26363 LDH TOTAL.DESHIDROGENASA LACTICA 302030 28.174 28.174 3.360 3.360 19.723 21.563
LBQ0302140 54094 ISOENZIMAS DE L.D.H. 302031 57.660 57.660 9.260 9.260 53.859 53.859
LBQ0302029 26024 ELECTROLITOS PLASMATICOS (NA-K-CL) 302032 45.715 45.715 1.820 1.820 32.001 34.986
LBQ0302030 26021 POTASIO 302032 15.582 15.582 1.820 1.820 14.543 14.543
LBQ0302031 26031 SODIO EN SANGRE 302032 15.582 15.582 1.820 1.820 14.543 14.543
LBQ0302032 26034 CLORO EN SANGRE 302032 15.582 15.582 1.820 1.820 14.543 14.543
LHE0301090 26207 SODIO GEM 302032 14.171 14.171 1.820 1.820 13.238 13.238
LHE0301091 26231 POTASIO GEM 302032 14.171 14.171 1.820 1.820 13.238 13.238
LHE0301092 26232 CLORO GEM 302032 14.171 14.171 1.820 1.820 13.238 13.238
LBQ0302033 26174 ACTIVIDAD ENZ. CONVERTIDORA ANGIOTENSINA ECA 302033 67.362 67.362 11.250 11.250 59.638 59.638
LIN0305224 24420 PCR ECA, ENZIMA CONVERTIDORA DE ANGIOTENSINA POR PCR 302033 145.768 145.768 11.250 11.250 136.156 136.156
LBQ0302034 26314 PERFIL LIPIDICO 302034 81.312 81.312 8.780 8.780 56.918 62.231
LBQ0302035 26114 COLESTEROL VLDL 302034 25.800 25.800 8.780 8.780 24.083 24.083
LBQ0302036 26077 NIVELES DE FK 302035 144.986 144.986 8.830 8.830 101.491 110.962
LBQ0302037 26350 NIVELES CICLOSPONINA POST DOSIS 302035 69.465 69.465 8.830 8.830 54.678 61.136
LBQ0302038 26070 CICLOSPORINA POST DOSIS ( C2 ) 302035 69.833 69.833 8.830 8.830 53.644 61.465
LBQ0302039 26050 NIVELES DE ACIDO VALPROICO 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302040 26155 NIVELES DE AMIKACINA 302035 69.833 69.833 8.830 8.830 53.644 61.465
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LBQ0302041 54314 NIVELES DE ANTIDEPRESIVOS 302035 88.391 88.391 8.830 8.830 78.256 78.256
LBQ0302042 54293 NIVELES DE ANTIEPILEPTICOS 302035 88.547 88.547 8.830 8.830 78.390 78.390
LBQ0302043 54313 NIVELES DE BENZODIAZEPINAS 302035 91.029 91.029 8.830 8.830 85.027 85.027
LBQ0302044 26371 NIVELES DE CARBAMAZEPINA 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302045 26330 NIVELES DE CICLOSPORINA 302035 69.154 69.154 8.830 8.830 53.644 61.465
LBQ0302046 54378 NIVELES DE CLONAZEPAN 302035 88.547 88.547 8.830 8.830 78.390 78.390
LBQ0302047 26882 NIVELES DE DIGOXINA 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302048 54610 NIVELES DE ETANOL 302035 72.291 72.291 8.830 8.830 67.526 67.526
LBQ0302049 26044 NIVELES DE FENITOINA 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302050 26040 NIVELES DE FENOBARBITAL 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302051 54714 NIVELES DE FLUOXETINA 302035 91.029 91.029 8.830 8.830 85.027 85.027
LBQ0302052 54105 NIVELES DE GENTAMICINA 302035 89.269 89.269 8.830 8.830 79.032 79.032
LBQ0302053 54463 NIVELES DE LAMOTRIGINA 302035 91.029 91.029 8.830 8.830 85.027 85.027
LBQ0302054 54179 NIVELES DE MERCURIO EN SANGRE 302035 138.891 138.891 8.830 8.830 129.735 129.733
LBQ0302055 26492 NIVELES DE METHOTREXATO 302035 128.788 128.788 8.830 8.830 120.296 120.295
LBQ0302056 54649 NIVELES DE OXCARBAZEPINA 302035 91.029 91.029 8.830 8.830 85.027 85.027
LBQ0302057 26078 NIVELES DE PARACETAMOL 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302058 54106 NIVELES DE PENTOTAL 302035 91.029 91.029 8.830 8.830 85.027 85.027
LBQ0302059 26046 NIVELES DE PRIMIDONA 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302060 26173 NIVELES DE RAPAMICINA 302035 62.496 62.496 8.830 8.830 55.330 55.330
LBQ0302061 26318 NIVELES DE SALICILATOS (ACIDO ACETIL SALICILICO) 302035 28.543 28.543 8.830 8.830 26.660 26.660
LBQ0302062 26042 NIVELES DE TEOFILINA (AMINOFILINA) 302035 69.833 69.833 8.830 8.830 53.644 61.465
LBQ0302063 26153 NIVELES DE VANCOMICINA 302035 80.307 80.307 8.830 8.830 56.215 61.465
LBQ0302179 26493 NIVELES PLASMATICOS DE LEVETIRACETAM 302035 88.218 88.218 8.830 8.830 82.402 82.402
LBQ0302183 26180 NIVELES PLASMATICOS DE POSACONAZOL 302035 37.648 37.648 8.830 8.830 52.873 52.873
LBQ0302184 26190 NIVELES PLASMATICOS DE VORICONAZOL 302035 37.648 37.648 8.830 8.830 52.873 52.873
LBQ0302235 26069 NIVELES DE MEROPENEM 302035 43.705 43.705 8.830 8.830 37.985 37.985
LBQ0302335 26071 NIVELES DE PIPERACILINA / TAZOBACTAM 302035 43.705 43.705 8.830 8.830 37.985 37.985
LBQ0302139 54093 ISOENZIMAS DE FOSFATASA ALCALINA 302039 219.810 219.810 8.930 8.930 205.320 205.320
LBQ0302065 26387 FOSFATASAS ALCALINAS TOTALES 302040 25.115 25.115 1.810 1.810 17.580 19.220
LBQ0302066 26391 FOSFORO (FOSFEMIA) 302042 14.096 14.096 2.590 2.590 10.005 10.787
LBQ0302067 26393 GGT GAMA GLUTAMIL TRANSPEPTIDASA 302045 24.534 24.534 3.170 3.170 17.174 18.777
LBQ0302068 26230 GASES 302046 62.878 62.878 5.520 5.520 48.609 55.345
LBQ0302069 26377 GASES ARTERIALES 302046 72.313 72.313 5.520 5.520 50.619 55.345
LBQ0302070 26379 GASES DE BOMBA (CEC) 302046 62.878 62.878 5.520 5.520 48.609 55.345
LBQ0302071 26009 GASES VENOSOS 302046 72.313 72.313 5.520 5.520 50.619 55.345
LBQ0302072 26384 GASES VENOSOS CENTRALES 302046 72.313 72.313 5.520 5.520 50.619 55.345
LBQ0302073 26385 GASES VENOSOS MIXTOS 302046 54.904 54.904 5.520 5.520 48.609 48.609
LBQ0302074 26382 GASES VENOSOS PERIFERICOS 302046 72.313 72.313 5.520 5.520 50.619 55.345
LBQ0302075 26380 GASES BULBO YUGULAR 302046 62.834 62.834 5.520 5.520 48.609 55.301
LBQ0302076 26310 PH EN SANGRE Y CO2 TOTAL 302046 62.878 62.878 5.520 5.520 48.353 55.345
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LBQ0302182 26378 GASES OXIGENADOR DE MEMBRANA 302046 49.465 49.465 5.520 5.520 47.660 47.660
LHE0301099 26257 GASES GEM 302046 55.072 55.072 5.520 5.520 51.440 51.440
LBQ0302077 26399 GLUCOSA (GLICEMIA) 302047 8.240 8.240 1.760 1.760 6.131 6.303
LBQ0302078 14041 GLUCOSA (GLICEMIA) ( REFLOLUX ) 302047 6.965 6.965 1.760 1.760 6.131 6.377
LBQ0302079 26194 GLUCOSA CAPILAR 302047 8.240 8.240 1.760 1.760 6.131 6.303
LBQ0302082 26326 GLICEMIA POST PRANDIAL 302047 6.923 6.923 1.760 1.760 6.131 6.303
LBQ0302083 26205 GLUCOSA (TEST HOMA) 302047 9.215 9.215 1.760 1.760 8.071 8.329
LBQ0302085 26124 CURVA GLUCOSA (1M) 302047 8.240 8.240 1.760 1.760 6.131 6.303
LBQ0302086 26029 GLICEMIA POST CARGA 50 GRS. 302047 7.165 7.165 1.760 1.760 6.131 6.303
LBQ0302087 26102 GLICEMIA POST CARGA 75 GRS 302047 8.240 8.240 1.760 1.760 6.131 6.303
LHE0301095 26252 GLUCOSA GEM 302047 9.174 9.174 1.760 1.760 8.569 8.569
LBQ0302088 26400 CURVA DE TOLERANCIA A LA GLUCOSA (3M) 302048 50.175 50.175 8.190 8.190 40.191 45.107
LBQ0302089 26052 CURVA TOLERANCIA GLUCOSA (5M). 302048 53.877 53.877 8.190 8.190 50.324 50.324
LBQ0302090 26105 CURVA TOLERANCIA GLUCOSA (2M) 302048 43.747 43.747 8.190 8.190 30.623 33.482
LBQ0302091 26033 CURVA TOLERANCIA GLUCOSA (4M) 302048 58.936 58.936 8.190 8.190 41.255 45.107
LBQ0302092 26118 CURVA TOLERANCIA GLUCOSA 5 HORAS (6M) 302048 63.249 63.249 8.190 8.190 59.082 59.082
LBQ0302093 26054 CURVA TOLERANCIA GLUCOSA PROLONG (9M) 302048 95.440 95.440 8.190 8.190 66.808 73.044
LBQ0302094 26075 CURVA TOLERANCIA GLUCOSA PROLONG(8M) 302048 84.350 84.350 8.190 8.190 59.045 64.554
LBQ0302095 26020 ADENOSINDEAMINASA (ADA) EN SANGRE U OTRO FLUIDO BI 302050 52.480 52.480 7.500 7.500 36.736 40.164
LBQ0302096 26413 LIPASA 302053 50.568 50.568 3.730 3.730 35.397 38.703
LBQ0302098 26419 LITIO.LITEMIA 302055 27.664 27.664 4.110 4.110 19.365 21.171
LBQ0302099 26421 MAGNESIA (MAGNESEMIA) 302056 37.066 37.066 4.500 4.500 25.946 28.368
LBQ0302100 26434 NITROGENO UREICO EN SANGRE (UREA) 302057 9.723 9.723 1.870 1.870 6.806 7.443
LIN0305132 97017 ELECTROFORESIS DE PROTEINAS 302061 64.635 64.635 8.860 8.860 48.270 49.469
LBQ0302106 26447 G.O.T. TRANSAMINASA OXALACETICA 302063 24.908 24.908 2.610 2.610 17.435 19.063
LBQ0302107 26446 G.P.T.TRANSAMINASA PIRUVICAS 302063 24.908 24.908 2.610 2.610 17.435 19.063
LBQ0302108 26449 TRIGLICERIDOS (TRIGLICERIDEMIA) 302064 24.463 24.463 2.500 2.500 17.124 18.722
LBQ0302110 26145 XILOSA PRUEBA DE ABSORCION 302066 67.444 67.444 5.010 5.010 51.867 59.322
LBQ0302111 26339 COLESTEROL TOTAL 302067 10.865 10.865 1.920 1.920 8.301 9.785
LBQ0302112 26236 COLESTEROL TOTAL EN OTROS LIQUIDOS 302067 14.923 14.923 1.920 1.920 11.408 13.304
LBQ0302113 26343 COLESTEROL H.D.L. 302068 25.119 25.119 2.830 2.830 17.584 19.225
LBQ0302124 26142 COLESTEROL LDL 302068 26.412 26.412 2.830 2.830 24.094 24.670
LIN0305307 24067 LIPOPROTEINA (A) 302070 58.647 58.647 9.760 9.760 50.853 50.854
LBQ0302114 26312 PERFIL BIOQUIMICO (INCLUYE 12 EXAMENES) 302075 42.287 42.287 12.320 12.320 34.202 38.920
LBQ0302115 26058 PANEL QUIMICA GENERAL (PICCOLO) 302075 74.787 74.787 12.320 12.320 66.212 66.212
LBQ0302116 26224 PRUEBAS HEPATICAS 302076 71.915 71.915 14.430 14.430 51.662 65.150
LHE0301055 26113 VITAMINA B12 302077 87.131 87.131 10.690 10.690 60.991 66.688
LBQ0302109 54725 25 OH VITAMINA D 302078 100.168 100.168 23.780 23.780 88.684 88.684
LBQ0302014 26137 CALCIO IONICO 302081 67.381 67.381 3.520 3.520 47.167 51.570
LHE0301093 26250 CALCIO IÓNICO GEM 302081 49.578 49.578 3.520 3.520 46.309 46.309
LBQ0302064 59225 PKU FENILALANINA 302082 42.700 42.700 12.100 12.100 29.889 32.680
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LHE0301078 26219 CARBOXIHEMOGLOBINA (GEM) 302083 40.095 40.095 40.095 40.095 34.847 34.847
LBQ0302167 26107 HOMOCISTEINA 302086 88.390 88.390 88.390 88.390 74.702 76.643
LBQ0302195 26280 ACTIVIDAD DE LA ENZIMA TIOPURINA 302095 71.897 71.897 71.897 71.897 50.327 53.922
LBQ0302198 26281 PERFIL DE AMIONOACIDOS Y ACILCARNITINA 302098 116.953 116.953 116.953 116.953 81.867 87.715
LBQ0302104 26443 PROTEINAS TOTALES 302100 12.996 12.996 2.060 2.060 9.309 9.947
LBQ0302103 26037 ALBUMINA EN SANGRE (ALBUMINEMIA ) 302101 12.996 12.996 2.060 2.060 9.309 9.947
LHO0303000 54518 ADRENOCORTICOTROFINA (ACTH) 303001 53.468 53.468 12.110 12.110 47.338 47.338
LHO0303001 54013 ALDOSTERONA 303002 38.750 38.750 9.980 9.980 34.307 34.307
LHO0303002 46124 ANDROSTENEDIONA 303003 51.294 51.294 7.870 7.870 45.412 45.412
LHO0303004 26128 CORTISOL EN SANGRE AM 303006 42.025 42.025 7.870 7.870 32.712 32.712
LHO0303005 26129 CORTISOL EN SANGRE PM 303006 42.025 42.025 7.870 7.870 32.458 32.458
LHO0303006 46060 HORMONA DE CRECIMIENTO HGH 303007 47.229 47.229 9.980 9.980 35.615 36.142
LHO0303044 46061 TEST HGH CON CLONIDINA (4M) 303007 181.870 181.870 9.980 9.980 169.880 169.880
LHO0303045 46063 TEST HGH CON EJERCICIO (2M) 303007 88.333 88.333 9.980 9.980 82.508 82.509
LHO0303046 46062 TEST HGH CON GLUCOSA (5M) 303007 225.550 225.550 9.980 9.980 210.679 210.679
LHO0303007 46123 DEHIDROEPIANDROSTERONA SULFATO (DHEA-S) 303008 49.675 49.675 9.840 9.840 37.324 38.020
LHO0303008 54415 ERITROPOYETINA 303009 175.632 175.632 8.290 8.290 155.489 155.489
LBQ0302133 54071 GASTRINA 303012 75.084 75.084 10.580 10.580 70.134 70.134
LBQ0303014 26612 BETA-GCH POCT I-STAT 303014 55.949 55.949 7.580 7.580 49.911 49.911
LHO0303009 26120 GONADOTROFINA CORIONICA (HCG) 303014 59.946 59.946 7.580 7.580 43.906 45.881
LHO0303010 46022 GONADOTROFINA CORIONICA FB 303014 57.201 57.201 7.580 7.580 50.641 50.641
LBQ0303114 26284 GONADOTROFINA EN OTROS LIQUIDOS 303014 12.313 12.313 12.313 12.313 8.619 9.234
LHO0303011 46009 F.S.H. 303015 57.773 57.773 7.760 7.760 40.441 44.213
LHO0303012 46043 F.S.H. GNRH 303015 64.766 64.766 7.760 7.760 47.790 49.566
LHO0303013 46013 LH 303016 57.773 57.773 7.780 7.780 40.441 44.213
LHO0303014 46042 LH GNRH 303016 64.766 64.766 7.780 7.780 47.789 49.566
LBQ0302172 26117 INSULINA POST CARGA 303017 66.448 66.448 7.220 7.220 62.068 62.068
LHO0303015 26200 INSULINA 303017 66.245 66.245 7.220 7.220 46.371 50.700
LHO0303016 26206 INSULINA (TEST HOMA) 303017 69.517 69.517 7.220 7.220 53.255 61.648
LHO0303017 26101 INSULINA POST PRANDIAL 303017 78.802 78.802 7.220 7.220 55.162 60.308
LHO0303018 26130 PARATHORMONA 303018 81.621 81.621 11.840 11.840 59.052 62.470
LHO0303019 46015 PROGESTERONA 303019 60.421 60.421 7.340 7.340 44.685 46.241
LHO0303020 46017 PROLACTINA 303020 57.773 57.773 7.760 7.760 40.441 44.213
LHO0303021 54119 RENINA PLASMATICA 303021 56.602 56.602 12.540 12.540 50.113 50.113
LHO0303022 46021 TESTOSTERONA TOTAL 303022 54.585 54.585 8.060 8.060 40.225 41.775
LHO0303023 46019 TESTOSTERONA BIODISPONIBLE 303023 75.181 75.181 9.200 9.200 56.128 57.543
LHO0303024 26110 TSH TIROESTIMULANTE 303024 60.659 60.659 6.380 6.380 42.462 46.424
LHO0303025 46053 TSH NEONATAL 303024 60.659 60.659 6.380 6.380 45.650 46.424
LHO0303026 26215 TIROGLOBULINA 303025 45.677 45.677 9.980 9.980 36.391 41.502
LHO0303027 26125 T4 LIBRE 303026 43.775 43.775 7.340 7.340 32.240 33.501
LHO0303028 26136 T4 (TIROXINA O TETRAYODOTIRONINA) 303027 45.501 45.501 6.380 6.380 31.851 34.822
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LHO0303029 26122 T3 TRIYODOTIRONINA 303028 36.045 36.045 6.640 6.640 31.913 31.913
LHO0303030 46041 17 HIDROXIPROGESTERONA 303029 47.684 47.684 9.980 9.980 42.218 42.218
LHO0303031 46003 ESTRADIOL 303030 46.226 46.226 7.600 7.600 32.358 35.381
LHO0303032 46005 ESTRADIOL RAPIDO 303030 76.136 76.136 7.600 7.600 55.597 58.269
LBQ0302137 26202 INSULINA CURVA 5 HORAS (8M) 303031 385.255 385.255 19.470 19.470 359.859 359.859
LBQ0302138 26201 INSULINA CURVA PROLONGADA (9M) 303031 423.176 423.176 19.470 19.470 395.277 395.277
LHO0303033 26104 INSULINA CURVA (2M) 303031 184.567 184.567 19.470 19.470 129.196 141.253
LHO0303034 26074 INSULINA CURVA (3M) 303031 215.699 215.699 19.470 19.470 150.990 165.083
LHO0303035 26203 INSULINA CURVA (4M) 303031 243.193 243.193 19.470 19.470 175.884 214.569
LHO0303036 26204 INSULINA CURVA (5M) 303031 273.862 273.862 19.470 19.470 204.902 241.162
LOR0309029 54453 CORTISOL LIBRE URINARIO 303035 44.195 44.195 7.980 7.980 41.282 41.281
LBQ0303035 26282 CORTISOL LIBRE URINARIO 303035 12.963 12.963 12.963 12.963 9.074 9.722
LHO0303040 46150 SHBG (SEX-HORMONE BINDING GLOBULIN) 303046 65.703 65.703 17.890 17.890 48.181 50.285
LBQ0302155 54130 SOMATOMEDINA -C 303047 28.679 28.679 19.260 19.260 26.789 26.788
LHO0303041 54488 IGF BP3 303048 30.074 30.074 18.960 18.960 26.627 26.627
LHO0303003 54028 CATECOLAMINAS EN SANGRE 303049 190.369 190.369 49.120 49.120 168.540 168.540
LOR0309030 54961 METANEFRINA EN ORINA 24 HORAS 303050 113.428 113.428 59.780 59.780 105.948 105.948
LHO0303038 54411 CATECOLAMINAS EN ORINA 303051 158.182 158.182 51.390 51.390 140.046 140.046
LBQ0302144 26342 PEPTIDO C 303052 62.788 62.788 39.800 39.800 58.645 58.645
LBQ0303153 26285 CALCITONINA EN SUERO 303053 65.592 65.592 65.592 65.592 45.914 49.193
LBQ0303054 26283 INHIBINA B 303054 75.614 75.614 75.614 75.614 52.930 56.711
LBQ0302120 26860 BNP POCT I-STAT 303055 157.364 157.364 157.364 157.364 157.364 157.364
LHO0303048 26268 PEPTIDO NATRIURETICO CEREBRAL (PRO BNP) 303055 63.372 63.372 63.372 63.372 54.955 54.955
LHO0303043 54611 T3 LIBRE 303057 41.264 41.264 41.264 41.264 38.542 38.542
LGE0304000 33014 CARIOGRAMA SANGRE 304002 417.538 417.538 93.760 93.760 298.557 319.557
LGE0304001 33022 FISH CROMOSOMA 17 (SMITH - MAGENIS), 304002 352.286 352.286 93.760 93.760 311.893 311.893
LGE0304002 33154 FISH PARA CROMOSOMA 13 304002 375.789 375.789 93.760 93.760 290.901 290.901
LGE0304003 33159 FISH PARA CROMOSOMA 15 304002 375.789 375.789 93.760 93.760 290.901 290.901
LGE0304004 33155 FISH PARA CROMOSOMA 18 304002 375.789 375.789 93.760 93.760 290.901 290.901
LGE0304005 33156 FISH PARA CROMOSOMA 21 304002 375.789 375.789 93.760 93.760 290.901 290.901
LGE0304006 33160 FISH PARA CROMOSOMA 22 304002 375.789 375.789 93.760 93.760 290.901 290.901
LGE0304007 33180 FISH PARA CROMOSOMA 7 (SD. DE WILLIAMS) 304002 375.789 375.789 93.760 93.760 290.901 290.901
LGE0304010 33152 FISH PARA SINDROME DE DIGEORGE, VCF O EL 22Q 304002 328.571 328.571 93.760 93.760 290.901 290.901
LGE0504000 33144 CARIOGRAMA MEDULA OSEA 304002 417.538 417.538 93.760 93.760 298.557 319.557
LGE0304011 33017 CARIOG.VELLOS. CORIALES. EMBRION MUERTO 304003 568.114 568.114 85.810 85.810 404.532 434.800
LGE0304012 33015 CARIOG.VELLOS. CORIALES. EMBRION VIVO 304003 568.114 568.114 85.810 85.810 404.532 434.800
LGE0304013 33010 CARIOGRAMA EN LIQUIDO AMNIOTICO 304003 568.114 568.114 85.810 85.810 404.532 434.800
LGE0304008 33157 FISH CROMOSOMA X 304006 375.788 375.788 123.010 123.010 290.901 290.901
LGE0304009 33158 FISCH CROMOSOMA Y 304006 375.788 375.788 123.010 123.010 290.901 290.901
LGE0304020 16908 ANALISIS DE INESTABILIDAD MICROSATELITAL (MSI) 304008 263.141 263.141 183.130 183.130 270.530 270.530
LBQ0304008 26286 GEN FMR1/ SINDROME X -FRAGIL 304008 374.605 374.605 374.605 374.605 262.222 280.953
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305271 16933 DIAGNOSTICO MOLECULAR CON MLPA 304009 309.381 309.381 94.780 94.780 288.986 288.984
LIN0305323 24238 CUANTIFICACION COPIAS SMN1 Y SMN2 304009 209.069 209.069 94.780 94.780 209.069 209.069
LGE0304033 33145 MLPA ESTUDIO GENETICO MOLECULAR (A.M. GENES SMN1 Y SMN2)304010 293.534 293.534 111.950 111.950 279.529 279.529
LGE0304034 33146 MLPA ESTUDIO GENETICO MOLECULAR (S. PRADER WILL Y ANGELMAN)
304010 293.534 293.534 111.950 111.950 279.529 279.529
LBQ0304010 26287 SINDROME PRADER/WILLY Y ANGELMAN/CROMOSOMA 15 304010 224.298 224.298 224.298 224.298 157.009 168.224
PAT0801043 27003 FISH ROS1 304011 509.495 509.495 509.495 509.495 436.267 442.811
LBQ0304012 26288 TIPIFICACION DE ANTIGENO HLA-DQ2 Y HLA-DQ8 ENFERMEDAD CELIACA
304012 226.077 226.077 226.077 226.077 158.253 169.558
LBQ0304013 26289 TIPIFICACION DE HLA-B 5701 304013 398.939 398.939 398.939 398.939 279.257 299.204
LGE0304025 33011 FISH PARA MIELOMA 304015 2.015.528 2.015.528 2.015.528 2.015.528 1.747.729 1.747.729
LIN0305000 54014 ALFA 1 ANTITRIPSINA 305001 36.948 36.948 7.570 7.570 32.712 32.712
LIN0305002 26516 ALFAFETO PROTEINAS EN SANGRE 305003 81.171 81.171 7.340 7.340 59.710 62.122
LSE0308037 54438 ALFA FETOPROTEINAS EN LCR 305003 100.396 100.396 7.340 7.340 93.779 93.779
LBQ0305003 26290 ALFA FETO PROTEINA EN OTROS FLUIDOS 305003 11.923 11.923 11.923 11.923 8.345 8.942
LIN0305003 97014 ANTICUERPOS ANTI ENA (RNP-SM) 305004 125.453 125.453 15.200 15.200 87.817 96.014
LIN0305004 97004 ANTICUERPOS ANTINUCLEARES (AAN) 305005 75.158 75.158 10.690 10.690 52.610 57.520
LIN0305005 97016 ANTICUERPOS ANTICEL.PARIETAL GASTRICA ( 305005 75.158 75.158 10.690 10.690 52.610 57.520
LIN0305006 97005 ANTICUERPOS ANTI MUSCULO LISO(A.A.M.L) 305005 131.127 131.127 10.690 10.690 91.790 100.358
LIN0305007 97006 ANTICUERPOS ANTI MITOCONDRIALES(A.A.M.) 305005 75.158 75.158 10.690 10.690 52.610 57.520
LIN0305008 97008 ANTICUERPOS ANTI DNA (A.A.DNA. N) 305005 58.736 58.736 10.690 10.690 49.461 49.461
LIN0305009 97007 ANTICUERPOS ANTI CENTROMERO 305005 75.158 75.158 10.690 10.690 52.610 57.520
LIN0305203 54624 ANTICUERPOS ANTI MEMBRANA BASAL 305005 91.029 91.029 10.690 10.690 85.027 85.027
LIN0305011 97050 ANTICUERPOS ANTI TIROGLOBULINA 305007 48.863 48.863 8.530 8.530 34.204 37.396
LIN0305012 97084 ANTICUERPOS ANTI TPO 305007 64.073 64.073 8.530 8.530 44.851 49.034
LHE0305007 58017 ANTICUERPOS ANTIPLAQUETARIOS CIRCULANTES 305007 13.855 13.855 8.350 8.350 9.699 10.392
LIN0305013 26139 ANTIESTREPTOLISINA 305008 59.155 59.155 6.610 6.610 41.408 45.277
LIN0305014 26510 ANTIGENO CARCINO EMBRIONARIO 305009 77.377 77.377 9.980 9.980 56.596 59.223
LIN0305015 26517 BETA 2 MICROGLOBULINA 305010 95.709 95.709 11.340 11.340 69.944 73.249
LIN0305270 54796 BETA 2 MICROGLOBULINA EN OTROS LIQUIDOS 305010 75.367 75.367 11.340 11.340 70.399 70.399
LIN0305016 26160 COMPLEMENTO C3 305012 38.156 38.156 6.610 6.610 28.761 29.205
LIN0305017 26143 COMPLEMENTO C3 Y C4 305012 77.730 77.730 6.610 6.610 56.614 59.494
LIN0305018 26161 COMPLEMENTO C4 305012 38.156 38.156 6.610 6.610 28.761 29.205
LBQ0305012 26291 C1Q POR IDR 305012 32.710 32.710 32.710 32.710 22.897 24.532
LIN0305019 54176 COMPLEMENTO CH 50 305013 36.228 36.228 10.610 10.610 32.075 32.075
LIN0305020 97009 CRIOGLOBULINAS 305014 32.911 32.911 1.810 1.810 23.037 25.190
LIN0305021 26134 FACTOR REUMATOIDEO 305020 39.120 39.120 6.500 6.500 27.385 29.941
LBQ0302136 54087 INHIBIDOR C1 FUNCIONAL 305021 51.958 51.958 8.290 8.290 48.532 48.531
LIN0305176 54234 INHIBIDOR C1 ANTIGENICO 305021 42.882 42.882 8.290 8.290 40.053 40.053
LIN0305022 97083 INMUNOFIJACION EN ORINA 305025 245.818 245.818 13.140 13.140 172.073 188.130
LIN0305163 97035 CUANTIFICACION DE CADENAS LIVIANAS LIBRES 305025 278.946 278.946 13.140 13.140 260.555 260.556
LMI0306163 97018 INMUNOFIJACION (CAD. LIVIANAS Y PESADAS) 305025 310.466 310.466 13.140 13.140 217.326 237.610
LIN0305023 97027 IGA SECRETORA 305026 20.368 20.368 6.210 6.210 14.943 15.590
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305024 26157 IGA 305027 41.774 41.774 7.260 7.260 29.242 31.970
LIN0305025 26158 IGG 305027 35.424 35.424 7.260 7.260 28.761 31.970
LIN0305026 26159 IGM 305027 35.424 35.424 7.260 7.260 28.761 31.970
LIN0305027 56019 IGA (MAR) 305027 57.935 57.935 7.260 7.260 51.296 51.296
LIN0305028 56010 IGG (MAR) 305027 59.501 59.501 7.260 7.260 48.574 52.373
LIN0305212 26141 INMUNOGLOBINAS G A M 305027 105.000 105.000 7.260 7.260 96.730 98.077
LIN0305029 26140 IGE TOTAL 305028 70.270 70.270 7.570 7.570 51.890 53.779
LIN0305030 54716 IGG4 PARA LECHE DE VACA 305028 58.611 58.611 7.570 7.570 51.890 51.890
LBQ0305028 26294 INMUNOGLOBULINA IGD 305028 76.843 76.843 76.843 76.843 53.790 57.633
LIN0305031 26596 C1 PENICILLOYL G 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305032 26597 C2 PENICILLOYL V 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305033 26598 C203 AMPICILINA 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305034 26599 C204 AMOXICILINA 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305035 26554 D1 DERMATOFAGOIDES PTERONYSSINUS 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305036 26555 D2 DERMATOFAGOIDES FARINAE 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305037 26552 E1 EPITELIO Y CASPA DE GATO 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305038 26553 E2 EPITELIO DE PERRO 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305039 26241 EP71 MEZCLA PLUMAS (E70,E85,E86,89) 305029 34.222 34.222 7.460 7.460 27.945 31.089
LIN0305040 26584 F1 CLARA DE HUEVO (EGG WHITE) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305041 26565 F13 MANI (PEANUT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305042 26566 F14 SOYA (SOYBEAN) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305043 26567 F15 POROTO (WHITE BEAN) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305044 26568 F17 AVELLANAS (HAZELNUT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305045 26558 F2 LECHE (MILK) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305046 26570 F20 ALMENDRA (ALMOND) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305047 26594 F207 ALMEJA (CLAM) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305048 26582 F215 LECHUGA (LETTUCE) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305049 26593 F23 JAIVA (CRAB) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305050 26583 F235 LENTEJA (LENTIL) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305051 26592 F24 CAMARONES (SHRIMP) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305052 26571 F25 TOMATE (TOMATO) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305053 26585 F26 CERDO (PORK) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305054 26586 F27 VACUNO (BEEF) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305055 26589 F284 PAVO (TURKEY MEAT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305056 26595 F290 OSTRA (OYSTER) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305057 26569 F31 ZANAHORIA (CARROT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305058 26573 F35 PAPA (POTATO) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305059 26562 F4 TRIGO (WHEAT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305060 26591 F40 ATUN (TUNA) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305061 26590 F41 SALMON (SALMON) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305062 26574 F49 MANZANA (APPLE) 305029 40.618 40.618 7.460 7.460 28.433 31.089
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305063 26587 F75 YEMA DE HUEVO (EGG YOLK) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305064 26559 F76 ALFALACTOALBUMINA 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305065 26560 F77 BETALACTOGLOBULINA 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305066 26561 F78 CASEINA (CASEIN) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305067 26575 F79 GLUTEN (GLUTEN) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305068 26563 F8 MAIZ (CORN) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305069 26588 F83 POLLO (CHICKEN MEAT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305070 26576 F84 KIWI (KIWI FRUIT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305071 26577 F85 APIO (CELERY) 305029 35.320 35.320 7.460 7.460 27.945 31.089
LIN0305072 26564 F9 ARROZ (RICE) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305073 26578 F92 PLATANO (BANANA) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305074 26579 F93 CACAO (CACAO) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305075 26580 F95 DURAZNO (PEACH) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305076 26581 F96 PALTA (AVOCADO) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305077 26540 G2 BERMUDA GRASS 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305078 26234 GP1 MEZCLA PASTOS 1 (G3,G8,G5,G6,G4) 305029 34.222 34.222 7.460 7.460 27.945 31.089
LIN0305079 26601 I1 ABEJA DE MIEL (HONEY BEE VENOM) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305080 26600 I3 AVISPA (YELLOW JACKET VENOM) 305029 34.222 34.222 7.460 7.460 27.945 31.089
LIN0305081 26556 I6 COCKROACH (CUCARACHA) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305082 54083 IGE ESPECIFICA 305029 40.784 40.784 7.460 7.460 36.107 36.107
LIN0305083 26233 IGE ESPECIFICA MEZCLA DE ALIMENTOS 305029 28.249 28.249 7.460 7.460 26.369 26.369
LIN0305084 26243 IGE ESPECIFICA MEZCLA DE MARISCOS 305029 28.249 28.249 7.460 7.460 26.369 26.369
LIN0305085 26245 IGE ESPECIFICA MEZCLA DE PESCADO 305029 28.249 28.249 7.460 7.460 26.369 26.369
LIN0305086 54848 K82 LATEX 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305087 26550 M3 ASPERGILLUS FUMIGATUS 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305088 26551 M5 CANDIDA ALBICANS 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305089 26240 MP1 MEZCLA HONGOS 1(M1,M2,M3M6,M5) 305029 34.222 34.222 7.460 7.460 27.945 31.089
LIN0305090 54295 SCREENING ALERGIA (MEZCLA PASTOS, MALEZAS, ARBOLES, ACAROS)
305029 130.931 130.931 7.460 7.460 115.920 115.920
LIN0305091 26543 T10 NOGAL (WALNUT) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305092 26544 T11 PLATANO ORIENTAL (SYCAMORE) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305093 26546 T18 EUCALIPTUS (EUCALYPTUS) 305029 35.320 35.320 7.460 7.460 27.945 31.089
LIN0305094 26547 T19 ACACIA (ACACIA) 305029 35.320 35.320 7.460 7.460 27.945 31.089
LIN0305095 26239 TP4 MEZCLA ARBOLES 4 (T7,T8,T11,T12,T14) 305029 34.222 34.222 7.460 7.460 27.945 31.089
LIN0305096 26608 TP7 MEZCLA ARBOLES 7 (T9,T12,T16,T18,T19,T21) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305097 26609 TP8 MEZCLA ARBOLES 8 (T1,T3,T4,T7,T11) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305098 26235 WP1 MEZCLA MALEZA 1(W1,W6,W9,W10,W11) 305029 34.222 34.222 7.460 7.460 27.945 31.089
LIN0305099 26607 WP6 MEZCLA MALEZA 6 (W9,W10,W11,W18) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305100 26605 (G6) TIMOTHY GRASS 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305101 26572 F33 NARANJA (ORANGE) 305029 40.618 40.618 7.460 7.460 28.433 31.089
LIN0305102 26557 I206 AMERICAN COCKROACH (C. AMERICANA) 305029 35.320 35.320 7.460 7.460 27.945 31.089
LIN0305103 26156 PROTEINA C REACTIVA (PCR) 305030 49.509 49.509 6.830 6.830 34.656 37.889
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305104 26256 PROTEINA C REACTIVA ULTRASENSIBLE 305031 39.664 39.664 8.580 8.580 32.526 36.013
LIN0305105 26066 PCR CAPILAR 305031 49.535 49.535 8.580 8.580 34.674 37.911
LIN0305106 26356 PAPP-A 305031 65.562 65.562 8.580 8.580 58.041 58.041
LIN0305108 28016 CRIOAGLUTININAS 305035 28.606 28.606 3.740 3.740 21.764 21.892
LIN0305109 54457 FAGOCITOSIS LEVADURAS 305038 35.519 35.519 17.940 17.940 31.447 31.447
LIN0305110 59110 INTRADERMOREACCION PPD 305041 32.128 32.128 7.100 7.100 22.489 24.587
LIN0305138 26511 ANTIGENO PROSTATICO ESPECIFICO 305070 49.389 49.389 12.850 12.850 43.878 43.878
LIN0305140 97059 ANTICUERPOS ANTIENDOMISIO 305081 53.601 53.601 16.020 16.020 41.156 41.156
LIN0305141 97044 AC.ANTI C y ANTI P ANCA 305082 85.033 85.033 22.900 22.900 59.522 65.078
LIN0305142 97045 PERFIL ANCA 305082 85.033 85.033 22.900 22.900 59.522 65.078
LIN0305268 54953 ANTICUERPOS ANTINEUTROFILOS 305082 95.720 95.720 22.900 22.900 84.738 89.409
LIN0305143 97025 AC.ANTICARDIOLIPINA IGG 305084 65.191 65.191 18.210 18.210 57.713 57.713
LIN0305144 97067 AC.ANTICARDIOLIPINA IGM 305084 65.191 65.191 18.210 18.210 57.713 57.713
LIN0305202 54215 ANTICUERPOS ANTI LKM-1 305085 68.198 68.198 32.510 32.510 63.702 63.702
LIN0305145 97060 ANTICUERPOS ANTIGLIADINA IGA 305086 53.601 53.601 14.930 14.930 41.156 41.156
LIN0305146 97061 ANTICUERPOS ANTIGLIADINA IGG 305086 53.601 53.601 14.930 14.930 40.903 41.026
LIN0305111 24076 LINFOCITOS B TOTALES (CD19) 305089 101.063 101.063 64.510 64.510 89.482 89.482
LIN0305112 24070 LINFOCITO T CITOTOXICO (CD8) 305091 52.629 52.629 41.170 41.170 49.159 49.159
LIN0305113 24072 LINFOCITO T HELPER (CD4) 305091 57.744 57.744 41.170 41.170 51.673 51.673
LIN0305114 24074 LINFOCITO T TOTALES (CD3) 305091 57.744 57.744 41.170 41.170 51.673 51.673
LIN0305115 24102 NATURAL KILLERS (CD16+56) 305092 47.304 47.304 40.100 40.100 42.095 42.095
LIN0305121 24202 INMUNO FENOTIPO (LINFOP) 305093 433.876 433.876 300.790 300.790 366.690 415.615
LIN0305122 24208 INMUNO FENOTIPO (MIELODIS) 305095 433.876 433.876 261.040 261.040 366.689 415.616
LIN0305118 24172 DETECCION DE ENFERMEDAD RESIDUAL MINIMA 305096 288.988 288.988 165.770 165.770 244.237 244.237
LIN0305117 24323 DETERMINACION CD 34 305097 107.826 107.826 71.070 71.070 101.076 101.076
LBQ0305098 26295 CROMOGRANINA A, POR ELISA 305098 70.042 70.042 70.042 70.042 49.029 52.531
LIN0305178 97078 PEPTIDO C CITRULINADO 305099 65.166 65.166 65.166 65.166 55.074 56.507
LIN0305139 26512 ANT.ESP.PROST.LIBRE (AEP-L) 305104 76.676 76.676 76.676 76.676 56.031 58.685
LIN0305188 97076 AC ANTI BETA 2 GLICOPROTEINA IGG 305105 65.595 65.595 65.595 65.595 55.438 56.881
LIN0305189 97077 AC ANTI BETA 2 GLICOPROTEINA IGM 305105 65.595 65.595 65.595 65.595 55.438 56.881
LIN0305197 26166 ANTICUERPO A-HLA CLASE I Y II SCREENINGLUMINEX 305111 115.911 115.911 115.911 115.911 100.509 100.509
LIN0305171 26537 ESPECIFICIDAD DE ANTICUERPOS HLA CON ANT. INDIV. CLASE I 305113 370.709 370.709 215.270 215.270 344.591 346.269
LIN0305170 26538 ESPECIFICIDAD ANTICUERPOS HLA CON ANT. INDIV. CLASE II 305114 370.709 370.709 253.590 253.590 344.592 346.270
LIN0305135 54322 HLA - AB TIPIFICACION 305116 279.543 279.543 279.543 279.543 245.667 245.667
LBQ0305116 26296 HLA-AB CLASE I (UC) 305116 437.089 437.089 437.089 437.089 305.963 327.818
LBQ0305117 26297 HLA-ABDR (ISP) 305117 441.577 441.577 441.577 441.577 309.104 331.182
LIN0305131 24080 HLA-B27 TIPIFICACION 305118 96.491 96.491 96.491 96.491 96.260 104.052
LBQ0305121 26298 HLA-DQ (ISP) 305121 246.777 246.777 246.777 246.777 172.744 185.083
LIN0305133 54320 HLA - DR 305122 192.959 192.959 192.959 192.959 180.114 180.114
LBQ0305122 26299 HLA-DR CLASE II (UC) 305122 331.277 331.277 331.277 331.277 231.893 248.458
LIN0305137 54386 SEROTECA MENSUAL Y MANTENCION EN LISTADE ESPERA 305123 47.055 47.055 23.420 23.420 41.120 41.120
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305147 26515 MARCADOR CA 125 305170 53.953 53.953 13.310 13.310 40.317 41.289
LIN0305148 26513 MARCADOR CA 15-3 305170 53.953 53.953 13.310 13.310 40.317 41.289
LIN0305149 26514 MARCADOR CA 19-9 305170 53.953 53.953 13.310 13.310 40.317 41.289
LIN0305150 97072 ANTICUERPOS ANTI TRANSGLUTAMINASA 305181 95.041 95.041 17.120 17.120 66.529 72.741
LIN0305205 97073 ANTICUERPOS ANTI TRANSGLUTAMINASA STATT 305181 175.270 175.270 17.120 17.120 163.715 163.715
LMI0306000 59010 BACILOSCOPIA (ZIEHL-NIELSEN)CONCENTRACIO 306001 16.042 16.042 3.710 3.710 11.230 12.277
LMI0306001 59289 DIRECTO DE HONGOS 306004 32.047 32.047 2.110 2.110 22.433 24.525
LMI0306002 59114 EX.DIRECTO C/TINTA CHINA (CRYPT) 306004 20.943 20.943 2.110 2.110 19.548 19.548
LMI0306003 59020 EXAMEN DIRECTO AL FRESCO 306004 24.084 24.084 2.110 2.110 20.768 20.768
LMI0306004 59061 TRICHOMONAS (OBS.MICROSP) 306004 24.084 24.084 2.110 2.110 22.496 22.496
LMI0306005 59066 GRAM:TINCION 306005 13.180 13.180 980 980 9.227 9.886
LMI0306006 59126 COPROCULTIVO AEROMONAS 306007 39.562 39.562 5.860 5.860 27.693 30.279
LMI0306007 59012 COPROCULTIVO CORRIENTE (SALMONELA. SHIGH 306007 36.729 36.729 5.860 5.860 25.710 28.112
LMI0306008 59176 COPROCULTIVO PARA E.COLI ENTEROHEMORRAGICO 306007 39.562 39.562 5.860 5.860 27.693 30.279
LMI0306009 59016 CULTIVO CORRIENTE 306008 37.103 37.103 5.120 5.120 25.972 28.396
LMI0306105 59300 CULTIVO CORRIENTE CUANTITATIVO 306008 61.328 61.328 5.120 5.120 57.284 57.284
LMI0306018 59019 CULTIVO DE ORINA Y ANTIBIOGRAMA 306011 48.324 48.324 5.220 5.220 33.826 36.982
LMI0306019 59018 COPROCULTIVO ANAEROBICO (CLOSTRIDIUM DIFFICILE ) 306012 76.098 76.098 12.500 12.500 53.269 58.240
LMI0306020 59015 CULTIVO ANAEROBICO 306012 76.098 76.098 12.500 12.500 53.269 58.240
LMI0306103 59048 CULTIVO ANAEROBICO EN MEDIO ESPECIAL 306012 59.205 59.205 12.500 12.500 55.302 55.302
LMI0306021 59013 COPROCULTIVO CAMPYLOBACTER 306014 36.557 36.557 7.500 7.500 25.589 27.979
LMI0306022 59040 COPROCULTIVO VIBRIO CHOLERAE 306014 36.557 36.557 7.500 7.500 25.589 27.979
LMI0306023 59014 COPROCULTIVO YERSINIA ENTEROCOLITICA 306014 36.557 36.557 7.500 7.500 25.589 27.979
LMI0306024 59108 CULTIVO THAYER MARTIN 306016 43.836 43.836 4.180 4.180 30.685 33.550
LMI0306025 59138 CULTIVO HONGOS / SECREC-LIQUI 306017 43.948 43.948 3.790 3.790 30.764 33.632
LMI0306108 54209 CULTIVO EN MEDIO ACELERADO PARA MYCOBACTERIUM 306018 84.301 84.301 6.460 6.460 78.743 78.743
LMI0306028 59120 CULTIVO MYCOPLASMA HOMINIS Y UREAPLASMA 306023 84.961 84.961 8.900 8.900 59.473 65.024
LMI0306029 59130 ANTIBIOGRAMA CORRIENTE 306026 36.670 36.670 3.790 3.790 25.669 28.065
LMI0306030 59140 ANTIBIOGRAMA POR CIM 306027 41.000 41.000 11.420 11.420 28.700 31.380
LMI0306031 59134 ANTIFUNGIGRAMA (MINIMO 4 FARMACOS) 306028 44.582 44.582 3.820 3.820 35.085 35.085
LMI0306035 59004 REACC.DE BRUCELOSIS (HUDLESON) 306033 24.073 24.073 2.930 2.930 18.235 21.189
LIN0305223 27104 PCR CHLAMYDIA PNEUMONIAE 306034 126.245 126.245 7.650 7.650 117.920 117.920
LMI0306734 59063 CHLAMYDIA TRACHOMATIS IGG SEROLOGIA 306034 213.760 213.760 213.760 213.760 149.632 160.319
LMI0306434 59057 CHLAMYDIA TRACHOMATIS IGM SEROLOGIA 306034 213.760 213.760 213.760 213.760 149.632 160.319
LMI0306334 59056 CHLAMYDOPHILA PNEUMONIAE IGG 306034 213.760 213.760 213.760 213.760 149.632 160.319
LBQ0306034 26303 CHLAMYDOPHILA PNEUMONIAE IGM 306034 213.760 213.760 213.760 213.760 149.632 160.319
LMI0306534 59058 CHLAMYDOPHILA PSITTACI IGG SEROLOGIA 306034 213.760 213.760 213.760 213.760 149.632 160.319
LMI0306634 59062 CHLAMYDOPHILA PSITTACI IGM SEROLOGIA 306034 213.760 213.760 213.760 213.760 149.632 160.319
LMI0306036 58511 TEST MONONUCLEOSIS (PAUL BUNNELL) 306036 46.461 46.461 3.360 3.360 32.523 35.560
LMI0306037 59072 MYCOPLASMA IGM TEST PACK 306037 50.163 50.163 7.360 7.360 45.326 45.326
LMI0306038 59052 MYCOPLASMA IGM POR INMUNOFLUORESENCIA 306037 63.419 63.419 7.360 7.360 59.236 59.237
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LMI0306166 24087 SEROLOGIA DE MICOPLASMA PNEUMONIAE IGG E IGM 306037 103.334 103.334 7.360 7.360 92.858 92.858
LMI0306039 28017 RPR 306038 17.424 17.424 3.810 3.810 13.749 13.749
LMI0306041 59100 RPR CUANTITATIVO 306038 17.181 17.181 3.810 3.810 15.210 15.210
LMI0306111 54070 F.T.A.-A.B.S.ANTIC.ANTITREPONEMA 306041 55.612 55.612 7.040 7.040 51.943 51.945
LMI0306043 54161 VDRL EN LCR 306042 28.910 28.910 4.370 4.370 25.594 25.594
LSE0308034 54688 PARASITOLOGICO ISOSPORA 306047 29.273 29.273 6.590 6.590 25.997 27.341
LMI0306044 54045 PARASITOLOGICO BUSQUEDA MICROSPORIDIUM 306048 42.949 42.949 4.190 4.190 38.026 38.026
LSE0308026 54052 DIRECTO DE DEPOSICIONES (PAF 1M) 306048 9.659 9.659 4.190 4.190 8.261 9.020
LSE0308033 54664 PARASITOLOGICO CRIPTOSPORIDIUM (6 PAF) 306048 40.399 40.399 4.190 4.190 36.879 37.735
LMI0306046 54140 TEST DE GRAHAM (5 PLACAS) 306051 11.923 11.923 2.960 2.960 10.556 10.556
LSE0308031 54413 PARASIT.MACROSCOPICO (GUSANOS) 306052 10.389 10.389 2.480 2.480 10.403 10.403
LMI0306121 54437 MALARIA (GOTA GRUESA-FROTIS) 306053 40.829 40.829 14.050 14.050 35.406 35.406
LMI0306125 54736 SARNA INVEST.S.SCABIEI EN PIEL 306056 23.572 23.572 5.620 5.620 20.438 20.438
LMI0306047 54640 PARASITOLOGICO PAF 306059 42.293 42.293 5.580 5.580 31.935 32.366
LMI0306048 28115 TEST DE CHAGAS 306061 40.748 40.748 7.920 7.920 36.074 36.074
LMI0306049 28176 TEST DE ELISA PARA SIFILIS 306061 35.765 35.765 7.920 7.920 33.385 33.385
LMI0306050 26115 TOXOPLASMOSIS IGG 306061 59.379 59.379 7.920 7.920 41.565 45.447
LMI0306051 26116 TOXOPLASMOSIS IGM 306061 59.379 59.379 7.920 7.920 41.565 45.447
LMI0306100 54734 CISTICERCOSIS POR ELISA 306061 53.705 53.705 7.920 7.920 50.164 50.163
LMI0306115 54729 HIDATIDOSIS POR ELISA 306061 53.705 53.705 7.920 7.920 50.164 50.163
LMI0306145 54155 TOXOCARIASIS (LARVA MIGRANS) IGG 306061 53.705 53.705 7.920 7.920 50.164 50.163
LMI0306099 54727 CHAGAS POR EN SANGRE - IFI 306066 53.705 53.705 8.640 8.640 50.163 50.161
LMI0306158 54652 CULTIVO ENTEROVIRUS 306068 116.344 116.344 12.940 12.940 108.095 108.673
LMI0306268 59009 CULTIVO O AISLAMIENTO DE ADENOVIRUS 306068 29.648 29.648 29.648 29.648 20.754 22.235
LIN0306069 26769 ANTI SARS-COV-2 (AC. NUCLEOCAPSIDE) 306069 28.441 28.441 8.820 8.820 26.935 26.935
LIN0306169 26023 ANTI SARS-COV-2 (AC. SPIKE) 306069 27.944 27.944 8.820 8.820 26.102 26.102
LMI0306054 59254 ADENOVIRUS EN DEPOSICION 306069 28.996 28.996 8.820 8.820 27.065 27.065
LMI0306056 59089 CITOMEGALOVIRUS IGG ELISA 306069 75.715 75.715 8.820 8.820 53.000 57.946
LMI0306057 59078 CITOMEGALOVIRUS IgM (ELISA) 306069 74.260 74.260 8.820 8.820 51.981 56.833
LMI0306058 59302 DETERMINACION METANEUMOVIRUS, IF 306069 50.906 50.906 8.820 8.820 45.069 45.069
LMI0306059 59125 PARVOVIRUS B19 IGG IGM 306069 129.517 129.517 8.820 8.820 90.662 99.124
LMI0306060 59093 RUBEOLA IGM ELISA(MUESTRA UNICA) 306069 75.715 75.715 8.820 8.820 53.000 57.946
LMI0306062 59031 SEROLOGIA DE VIRUS VARICELA IGM 306069 75.502 75.502 8.820 8.820 66.844 66.844
LMI0306063 59242 SEROLOGIA EPSTEIN BARR IGG (VCA) 306069 66.294 66.294 8.820 8.820 46.405 50.739
LMI0306064 59025 SEROLOGIA EPSTEIN BARR IGM (CAPSIDE) 306069 66.294 66.294 8.820 8.820 46.405 50.739
LMI0306065 59115 VIRUS HERPES I IGG SEROLOGIA 306069 75.715 75.715 8.820 8.820 53.000 57.946
LMI0306066 59090 VIRUS HERPES I IGM 306069 75.715 75.715 8.820 8.820 53.000 57.946
LMI0306067 59119 VIRUS HERPES II IgG SEROLOGIA 306069 75.715 75.715 8.820 8.820 53.000 57.946
LMI0306068 59046 VIRUS HERPES SIMPLEX II IGM 306069 75.715 75.715 8.820 8.820 53.000 57.946
LMI0306069 59137 VIRUS INFLUENZA I.F. 306069 75.715 75.715 8.820 8.820 53.000 57.946
LMI0306070 59139 VIRUS PARAINFLUENZA IFD 306069 75.715 75.715 8.820 8.820 53.000 57.946
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LMI0306132 54389 SEROLOGIA DE SARAMPION IGM 306069 75.084 75.084 8.820 8.820 68.504 70.134
LMI0306169 59919 ELISA IGG COVID-19 306069 26.597 26.597 8.820 8.820 25.192 25.192
LMI0306072 59186 VIRUS INFLUENZA B TEST PACK 306070 47.191 47.191 7.870 7.870 33.034 36.118
LMI0306073 59185 VIRUS INFLUENZA A TEST PACK 306070 57.803 57.803 7.870 7.870 40.462 44.240
LMI0306074 59172 RUBEOLA IGG ELISA M.UNICA 306070 82.415 82.415 7.870 7.870 57.691 63.076
LMI0306075 59129 ANTIGINEMIA DE CITOMEGALOVIRUS 306070 174.866 174.866 7.870 7.870 163.340 163.340
LMI0306076 59069 ADENOVIRUS POR IFD 306070 82.415 82.415 7.870 7.870 57.691 63.076
LMI0306149 59305 ANTIGENO METANEUMOVIRUS 306070 42.802 42.802 7.870 7.870 38.463 39.980
LMI0306162 59187 ADENOVIRUS TEST PACK 306070 74.678 74.678 7.870 7.870 52.275 57.155
LMI0306077 59175 HEP.A ANTICUERPOS IGM 306074 93.834 93.834 10.800 10.800 65.684 71.814
LMI0306078 59239 HEP.A ANTICUERPOS TOTALES 306074 93.834 93.834 10.800 10.800 65.684 71.814
LMI0306079 54442 HEP.B ANTIANTIGENO E 306075 35.095 35.095 10.580 10.580 31.075 31.075
LMI0306080 59177 HEP.B ANTI CORE TOTAL 306076 94.027 94.027 10.820 10.820 65.818 71.960
LMI0306085 54444 HEP.B ANTIGENO E 306078 35.095 35.095 9.780 9.780 31.074 31.074
LMI0306081 28021 HEP. B ANTIGENO DE SUPERFICIE 306079 35.662 35.662 7.730 7.730 33.311 33.311
LMI0306083 54395 HEP.B ANTIANTIGENO DE SUPERFICIE 306079 35.662 35.662 7.730 7.730 31.575 31.575
LMI0306084 28044 TEST RAPIDO PARA HEPATITIS B 306079 35.662 35.662 7.730 7.730 32.822 32.822
LMI0306086 54020 HEP.B ANTICORE IGM 306080 42.044 42.044 10.770 10.770 37.226 37.226
LMI0306087 28175 HEP.C ANTICUERPOS 306081 61.083 61.083 11.810 11.810 46.594 46.746
LIN0305329 24564 PCR COVID-19 (CORONAVIRUS) 306082 25.000 25.000 22.000 22.000 26.249 26.249
LMI0306104 54418 CULTIVO CITOMEGALOVIRUS STATT 306083 121.040 121.040 65.520 65.520 104.954 104.954
LIN0305221 54595 PCR CARGA VIRAL HEPATITIS B 306084 259.766 259.766 99.900 99.900 219.540 225.767
LIN0305232 24110 PCR HEPATITIS C, CARGA VIRAL 306085 280.894 280.894 111.160 111.160 239.691 262.374
LMI0306098 54499 CARGA VIRAL VIH ULTRASENSIBLE 306086 367.705 367.705 367.705 367.705 310.765 318.847
LIN0305220 27098 PCR CARGA VIRAL EPSTEIN BARR 306087 215.247 215.247 138.600 138.600 181.916 181.916
LBQ0306088 24051 PCR VIRUS BK 306088 115.920 115.920 115.920 115.920 81.144 86.940
LMI0306089 59043 STREPTOCOCUS GRUPO A TEST PACK 306090 39.445 39.445 8.580 8.580 27.612 30.188
LMI0306012 59001 HEMOCULTIVO AEROBICO C/U 306091 62.098 62.098 24.930 24.930 43.468 47.525
LMI0306016 59002 HEMOCULTIVO ANAEROBICO C/U 306091 68.745 68.745 24.930 24.930 49.536 57.460
LMI0306017 59081 HEMOCULTIVO DE BRUCELLAS 306093 59.778 59.778 26.270 26.270 45.628 52.613
LMI0306033 59041 ASPERGILUS ANTIGENO GALACTO-MANANA 306094 136.724 136.724 37.760 37.760 127.709 127.709
LIN0305253 27113 PCR TOXOPLASMA GONDII 306095 126.245 126.245 57.460 57.460 117.922 117.922
LIN0305256 24127 PCR TRICHOMONAS VAGINALIS 306095 113.939 113.939 57.460 57.460 106.427 106.429
LMI0306122 59307 MALARIA, SCREENING 306096 52.396 52.396 15.090 15.090 45.430 45.431
LIN0305316 24133 PCR C. TRACHOMATIS / N.GONORRHOEAE 306097 84.664 84.664 37.360 37.360 73.413 73.412
LMI0306010 59304 CULTIVO ENRIQUECIDO PARA BUSQUEDA DE STREPTOCOCCUS GRUPO
306099
B 27.175 27.175 13.590 13.590 24.061 24.061
LMI0306097 59308 HEMOCULTIVO DE MICOBACTERIAS 306100 96.441 96.441 22.900 22.900 90.081 90.081
LMI0306106 59036 CULTIVO CORRIENTE EN MEDIO ESPECIAL 306101 56.650 56.650 19.040 19.040 52.915 52.915
LMI0306107 59049 CULTIVO DE HONGOS EN MEDIO ESPECIAL 306106 59.205 59.205 59.205 59.205 55.301 55.301
LIN0305248 27103 PCR PNEUMOCISTIS (JIROVECI/CARINI) 306107 105.029 105.029 105.029 105.029 91.071 91.071
LMI0306055 28077 ANTICUERPOS ANTI HTLV-1(ELISA) 306111 106.249 106.249 67.820 67.820 94.073 94.073
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LMI0306091 28023 ANTICUERPOS Y ANTIGENOS VIRALES, DETERM. DE VIH 306112 69.043 69.043 6.390 6.390 48.329 52.839
LMI0306090 59080 CULTIVO HONGOS / FANEREOS 306117 43.803 43.803 4.300 4.300 30.662 33.523
LIN0305218 27100 PCR BORDETELLA 306118 121.322 121.322 121.322 121.322 105.204 105.204
LMI0306061 54669 SEROL.VIRUS HANTA PULMONAR IgM 306121 77.101 77.101 77.101 77.101 68.264 68.264
LMI0306094 59059 ROTAVIRUS 306170 73.455 73.455 7.220 7.220 51.419 56.218
LIN0305151 24132 PCR TEST INFLUENZA B 306182 80.064 80.064 25.530 25.530 74.784 74.785
LIN0305152 24151 PCR TEST INFLUENZA A 306182 133.223 133.223 25.530 25.530 123.302 118.930
LIN0305219 27106 PCR CARGA VIRAL DE CITOMEGALOVIRUS 306182 168.477 168.477 25.530 25.530 157.369 155.259
LIN0305234 27111 PCR HERPES 6 306182 166.311 166.311 25.530 25.530 155.346 155.346
LIN0305235 27108 PCR HERPES SIMPLEX 1 Y 2 306182 105.029 105.029 25.530 25.530 149.429 149.429
LIN0305247 24033 PCR PANEL MYCOBACTERIAS 306182 233.077 233.077 25.530 25.530 217.711 212.502
LIN0305258 27112 PCR VARICELLA ZOSTER 306182 168.477 168.477 25.530 25.530 157.369 152.160
LIN0305302 24218 PCR MYCOBACTERIUM TUBERCULOSIS MUESTRAS RESPIRATORIAS 306182 140.194 140.194 25.530 25.530 130.950 126.290
LMI0306095 59237 VIRUS SINCIC. RESP. IF 306270 50.362 50.362 8.340 8.340 44.584 44.584
LMI0306096 59238 VIRUS SINCIC. RESP.TEST PACK 306270 95.294 95.294 8.340 8.340 66.706 71.471
LMI0306167 59670 TEST PACK ANTIGENO COVID-19 306271 23.193 23.193 8.350 8.350 21.855 21.855
LOR0309021 26026 OSMOLALIDAD EN ORINA 307002 24.280 24.280 7.460 7.460 21.795 21.795
LOR0309022 26025 OSMOLALIDAD EN SANGRE 307002 24.280 24.280 7.460 7.460 21.780 21.780
LIN0305286 52053 TEST DE PARCHE ALIMENTO (8) 307005 76.105 76.105 76.105 76.105 71.088 65.994
LTM0307000 52054 TEST DE PARCHE C/U 307005 10.770 10.770 1.140 1.140 9.535 9.535
LTM0307001 52061 TEST DEL SUDOR 307007 105.301 105.301 22.110 22.110 83.182 83.182
LTM0307039 52005 TM SANGRE ARTERIAL EN ADULTOS 307009 11.938 11.938 1.710 1.710 9.394 9.394
LTM0307040 52017 TM SANGRE ARTERIAL NINOS. LACTANTES 307010 8.268 8.268 2.530 2.530 7.723 7.723
LTM0307002 52019 TOMA DE MUESTRA EN ADULTOS 307011 7.931 7.931 1.230 1.230 7.092 7.092
LTM0307005 52021 TOMA DE MUESTRA EN NINOS Y LACTANTES 307012 9.967 9.967 1.150 1.150 7.844 7.844
LTM0307006 52262 TM HEMOCULTIVOS C/U 307013 10.731 10.731 1.970 1.970 9.502 9.502
LTM0307008 52029 ASPIRADO NASOFARINGEO ADULTO O NINO 307023 10.266 10.266 3.500 3.500 9.092 9.092
LIN0305125 52076 TEST CUTANEO A ALIMENTOS(REACCION CUTANEA A ALERGENOS,INC.VALOR
307024 ALERG.)
45.908 45.908 10.320 10.320 42.852 42.852
LIN0305126 7060 TEST CUTANEO A FARMACOS 307024 70.074 70.074 10.320 10.320 65.454 65.453
LIN0305127 52075 TEST CUTANEO A INHALANTES 307024 68.533 68.533 10.320 10.320 64.018 64.018
LSE0308000 26099 SUDAN III (GRASA NEUTRA EN DEPOSICION) 308003 20.513 20.513 930 930 14.359 15.698
LSE0308001 26953 HEMORRAGIAS OCULTAS.C/MUESTRA 308004 17.443 17.443 1.660 1.660 12.211 13.349
LSE0308030 26112 HEMORRAGIAS OCULTAS (3 MUESTRAS) 308004 48.132 48.132 1.660 1.660 44.959 44.959
LSE0308002 26955 LEUCOCITOS FECALES 308005 17.443 17.443 1.660 1.660 12.211 13.349
LSE0308003 26957 PH Y BENEDICT 308006 4.766 4.766 930 930 4.220 4.220
LSE0308004 58130 FORMULA Y RCTO EN L.A. 308010 39.158 39.158 4.700 4.700 31.431 34.463
LSE0308005 58697 FORMULA Y RCTO EN LCR 308010 39.158 39.158 4.700 4.700 31.431 34.463
LSE0308006 58013 FORMULA Y RCTO.EN OTROS LIQUIDOS 308010 31.521 31.521 4.700 4.700 25.413 25.413
LSE0308007 20109 CITOLOGICO C/S TINCION, RECUENTO CELULAR 308010 30.583 30.583 30.583 30.583 27.075 27.075
LSE0308008 26014 EXAMEN MICROSCOPICO DIRECTO 308011 15.484 15.484 2.190 2.190 11.766 13.626
LSE0308009 26089 POTASIO EN ORINA 308012 29.382 29.382 2.320 2.320 20.567 22.486
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LSE0308040 26221 POTASIO EN OTROS LIQUIDOS 308012 26.412 26.412 2.320 2.320 24.671 24.671
LSE0308050 26222 SODIO EN OTROS LIQUIDOS 308012 26.412 26.412 2.320 2.320 24.671 24.671
LSE0308010 58564 RECUENTO EOSINOFILOS EN SECRECION 308013 17.572 17.572 1.150 1.150 12.300 13.447
LSE0308011 26004 EXAMEN FISICO Y QUIMICO EN LCR 308014 39.231 39.231 3.970 3.970 27.462 30.026
LSE0308012 26068 EXAMEN FISICO Y QUIMICO EN OTROS LIQUIDO 308014 39.231 39.231 3.970 3.970 27.462 30.026
LBQ0302084 26018 GLUCOSA EN OTROS LIQUIDOS 308015 8.240 8.240 1.040 1.040 6.234 6.475
LSE0308013 26010 PH EN LIQUIDOS SECRECIONES 308017 4.766 4.766 990 990 4.218 4.218
LSE0308014 26079 PH EN OTROS LIQUIDOS 308017 4.766 4.766 990 990 4.218 4.218
LBQ0302166 54188 BANDAS OLIGOCLONALES EN LCR 308020 204.889 204.889 36.830 36.830 191.380 191.380
LSE0308016 54409 ELECTROFORESIS EN LCR 308020 59.558 59.558 36.830 36.830 52.732 52.732
LSE0308017 26005 GLUTAMINA EN LCR 308021 27.305 27.305 2.850 2.850 21.351 24.027
LSE0308018 54498 INDICE IGG/ALBUMINA EN LCR 308022 76.028 76.028 20.450 20.450 67.313 67.313
LSE0308019 56005 ESPERMIOGRAMA 308029 75.222 75.222 6.700 6.700 53.949 57.574
LSE0308029 97113 FRUCTOSA EN LIQUIDO SEMINAL 308031 41.571 41.571 2.880 2.880 38.828 38.828
LBQ0302021 26450 CREATININA EN OTROS LIQUIDOS 308035 14.269 14.269 1.820 1.820 10.130 10.956
LSE0308020 26060 LIQUIDO AMNIOTICO COMPLETO 308036 133.092 133.092 11.100 11.100 98.309 99.819
LSE0308021 26036 MADUREZ FETAL COMPLETA (FISICO, CELULASANARANJADAS,BILIRRUBINA,OTROS)
308039 44.542 44.542 10.770 10.770 34.888 34.888
LSE0308022 26003 CLEMENT LA (TEST DE CLEMENT) 308040 17.270 17.270 1.890 1.890 13.145 15.205
LSE0308023 1511 COLPOCITOGRAMA 308041 43.132 43.132 3.810 3.810 37.090 37.963
LSE0308024 59152 FLUJO VAGINAL COMP.(CTE.HONGOS DIR. GRAM 308044 99.251 99.251 10.990 10.990 69.475 75.960
LSE0308025 56020 ESTUDIO MOCO CERVICAL 308044 16.950 16.950 10.990 10.990 15.823 15.823
LBQ0302003 26416 AMILASA EN OTROS LIQUIDOS 308045 24.247 24.247 6.640 6.640 18.774 21.344
LBQ0302097 26093 LIPASA EN LIQUIDOS 308046 50.568 50.568 4.370 4.370 35.397 38.703
LBQ0302105 26238 PROTEINAS TOTALES EN OTROS LIQUIDOS 308050 11.019 11.019 2.160 2.160 9.310 9.947
LBQ0302987 26226 ANTICUERPOS ANTI/HMGCR 308050 133.623 133.623 133.623 133.623 93.535 100.217
LBQ0302963 24039 ESTUDIO GENETICO FACTOR XII MUTACION C46T 308050 209.106 209.106 209.106 209.106 146.374 156.829
LBQ0302102 26216 ALBUMINA EN OTROS LIQUIDOS 308051 11.019 11.019 2.160 2.160 9.310 9.947
LSE0308015 26039 ALBUMINURIA 308051 12.979 12.979 2.160 2.160 9.300 9.932
LOR0309000 54006 ACIDO DELTA AMINO LEVULINICO (ORINA) 309002 15.916 15.916 6.460 6.460 14.091 14.091
LOR0309001 26059 URICOSURIA (ACIDO URICO) 309004 23.632 23.632 3.120 3.120 16.542 18.087
LBQ0302162 54005 ACIDO 5 HIDROXIINDOLACETICO CUANTITATIVO 309005 17.567 17.567 7.740 7.740 16.409 16.410
LOR0309002 26041 AMILASA EN ORINA (AMILASURIA) 309006 27.804 27.804 3.820 3.820 19.463 21.282
LBQ0302126 54431 CUANTIFICACION DE AMINOACIDOS EN ORINA 309007 166.394 166.394 8.220 8.220 153.925 155.425
LOR0309003 54017 AMINOACIDOS EN ORINA 309007 15.916 15.916 8.220 8.220 14.091 14.091
LOR0309004 26317 CALCIURIA (CALCIO CUANTITATIVO) 309008 10.714 10.714 2.880 2.880 9.177 9.814
LOR0309005 26043 CALCULO EXAMEN FISICO QUIMICO 309009 70.204 70.204 6.850 6.850 49.143 53.729
LBQ0309010 26910 CREATININA CUANTITATIVA EN ORINA 309010 10.443 10.443 2.190 2.190 9.755 9.755
LOR0309006 26047 CREATININA EN ORINA (CREATINURIA) 309010 14.191 14.191 2.190 2.190 10.080 10.862
LOR0309007 26048 CETONURIA 309011 12.979 12.979 2.260 2.260 9.300 9.932
LOR0309027 26045 CUERPOS CETONICOS 309011 11.923 11.923 2.260 2.260 11.137 11.137
LOR0309008 26063 ELECTROLITOS (NA - K - CL) EN ORINA 309012 47.007 47.007 2.240 2.240 32.905 35.979
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LOR0309009 26520 ELECTROLITOS EN OTROS LIQUIDOS 309012 40.882 40.882 2.240 2.240 32.749 35.979
LOR0309010 26012 SODIO EN ORINA 309012 30.115 30.115 2.240 2.240 28.025 28.025
LOR0309011 26028 CLORO EN ORINA 309012 30.115 30.115 2.240 2.240 28.025 28.025
LBQ0309013 26913 MICROALBUMINURIA CUANTITATIVA 309013 14.867 14.867 4.000 4.000 13.887 13.887
LOR0309012 26030 MICROALBUMINURIA 309013 17.311 17.311 4.000 4.000 12.117 13.246
LOR0309013 26320 FOSFATURIA (FOSFORO EN ORINA ) 309015 11.780 11.780 2.880 2.880 9.955 10.740
LOR0309014 26316 GLUCOSURIA 309016 8.792 8.792 1.970 1.970 7.675 7.968
LBQ0309019 26306 MUCOPOLISACARIDOS 309019 185.176 185.176 185.176 185.176 129.623 138.883
LOR0309015 26013 NITROGENO UREICO (ORINA - LIQUIDO) 309020 10.573 10.573 1.200 1.200 7.816 8.092
LOR0309016 26133 ORINA COMPLETA 309022 22.747 22.747 2.700 2.700 15.923 17.410
LOR0309017 26049 DENSIDAD URINARIA 309023 7.617 7.617 1.970 1.970 6.413 6.705
LOR0309018 26096 EXAMEN FISICO QUIMICO EN ORINA 309023 8.761 8.761 1.970 1.970 6.413 6.705
LOR0309019 26055 PH URINARIO 309023 8.761 8.761 1.970 1.970 6.413 6.705
LOR0309020 26856 SEDIMENTO DE ORINA 309024 11.685 11.685 1.550 1.550 8.178 8.942
LOR0309023 26015 WATSON SCHWARTZ (PORFIRIAS CUALITATIVO ORINA) 309027 60.094 60.094 3.650 3.650 42.066 45.993
LOR0309033 54747 PORFIRIAS EN ORINA 309027 107.712 107.712 3.650 3.650 100.614 100.614
LBQ0302174 26092 PROTEINA CUANTITATIVA 309028 11.923 11.923 2.530 2.530 11.137 11.137
LOR0309024 26057 PROTEINURIA 309028 12.901 12.901 2.530 2.530 9.238 9.873
LOR0309025 97081 PROTEINA BENCE JONES CUANTITATIVA 309029 31.192 31.192 1.620 1.620 21.835 23.872
LOR0309026 54496 HEMOSIDERINA EN ORINA 309035 12.971 12.971 2.180 2.180 11.483 11.483
PAT0801000 1510 INVESTIGACION CELULAS NEOPLASICAS (PAP) 801001 40.565 40.565 9.780 9.780 36.517 36.517
PAT0801033 27074 CITOLOGIA GINECOLOGICA EN FASE LIQUIDA 801001 61.467 61.467 9.780 9.780 57.415 57.415
PAT0801001 27980 CITOLOGIA ASPIRATIVA (POR PUNCION) C/PROFESIONAL PRESENTE 801002 328.463 328.463 14.260 14.260 254.413 254.413
PAT0801002 27007 EXAMEN CITOLOGIA ASPIRATIVA, LAVADO O CEPILLADO 801002 65.646 65.646 14.260 14.260 61.276 61.276
PAT0801003 27006 ESTUDIO HISTOPATOL. C/MICROSCOPIA ELECTRONICA 801003 582.998 582.998 57.360 57.360 516.151 516.151
PAT0801004 27508 EST.HISTOPATOLOG.C/TEC.INMUNOFLUORESCENCIA. (P/CADA ANT.INVESTIGADO)
801004 88.869 88.869 42.350 42.350 78.678 78.678
PAT0801005 27082 EST.HISTOPATOLOG.C/TEC.INMUNOHISTOQM. (P/CADA ANT.INVESTIGADO)
801004 88.869 88.869 42.350 42.350 78.678 78.678
PAT0899004 27503 EST. HISTOPAT. C/TEC INMUNOHISTOQUIMICAS HERCEPTEST 801004 196.151 196.151 42.350 42.350 165.777 165.777
PAT0898004 27505 EST. HISTOPAT. C/TEC INMUNOHISTOQUIMICAS PRAME 801004 93.048 93.048 42.350 42.350 65.134 69.787
PAT0801007 27502 ESTUDIO CON TECNICA HISTOQUIMICA POR C/LAMINA 801005 75.367 75.367 30.960 30.960 67.927 67.927
PAT0801008 27084 TECNICA DE DECALCIFICACION (TECNICA HISTOQUIMICA) 801005 71.301 71.301 30.960 30.960 66.601 66.601
PAT0801011 27543 BIOPSIA INTRA OPERATORIA 801006 386.980 386.980 41.150 41.150 342.609 342.609
PAT0801017 27076 EST.HISTOPAT. C/TINCION CORR.BIOP.DIF.SERIADO MIN.10 MTRAS.801007 261.681 261.681 41.150 41.150 209.631 209.631
PAT0801023 27500 EST.HISTOPATOLOGICO CTE.DE BIOPSIA DIFERIDA (C/ORGANO) 801008 120.929 120.929 21.330 21.330 115.609 115.609
PAT0801026 27516 NECROPSIA DE FETO,CON ESTUDIO HISTOPATOLOGICO CORRIENTE. 801010 767.219 767.219 92.800 92.800 679.251 679.251
LIN0305308 30302 DETECCION DE MUTACIONES DE LOS GENES KRAS/NRAS 801011 633.640 633.640 420.640 420.640 591.868 567.010
PAT0801027 27982 ANALISIS MUTACION B-RAF (V600E) 801011 494.512 494.512 420.640 420.640 461.912 442.031
PAT0801039 27032 TECNICA INMUNOHISTOQUIMICA PARA PD-L1 801012 229.105 229.105 146.240 146.240 202.849 202.849
PAT0801041 27016 TECNICA INMUNOHISTOQUIMICA PARA ALK 801012 229.105 229.105 146.240 146.240 202.849 202.849
LIN0305175 27551 HER2/NEU POR FISH 801013 530.497 530.497 530.497 530.497 455.844 460.009
LIN0305182 27616 REORDENAMIENTO EN EL GEN ALK POR TECNICA DE FISH 801013 684.915 684.915 684.915 684.915 593.911 593.911
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PAT0801045 28798 CODELECIÓN 1P/19Q POR FISH 801013 598.637 598.637 598.637 598.637 520.286 520.286
PAT0801913 27547 CDKN2A/B POR FISH 801013 663.318 663.318 663.318 663.318 591.301 591.301
PAT0801813 27548 CISH PARA VIRUS EPSTEIN BARR 801013 276.592 276.592 276.592 276.592 193.614 207.444
ADC9999050 56433 INFORME HEMATO MIELOGRAMA 54.333 54.333 54.333 54.333 46.405 46.405
LBQ0302101 26441 PROTEINAS FRACCIONADAS 10.631 10.631 10.631 10.631 8.904 9.725
LBQ0302118 26247 SCREENING DE IGE ESPECIFICA 157.364 157.364 157.364 157.364 114.978 138.504
LBQ0302121 26051 CALPROTECTINA CUANTITATIVA (DEPOSICIÓN) 68.054 68.054 68.054 68.054 59.011 59.011
LBQ0302122 54703 CARNITINA TOTAL Y LIBRE 158.821 158.821 158.821 158.821 124.987 124.987
LBQ0302125 54643 CRISTALES DE CHARCOT LEYDEN 29.705 29.705 29.705 29.705 25.758 25.756
LBQ0302128 26147 CYSTATINA C 11.848 11.848 11.848 11.848 10.273 10.273
LBQ0302129 54551 FOSFATASAS ACIDAS TOTALES 44.787 44.787 44.787 44.787 38.837 38.837
LBQ0302141 54227 METALOPROTEINASA 221.716 221.716 221.716 221.716 192.261 192.261
LBQ0302142 26196 MIOGLOBINA 94.738 94.738 94.738 94.738 71.197 82.150
LBQ0302143 26534 MIOGLOBINA EN ORINA 43.312 43.312 43.312 43.312 37.558 37.558
LBQ0302145 54302 PEPTIDO C (CURVA 5 M) 170.783 170.783 170.783 170.783 148.090 148.090
LBQ0302146 26195 PERFIL MIOCARDICO 170.783 170.783 170.783 170.783 134.400 134.400
LBQ0302147 26340 PERFIL RENAL 170.783 170.783 170.783 170.783 134.400 134.400
LBQ0302148 54113 PERFIL TOXICOLOGICO (SANGRE U ORINA) 471.827 471.827 471.827 471.827 409.134 409.134
LBQ0302149 54616 PIRUVATO(ACIDO PIRUVICO) 33.226 33.226 33.226 33.226 28.811 28.810
LBQ0302150 54529 PLOMO 105.376 105.376 105.376 105.376 91.373 91.373
LBQ0302151 26151 RELACION MICROALBUMINARIA/CREATININURIA 29.182 29.182 29.182 29.182 21.950 25.309
LBQ0302152 26038 SCREENING NEONATAL AMPLIADO 141.412 141.412 141.412 141.412 112.688 122.625
LBQ0302153 54960 SECRECION PLAQUETARIA 199.620 199.620 199.620 199.620 173.097 173.097
LBQ0302154 54724 SEROTONINA INTRAPLAQUETARIA 95.720 95.720 95.720 95.720 83.003 83.003
LBQ0302156 26103 TEST DE GLUCK 125.471 125.471 125.471 125.471 91.127 110.433
LBQ0302157 26262 TEST DE HOMA (GLUCOSA-INSULINA) 80.713 80.713 80.713 80.713 62.053 69.987
LBQ0302158 26225 TEST DE NICOTINA 94.985 94.985 94.985 94.985 69.673 82.363
LBQ0302159 26535 TRIPTASA 60.733 60.733 60.733 60.733 52.665 52.665
LBQ0302160 54449 VISCOSIDAD DEL SUERO 21.666 21.666 21.666 21.666 18.784 18.785
LBQ0302161 26524 VITAMINA B6 124.685 124.685 124.685 124.685 108.120 108.120
LBQ0302163 54182 ACIL CARNITINA 90.145 90.145 90.145 90.145 78.169 78.169
LBQ0302164 26008 ARSENICO EN SANGRE 194.081 194.081 194.081 194.081 149.494 170.816
LBQ0302165 54350 ARSENICO EN UNAS O PELO 124.107 124.107 124.107 124.107 107.620 107.620
LBQ0302168 26098 QUILOMICRONES 15.543 15.543 15.543 15.543 10.880 11.657
LBQ0302170 54338 ZINC 25.620 25.620 25.620 25.620 22.214 22.215
LBQ0302171 54552 FRACCION PROSTATICA DE FOSFATASAS ACIDAS 42.591 42.591 42.591 42.591 36.934 36.934
LBQ0302173 26164 PANEL ANTICUERPOS DIABETES (GAD, ICA,IAA,IA2) 134.055 134.055 134.055 134.055 116.242 116.239
LBQ0302176 26132 TEST DE CLORURO FERRICO 16.991 16.991 16.991 16.991 11.894 12.743
LBQ0302180 26494 TEST DIABETES PREDICT 455.540 455.540 455.540 455.540 400.940 400.941
LBQ0302181 26495 TEST PREDICT RESISTENCIA A LA INSULINA 439.502 439.502 439.502 439.502 386.823 386.823
LBQ0302185 26894 METABOLITOS DE AZATIOPRINA 59.736 59.736 59.736 59.736 51.917 51.917
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LBQ0302186 54116 HEMAGLUTINCION TREPONEMA PALLIDUM 41.629 41.629 41.629 41.629 304.210 32.760
LBQ0302187 26763 INTERLEUCINA-6 (IL-6) 102.588 102.588 102.588 102.588 90.640 90.640
LBQ0302188 26001 PIGF (FACTOR PRO-ANGIOGENICO) 83.832 83.832 83.832 83.832 58.682 62.874
LBQ0302189 26002 sFIt-1 (FACTOR ANTI-ANGIOGENICO) 83.832 83.832 83.832 83.832 58.682 62.874
LBQ0302190 26072 NIVELES MPA (ACIDO MICOFENOLICO) 40.974 40.974 40.974 40.974 35.611 35.611
LBQ0302191 26073 CURVA NIVELES MPA (ACIDO MICOFENOLICO) 150.236 150.236 150.236 150.236 105.165 112.678
LBQ5999998 54998 QUIMERISMO DERIVADO BIOGENETICS 157.500 157.500 157.500 157.500 120.000 120.000
LES9999001 17605 THYROGEN 1.899.661 1.899.661 1.899.661 1.899.661 2.003.564 1.424.745
LES9999002 24410 CRIOMANTENCION SANGRE DE CORDON 86.249 86.249 86.249 86.249 74.364 74.789
LGE0304014 54614 HEMOCROMATOSIS ESTUDIO GENETICO MOLECULAR 169.470 169.470 169.470 169.470 146.952 146.952
LGE0304015 16901 AN. COMPLETO APC (SECUENCIACION Y DELECIONES/DUPLICACIONES) 1.490.124 1.490.124 1.490.124 1.490.124 1.292.138 1.292.137
LGE0304016 16903 AN. COMPLETO APC (SSCP Y DELECIONES/DUPLICACIONES) 1.003.088 1.003.088 1.003.088 1.003.088 869.810 869.810
LGE0304017 16902 AN. COMPLETO MLH1 Y MSH2 (SECUENCIACIONY DELECIONES/DUPLIC) 1.405.834 1.405.834 1.405.834 1.405.834 1.219.046 1.219.046
LGE0304018 16904 AN. COMPLETO MLH1 Y MSH2 (SSCP Y DELECIONES Y DUPLICACIONES) 902.097 902.097 902.097 902.097 782.241 782.238
LGE0304019 16905 AN. MOLECULAR DIRIGIDO (1 EXON) / DIAGNOSTICO MOLECULAR 117.366 117.366 117.366 117.366 101.769 101.769
LGE0304027 16936 DIAGNOSTICO MOLECULAR SECUENCIACION MASICA (CANCER HERED.) 390.086 390.086 390.086 390.086 338.256 338.256
LGE0304028 33184 FISH TRANSLOCACIÓN T(4;14)(FGFR3;IGH) 359.982 359.982 359.982 359.982 312.152 312.152
LGE0304029 33185 SEPARACION Y PURIFICACION DE CELULAS MONONUCLEADAS 103.843 103.843 103.843 103.843 81.721 81.721
LGE0304030 33186 FISH DELECIÓN TP53 (CROMOSOMA 17P13.1) 359.982 359.982 359.982 359.982 312.152 312.152
LGE0304031 33187 FISH TRANSLOCACIÓN T(14;16)(IGH;MAF) 380.751 380.751 380.751 380.751 330.162 330.161
LGE0304032 33188 FISH AMPLIFICACIÓN/DELECIÓN CROMOSOMA 1(1P32/1Q21) 359.982 359.982 359.982 359.982 312.152 312.152
LHE0301056 17552 VOLEMIA CR-51 299.930 299.930 299.930 299.930 235.319 235.319
LHE0301063 28085 ESTUDIO PARA PLAQUETOFERESIS 64.973 64.973 64.973 64.973 51.131 51.131
LHE0301066 58016 RECUENTO POLIMORFONUCLEARES 10.868 10.868 10.868 10.868 8.499 9.421
LHE0301067 26525 VITAMINA B1, THIAMINA 270.318 270.318 270.318 270.318 212.730 212.730
LHE0301068 26082 CARBOXIHEMOGLOBINA 78.585 78.585 78.585 78.585 57.358 68.144
LHE0301075 28012 TEST CONFIRMATORIO HTLV I/II 151.028 151.028 151.028 151.028 130.961 130.961
LHE0301077 26217 DESOXIHEMOGLOBINA GEM 40.095 40.095 40.095 40.095 34.847 34.847
LHE0301079 26223 OXIHEMOGLOBINA GEM 40.095 40.095 40.095 40.095 31.554 31.554
LHE0301102 58764 TEG CON HEPARINASA 214.312 214.312 214.312 214.312 168.656 168.656
LHE0301103 58765 TEG 1 SIN HEPARINASA 183.344 183.344 183.344 183.344 144.286 144.286
LHE0301933 58009 RECUENTO HEMATOLOGICO 19.514 19.514 19.514 19.514 15.353 15.353
LHO0303039 54002 C-17 CETOESTEROIDES ORINA 24 HRS 39.313 39.313 39.313 39.313 30.938 30.938
LHO0303047 54512 C-17 OH PRENENOLONA 88.688 88.688 88.688 88.688 76.907 76.907
LHO0303050 26269 HORMONA ANTI- MULLERIANA (AMH) 56.679 56.679 56.679 56.679 49.148 49.148
LIN0305010 28047 IDENTIFICACION ANTICUERPOS 128.662 128.662 128.662 128.662 98.114 98.114
LIN0305107 54118 QUIMIOTAXIS DE POLIMORFONUCLEARES 19.612 19.612 19.612 19.612 17.068 17.068
LIN0305116 24108 ANTICUERPOS ANTI PLAQUETARIOS 125.067 125.067 125.067 125.067 95.494 103.294
LIN0305119 24164 ESTUDIO DE VIABILIDAD CELULAR 46.104 46.104 46.104 46.104 47.551 47.551
LIN0305123 24206 INMUNO FENOTIPO (MIELOP) 463.609 463.609 463.609 463.609 361.515 415.616
LIN0305124 24211 TIPIFICACION DE MSC 71.012 71.012 71.012 71.012 69.150 69.150
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305128 52077 TEST CUTANEO A INSECTOS 78.334 78.334 78.334 78.334 62.739 62.739
LIN0305129 54481 ANTICUERPO LINFOCITOTOXICO 234.386 234.386 234.386 234.386 205.175 205.175
LIN0305130 54210 ALOCROSS MATCH 254.368 254.368 254.368 254.368 222.818 222.818
LIN0305134 54429 HLA-DR EN OTROS TRASPLANTES 403.121 403.121 403.121 403.121 349.555 349.557
LIN0305136 54432 HLA-AB EN OTROS TRASPLANTES 426.473 426.473 426.473 426.473 369.807 369.808
LIN0305155 24203 LINFOCITOS CD20 92.488 92.488 92.488 92.488 80.198 80.198
LIN0305156 24303 CRIOGENIZACION STEM CELL PERIFERICO 2.295.583 2.295.583 2.295.583 2.295.583 1.971.461 1.990.575
LIN0305157 24506 CRIOMANTENCION MENSUAL 57.229 57.229 57.229 57.229 49.625 49.860
LIN0305158 16922 ANALISIS PARCIAL RET (8 EXONES) (SECUENCIACION) 209.871 209.871 209.871 209.871 181.984 181.983
LIN0305159 16950 ESTUDIO COMPLETO BRACA (MYRIAD) 2.763.076 2.763.076 2.763.076 2.763.076 2.395.954 2.395.952
LIN0305160 16923 ANALISIS COMPLEMENTARIO RET (12 EXONES)(SECUENCIACION) 942.497 942.497 942.497 942.497 817.271 817.269
LIN0305165 27116 DETECCION DE MUTACIONES DEL GEN EGFR POR COBAS 773.313 773.313 773.313 773.313 692.476 692.476
LIN0305167 24205 DETERMINACIÓN DE AC ANTI-ZAP 70 97.910 97.910 97.910 97.910 84.902 84.902
LIN0305168 97031 ELASTASA 1 MONOCLONAL 137.414 137.414 137.414 137.414 119.157 119.157
LIN0305169 97070 ELECTROFORESIS EN ORINA 62.395 62.395 62.395 62.395 46.569 54.105
LIN0305172 27110 EXTRACCION DE DNA 59.996 59.996 59.996 59.996 45.817 52.024
LIN0305173 54205 GENOTIPO PARA VIRUS HEPATITIS C 312.761 312.761 312.761 312.761 238.702 271.206
LIN0305174 54701 HEPATITIS E ANTICUERPOS (IGG-IGM) 234.135 234.135 234.135 234.135 184.257 184.257
LIN0305177 26521 IVX, SCREENING GENETICO-METABOLICO 244.257 244.257 244.257 244.257 211.807 211.806
LIN0305179 27550 POLYOMAVIRUS (BK) CUANTIFICACION 265.569 265.569 265.569 265.569 228.302 230.283
LIN0305180 97082 PREALBUMINA 65.381 65.381 65.381 65.381 47.337 56.693
LIN0305181 97037 QUANTIFERON TB 154.693 154.693 154.693 154.693 134.140 134.139
LIN0305183 97023 SUBCLASES IGG 163.769 163.769 163.769 163.769 116.242 142.009
LIN0305184 24210 TEST DE FRAGMENTACION DNA 99.371 99.371 99.371 99.371 86.167 86.167
LIN0305185 27109 TIPIFICACION HPV 163.031 163.031 163.031 163.031 141.370 141.368
LIN0305186 54541 TIT.ANTI ANTIGENO DE SUPERFICIE POST-VAC 49.173 49.173 49.173 49.173 42.639 42.639
LIN0305187 54711 TRASLOCACION EN SANGRE POR PCR 239.715 239.715 239.715 239.715 207.867 207.866
LIN0305192 26522 ACIDOS ORGANICOS ORINA 419.289 419.289 419.289 419.289 363.581 363.582
LIN0305193 97166 ADMA 96.300 96.300 96.300 96.300 83.506 83.507
LIN0305194 16934 ANALISIS DE NUMERO DE COPIAS DEL GEN SMN1 309.381 309.381 309.381 309.381 268.277 268.277
LIN0305195 97160 ANTICUERPO ANTISACCHAROMYCES CERIVISIAE IGA (ASCA IGA) 94.985 94.985 94.985 94.985 74.490 82.363
LIN0305196 97161 ANTICUERPO ANTISACCHAROMYCES CERIVISIAE IGG (ASCA IGG) 94.985 94.985 94.985 94.985 74.618 82.363
LIN0305204 54183 ANTICUERPOS ANTI RECEPTOR DE TSH 61.616 61.616 61.616 61.616 53.429 53.430
LIN0305206 97028 ANTICUERPOS ANTICOCLEARES 307.735 307.735 307.735 307.735 219.667 266.846
LIN0305207 97015 ANTICUERPOS ANTINEURONALES 434.661 434.661 434.661 434.661 376.908 376.908
LIN0305209 24306 CRIOMANTENCION DE PROD.BIOLOGICOS (BOLSA 169.314 169.314 169.314 169.314 145.563 146.816
LIN0305210 24201 ESTUDIO DNA POR CITOMETRIA DE FLUJO 282.742 282.742 282.742 282.742 245.176 247.276
LIN0305211 16929 GENOTIPIFICACION CYP 296.945 296.945 296.945 296.945 257.489 257.490
LIN0305213 56021 MAR IgG +IgA(ESTUDIO COMPLETO ) 101.032 101.032 101.032 101.032 87.309 87.610
LIN0305214 24116 MUTACION G20210A (GEN PROTROMBINA) 93.571 93.571 93.571 93.571 81.138 81.138
LIN0305216 24177 PCR ADENOVIRUS 94.285 94.285 94.285 94.285 81.758 81.758
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305217 27117 PCR APOE 165.579 165.579 165.579 165.579 143.577 143.577
LIN0305222 27114 PCR CARGA VIRAL PARVOVIRUS B19 174.978 174.978 174.978 174.978 151.730 151.730
LIN0305226 27101 PCR ENTEROVIRUS 215.712 215.712 215.712 215.712 187.054 187.054
LIN0305228 24113 PCR FACTOR V LEIDEN 91.246 91.246 91.246 91.246 79.123 79.123
LIN0305229 24126 PCR GARDENERELLA VAGINALIS 113.939 113.939 113.939 113.939 98.800 98.800
LIN0305236 27102 PCR LEGIONELLA PNEUMOPHILA 177.731 177.731 177.731 177.731 154.118 154.119
LIN0305237 24130 PCR LISTERIA MONOCYTOGENES 128.474 128.474 128.474 128.474 111.404 111.405
LIN0305238 24120 PCR MTHFR 202.868 202.868 202.868 202.868 175.914 175.913
LIN0305239 24136 PCR MUTACIÓN FACTOR XII 192.015 192.015 192.015 192.015 146.702 166.501
LIN0305240 24135 PCR MUTACIÓN GEN JAK2 208.677 208.677 208.677 208.677 180.951 180.951
LIN0305241 24125 PCR MYCOPLASMA HOMINIS 55.135 55.135 55.135 55.135 42.265 47.812
LIN0305242 27099 PCR MYCOPLASMA PNEUMONIAE 126.245 126.245 126.245 126.245 109.473 109.473
LIN0305244 97165 PCR PAI-I 162.396 162.396 162.396 162.396 140.820 140.821
LIN0305251 24121 PCR STREPTOCOCCUS AGALACTIAE (GRUPO B) 84.057 84.057 84.057 84.057 72.889 72.889
LIN0305254 54722 PCR TRASLOCACION EN MEDULA POR PCR 288.897 288.897 288.897 288.897 250.514 250.514
LIN0305255 24209 PCR TREPONEMA PALLIDUM 52.880 52.880 52.880 52.880 40.487 45.854
LIN0305257 24124 PCR UREAPLASMA SP 55.135 55.135 55.135 55.135 42.265 47.812
LIN0305261 26248 ALERGENOS AMBIENTE EXTERNO 188.835 188.835 188.835 188.835 137.819 166.201
LIN0305262 16932 ANALISIS COMPLETO GEN STK-11 464.077 464.077 464.077 464.077 402.416 402.416
LIN0305263 16930 ANALISIS COMPLETO NEM 1 340.411 340.411 340.411 340.411 295.182 295.182
LIN0305264 16931 ANALISIS COMPLETO PTEN (9 EXONES) 225.385 225.385 225.385 225.385 195.438 195.438
LIN0305267 97029 ANTICUERPOS ANTICOCLEARES STATT 505.249 505.249 505.249 505.249 362.564 444.689
LIN0305273 54214 ESPECIFICIDAD DE ANTICUERPOS 293.722 293.722 293.722 293.722 263.472 263.472
LIN0305274 54100 ESTUDIO DE REARREGLOS SUBTELOMERICOS 1.227.879 1.227.879 1.227.879 1.227.879 1.064.735 1.064.735
LIN0305275 24512 ESTUDIO FIBROSIS QUISTICA, 1300 MUTACIONES 2.161.878 2.161.878 2.161.878 2.161.878 1.874.632 1.874.631
LIN0305276 24513 ESTUDIO MOLECULAR GEN FMR 370.850 370.850 370.850 370.850 321.577 321.577
LIN0305277 24510 ESTUDIO PCR FIBROSIS QUISTICA, 33 MUTACIONES 293.722 293.722 293.722 293.722 254.696 256.513
LIN0305279 24421 PCR METANEUMOVIRUS 129.955 129.955 129.955 129.955 112.688 112.687
LIN0305281 24213 PCR FILMARRAY RESPIRATORIO AMPLIADO 252.063 252.063 252.063 252.063 218.570 218.571
LIN0305282 24139 PCR CLOSTRIDIUM DIFFICILE 117.017 117.017 117.017 117.017 101.469 101.469
LIN0305287 59287 ANTIGENOS BACTERIANOS 97.772 97.772 97.772 97.772 71.953 86.055
LIN0305288 26402 ALERGENOS RECOMBINANTES: PANEL PANALRGENOS 172.610 172.610 172.610 172.610 149.676 149.676
LIN0305289 26403 ALERGENOS RECOMBINANTES: PANEL TRIGO 172.610 172.610 172.610 172.610 149.676 149.676
LIN0305290 26404 ALERGENOS RECOMBINANTES: PANEL SOYA 172.610 172.610 172.610 172.610 149.676 149.676
LIN0305291 26405 ALERGENOS RECOMBINANTES: PANEL LECHE DEVACA 206.960 206.960 206.960 206.960 179.463 179.464
LIN0305292 26406 ALERGENOS RECOMBINANTES: PANEL MANI 344.363 344.363 344.363 344.363 298.608 298.608
LIN0305293 26407 ALERGENOS RECOMBINANTES: PANEL HUEVO 103.049 103.049 103.049 103.049 89.359 89.359
LIN0305294 26408 ALERGENOS RECOMBINANTES: PANEL ACAROS 172.610 172.610 172.610 172.610 149.676 149.676
LIN0305295 26409 ALERGENOS RECOMBINANTES: PANEL ARBOLES 1 172.610 172.610 172.610 172.610 149.676 149.676
LIN0305296 26410 ALERGENOS RECOMBINANTES: PANEL PASTOS 252.475 252.475 252.475 252.475 218.928 218.927
LIN0305297 26414 ALERGENO RECOMBINANTE: ABEDUL (RBET V1) 115.074 115.074 115.074 115.074 99.784 99.784
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LIN0305300 24216 PCR FILMARRAY GASTROINTESTINAL AMPLIADO 237.175 237.175 237.175 237.175 205.663 205.663
LIN0305301 24217 PANEL DEL VIAJERO 361.534 361.534 361.534 361.534 313.500 313.501
LIN0305303 24041 PCR FILMARRAY MENINGITIS / ENCEFALITIS 289.757 289.757 289.757 289.757 251.257 251.257
LIN0305309 17048 ESTUDIO GENETICO BRCA 1/2 O PLUS (AMBRY) 1.107.196 1.107.196 1.107.196 1.107.196 960.085 960.085
LIN0305313 27544 PCR VIRUS ZIKA 128.512 128.512 128.512 128.512 111.439 111.439
LIN0305314 27545 PCR GINECOLOGICO/UROLOGICO AMPLIADO 183.975 183.975 183.975 183.975 159.530 159.528
LIN0305315 27546 PCR CEVIM GINECOLOGICO 205.136 205.136 205.136 205.136 177.880 177.880
LIN0305318 24181 PCR FILMARRAY HEMOCULTIVOS Y LIQUIDOS ESTERILES 188.235 188.235 188.235 188.235 148.135 148.135
LIN0305319 24182 PCR TRANSLOCACION T(9;22) BCR-ABL 273.855 273.855 273.855 273.855 212.329 212.329
LIN0305320 24183 PCR TRANSLOCACION T(15;17) PML-RARA 273.855 273.855 273.855 273.855 212.329 212.329
LIN0305321 24236 PCR MRSA (MEC A) 125.443 125.443 125.443 125.443 109.025 109.025
LIN0305322 24237 PCR DETECCION DE GENES DE RESISTENCIA BACTERIANA 165.017 165.017 165.017 165.017 143.420 143.420
LIN0305326 24543 PCR VRS (VIRUS RESP. SINCICIAL) 209.069 209.069 209.069 209.069 146.349 156.802
LIN0305328 97454 MARCADORES INMUNOLOGICOS EN DIABETES 203.539 203.539 203.539 203.539 160.178 160.178
LIN0305330 97171 PERFIL ANA 23 ANTIGENOS 121.990 121.990 121.990 121.990 96.002 96.002
LIN0305331 24140 SUB GRUPO DE MONOCITOS 50.300 50.300 50.300 50.300 35.210 37.725
LIN0305332 24005 PCR VIRUELA MONO 77.029 77.029 77.029 77.029 53.920 57.772
LIN0306082 24674 PCR FILMARRAY NEUMONIA 232.628 232.628 232.628 232.628 202.182 202.182
LMI0306013 59017 HEMOCULTIVO DE HONGOS 56.003 56.003 56.003 56.003 39.269 42.002
LMI0306015 52042 HEMOCULTIVO 2 MTA.SEC.4 62.483 62.483 62.483 62.483 54.181 54.182
LMI0306027 59116 CULTIVO LISTERIA 74.389 74.389 74.389 74.389 55.010 65.470
LMI0306053 28675 DONANTE DE SANGRE 101.388 101.388 101.388 101.388 79.790 79.790
LMI0306110 54737 DISTOMATOSIS POR ELISA 53.705 53.705 53.705 53.705 46.569 46.569
LMI0306112 59050 GRAM POR CITOCENTRIFUGA 15.527 15.527 15.527 15.527 13.208 13.667
LMI0306113 59123 HELICOBACTER PYLORI EN DEPOSICION 75.396 75.396 75.396 75.396 54.954 65.379
LMI0306114 59301 HEMOCULTIVO CUANTITATIVO AEROBICO 79.613 79.613 79.613 79.613 69.035 69.035
LMI0306117 54225 IGE ESPECIFICA A COLORANTES 123.518 123.518 123.518 123.518 107.106 107.106
LMI0306119 59060 LEGIONELLA EN ORINA 211.901 211.901 211.901 211.901 153.554 183.747
LMI0306120 59104 LEPTOSPIRA REACCION DE MACROAGLUTINACION 40.675 40.675 40.675 40.675 31.473 35.269
LMI0306123 59037 NOROVIRUS 18.590 18.590 18.590 18.590 16.120 16.120
LMI0306124 59210 PANEL RESPIRATORIO 200.212 200.212 200.212 200.212 172.105 172.105
LMI0306126 54641 SEROLOGIA DE AMEBIASIS 48.439 48.439 48.439 48.439 42.003 42.003
LMI0306127 54609 SEROLOGIA DE BRUCELOSIS IGG O IGM C/U 97.910 97.910 97.910 97.910 84.902 84.902
LMI0306128 54600 SEROLOGIA DE DENGUE IGG O IGM C/U 93.667 93.667 93.667 93.667 81.223 81.225
LMI0306129 59042 SEROLOGIA DE HELICOBACTER 53.025 53.025 53.025 53.025 40.487 45.980
LMI0306130 54331 SEROLOGIA DE LYME 179.866 179.866 179.866 179.866 155.966 155.966
LMI0306131 54403 SEROLOGIA DE SARAMPION IGG 75.084 75.084 75.084 75.084 63.488 63.488
LMI0306133 54406 SEROLOGIA DE STEPTO. PNEUMONIAE 178.982 178.982 178.982 178.982 155.197 155.197
LMI0306134 54612 SEROLOGIA DE VIRUS VARICELA IGG 75.084 75.084 75.084 75.084 63.488 63.488
LMI0306136 59233 SEROLOGIA IGG RASGUNO DE GATO 133.331 133.331 133.331 133.331 115.617 115.617
LMI0306137 54404 SEROLOGIA VIRUS PAROTIDEO IGG 75.084 75.084 75.084 75.084 63.488 63.488
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LMI0306138 54405 SEROLOGIA VIRUS PAROTIDEO IGM 75.084 75.084 75.084 75.084 63.488 63.488
LMI0306139 58134 TINCION DE FROTIS 11.119 11.119 11.119 11.119 8.499 8.340
LMI0306140 59022 TINCION DIRECTA CAMPYLOBACTER 68.154 68.154 68.154 68.154 49.009 57.720
LMI0306141 59309 TINCION FLUORESCENTE PARA HONGOS (BLANCO DE CALCOFLUOR) 25.460 25.460 25.460 25.460 22.079 22.076
LMI0306143 59082 TOXINA A/B CLOSTRIDIUM DIFFICILLE 120.108 120.108 120.108 120.108 86.167 104.151
LMI0306144 59053 TOXINA SHIGA 16.252 16.252 16.252 16.252 14.094 14.096
LMI0306146 54732 TRIQUINOSIS POR ELISA 53.705 53.705 53.705 53.705 45.018 45.018
LMI0306147 59064 ANTIGENO CRIPTOCOCOS 90.943 90.943 90.943 90.943 73.603 78.860
LMI0306157 59086 CULTIVO CUANTITATIVO PIEL 233.315 233.315 233.315 233.315 166.376 205.349
LMI0306159 59244 TINCION DIRECTA FLUORESCENTE 15.527 15.527 15.527 15.527 10.869 11.645
LMI0306161 33147 CULTIVO DE FIBROBLASTO (NO MICROBIOLOGICO) 115.430 115.430 115.430 115.430 93.276 100.093
LMI0306164 97019 PANEL ANTI MIOSITIS 123.805 123.805 123.805 123.805 97.431 97.431
LMI0306165 59039 VIRUS ZIKA SEROLOGIA IGM 112.280 112.280 112.280 112.280 98.825 98.824
LMI0306999 59006 AVIDEZ IgG CITOMEGALOVIRUS 43.867 43.867 43.867 43.867 30.707 32.901
LOR0309028 54455 CITRATURIA 40.829 40.829 40.829 40.829 35.406 35.406
LOR0309031 54194 OXALURIA 38.637 38.637 38.637 38.637 33.503 33.506
LOR0309032 54195 PLOMO EN ORINA 118.983 118.983 118.983 118.983 93.636 93.636
LOR0309034 54466 SCREENING BENZODIAZEPINAS EN ORINA 84.301 84.301 84.301 84.301 73.102 73.102
LOR0309035 54197 ALDOSTERONA URINARIA 65.713 65.713 65.713 65.713 61.082 61.082
LOR0309038 26085 MAGNESIO EN ORINA 20.236 20.236 20.236 20.236 17.010 17.547
LOR0309041 26080 SCREENING METABOLICO EN ORINA 11.923 11.923 11.923 11.923 9.264 10.338
LOR0309042 26452 SCREENING DE ABUSO DE DROGAS (CUALITATIVO) 123.139 123.139 123.139 123.139 111.623 111.623
LOR0309045 54177 NIVELES DE MERCURIO EN ORINA 42.591 42.591 42.591 42.591 33.519 33.519
LOR0309046 54330 NIVELES DE NEUROLEPTICOS (EN ORINA) 91.029 91.029 91.029 91.029 78.934 71.636
LOR0309047 54021 ACIDO 5-HIDROXI-INDOLACETICO 94.985 94.985 94.985 94.985 82.365 82.363
LOR0309048 59288 DETERMINACIÓN S. PNEUMONIAE EN ORINA O LCR 99.239 99.239 99.239 99.239 70.378 84.479
LOR0309049 26854 SCREENING COCAINA (ORINA) 14.933 14.933 14.933 14.933 12.812 12.978
LOR0309050 26855 SCREENING MARIHUANA (ORINA) 14.933 14.933 14.933 14.933 12.812 12.978
LSE0308027 26214 EX.QUIMICO EN LIQUIDO PERITONEAL 87.104 87.104 87.104 87.104 65.103 75.528
LSE0308028 26213 EX.QUIMICO EN LIQUIDO PLEURAL 23.860 23.860 23.860 23.860 18.274 20.688
LSE0308035 97115 TEST ALFA GLUCOSIDASA, LIQUIDO SEMINAL 41.571 41.571 41.571 41.571 36.045 36.045
LSE0308038 97080 IGG EN LIQUIDO 34.411 34.411 34.411 34.411 26.580 29.908
LSE0308039 56004 PENETRACION ESPERMATICA EN M.C.HETEROLOG. 62.927 62.927 62.927 62.927 54.567 54.567
LSE0308041 56008 SEPARACION ESPERMATICA 122.887 122.887 122.887 122.887 102.037 112.424
LSE0308042 56013 SEPARACION ESPERMATICA PARA INSEMINACION INTRAUTERINA 98.450 98.450 98.450 98.450 77.405 85.366
LSE0308043 16031 SEPARACION ESPERMATICA POR COLUMNAS DE ANEXINA 50.631 50.631 50.631 50.631 43.904 43.904
LSE0308044 26007 TEST DE APT (HB FETAL EN DEPOSICION) 16.178 16.178 16.178 16.178 12.051 14.030
LSE0308047 54557 DET.DE COCAINA EN PELO POR ANAL.DE DROGAS EN PELO 370.121 370.121 370.121 370.121 320.939 320.939
LSE0308051 54941 CISTICERCOSIS EN LCR 54.300 54.300 54.300 54.300 47.084 47.084
LSE0308052 56007 PENETRACION ESPERMATICA EN M.C. 62.342 62.342 62.342 62.342 50.122 54.867
LSE0308053 16907 COLON-CHECK 25.854 25.854 25.854 25.854 22.079 22.076
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LSE0308054 26017 GRASA EN ORINA 16.577 16.577 16.577 16.577 12.443 14.589
LSE0308055 9500 TEST DE FRAGMENTACIÓN ESPERMATICA 56.319 56.319 56.319 56.319 48.839 48.839
LSE0308056 9501 ESTUDIO DE MICRODELECIONES DEL COMOSOMAY 143.409 143.409 143.409 143.409 124.355 124.355
LTM0307009 52055 TEST CUTANEO INHALANTE C/U 6.439 6.439 6.439 6.439 5.583 5.583
LTM0307010 52047 TOMA DE MUESTRA ORINA POR SONDEO 4.980 4.980 4.980 4.980 4.317 4.317
LTM0307012 54216 TRASLADO DE MUESTRA 19.022 19.022 19.022 19.022 14.970 14.970
LTM0307013 52006 TM DOMICILIO ESPECIALIDAD SEC.1 40.251 40.251 40.251 40.251 31.677 31.677
LTM0307014 52016 TM ESPECIALIDAD SEC.2 50.787 50.787 50.787 50.787 39.967 39.967
LTM0307015 52056 TEST CUTANEO ALIMENTOS C/U 6.439 6.439 6.439 6.439 5.583 5.583
LTM0307017 52002 HEMOCULTIVO 1 MTA. SEC.2 34.395 34.395 34.395 34.395 29.823 29.821
LTM0307018 52003 HEMOCULTIVO 1 MTA. SEC.3 37.183 37.183 37.183 37.183 32.239 32.241
LTM0307019 52034 HEMOCULTIVO 1 MTA.SEC.4 51.509 51.509 51.509 51.509 44.667 44.667
LTM0307020 52036 HEMOCULTIVO 2 MTA.SEC.1 32.631 32.631 32.631 32.631 28.297 28.297
LTM0307021 52038 HEMOCULTIVO 2 MTA.SEC.2 42.882 42.882 42.882 42.882 37.182 37.182
LTM0307022 52040 HEMOCULTIVO 2 MTA.SEC.3 45.521 45.521 45.521 45.521 39.475 39.475
LTM0307023 52043 HEMOCULTIVO 3 MTA. SEC.1 40.251 40.251 40.251 40.251 34.904 34.905
LTM0307024 52044 HEMOCULTIVO 3 MTA. SEC.2 50.933 50.933 50.933 50.933 44.166 44.163
LTM0307025 52045 HEMOCULTIVO 3 MTA. SEC.3 53.705 53.705 53.705 53.705 46.569 46.569
LTM0307026 52046 HEMOCULTIVO 3 MTA.SEC.4 75.078 75.078 75.078 75.078 65.103 65.103
LTM0307027 52009 TM DOMICILIO SECTOR 1 25.762 25.762 25.762 25.762 20.274 20.274
LTM0307028 52037 TM DOMICILIO SECTOR 2 35.129 35.129 35.129 35.129 27.645 27.645
LTM0307029 52039 TM DOMICILIO SECTOR 3 37.183 37.183 37.183 37.183 29.261 29.261
LTM0307030 52041 TM DOMICILIO SECTOR 4 51.958 51.958 51.958 51.958 40.888 40.888
LTM0307031 52018 TM ESPECIALIDAD SEC.3 53.705 53.705 53.705 53.705 42.264 42.264
LTM0307032 52026 TM ESPECILIDAD SEC.4 75.815 75.815 75.815 75.815 59.664 59.664
LTM0307034 6005 TOMA DE MUESTRA AMB. POR CATETER CENTRAL Y HEPARINIZACION 13.753 13.753 13.753 13.753 11.926 11.926
LTM0307035 52013 RECOLECTOR UROGARD 6.294 6.294 6.294 6.294 4.953 4.953
LTM0307036 52051 GLUCOSA ORAL 75 GRAMOS 6.728 6.728 6.728 6.728 5.832 5.831
LTM0307038 52264 RELEFACT (MEDICAMENTO TEST LH-RH) 129.666 129.666 129.666 129.666 112.436 112.435
LTM0307041 28006 TRANSFUSION PLASMA 93.820 93.820 93.820 93.820 81.352 84.954
LTM0307042 52066 TEST VERIFI 642.224 642.224 642.224 642.224 523.521 558.168
LTM0307043 52067 TEST VERIFI PLUS 843.304 843.304 843.304 843.304 590.313 732.929
LTM0307044 52068 TEST VERIFI ALL CHROMOSOMES 796.355 796.355 796.355 796.355 654.402 692.125
LTM0307045 52069 TEST MATERNIT GENOME 1.024.010 1.024.010 1.024.010 1.024.010 716.807 768.008
LTM0307046 52456 TM DOMICILIO SECTOR 1 (INAHIBIL RECARGO50%) 38.642 38.642 38.642 38.642 30.410 -
LTM0307047 52457 TM DOMICILIO SECTOR 2 (INHABIL RECARGO 50%) 52.688 52.688 52.688 52.688 41.464 -
LTM0307048 52458 TM DOMICILIO SECTOR 3 (INHABIL RECARGO 50%) 55.768 55.768 55.768 55.768 43.887 -
LTM0307049 52459 TM DOMICILIO SECTOR 4 (INHABIL RECARGO 50%) 77.935 77.935 77.935 77.935 61.331 -
LTM0307050 52460 TM DOMICILIO SECTOR 1 ESP (INHABIL RECARGO 50%) 60.378 60.378 60.378 60.378 47.517 -
LTM0307051 52461 TM DOMICILIO SEC. 2 ESP. (INHABIL REC. 50%) 76.179 76.179 76.179 76.179 59.951 -
LTM0307052 52462 TM DOMICILIO SECTOR 3 ESP (INHABIL RECARGO 50%) 80.557 80.557 80.557 80.557 63.395 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LTM0307053 52463 TM DOMICILIO SECTOR 4 ESP (INHABIL RECARGO 50%) 113.722 113.722 113.722 113.722 89.496 -
LTM0307054 52464 TM DOMICILIO HEMOCULTIVO (INHABIL RECARGO 50%) 16.094 16.094 16.094 16.094 12.665 -
LTM0307055 52465 TM DOMICILIO ORINA POR SONDEO (INHABIL RECARGO 50%) 7.466 7.466 7.466 7.466 6.489 6.489
LTM0307056 52466 TM DOMICILIO SECTOR 1 (HABIL RECARGO 30%) URGENCIAS 33.489 33.489 33.489 33.489 26.355 -
LTM0307057 52467 TM DOMICILIO SECTOR 2 (HABIL RECARGO 30%) URGENCIAS 45.664 45.664 45.664 45.664 35.937 -
LTM0307058 52468 TM DOMICILIO SECTOR 3 (HABIL RECARGO 30%) URGENCIAS 48.333 48.333 48.333 48.333 38.036 -
LTM0307059 52469 TM DOMICILIO SECTOR 4 (HABIL RECARGO 30%) URGENCIAS 67.542 67.542 67.542 67.542 53.154 -
LTM0307060 52470 TM DOMICILIO SECTOR 1 ESP (HABIL RECARGO 30%) URGENCIAS 52.327 52.327 52.327 52.327 41.180 -
LTM0307061 52471 TM DOMICILIO SECTOR 2 ESP (HABIL RECARGO 30%) URGENCIAS 66.024 66.024 66.024 66.024 51.958 -
LTM0307062 52472 TM DOMICILIO SECTOR 3 ESP (HABIL RECARGO 30%) URGENCIAS 69.816 69.816 69.816 69.816 54.942 -
LTM0307063 52473 TM DOMICILIO SECTOR 4 ESP (HABIL RECARGO 30%) URGENCIAS 98.557 98.557 98.557 98.557 77.561 -
LTM0307064 52474 TM DOMICILIO HEMOCULTIVO (HABIL RECARGO30%) URGENCIAS 13.948 13.948 13.948 13.948 10.978 -
LTM0307065 52475 TM DOMICILIO ORINA POR SONDEO (HABIL RECARGO 30%) URGENCIAS 6.469 6.469 6.469 6.469 5.091 -
LTM0307066 52476 TM DOMICILIO SECTOR 1 (INHABIL RECARGO 50%) URGENCIAS 50.236 50.236 50.236 50.236 39.534 -
LTM0307067 52477 TM DOMICILIO SECTOR 2 (INHABIL RECARGO 50%) URGENCIAS 68.495 68.495 68.495 68.495 53.905 -
LTM0307068 52478 TM DOMICILIO SECTOR 3 (INHABIL RECARGO 50%) URGENCIAS 72.500 72.500 72.500 72.500 57.053 -
LTM0307069 52479 TM DOMICILIO SECTOR 4 (INHABIL RECARGO 50%) URGENCIAS 101.315 101.315 101.315 101.315 79.731 -
LTM0307070 52480 TM DOMICILIO SECTOR 1 ESP (INHABIL RECARGO 50%) URGENCIAS 78.492 78.492 78.492 78.492 61.772 -
LTM0307071 52481 TM DOMICILIO SEC. 2 ESP. (INHAB.REC. 50%) URG. 99.032 99.032 99.032 99.032 77.934 -
LTM0307072 52482 TM DOMICILIO SECTOR 3 ESP (INHABIL RECARGO 50%) URGENCIAS 104.726 104.726 104.726 104.726 82.416 -
LTM0307073 52483 TM DOMICILIO SECTOR 4 ESP (INHABIL RECARGO 50%) URGENCIAS 147.837 147.837 147.837 147.837 116.343 -
LTM0307074 52484 TM DOMICILIO HEMOCULTIVO (INHABIL RECARGO 50%) URGENCIAS 20.923 20.923 20.923 20.923 16.466 -
LTM0307075 52485 TM DOMICILIO ORINA POR SONDEO (INHABIL RECARGO 50%) URGENCIAS 9.701 9.701 9.701 9.701 7.635 -
LTM0307076 52052 XILOSA ORAL 11.973 11.973 11.973 11.973 10.405 10.405
LTM0307077 52564 TM COVID-19 (INSUMOS DE PROTECCION) 19.624 19.624 19.624 19.624 15.445 15.445
PAT0801032 27533 BIOPSIA RENAL/3 TECNICAS (INC. 08-01-008X1, 08-01-005X5, 08-01-004X10, 08-01-003
1.184.267 1.184.267 1.184.267 1.184.267 1.026.913 1.036.561
PAT0801034 27087 REVISION DE LAMINAS (INTERC.HISTOPATOLOGICA) 159.729 159.729 159.729 159.729 125.701 125.701
PAT0801035 27088 SEGUNDA OPINION BIOPSIA HARVARD 1.005.375 1.005.375 1.005.375 1.005.375 791.196 791.196
PAT0801036 27012 BIOPSIA DE PIEL CON TECNICA MICROGRAFICA DE MOHS 745.500 745.500 745.500 745.500 845.568 559.125
PAT0801040 27014 DETECCION DE BRAF POR INMUNOHISTOQUIMICA 89.163 89.163 89.163 89.163 76.348 77.494
PAT0801042 27034 SELECCIÓN Y CORTE DE MATERIAL 38.213 38.213 38.213 38.213 30.072 30.072
LBQ0302950 26108 ACANTHAMOEBA O AMEBAS DE VIDA LIBRE 31.966 31.966 31.966 31.966 22.376 23.974
LBQ0302974 26184 ACIDO AMINOLEVULINICO (ALA)-PORFOBILINOGENO 94.080 94.080 94.080 94.080 65.857 70.561
LBQ0302947 26090 ACIDO METILMALONICO 60.101 60.101 60.101 60.101 42.071 45.076
LBQ0302948 26094 ACIDO OROTICO 217.663 217.663 217.663 217.663 152.364 163.248
LBQ0302980 26191 ACIDOS BILIARES TOTALES 51.534 51.534 51.534 51.534 36.074 38.650
LBQ0302955 26148 ACONDROPLASIA E HIPOCONDROPLASIA, DIAGNOSTICO GENETICO MOLECULAR 309.408 309.408 309.408 309.408 216.586 232.056
LBQ0302997 26278 ANTICUEPOS ANTI MITOCONDRIALES M2 (AMA-M2) 76.164 76.164 76.164 76.164 53.314 57.124
LBQ0302969 26178 ANTICUERPO ANTI AQUAPORINA-4 (NMO) Y ANTI-MOG 167.984 167.984 167.984 167.984 117.589 125.988
LBQ0302988 26270 ANTICUERPO ANTI CELULAS PARIETALES Y ANTI FACTOR INTRINSECO 119.525 119.525 119.525 119.525 83.668 89.644
LBQ0302990 26271 ANTICUERPO ANTI PROTEINA P RIBOSOMAL 112.575 112.575 112.575 112.575 78.803 84.432
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LBQ0302973 26183 ANTICUERPO ANTI-RECEPTOR FOSFOLIPASA A2 64.030 64.030 64.030 64.030 44.821 48.022
LBQ0302991 26272 ANTICUERPOS ANTI NEURONALES PARANEOPLASICOS (12AG) 269.103 269.103 269.103 269.103 188.372 201.828
LBQ0302975 26185 ANTICUERPOS ANTI-ADALIMUMAB 147.317 147.317 147.317 147.317 103.122 110.488
LBQ0302976 26186 ANTICUERPOS ANTI-INFLIXIMAB 147.317 147.317 147.317 147.317 103.122 110.488
LBQ0302992 26273 AQUAPORINA-4 IGG CUALITATIVA 137.499 137.499 137.499 137.499 96.248 103.123
LBQ0302954 26135 BETA 2 TRANSFERRINA: LCR Y OTROS FLUIDOS CORPORALES 276.144 276.144 276.144 276.144 193.301 207.109
LMI0306995 59112 BETA-D-GLUCANO 207.021 207.021 207.021 207.021 144.915 155.265
LBQ0302986 26212 CTX SERICO / TELOPEPTIDO 72.122 72.122 72.122 72.122 50.486 54.093
LBQ0302977 26187 CUANTIFICACION DE ADALIMUNAB 117.858 117.858 117.858 117.858 82.500 88.393
LBQ0302978 26188 CUANTIFICACION INFLIXIMAB 117.858 117.858 117.858 117.858 82.500 88.393
LBQ0302949 26095 CULTIVO POLIOVIRUS/PARALISIS FLACIDA 33.821 33.821 33.821 33.821 23.674 25.365
LMI0306986 59068 CYCLOSPORA 31.966 31.966 31.966 31.966 22.376 23.974
LBQ0302982 26193 EMIGRANTES TIMICOS RECIENTES 167.463 167.463 167.463 167.463 117.223 125.597
LBQ0302983 26198 ESTALLIDO RESPIRATORIO 154.705 154.705 154.705 154.705 108.294 116.029
LBQ0302966 26172 ESTUDIO DE RESISTENCIA GANCICLOVIR 283.626 283.626 283.626 283.626 198.538 212.720
LBQ0302952 24017 ESTUDIO MOLECULAR DE PCR POR TRANSLOCACIONES (X CADA TRANSLOCACION)
323.040 323.040 323.040 323.040 226.127 242.279
LBQ0302956 26149 EVALUACION METABOLICA LITIASIS URINARIA 336.935 336.935 336.935 336.935 235.854 252.701
LBQ0302960 26165 EVEROLIMUS/CERTICAN, MONITOREO TERAPEUTICO 56.216 56.216 56.216 56.216 39.351 42.162
LBQ0302968 26176 FIBROSIS QUISTICA ESTUFIO GENETICO 50 MUTACIONES 523.798 523.798 523.798 523.798 366.658 392.849
LBQ0302959 24027 HEPATITIS C VIRUS, GENOTIPIFICACION 305.253 305.253 305.253 305.253 213.676 228.939
LBQ0302996 26277 HIDROXICLOROQUINA POR HPLC 56.521 56.521 56.521 56.521 39.565 42.390
LBQ0302993 26274 HIPERPLASIA SUPRARRENAL CONGENITA 390.922 390.922 390.922 390.922 273.645 293.192
LBQ0302995 26276 INMUNOFENOTIPO DE LINFOCITOS T REGULADORES 175.839 175.839 175.839 175.839 123.088 131.879
LBQ0302958 26154 L-CISTINA EN ORINA 29.106 29.106 29.106 29.106 20.375 21.831
LBQ0302981 26192 LINFOCITOS B DE MEMORIA 169.738 169.738 169.738 169.738 118.817 127.304
LBQ0302984 26208 LINFOCITOS T DE MEMORIA 255.894 255.894 255.894 255.894 179.126 191.920
LBQ0302985 26209 LINFOPROLIFERACION DE LINFOCITOS T CON PHA 337.981 337.981 337.981 337.981 236.587 253.487
LBQ0302962 26169 MALABSOCION DE LACTOSA, ESTUDIO GENETICO 158.197 158.197 158.197 158.197 110.738 118.648
LBQ0302998 26279 NIVELES DE ETOSUXIMIDA 31.512 31.512 31.512 31.512 22.059 23.635
LBQ0302970 26179 PANEL ENCEFALITIS AUTOINMUNE EN LCR (DERIVADO NACIONAL) 384.997 384.997 384.997 384.997 269.498 288.748
LBQ0302972 26182 PANEL ENCEFALITIS AUTOINMUNE EN SUERO (NO MMDAR) 255.250 255.250 255.250 255.250 178.675 191.438
LBQ0302971 26181 PANEL ENCEFALITIS AUTOINMUNE EN SUERO YLCR (DERIVADO NACIONAL) 769.992 769.992 769.992 769.992 538.995 577.494
LBQ0302953 24023 PCR HTLV I Y II 136.779 136.779 136.779 136.779 95.745 102.584
LBQ0302989 24043 PCR UNIVERSAL BACTERIANA 185.776 185.776 185.776 185.776 130.043 139.331
LBQ0302961 24029 PCR VIRUS JC 115.920 115.920 115.920 115.920 81.144 86.940
LBQ5999995 54995 QUIMERISMO CUANTITATIVO (ANALISIS DE 23STR) 297.467 297.467 297.467 297.467 208.227 223.100
LBQ5999996 54996 QUIMERISMO RECEPTOR 157.500 157.500 157.500 157.500 88.200 94.500
LBQ5999997 54997 QUIMERISMO RECEPTOR + DONANTE 157.500 157.500 157.500 157.500 88.200 94.500
LBQ0302979 26189 RECEPTOR SOLUBLE INTERLEUKINA 2 202.327 202.327 202.327 202.327 141.629 151.745
LBQ0302951 26123 SEROLOGIA HAEMOPHILUS INFLUENZAE 63.350 63.350 63.350 63.350 44.345 47.512
LBQ0302967 26175 SINDROME DE CHARCOT-MARIE-TOOTH, DIAGNOSTICO GENETICO 189.938 189.938 189.938 189.938 132.958 142.454
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
LBQ0302994 26275 SINDROME DE GILBERT, ESTUDIO GENETICO MOLECULAR 117.319 117.319 117.319 117.319 82.123 87.989
LBQ0302964 26170 SINDROME DE MELAS Y MERRF, ESTUDIO GENETICO 160.005 160.005 160.005 160.005 112.004 120.003
LBQ0302965 26171 SIROLIMUS (SIROTAN) NIVELES SANGUINEOS 61.098 61.098 61.098 61.098 42.769 45.823
LBQ0302957 26152 SULFATO EN ORINA 33.234 33.234 33.234 33.234 23.265 24.926
LMI0306993 59105 SEROLOGIA DE FILARIASIS 85.441 85.441 85.441 85.441 59.808 64.080
LMI0306994 59111 SEROLOGIA DE LEISHMANIASIS 85.441 85.441 85.441 85.441 59.808 64.080
LMI0306992 59103 SEROLOGIA DE SCHISTOSOMIASIS 79.701 79.701 79.701 79.701 55.792 59.776
LMI0306991 59102 SEROLOGIA DE STRONGYLOIDIASIS 29.818 29.818 29.818 29.818 20.873 22.364
LMI0306989 59076 SEROLOGIA FIEBRE AMARILLA 35.801 35.801 35.801 35.801 25.060 26.850
LMI0306985 59065 SEROLOGIA TETANOS (ANTICUERPO TOXOIDE TETANICO) 69.847 69.847 69.847 69.847 48.894 52.385
LMI0306988 59075 SEROLOGIA VIRUS FIEBRE AMARILLA 125.219 125.219 125.219 125.219 87.654 93.915
LMI0306987 59073 SEROLOGIA VIRUS RABIA (INMUNIDAD PARA RABIA) 84.541 84.541 84.541 84.541 59.179 63.406
LMI0306997 59117 VIRUS CHIKUNGUNYA IGG 94.542 94.542 94.542 94.542 66.179 70.906
LMI0306996 59113 VIRUS CHIKUNGUNYA IGM 94.542 94.542 94.542 94.542 66.179 70.906
LMI0306998 59121 VIRUS ZIKA IGG 125.912 125.912 125.912 125.912 88.139 94.434
LHE0301998 58011 PRUEBA DE UNION DE FVW A COLAGENO 75.740 75.740 75.740 75.740 53.018 56.805
LHE0301999 58012 TIPIFICACION ANTIGENOS PLAQUETARIOS 490.149 490.149 490.149 490.149 343.104 367.612
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00 HRS.
EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC

VIS0101001 33561 VISITA MEDICA DOMICILIARIA EN HORARIO HABIL 101004 81.488 - 81.488 - 57.042 -
ATN0101099 ATENCION MEDICA DEL RECIEN NACIDO EN SALA DE PARTO O 101007 - 189.099 - 189.099 - 176.631
VIS0101002 33562 VISITA POR MEDICO TRATANTE A PACIENTE HOSPITALIZADO 101008 - 86.241 - 86.241 - 76.262
VIS0101004 33564 VISITAS POR MED.TRATANTE A PAC.HOSPITALIZADO (RECIEN NACIDO)101008 - 68.595 - 68.595 - 60.659
CIC0102005 21027 INTERCONSULTAS MEDICA EN SERV. DE URGENCIAS 101009 109.749 109.749 109.749 109.749 101.924 101.924
CIC0102010 21029 INTERCONSULTAS MEDICA EN SERV. URGENCIAS - INHABIL 101009 131.699 131.699 131.699 131.699 122.308 122.308
VIS0101003 33563 VISITA (SIQUIATRIA) POR MED.INTERCONSULTOR O EN JUNTA MEDICA101009
C/U - 138.896 - 138.896 - 122.822
VIS0101012 33512 VISITA POR MED.INTERCONSULTOR O EN J.MED. C/U A PAC..HOSPITALIZADO
101009 - 86.241 - 86.241 - 77.470
PDE1601951 16050 TEST DE ALERGENOS (TRUE TEST )(REACCIONCUT.DE PARCHE C/U) 307005 272.394 - 272.394 - 254.436 -
PDE1601952 TEST DE METALES (TRUE TEST )(REACCION CUT.DE PARCHE C/U)(10)307005 105.670 - 105.670 - 90.379 -
PDE1601953 TEST ALERGENOS NIÑOS TRUE TEST (REACCION CUT.DE PARCHE C/U)(30)
307005 70.447 - 70.447 - 60.253 -
PDE1601954 PRODUCTOS DENTALES (TRUE TEST )(REACCION CUT.DE PARCHE C/U)(12)
307005 70.447 - 70.447 - 60.253 -
HMC1101019 RELLENADO DE BOMBAS DE ADM.DE FARMACOS EN LCR 1101001 - 291.104 - 291.104 - 257.918
HMC1103089 RELLENADO DE BOMBA BACLOFENO O C/OTRO DISP.SIM.DE INFUSION 1101001
DE MEDIC. - 291.104 - 291.104 - 271.912
HMC1101010 PUNCION LUMBAR C/S MANOMETRIA C/S QUECKE 1101003 - 213.990 - 213.990 - 189.229
HMC1101001 ANGIOGRAFIA DIGITAL CEREBRAL O MEDULAR D 1101013 - 1.170.460 - 1.170.460 - 1.035.023
HMC1101038 CAROTIDA-VERTEBRAL POR CAT.DE LA SUBCLAV 1101013 - 868.670 - 868.670 - 768.154
HMC1701044 PRUEBA DE OCLUSION CAROTIDEA O VERTEBRAL 1101013 - 3.189.001 - 3.189.001 - 2.978.756
HMN1101001 ANGIOGRAFIA DIGITAL CEREBRAL O MEDULAR D 1101013 - 408.795 - 408.795 - 355.725
HMN1101038 CAROTIDA-VERTEBRAL POR CAT.DE LA SUBCLAV 1101013 - 296.994 - 296.994 - 259.960
HMN1701044 PRUEBA DE OCLUSION CAROTIDEA O VERTEBRAL 1101013 - 1.116.273 - 1.116.273 - 966.801
HMC1101009 MIEOLOGRAFIA POR PUNCION LUMBAR, CON MED 1101025 - 215.697 - 215.697 - 190.738
HMP1101025 96606 MIEOLOGRAFIA POR PUNCION LUMBAR 1101025 215.697 - 215.697 - 190.738 -
HMC1101005 INFILT. NERVIOS PERIFERICOS INTRAMUSCULA 1101026 - 158.097 - 158.097 - 139.803
HMR1101026 96636 IBLOQUEO NERVIO PERIFERICO EN PUNTO MOTOR 1101026 158.097 - 158.097 - 139.803 -
HMC1101006 INFILT. NERVIOS PERIFERICOS TRONCULAR 1101027 - 158.097 - 158.097 - 139.803
HMC1101008 INFILTRACION O BLOQUEO DE RAMAS DEL TRIG 1101028 - 158.097 - 158.097 - 139.803
HMC1101002 INFILTRACION O BLOQUEO DEL GANGLIO ESTRE 1101029 - 158.097 - 158.097 - 139.803
HMC1101003 INFILTRACION O BLOQUEO EPIDURAL, CERVICAL, LUMBAR O SIMIL. 1101030 - 198.039 - 198.039 - 175.122
HMC1101004 INFILTRACION O BLOQUEO INTERCOSTALES (CU 1101031 - 239.701 - 239.701 - 211.961
HMC1101007 INFILTRACION O BLOQUEO SUBOCCIPITAL U OT 1101033 - 118.302 - 118.302 - 104.614
HMC1103018 ANEURISMA CIRSOIDEO DE CUERO CABELLUDO, 1103001 - 852.226 - 852.226 - 753.613
HMN1103018 ANEURISMA CIRSOIDEO DE CUERO CABELLUDO, 1103001 - 373.130 - 373.130 - 329.955
HMC1103069 SINUS PERICRANI, TRAT.QUIR. 1103002 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103069 SINUS PERICRANI, TRAT.QUIR. 1103002 - 603.462 - 603.462 - 533.634
HMC1103007 HUNDIMIENTO SIMPLE, REPARACION DE 1103003 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103007 HUNDIMIENTO SIMPLE, REPARACION DE 1103003 - 603.462 - 603.462 - 533.634
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1103008 CRANEOPLASTIA CON AUTOINJERTO 1103004 - 1.704.443 - 1.704.443 - 1.507.213
HMN1103008 CRANEOPLASTIA CON AUTOINJERTO 1103004 - 603.462 - 603.462 - 533.634
HMC1103009 CRANEOPLASTIA CON PROTESIS (NO INCLUYE E 1103005 - 1.704.443 - 1.704.443 - 1.507.213
HMN1103009 CRANEOPLASTIA CON PROTESIS (NO INCLUYE E 1103005 - 603.462 - 603.462 - 533.634
HMC1103076 TUMORES DE CALOTA, EXTIRPACION DE 1103006 - 1.704.443 - 1.704.443 - 1.507.213
HMN1103076 TUMORES DE CALOTA, EXTIRPACION DE 1103006 - 603.462 - 603.462 - 533.634
HMC1103026 CRANEO:OSTEOMELITIS, LIMPIEZA QUIRURGICA 1103007 - 1.704.443 - 1.704.443 - 1.507.213
HMN1103026 CRANEO:OSTEOMELITIS, LIMPIEZA QUIRURGICA 1103007 - 603.462 - 603.462 - 533.634
HMC1103029 CRANIECTOMIAS DESCOMPRESIVAS 1103008 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103029 CRANIECTOMIAS DESCOMPRESIVAS 1103008 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103060 REPARACION DE FRACTURA CRECEDORA 1103009 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103060 REPARACION DE FRACTURA CRECEDORA 1103009 - 816.911 - 816.911 - 722.381
HMC1103027 CRANEOTOMIAS LINEALES 1103010 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103027 CRANEOTOMIAS LINEALES 1103010 - 603.462 - 603.462 - 533.634
HMC1103028 CRANIECTOMIAS C/S REMODELACION OSEA 1103011 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103028 CRANIECTOMIAS C/S REMODELACION OSEA 1103011 - 816.911 - 816.911 - 722.381
HMC1103031 CX.REP.CRANEO ORB.FACIAL HON. 1ER CIR. R 1103012 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103031 CX.REP.CRANEO ORB.FACIAL HON. 1ER CIR. R 1103012 - 603.462 - 603.462 - 533.634
HMC1103030 CX.REP.CRANEO ORB.FACIAL HON. C/U DE LOS 1103013 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103030 CX.REP.CRANEO ORB.FACIAL HON. C/U DE LOS 1103013 - 462.206 - 462.206 - 408.723
HMC1103038 HEMATOMA O ABSCESO EXTRADURAL, VACIAMIEN 1103014 - 3.010.152 - 3.010.152 - 2.661.836
HMC1103059 REPARACION DE FISTULA DE LCR 1103015 - 3.091.028 - 3.091.028 - 2.733.354
HMN1103059 REPARACION DE FISTULA DE LCR 1103015 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103036 HEMATOMA, EMPIEMA O COLECCION SUBDURAL, 1103016 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103036 HEMATOMA, EMPIEMA O COLECCION SUBDURAL, 1103016 - 816.911 - 816.911 - 722.381
HMC1103058 QUISTES ARACNOIDALES ENCEFALICOS, TRAT. 1103017 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103058 QUISTES ARACNOIDALES ENCEFALICOS, TRAT. 1103017 - 816.911 - 816.911 - 722.381
HMC1103080 VENTRICULOSTOMIA O INSTALACION DE DERIVA 1103018 - 2.135.997 - 2.135.997 - 1.909.482
HMN1103080 VENTRICULOSTOMIA O INSTALACION DE DERIVA 1103018 - 603.462 - 603.462 - 533.634
HMC1103015 ABSCESO CEREBRAL, TRAT. QUIR. 1103019 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103015 ABSCESO CEREBRAL, TRAT. QUIR. 1103019 - 816.911 - 816.911 - 722.381
HMC1103039 HERIDA POR BALA CRANEOENCEFALICA Y/O EXT 1103020 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103039 HERIDA POR BALA CRANEOENCEFALICA Y/O EXT 1103020 - 816.911 - 816.911 - 722.381
HMC1103041 HUNDIMIENTO EXPUESTO, REPAR. DE 1103021 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103041 HUNDIMIENTO EXPUESTO, REPAR. DE 1103021 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103046 LOBECTOMIAS POR CONTUSION CEREBRAL 1103022 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103046 LOBECTOMIAS POR CONTUSION CEREBRAL 1103022 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103037 HEMATOMA INTRACEREBRAL, VACIAMIENTO DE 1103023 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103037 HEMATOMA INTRACEREBRAL, VACIAMIENTO DE 1103023 - 816.911 - 816.911 - 722.381
HMC1103072 TUMO Y/O QUISTES Y/O CAVERN (EXT DE) BAS 1103024 - 4.262.651 - 4.262.651 - 3.769.403
HMC1103077 TUMOR,QUISTE,CAVERNOMA DE BASE DE CRANEO 1103024 - 4.262.651 - 4.262.651 - 3.769.403
HMC1103085 TUMOR BASE DE CRANEO CON NEURONAVEGADOR 1103024 - 4.262.651 - 4.262.651 - 3.769.403
HMN1103072 TUMO Y/O QUISTES Y/O CAVERN (EXT DE) BAS 1103024 - 1.492.539 - 1.492.539 - 1.319.831
HMN1103077 TUMOR,QUISTE,CAVERNOMA DE BASE DE CRANEO 1103024 - 1.492.539 - 1.492.539 - 1.319.831
HMN1103085 TUMOR BASE DE CRANEO CON NEURONAVEGADOR 1103024 - 1.492.539 - 1.492.539 - 1.319.831
HMC1103078 TUMOR,QUISTE,CAVERNOMA INTRAORBITARIOS 1103025 - 3.623.880 - 3.623.880 - 3.204.548
HMN1103078 TUMOR,QUISTE,CAVERNOMA INTRAORBITARIOS 1103025 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103084 TUMOR, QUISTE, CAVERNOMA ENCEFALICO Y DE 1103026 - 3.623.880 - 3.623.880 - 3.204.548
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1103084 TUMOR, QUISTE, CAVERNOMA ENCEFALICO Y DE 1103026 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103019 ANEURISMAS, MALFORMACIONES ARTERIOVENOSA 1103027 - 4.475.786 - 4.475.786 - 3.957.875
HMC1103081 TRATAMIENTO ENDOVASCULAR CEREBRAL POR LE 1103027 - 4.252.313 - 4.252.313 - 3.682.922
HMN1103019 ANEURISMAS, MALFORMACIONES ARTERIOVENOSA 1103027 - 1.492.539 - 1.492.539 - 1.319.831
HMN1103081 TRATAMIENTO ENDOVASCULAR CEREBRAL POR LE 1103027 - 1.275.694 - 1.275.694 - 1.289.058
HMC1103034 FISTULA CAROTIDO CAVERNOSA. TRATAMIENTO 1103028 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103034 FISTULA CAROTIDO CAVERNOSA. TRATAMIENTO 1103028 - 1.136.297 - 1.136.297 - 1.004.812
HMN1103035 FISTULA CAROTIDO CAVERNOSA. TRATAMIENTO 1103028 - 1.492.539 - 1.492.539 - 1.319.831
HMC1103035 FISTULA CAROTIDO CAVERNOSA. TRATAMIENTO 1103029 - 3.623.880 - 3.623.880 - 3.204.548
HMC1103016 ANASTOMOSIS Y REVASCULARIZACION CEREBRAL 1103030 - 3.091.028 - 3.091.028 - 2.733.354
HMN1103016 ANASTOMOSIS Y REVASCULARIZACION CEREBRAL 1103030 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103017 ANASTOMOSIS Y REVASCULARIZACION CEREBRAL 1103031 - 5.567.925 - 5.567.925 - 4.923.639
HMN1103017 ANASTOMOSIS Y REVASCULARIZACION CEREBRAL 1103031 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103044 INSTALACION DE DERIVATIVAS DE LCR ( NO I 1103032 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103044 INSTALACION DE DERIVATIVAS DE LCR ( NO I 1103032 - 816.911 - 816.911 - 722.381
HMC1103062 REVISION O EXTERIORIZACION DE DERIVATIVA 1103033 - 1.704.443 - 1.704.443 - 1.507.213
HMN1103062 REVISION O EXTERIORIZACION DE DERIVATIVA 1103033 - 603.462 - 603.462 - 533.634
HMC1103079 VENTRICULOCISTERNOSTOMIA 1103034 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103079 VENTRICULOCISTERNOSTOMIA 1103034 - 816.911 - 816.911 - 722.381
HMC1103033 FENESTRACION, SEPTOSTOMIA O COAGULACION 1103035 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103033 FENESTRACION, SEPTOSTOMIA O COAGULACION 1103035 - 816.911 - 816.911 - 722.381
HMC1103022 CIRUGIA DESCOMPRESIVA DE FOSA POSTERIOR 1103036 - 3.091.028 - 3.091.028 - 2.733.354
HMN1103022 CIRUGIA DESCOMPRESIVA DE FOSA POSTERIOR 1103036 - 1.492.539 - 1.492.539 - 1.319.831
HMC1103048 MENINGO Y MENINGOENCEFALOCELE OCCIPITAL, 1103037 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103048 MENINGO Y MENINGOENCEFALOCELE OCCIPITAL, 1103037 - 603.462 - 603.462 - 533.634
HMC1103023 CIRUGIA DESCOMPRESIVA NEUROVASCULAR 1103038 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103023 CIRUGIA DESCOMPRESIVA NEUROVASCULAR 1103038 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103057 NEUROTOMIAS 1103039 - 1.065.673 - 1.065.673 - 942.358
HMN1103057 NEUROTOMIAS 1103039 - 373.130 - 373.130 - 329.955
HMC1103056 NEUROLISIS O MICROCOMPRESION PERCUTANEA 1103040 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103056 NEUROLISIS O MICROCOMPRESION PERCUTANEA 1103040 - 373.130 - 373.130 - 329.955
HMC1103021 CIRUGIA DE LA EPILEPSIA ( CUALQUIER TECN 1103041 - 3.837.316 - 3.837.316 - 3.393.287
HMN1103021 CIRUGIA DE LA EPILEPSIA ( CUALQUIER TECN 1103041 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103020 BIOPSIA ESTEROTAXICA 1103042 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103020 BIOPSIA ESTEROTAXICA 1103042 - 816.911 - 816.911 - 722.381
HMC1103024 COAGULACION DE NUCLEOS O VIAS ENCEFALICA 1103043 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103024 COAGULACION DE NUCLEOS O VIAS ENCEFALICA 1103043 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103042 IMPLANTACION DE ESTIMULADORES INTRACRANE 1103045 - 2.558.211 - 2.558.211 - 3.495.879
HMN1103042 IMPLANTACION DE ESTIMULADORES INTRACRANE 1103045 - 816.911 - 816.911 - 722.381
HMC1103045 INSTALACION DE ESTIMULADORES MEDULARES 1103046 - 2.558.211 - 2.558.211 - 2.262.191
HMC1103088 HHMM - RECAMBIO DE BOMBA O RETIRO DE BOM 1103046 - 1.918.659 - 1.918.659 - 1.918.659
HMC1103090 NST.DE BOMBA DE BACLOFENO O CUAL.OTRO DI 1103046 - 2.558.211 - 2.558.211 - 2.389.552
HMN1103038 HEMATOMA O ABSCESO EXTRADURAL, VACIAMIEN 1103046 - 816.911 - 816.911 - 722.381
HMN1103045 INSTALACION DE ESTIMULADORES MEDULARES 1103046 - 603.462 - 603.462 - 533.634
HMN1103088 HMA- RECAMBIO DE BOMBA O RETIRO DE BOMBA 1103046 - 575.598 - 575.598 - 575.598
HMN1103090 INST.DE BOMBA DE BACLOF.O CUALQ.OTRO DIS 1103046 - 767.464 - 767.464 - 767.464
HMC1103032 DISRRAFIAS ESPINALES: MENINGOCELE, MIELO 1103047 - 2.818.310 - 2.818.310 - 2.492.194
HMN1103032 DISRRAFIAS ESPINALES: MENINGOCELE, MIELO 1103047 - 816.911 - 816.911 - 722.381
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1103011 NEUROTOMIA FACETARIA PERCUTANEA, INCLUYE 1103048 - 675.636 - 675.636 - 588.883
HMN1103011 NEUROTOMIA FACETARIA PERCUTANEA, INCLUYE 1103048 - 284.071 - 284.071 - 248.652
HMC1103012 HERNIA NUCLEO PULPOSO, ESTENORRAQUIS,ARACNODITIS, FIBROSIS,
1103049 - 2.686.121 - 2.686.121 - 2.341.212
HMN1103012 HERNIA NUCLEO PULPOSO, ESTENORRAQUIS,ARACNODITIS, FIBROSIS,
1103049 - 816.911 - 816.911 - 715.053
HMC1103053 NEUROCIRUGIA LAMINECTOMIA DESCOMPRESIVA 1103050 - 2.686.121 - 2.686.121 - 2.375.302
HMN1103053 LAMINECTOMIA DESCOMPRESIVA (NEUROCIRUJAN 1103050 - 1.136.297 - 1.136.297 - 1.004.810
HMC1103040 HERIDAS RAQUIMEDULARES, TRAT. QUIR. 1103051 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103040 HERIDAS RAQUIMEDULARES, TRAT. QUIR. 1103051 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103075 TUMOR VERTEBRAL, TRAT. QUIR. 1103052 - 3.091.028 - 3.091.028 - 2.733.354
HMN1103075 TUMOR VERTEBRAL, TRAT. QUIR. 1103052 - 1.136.297 - 1.136.297 - 1.004.812
HMC1103074 TUMOR O QUISTE MEDULAR O INTRARRAQUIDEO, 1103053 - 4.262.651 - 4.262.651 - 3.769.403
HMN1103074 TUMOR O QUISTE MEDULAR O INTRARRAQUIDEO, 1103053 - 1.492.539 - 1.492.539 - 1.319.831
HMC1103047 MALFORMACION ARTERIOVENOSA O FISTULA DUR 1103054 - 3.623.880 - 3.623.880 - 3.204.548
HMN1103047 MALFORMACION ARTERIOVENOSA O FISTULA DUR 1103054 - 1.492.539 - 1.492.539 - 1.319.831
HMC1103025 CORDOTOMIA PERCUTANEA 1103055 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103025 CORDOTOMIA PERCUTANEA 1103055 - 462.206 - 462.206 - 408.723
HMC1103049 MIELOTOMIA, DREZTOMIA 1103056 - 2.558.211 - 2.558.211 - 2.262.191
HMN1103049 MIELOTOMIA, DREZTOMIA 1103056 - 816.911 - 816.911 - 722.381
HMC1103063 RIZOTOMIA ( CUALQUIER TECNICA ) 1103057 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103063 RIZOTOMIA ( CUALQUIER TECNICA ) 1103057 - 816.911 - 816.911 - 722.381
HMC1103073 TUMOR DE NERVIO PERIFERICO, EXTIRP. DE 1103058 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103073 TUMOR DE NERVIO PERIFERICO, EXTIRP. DE 1103058 - 462.206 - 462.206 - 408.723
HMC1103061 REPARACION PLEXOS C/S NEUROTIZACION CON 1103059 - 3.091.028 - 3.091.028 - 2.733.354
HMN1103061 REPARACION PLEXOS C/S NEUROTIZACION CON 1103059 - 603.462 - 603.462 - 533.634
HMC1103064 SECCION DE NERVIO, REPARACION CON INJERT 1103060 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103064 SECCION DE NERVIO, REPARACION CON INJERT 1103060 - 603.462 - 603.462 - 533.634
HMC1103065 SECCION DE NERVIO, REPARACION SIN INJERTO 1103061 - 1.704.443 - 1.704.443 - 1.507.213
HMN1103065 SECCION DE NERVIO, REPARACION SIN INJERTO 1103061 - 462.206 - 462.206 - 408.723
HMC1103054 NEUROLISIS CON TECNICA MICROQUIRURGICA 1103062 - 2.131.322 - 2.131.322 - 1.884.700
HMN1103054 NEUROLISIS CON TECNICA MICROQUIRURGICA 1103062 - 462.206 - 462.206 - 408.723
HMC1103055 NEUROLISIS EXTERNA 1103063 - 852.226 - 852.226 - 753.613
HMN1103055 NEUROLISIS EXTERNA 1103063 - 284.071 - 284.071 - 251.199
HMC1103067 SINDROME DEL ESCALENO, TRAT. QUIR. 1103064 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103067 SINDROME DEL ESCALENO, TRAT. QUIR. 1103064 - 603.462 - 603.462 - 533.634
HMC1103066 SINDROME DE COSTILLA CERVICAL,TRAT.QUIR. 1103065 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103066 SINDROME DE COSTILLA CERVICAL,TRAT.QUIR. 1103065 - 603.462 - 603.462 - 533.634
HMC1103068 SINDROME DEL TUNEL DEL CARPO O DEL TARSO 1103066 - 1.385.047 - 1.385.047 - 1.207.201
HMN1103068 SINDROME DEL TUNEL DEL CARPO O DEL TARSO 1103066 - 373.130 - 373.130 - 326.611
HMC1103070 TRANSPOSICION CUBITAL, REPAR. DE 1103067 - 1.385.047 - 1.385.047 - 1.224.778
HMN1103070 TRANSPOSICION CUBITAL, REPAR. DE 1103067 - 462.206 - 462.206 - 408.723
HMC1103050 NEURECTOMIA, CUALQUIER LOCALIZACION, CAD 1103068 - 1.065.673 - 1.065.673 - 942.358
HMN1103050 NEURECTOMIA, CUALQUIER LOCALIZACION, CAD 1103068 - 462.206 - 462.206 - 408.723
HMC1103014 TRAUMAT. FIJACION DE COLUMNA (CERVICAL-D 1103069 - 3.986.268 - 3.986.268 - 3.525.008
HMN1103014 TRAUMAT. FIJACION DE COLUMNA (CERVICAL-D 1103069 - 1.492.539 - 1.492.539 - 1.319.832
HMC1201007 CUERPO EXTRANO CONJUNTIVAL Y/O CORNEAL E 1201029 - 99.100 - 99.100 - 89.552
HMC1201008 HM CUERPO EXTRANO CONJUNTIVAL Y/O CORNEA 1201030 - 158.097 - 158.097 - 142.866
HMC1201021 VIA LAGRIMAL,CATETERISMO O SONDAJE EN AD 1201031 - 99.100 - 99.100 - 89.552
HMC1201019 VIA LAGRIMAL, CATETERISMO O SONDAJE EN L 1201032 - 99.100 - 99.100 - 89.552
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1201020 VIA LAGRIMAL, CATETERISMO O SONDAJE EN N 1201033 - 99.100 - 99.100 - 89.552
HMC1201018 TOCACION CORNEAL C/YODO Y/O ETER U OTROS 1201034 - 99.100 - 99.100 - 89.552
HMC1201005 CRIOCOAGULACION CONJUNTIVAL, CORNEAL O P 1201035 - 119.090 - 119.090 - 107.616
HMC1201006 CRIOCOAGULACION CONJUNTIVAL, CORNEAL O P 1201036 - 119.090 - 119.090 - 107.616
HMC1201037 GLAUCOMA, CICLODIATERMIA Y/O CICLOCRIOTE 1201037 - 241.004 - 241.004 - 241.004
HMC1201016 PUNTOS LAGRIMALES; ELECTROTERMOCOAGULACI 1201040 - 119.090 - 119.090 - 106.372
HMC1201017 SONDAJE VIA LAGRIMAL EN NINOS (BAJO ANES 1201041 - 243.864 - 243.864 - 220.369
HMN1201017 SONDAJE VIA LAGRIMAL EN NINOS (BAJO ANES 1201041 - 78.665 - 78.665 - 68.370
HMC1202073 VIA LAGRIMAL: INTUBACION 1202001 - 364.564 - 364.564 - 322.378
HMC1202054 PUNTOS LAGRIMALES, PLASTIA DE 1202002 - 309.859 - 309.859 - 274.959
HMN1202054 PUNTOS LAGRIMALES. PLASTIA DE 1202002 - 92.959 - 92.959 - 82.488
HMC1202059 RECONSTITUCION DE CANALICULOS 1202003 - 545.487 - 545.487 - 484.047
HMN1202059 RECONSTITUCION DE CANALICULOS 1202003 - 163.646 - 163.646 - 153.195
HMC1202066 SACO Y/O GLAND. LAGRIMAL: ABS. VACIAMIEN 1202004 - 136.339 - 136.339 - 120.983
HMN1202066 ABSCESO, VAC. Y/O DREN.DE SACO Y/O GLAND 1202004 40.901 40.901 40.901 40.901 36.294 36.294
HMC1202023 DACRIOCISTORRINOSTOMIA 1202005 - 669.338 - 669.338 - 593.949
HMN1202023 DACRIOCISTORRINOSTOMIA 1202005 - 214.752 - 214.752 - 187.979
HMC1202035 EXTIRPACION DE SACO Y/O GLAND. LAGRIMAL 1202006 - 454.167 - 454.167 - 403.012
HMN1202035 EXTIRPACION DE SACO Y/O GLAND. LAGRIMAL 1202006 - 136.249 - 136.249 - 127.552
HMC1202060 RECONSTITUCION VIA LAGRIMAL EN AUSENCIA 1202007 - 893.167 - 893.167 - 792.568
HMN1202060 RECONSTITUCION VIA LAGRIMAL EN AUSENCIA 1202007 - 267.951 - 267.951 - 250.841
HMC1202070 TUMOR DE GLANDULA LAGRIMAL, TRAT. QUIR. 1202008 - 523.299 - 523.299 - 464.357
HMN1202070 TUMOR DE GLANDULA LAGRIMAL, TRAT. QUIR. 1202008 - 167.896 - 167.896 - 146.968
HMC1202072 TUMOR MALIGNO DEL SACO, TRAT. QUIR. COMP 1202009 - 669.338 - 669.338 - 593.949
HMN1202072 TUMOR MALIGNO DEL SACO, TRAT. QUIR. COMP 1202009 - 200.801 - 200.801 - 187.979
HMC1202051 PARPADO Y CEJA: ABSCESO, TRAT. QUIR. (SU 1202010 - 177.240 - 177.240 - 157.277
HMN1202051 ABSCESO. TRAT. QUIR.-PARPADO Y CEJA 1202010 53.172 53.172 53.172 53.172 49.632 49.632
HMC1202010 BIOPSIA DE PARPADO Y/O ANEXOS (PROC. AUT 1202011 - 198.714 - 198.714 - 176.332
HMN1202010 BIOPSIA DE PARPADO Y/O ANEXOS (PROC. AUT 1202011 - 75.780 - 75.780 - 69.158
HMC1202003 BLEFAROCHALASIS, PLASTIA DE 1202012 - 619.606 - 619.606 - 549.818
HMN1202003 BLEFAROCHALASIS, PLASTIA DE 1202012 - 198.797 - 198.797 - 174.005
HMC1202011 BLEFAROFIMOSIS, PLASTIA DE 1202013 - 858.957 - 858.957 - 762.212
HMN1202011 BLEFAROFIMOSIS, PLASTIA DE 1202013 - 257.687 - 257.687 - 241.223
HMC1202012 BLEFARORRAFIA CON BLEFAROTOMIA POSTERIOR 1202014 - 381.366 - 381.366 - 338.412
HMN1202012 BLEFARORRAFIA CON BLEFAROTOMIA POSTERIOR 1202014 - 145.434 - 145.434 - 132.724
HMC1202013 CANTOPLASTIA 1202015 - 443.144 - 443.144 - 393.232
HMN1202013 CANTOPLASTIA 1202015 - 132.944 - 132.944 - 124.456
HMC1202001 CHALAZION Y OTROS TUMORES BENIGNOS (UNO 1202016 - 283.611 - 283.611 - 235.319
HMN1202001 CHALAZION Y OTROS TUMORES BENIGNO 1202016 - 101.127 - 101.127 - 92.293
HMC1202016 COLOBOMA, PLASTIA DE 1202017 - 736.602 - 736.602 - 653.639
HMN1202016 COLOBOMA, PLASTIA DE 1202017 - 220.981 - 220.981 - 206.872
HMC1202004 ECTROPION, PLASTIA DE 1202018 - 747.003 - 747.003 - 619.805
HMN1202004 ECTROPION, PLASTIA DE 1202018 - 224.099 - 224.099 - 196.155
HMC1202028 ENTROPION, PLASTIA DE 1202019 - 698.477 - 698.477 - 619.805
HMN1202028 ENTROPION, PLASTIA DE 1202019 - 209.542 - 209.542 - 196.155
HMC1202031 EPICANTO, PLASTIA DE 1202020 - 537.289 - 537.289 - 476.772
HMN1202031 EPICANTO, PLASTIA DE 1202020 - 161.187 - 161.187 - 150.893
HMC1202053 PTOSIS, TRAT. QUIR. 1202021 - 870.676 - 870.676 - 772.611
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1202053 PTOSIS, TRAT. QUIR. 1202021 - 261.203 - 261.203 - 244.524
HMC1202058 QUISTE DERMOIDE DE LA COLA DE LA CEJA, R 1202022 - 435.875 - 435.875 - 386.783
HMN1202058 QUISTE DERMOIDE DE LA COLA DE LA CEJA, R 1202022 - 130.764 - 130.764 - 122.416
HMC1202050 PARP. Y CEJA (SUP/INF)TUMOR MALIGNO, TRA 1202023 - 709.132 - 709.132 - 629.261
HMN1202050 PARP. Y CEJA (SUP/INF)TUMOR MALIGNO, TRA 1202023 - 227.520 - 227.520 - 199.149
HMC1202077 XANTELASMA, TRAT. QUIR. 1202024 - 333.516 - 333.516 - 295.952
HMN1202077 XANTELASMA. TRAT. QUIR. 1202024 - 116.092 - 116.092 - 379.903
HMC1202017 CONJUNTIVA: HERIDA O DEHISCENCIA, SUTURA 1202025 - 327.506 - 327.506 - 290.618
HMN1202017 HERIDA O DEHISCENCIA. SUTURA DE (PROC.AU 1202025 - 124.892 - 124.892 - 113.978
HMC1202052 PTERIGION Y/O PSEUDOPTERIGION O SU RECID 1202026 - 657.682 - 657.682 - 583.606
HMN1202052 PTERIGION Y/O PSEUDOPTERIGION O SU RECID 1202026 - 197.303 - 197.303 - 184.700
HMC1202067 SIMBLEFARON, RESECCION DE ADHERENCIAS Y 1202027 - 330.443 - 330.443 - 293.225
HMC1202018 CONJUNTIVA: TUMOR BENIGNO, EXTIRP. DE 1202028 - 344.742 - 344.742 - 305.913
HMC1202047 ABSCESO ORBITARIO, TRAT. QUIR. 1202029 - 498.473 - 498.473 - 442.327
HMC1202019 CORRECCION DE CAVIDAD ANOFTALMICA TRAT. 1202030 - 826.874 - 826.874 - 733.741
HMN1202019 CORRECCION DE CAVIDAD ANOFTALMICA TRAT. 1202030 - 248.063 - 248.063 - 232.219
HMC1202022 CUERPO EXTRANO ORBITARIO (CON ORBITOTOMI 1202031 - 841.834 - 841.834 - 747.016
HMN1202022 CUERPO EXTRANO ORBITARIO (CON ORBITOTOMI 1202031 - 252.549 - 252.549 - 236.426
HMC1202034 EXANTERACION ORBITARIA O TUMOR ORBITARIO 1202032 - 1.144.842 - 1.144.842 - 1.015.896
HMN1202034 EXANTERACION ORBITARIA O TUMOR ORBITARIO 1202032 - 343.453 - 343.453 - 304.769
HMC1202048 ORBITOTOMIA ANTERIOR 1202033 - 847.878 - 847.878 - 752.381
HMN1202048 ORBITOTOMIA ANTERIOR 1202033 - 280.425 - 280.425 - 248.841
HMC1202049 ORBITOTOMIA LATERAL DESCOMPRESIVA 1202034 - 850.491 - 850.491 - 754.699
HMN1202049 ORBITOTOMIA LATERAL DESCOMPRESIVA 1202034 - 255.148 - 255.148 - 238.854
HMC1202009 BIOPSIA DE GLOBO OCULAR (PROC. AUT) 1202035 - 302.579 - 302.579 - 268.500
HMC1202030 ENUCLEACION O IMPLANTE DE PROTESIS OCULA 1202036 - 749.770 - 749.770 - 665.323
HMN1202030 ENUCLEACION O IMPLANTE DE PROTESIS OCULA 1202036 - 224.931 - 224.931 - 210.569
HMC1202029 ENUCLEACION CON IMPLANTE 1202037 - 756.375 - 756.375 - 671.184
HMN1202029 ENUCLEACION CON IMPLANTE 1202037 - 226.912 - 226.912 - 212.418
HMC1202032 ESTRABISMO, TRAT. QUIR. COMPLETO (UNO O 1202038 - 722.588 - 722.588 - 641.200
HMN1202032 ESTRABISMO, TRAT. QUIR. COMPLETO (UNO O 1202038 - 216.776 - 216.776 - 202.937
HMC1202033 EXANTERACION OCULAR (PROC. AUT.) 1202039 - 749.770 - 749.770 - 665.323
HMN1202033 EXANTERACION OCULAR (PROC. AUT.) 1202039 - 224.931 - 224.931 - 210.569
HMP1201039 HM- PESTANAS, EXTIRP. POR ELECTROCOAGULACION (CUALQUIER NUMERO)
1202039 205.000 205.000 205.000 205.000 - -
HMC1202038 GLOBO Y MUSC. OCULARS: LES.TRAUMAT. SUT 1202040 - 847.878 - 847.878 - 752.381
HMN1202038 GLOBO Y MUSC. OCULARS: LES.TRAUMAT. SUT 1202040 - 254.364 - 254.364 - 238.116
HMC1202020 CRIOTERAPIA Y RECESION CONJUNTIVAL 1202042 - 280.069 - 280.069 - 248.523
HMC1202021 CUERPO EXTRANO, EXTRACCION QUIR. DE 1202044 - 206.630 - 206.630 - 183.356
HMN1202021 CUERPO EXTRANO, EXTRACCION QUIR. DE 1202044 - 66.297 - 66.297 - 58.033
HMC1202037 GLAUCOMA, TRAT. QUIR. POR CUALQUIER TECN 1202045 - 841.834 - 841.834 - 747.016
HMN1202037 GLAUCOMA, TRAT. QUIR. POR CUALQUIER TECN 1202045 - 252.549 - 252.549 - 236.426
HMC1202040 HERIDA PENETRANTE CORNEAL O CORNEO-ESCLE 1202046 - 708.832 - 708.832 - 628.994
HMN1202040 HERIDA PENETRANTE CORNEAL O CORNEO-ESCLE 1202046 - 212.650 - 212.650 - 199.069
HMC1202055 QUERATECTOMIA LAMINAR 1202047 - 545.255 - 545.255 - 483.842
HMN1202055 93278 QUERATECTOMIA LAMINAR 1202047 - 163.575 - 163.575 - 153.126
HMC1202056 QUERATOPLASTIA. INJERTO LAMELAR O PENETR 1202048 - 1.165.717 - 1.165.717 - 1.034.421
HMN1202056 QUERATOPLASTIA. INJERTO LAMELAR O PENETR 1202048 - 349.716 - 349.716 - 327.382
HMC1202057 QUERATOPROTESIS, IMPLANTACION DE (NO INC 1202049 - 1.271.460 - 1.271.460 - 1.128.253
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1202057 QUERATOPROTESIS, IMPLANTACION DE (NO INC 1202049 - 381.439 - 381.439 - 357.073
HMC1202062 RECUBRIMIENTO CONJUNTIVAL 1202050 - 392.535 - 392.535 - 348.323
HMN1202062 RECUBRIMIENTO CONJUNTIVAL 1202050 - 117.761 - 117.761 - 110.234
HMC1202063 REHABILITACION SUPERFICIE OCULAR (CON IN 1202051 - 392.535 - 392.535 - 348.323
HMN1202063 REHABILITACION SUPERFICIE OCULAR (CON IN 1202051 - 117.761 - 117.761 - 110.234
HMC1202043 IRIDECTOMIA PERIFERICA Y/U OPTICA, (PROC 1202053 - 403.659 - 403.659 - 358.195
HMN1202043 IRIDECTOMIA PERIFERICA Y/U OPTICA, (PROC 1202053 - 121.098 - 121.098 - 113.365
HMC1202045 IRIS Y CUERPO CILIAR: TUMOR, TRAT. QUIR. 1202054 - 609.421 - 609.421 - 540.782
HMN1202045 IRIS Y CUERPO CILIAR: TUMOR, TRAT. QUIR. 1202054 - 182.827 - 182.827 - 171.147
HMC1202024 DESGARRO SIN DESPRENDIMIENTO, DIATERMO Y 1202055 - 370.728 - 370.728 - 352.192
HMT1202078 96332 FOTOCOAGULACION DESGARROS S/DESPREN 1202055 374.690 - 374.690 - 355.955 -
HMC1202026 DESPRENDIMIENTO RETINAL, CIRUGIA CONVENC 1202056 - 1.135.491 - 1.135.491 - 1.007.598
HMN1202026 DESPRENDIMIENTO RETINAL, CIRUGIA CONVENC 1202056 - 340.648 - 340.648 - 318.888
HMC1202064 RETINOPATIA PROLIFERATIVA, (DIABETICA, H 1202057 - 647.319 - 647.319 - 588.092
HMC1202081 PANFOTOCOAGULACION (3 SESIONES) 1202057 - 795.189 - 795.189 - 689.535
HMN1202064 RETINOPATIA PROLIFERATIVA, (DIABETICA, H 1202057 - 299.196 - 299.196 - 574.411
HMT1202064 93689 RETINOPATIA PROLIFERATIVA, (DIABETICA, HIPERTENSIVA, EALES Y 1202057 692.295 - 692.295 - 612.187 -
HMT1202081 96330 PANFOTOCOAGULACION (3 SESIONES) 1202057 741.069 - 741.069 - 704.016 -
HMC1202071 TUMOR, DIATERMO Y/O CRIO Y/O FOTOCOAGULA 1202058 - 545.487 - 545.487 - 484.047
HMN1202071 TUMOR, DIATERMO Y/O CRIO Y/O FOTOCOAGULA 1202058 - 163.646 - 163.646 - 153.195
HMC1202094 VASCULOPATIA RETINAL (EXCEPTO RETINOPATIA PROLIFERATIVA) 1202059 - 457.198 - 457.198 - 409.461
HMP1202059 96414 VASCULOPATIA RETINAL (EXCEPTO RETINOPATIA PROLIFERATIVA) 1202059 457.198 - 457.198 - 397.359 -
HMN1202959 VASCULOPATIA RETINAL (EXCEPTO RETINOPATIA PROLIFERATIVA) 1202059 - 137.159 - 137.159 - 102.870
HMC1202076 VITRECTOMIA C/RETINOTOMIA (C/S INYECCION 1202060 - 1.664.267 - 1.664.267 - 1.380.880
HMN1202076 VITRECTOMIA C/RETINOTOMIA (C/S INYECCION 1202060 - 499.279 - 499.279 - 437.028
HMC1202074 VITRECTOMIA CON INYECCION DE GAS O SILIC 1202061 - 1.277.557 - 1.277.557 - 1.133.663
HMN1202074 VITRECTOMIA CON INYECCION DE GAS O SILIC 1202061 - 383.267 - 383.267 - 358.785
HMC1202075 VITRECTOMIA CON VITREOFAGO (PROC. AUT) 1202062 - 1.120.378 - 1.120.378 - 994.188
HMN1202075 VITRECTOMIA CON VITREOFAGO (PROC. AUT) 1202062 - 336.112 - 336.112 - 313.737
HMC1202007 FACOERESIS INTRACAP.O CATARATA SEC. O DI 1202063 - 881.077 - 881.077 - 781.839
HMN1202007 FACOERESIS INTRACAP.O CATARATA SEC. O DI 1202063 - 282.688 - 282.688 - 402.858
HMC1202006 FACOERESIS EXTRACAPS.CON IMPL/LENTE INTR 1202064 - 1.008.324 - 1.008.324 - 894.758
HMN1202006 FACOERESIS EXTRACAP.C/ IMPLANTE LENTE IN 1202064 - 302.497 - 302.497 - 283.174
HMC1202042 IMPLANTE SECUNDARIO DE LENTE INTRAOCULAR 1202065 - 1.057.685 - 1.057.685 - 938.557
HMN1202042 IMPLANTE SECUNDARIO DE LENTE INTRAOCULAR 1202065 - 317.306 - 317.306 - 297.044
HMC1202008 ASPIRACION ESFERULAR C/S CAPSULOTOMIA 1202066 - 546.190 - 546.190 - 484.672
HMN1202008 ASPIRACION ESFERULAR C/S CAPSULOTOMIA 1202066 - 175.240 - 175.240 - 153.388
HMT1202027 93691 DISCISION DE CAPSULA POSTERIOR 1202067 431.604 - 431.604 - 381.660 -
HMC1202044 IRIDOTOMIA 1202068 - 327.215 - 327.215 - 295.758
HMN1202044 IRIDOTOMIA 1202068 158.351 158.351 158.351 158.351 147.809 147.809
HMT1202044 93692 IRIDOTOMIA 1202068 349.948 - 349.948 - 309.455 -
HMC1202069 TRABECULOPLASTIA O IRIDOPLASTIA 1202069 - 327.215 - 327.215 - 295.758
HMN1202069 TRABECULOPLASTIA O IRIDOPLASTIA 1202069 - 227.378 - 227.378 - 201.767
HMT1202069 93693 TRABECULOPLASTIA O IRIDOPLASTIA 1202069 349.948 - 349.948 - 309.455 -
HMC1202068 SINEQUIOTOMIA (PROC. AUT.) 1202070 - 359.433 - 359.433 - 298.228
HMN1202068 SINEQUIOTOMIA (PROC. AUT.) 1202070 - 102.557 - 102.557 - 93.598
HMC1202039 HERIDA O DEHISCENCIA DE SUTURA DE PARPAD 1202071 - 327.560 - 327.560 - 290.667
HMN1202039 HERIDA O DEHISCENCIA DE SUTURA DE PARPAD 1202071 - 98.270 - 98.270 - 91.728
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1202061 RECONSTRUCCION DE PISO ORBITARIO. 1202072 - 709.364 - 709.364 - 629.467
HMN1202061 RECONSTRUCCION DE PISO ORBITARIO. 1202072 - 212.811 - 212.811 - 199.217
HMC1202046 OPERACION TRIPLE (INJERTO, FACOERESIS E 1202073 - 1.430.618 - 1.430.618 - 1.269.484
HMN1202046 OPERACION TRIPLE (INJERTO, FACOERESIS E 1202073 - 429.185 - 429.185 - 401.779
HMC1202041 HERNIA DE IRIS Y/O FISTULAS,REPARACION D 1202074 - 403.659 - 403.659 - 358.195
HMN1202041 HERNIA DE IRIS Y/O FISTULAS,REPARACION D 1202074 - 121.098 - 121.098 - 113.365
HMC1202065 RETINOPEXIA NEUMATICA. 1202075 - 706.167 - 706.167 - 529.625
HMN1202065 RETINOPEXIA NEUMATICA 1202075 - 211.846 - 211.846 - 191.403
HMC1202036 EXTRACCION O CORRECCION DE DESPLAZAMIENT 1202076 - 626.726 - 626.726 - 556.137
HMN1202036 EXTRACCION O CORRECCION DE DESPLAZAMIENT 1202076 - 188.017 - 188.017 - 176.013
HMC1202025 DESPRENDIMIENTO COROIDEO O HEMORRAGIA CO 1202077 - 403.659 - 403.659 - 358.195
HMN1202025 DESPRENDIMIENTO COROIDEO O HEMORRAGIA CO 1202077 - 121.098 - 121.098 - 113.365
HMC1202014 CIR.FOTOR.O FOTOTERAP.DE CORNEA,CORNEA C/TECNICA 1202078 - 601.137 - 601.137 - 533.432
HMC1301020 LARINGOSCOPIA Y/O TRAQUEOSCOPIA DIRECTA 1301006 - - - - - 414.189
HMC1301030 21240 TAPONAMIENTO ANTERIOR (HM) 1301025 102.228 102.228 102.228 102.228 90.418 90.508
POR1301032 4102 TAPONAMIENTO POSTERIOR (C/MEROSEL) 1301026 83.075 83.075 83.075 83.075 77.598 77.598
HMC1301028 VASOS Y/O CORNETES, ELECTROCAUTERIZACION 1301028 - 73.553 - 73.553 - 65.040
HMP1301029 CUERPO EXTRAÑO EN FOSAS NASALES, EXTRACCION DE: - EN ADULTOS
1301029 126.000 - 126.000 - 88.200 -
HMP1301030 CUERPO EXTRAÑO EN FOSAS NASALES, EXTRACCION DE: - EN NIÑOS1301030 126.000 - 126.000 - 88.200 -
HMC1301017 CUERPO EXTRAÑO EN LARINGE Y/O TRAQUEA, E 1301035 - 852.226 - 852.226 - 753.613
HMC1301018 CUERPO EXTRAÑO EN LARINGE Y/O TRAQUEA, E 1301036 - 852.226 - 852.226 - 753.613
HMC1301034 HM - DILATACION ESOFAGICA POR SESION 1301037 - 114.296 - 114.296 - 99.738
HMT1301034 96362 HM - DILATACION ESOFAGICA POR SESION 1301037 114.296 - 114.296 - 101.190 -
HMC1301015 CUERPO EXTRAÑO EXTRACCION EN HIPOFARINGE 1301038 - 675.636 - 675.636 - 597.456
HMC1301014 CUERPO EXTRAÑO EXTRACCION EN HIPOFARINGE 1301039 - 675.636 - 675.636 - 597.456
HMC1301021 LESIONES DEL OIDO EXTERNO Y/O MEDIO, CUR 1301040 - 105.951 - 105.951 - 93.690
HMP1301042 CUERPO EXTRAÑO EN OIDO, EXTRACCION DE (INCL. TAPON DE CERUMEN)
1301042
(PROC. AUT.)
126.000
- EN ADULTOS - 126.000 - 88.200 -
HMP1301043 CUERPO EXTRAÑO EN OIDO, EXTRACCION DE (INCL. TAPON DE CERUMEN)
1301043
(PROC. AUT.)
126.000
- EN NIÑOS - 126.000 - 88.200 -
HMC1301005 BIOPSIA OIDO (PROC. AUT.) 1301044 - 213.445 - 213.445 - 188.746
HMC1302056 OIDO: ABSCESO Y/O HEMATOMAS, TRAT. QUIR.+CURATAJE ALVEOLAR+
1302001
ALVEOLOPLASTIAS+DREN- 426.868 - 426.868 - 377.473
HMN1302000 ABSCESO Y/O HEMATOMAS OIDO EXTERNO, TRAT 1302001 - 163.820 - 163.820 152.427 155.629
HMC1302036 CUERPO EXTRANO EN CONDUCTO AUDITIVO EXTE 1302002 - 426.868 - 426.868 - 377.473
HMC1302044 FISTULA PREAURICULAR COMPLICADA, TRAT. Q 1302003 - 532.820 - 532.820 - 471.163
HMN1302044 FISTULA PREAURICULAR COMPLICADA, TRAT. Q 1302003 - 284.071 - 284.071 - 251.199
HMC1302057 OIDO EXTERNO: TUMOR BENIGNO, TRAT. QUIR. 1302004 - 532.820 - 532.820 - 471.163
HMC1302058 OIDO EXTERNO: TUMOR MALIGNO, TRAT. QUIR. 1302005 - 1.065.673 - 1.065.673 - 942.358
HMN1302058 OIDO EXTERNO: TUMOR MALIGNO, TRAT. QUIR. 1302005 - 373.130 - 373.130 - 329.955
HMC1302039 ESTAPEDECTOMIA 1302006 - 1.385.047 - 1.385.047 - 1.224.778
HMN1302039 ESTAPEDECTOMIA 1302006 - 373.130 - 373.130 - 329.955
HMC1302009 MASTOIDECTOMIA C/S SECCION CUERDA DEL TI 1302007 - 1.065.673 - 1.065.673 - 942.358
HMN1302009 MASTOIDECTOMIA C/S SECCION CUERDA DEL TI 1302007 - 462.206 - 462.206 - 408.723
HMC1302010 MUCOSITIS TIMPANICA O MIXIOSIS UNI O BIL 1302008 - 675.636 - 675.636 - 597.458
HMN1302010 MUCOSITIS TIMPANICA O MIXIOSIS UNI O BIL 1302008 - 284.071 - 284.071 - 251.198
HMC1302060 OPERACION RADICAL DEL OIDO C/S SECCION C 1302009 - 1.704.443 - 1.704.443 - 1.507.213
HMN1302060 OPERACION RADICAL DEL OIDO C/S SECCION C 1302009 - 603.462 - 603.462 - 533.634
HMC1302067 RECONSTITUCION FUNCIONAL DE OIDO RADICAL 1302011 - 852.226 - 852.226 - 753.613
HMN1302067 RECONSTITUCION FUNCIONAL DE OIDO RADICAL 1302011 - 373.130 - 373.130 - 329.955
HMC1302073 TIMPANOPLASTIA FUNCIONAL (CUALQUIER TIPO 1302012 - 1.454.299 - 1.454.299 - 1.286.016
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1302073 TIMPANOPLASTIA FUNCIONAL (CUALQUIER TIPO 1302012 - 462.206 - 462.206 - 408.723
HMC1302059 RECONSTITUCION PLASTICA DE CONDUCTO AUDI 1302013 - 1.385.047 - 1.385.047 - 1.224.778
HMN1302059 RECONSTITUCION PLASTICA DE CONDUCTO AUDI 1302013 - 462.206 - 462.206 - 408.723
HMC1302042 EXOSTOSIS, RESECCION RETRO O ENDOAURAL 1302014 - 852.226 - 852.226 - 753.613
HMN1302042 EXOSTOSIS, RESECCION RETRO O ENDOAURAL 1302014 - 462.206 - 462.206 - 408.723
HMC1302066 RECONSTITUCION DE CONDUCTO AUDITIVO EXTE 1302016 - 1.385.047 - 1.385.047 - 1.224.778
HMN1302066 RECONSTITUCION DE CONDUCTO AUDITIVO EXTE 1302016 - 462.206 - 462.206 - 408.723
HMC1302078 TRAT.QUIR. DE TUMOR GLOMICO TIMPANICO 1302017 - 852.226 - 852.226 - 753.613
HMN1302078 TRAT. QUIRURGICO DE TUMOR GLOMICO TIMPANICO 1302017 - 373.130 - 373.130 - 329.955
HMC1302047 LABERINTECTOMIA 1302018 - 852.226 - 852.226 - 753.613
HMN1302047 LABERINTECTOMIA 1302018 - 373.130 - 373.130 - 329.955
HMC1302055 NEURINOMA DEL ACUSTICO, TRAT. QUIR. VIA. 1302019 - 852.226 - 852.226 - 753.613
HMN1302055 NEURINOMA DEL ACUSTICO, TRAT. QUIR. VIA. 1302019 - 373.130 - 373.130 - 329.955
HMC1302038 DESCOMPRESION INTRAOSEA NERVIO FACIAL C/ 1302020 - 852.226 - 852.226 - 753.613
HMN1302038 DESCOMPRESION INTRAOSEA C/S PLASTIA 1302020 - 373.130 - 373.130 - 329.955
HMC1302052 NERVIO FACIAL: LESIONES A NIVEL DEL COND 1302021 - 852.226 - 852.226 - 753.613
HMN1302052 NERVIO FACIAL: LESIONES A NIVEL DEL COND 1302021 - 373.130 - 373.130 - 329.955
HMC1302011 ** BIOPSIA BUCO-FARINGEA (PROC. AUT.) 1302022 - 354.716 - 354.716 - 313.669
HMC1302020 ** SECCION SIMPLE Y/O RESECCION FRENILLO 1302023 - 284.071 - 284.071 - 251.199
HMC1302022 DRENAJE DE ABSCESO O FLEGMON DE PISO DE 1302024 - 532.820 - 532.820 - 471.163
HMN1302022 DRENAJE DE ABSCESO O FLEGMON DE PISO DE 1302024 230.334 230.334 230.334 230.334 203.680 203.680
HMC1302012 DRENAJE DE ABSCESO O FLEGMON PERIAMIGDAL 1302025 - 675.636 - 675.636 - 597.457
HMI1302025 21407 ABSCESO PERIAMIGDALIANO ( H. M.)(URGENCIAS) 1302025 716.986 - 716.986 - 605.959 -
HMN1302012 DRENAJE DE ABSCESO O FLEGMON PERIAMIGDAL 1302025 284.071 284.071 284.071 284.071 251.199 251.199
HMC1302023 DRENAJE DE ABSCESO O FLEGMON RETROFARING 1302026 - 852.226 - 852.226 - 753.613
HMN1302023 DRENAJE DE ABSCESO O FLEGMON RETROFARING 1302026 373.130 373.130 373.130 373.130 329.955 329.955
HMC1302024 DRENAJE DE ABSCESO O FLEGMON DE VESTIBUL 1302027 - 284.071 - 284.071 - 251.199
HMC1302026 ADENOIDECTOMIA (PROC. AUT.) 1302028 - 675.636 - 675.636 - 597.457
HMN1302026 ADENOIDECTOMIA (PROC. AUT.) 1302028 - 284.071 - 284.071 - 251.199
HMC1302013 AMIGDALECTOMIA C/S ADENOIDECTOMIA, UNI O 1302029 - 1.065.673 - 1.065.673 - 942.359
HMN1302013 AMIGDALECTOMIA C/S ADENOIDECTOMIA, UNI O 1302029 - 373.130 - 373.130 - 329.955
HMC1302019 ** CALCULOS SALIVALES, TRAT. QUIR. 1302030 - 426.868 - 426.868 - 377.473
HMC1302021 ** TUMOR BENIGNO DE LA MUCOSA BUCAL, EXT 1302031 - 426.868 - 426.868 - 377.473
HMP1302031 HM - TUMOR BENIGNO DE MUCOSA BUCAL, EXTIRP. C/S BIOPSIA BUCOFARINGEA
1302031 426.868 - 426.868 - 298.808 -
HMC1302079 TUMOR MALIGNO DE LAS AMIGDALAS, TRAT. QU 1302032 - 1.065.673 - 1.065.673 - 942.358
HMN1302079 TUMOR MALIGNO DE LAS AMIGDALAS, TRAT. QU 1302032 - 284.071 - 284.071 - 251.199
HMC1302074 TU. BASE LENGUA BENIGNO: EXTIRPACION 1302033 - 532.820 - 532.820 - 471.163
HMN1302074 TU. BASE LENGUA BENIGNO: EXTIRPACION 1302033 - 284.071 - 284.071 - 251.199
HMC1302077 TU. BASE LENGUA MALIGNO,EXTIRP. C/S DISE 1302034 - 1.704.443 - 1.704.443 - 1.507.213
HMN1302077 TU. BASE LENGUA MALIGNO,EXTIRP. C/S DISE 1302034 - 816.911 - 816.911 - 722.381
HMC1302014 FARINGOPLASTIA (CUALQ. TECN.), C/S DESPL 1302035 - 1.704.443 - 1.704.443 - 1.507.213
HMN1302014 FARINGOPLASTIA (CUALQ. TECN.), C/S DESPL 1302035 - 603.462 - 603.462 - 533.634
HMC1302075 TU. BASE LENGUA: FIBROANGIOMA DEL RINOFA 1302036 - 1.704.443 - 1.704.443 - 1.507.213
HMN1302075 TU. BASE LENGUA: FIBROANGIOMA DEL RINOFA 1302036 - 603.462 - 603.462 - 533.634
HMC1302076 TU. BASE LENGUA: GLOSECTOMIA TOTAL C/S D 1302037 - 2.131.322 - 2.131.322 - 1.884.700
HMN1302076 TU. BASE LENGUA: GLOSECTOMIA TOTAL C/S D 1302037 - 816.911 - 816.911 - 722.381
HMC1302025 ABSCESOS Y HEMATOMA DEL TABIQUE NASAL, T 1302038 - 532.820 - 532.820 - 471.163
HMN1302025 ABSCESOS Y HEMATOMA DEL TABIQUE NASAL, T 1302038 230.334 230.334 230.334 230.334 203.680 203.680
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1302029 ARTERIA ESFENOPALATINA, CAUTERIZACION PO 1302039 - 675.636 - 675.636 - 597.457
HMN1302029 ARTERIA ESFENOPALATINA, CAUTERIZACION PO 1302039 - 284.071 - 284.071 - 251.199
HMC1302030 ARTERIA MAXILAR INTERNA, LIGADURA DE (PO 1302040 - 852.226 - 852.226 - 753.613
HMN1302030 ARTERIA MAXILAR INTERNA, LIGADURA DE (PO 1302040 - 284.071 - 284.071 - 251.199
HMC1302031 ARTERIAS ETMOIDALES ANTERIORES, LIGADURA 1302041 - 426.868 - 426.868 - 377.473
HMN1302031 ARTERIAS ETMOIDALES ANTERIORES, LIGADURA 1302041 - 178.140 - 178.140 - 157.527
HMC1302081 TURBINECTOMIA O ELECTROCAUTERIZACION DE 1302042 - 1.065.673 - 1.065.673 - 942.360
HMN1302081 TURBINECTOMIA O CAUTERIZACION DE CORNETE 1302042 - 373.130 - 373.130 - 329.956
HMC1302032 CONDUCTO Y/O SENO LAGRIMAL, OBSTRUCCION 1302043 - 532.820 - 532.820 - 471.163
HMN1302032 CONDUCTO Y/O SENO LAGRIMAL, OBSTRUCCION 1302043 - 230.334 - 230.334 - 203.680
HMC1302041 ETMOIDECTOMIA ENDO O EXONASAL 1302044 - 852.226 - 852.226 - 753.613
HMN1302041 ETMOIDECTOMIA ENDO O EXONASAL 1302044 - 284.071 - 284.071 - 251.199
HMC1302043 FISTULA BUCO-SINUSAL, TRAT. QUIR. 1302045 - 532.820 - 532.820 - 471.163
HMN1302043 FISTULA BUCO-SINUSAL, TRAT. QUIR. 1302045 - 230.334 - 230.334 - 203.680
HMC1302045 FRACT. NASAL RECIENTE, CERRADA O EXPUEST 1302046 - 852.226 - 852.226 - 753.613
HMN1302045 FRACT. NASAL RECIENTE, CERRADA O EXPUEST 1302046 284.071 284.071 284.071 284.071 251.199 251.199
HMC1302063 PERFORACION DEL TABIQUE, TRAT. QUIR. 1302048 - 852.226 - 852.226 - 753.613
HMN1302063 PERFORACION DEL TABIQUE, TRAT. QUIR. 1302048 - 373.130 - 373.130 - 329.955
HMC1302065 POLIPO NASAL Y/O COANAL, TRAT. QUIR. 1302049 - 675.636 - 675.636 - 597.457
HMN1302065 POLIPO NASAL Y/O COANAL, TRAT. QUIR. 1302049 - 284.071 - 284.071 - 251.199
HMC1302068 RINITIS ATROFICA, TRAT. POR INCLUSION SU 1302050 - 675.636 - 675.636 - 597.457
HMN1302068 RINITIS ATROFICA, TRAT. POR INCLUSION SU 1302050 - 284.071 - 284.071 - 251.199
HMC1302069 RINOFIMA, TRAT. QUIR. 1302051 - 532.820 - 532.820 - 471.163
HMN1302069 RINOFIMA, TRAT. QUIR. 1302051 - 230.334 - 230.334 - 203.680
HMC1302015 RINOPLASTIA Y/O SEPTOPLASTIA, C/TECNICA 1302052 - 1.704.443 - 1.704.443 - 1.507.213
HMN1302015 RINOPLASTIA Y/O SEPTOPLASTIA, C/TECNICA 1302052 - 462.206 - 462.206 - 408.723
HMC1302070 SENO ESFENOIDAL, ABERTURA (VIA TRANSETMO 1302053 - 1.385.047 - 1.385.047 - 1.224.778
HMN1302070 SENO ESFENOIDAL, ABERTURA (VIA TRANSETMO 1302053 - 462.206 - 462.206 - 408.723
HMC1302071 SENO FRONTAL, TRAT.QUIR. C/S VACIAMIENTO 1302054 - 1.385.047 - 1.385.047 - 1.224.778
HMN1302071 SENO FRONTAL, TRAT.QUIR. C/S VACIAMIENTO 1302054 - 462.206 - 462.206 - 408.723
HMC1302016 ANTROSTOMIA SENO MAXILAR CUALQUIER VIA 1302055 - 1.385.047 - 1.385.047 - 1.224.778
HMN1302016 ANTROSTOMIA SENO MAXILAR CUALQUIER VIA 1302055 - 462.206 - 462.206 - 408.723
HMC1302072 SINEQUIA NASAL,TRAT.QUIR. 1302056 - 426.868 - 426.868 - 377.473
HMN1302072 SINEQUIA NASAL,TRAT.QUIR. 1302056 230.334 230.334 230.334 230.334 203.680 203.680
HMC1302080 TUMOR NASAL, EXTIRP. POR RINOTOMIA LATER 1302057 - 1.065.673 - 1.065.673 - 942.358
HMN1302080 TUMOR NASAL, EXTIRP. POR RINOTOMIA LATER 1302057 - 284.071 - 284.071 - 251.199
HMC1302082 VACIAMIENTO ETMOIDAL POR VIA NASAL C/S P 1302058 - 675.636 - 675.636 - 597.457
HMN1302082 VACIAMIENTO ETMOIDAL POR VIA NASAL C/S P 1302058 - 284.071 - 284.071 - 251.199
HMC1302027 ARITENOIDECTOMIA VIA ENDOSCOPICA 1302059 - 852.226 - 852.226 - 753.613
HMN1302027 ARITENOIDECTOMIA VIA ENDOSCOPICA 1302059 - 373.130 - 373.130 - 329.955
HMC1302028 ARITENOIDECTOMIA VIA EXTERNA 1302060 - 675.636 - 675.636 - 597.457
HMN1302028 ARITENOIDECTOMIA VIA EXTERNA 1302060 - 284.071 - 284.071 - 251.199
HMC1302037 DECORTICACION DE CUERDAS VOCALES C/MICRO 1302061 - 894.840 - 894.840 - 791.294
HMN1302037 DECORTICACION DE CUERDAS VOCALES C/MICRO 1302061 - 373.130 - 373.130 - 329.955
HMC1302035 CUERDAS VOCALES TU. BENIGNO TRAT. QX. X 1302062 - 532.820 - 532.820 - 471.163
HMN1302035 CUERDAS VOCALES TU. BENIGNO TRAT. QX. X 1302062 - 284.071 - 284.071 - 251.199
HMC1302034 CUERDAS VOCALES TU. BENIGNO TRAT. QX. X 1302063 - 852.226 - 852.226 - 753.613
HMN1302034 CUERDAS VOCALES TU. BENIGNO TRAT. QX. X 1302063 - 373.130 - 373.130 - 329.955
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1302033 CORDECTOMIA LARINGEA O SINEQUIA CUERDAS 1302064 - 852.226 - 852.226 - 753.613
HMN1302033 CORDECTOMIA LARINGEA O SINEQUIA CUERDAS 1302064 - 373.130 - 373.130 - 329.955
HMC1302040 ESTENOSIS LARINGOTRAQ. Y/O FARINGEAS TRA 1302065 - 1.385.047 - 1.385.047 - 1.224.778
HMN1302040 ESTENOSIS LARINGOTRAQ. Y/O FARINGEAS TRA 1302065 - 373.130 - 373.130 - 329.955
HMC1302048 LARINGECTOMIA PARCIAL O SUBTOTAL (CUALQU 1302066 - 2.131.322 - 2.131.322 - 1.884.700
HMN1302048 LARINGECTOMIA PARCIAL O SUBTOTAL (CUALQU 1302066 - 603.462 - 603.462 - 533.634
HMC1302049 LARINGECTOMIA TOTAL MAS FARINGECTOMIA PA 1302067 - 2.686.121 - 2.686.121 - 2.375.298
HMN1302049 LARINGECTOMIA TOTAL MAS FARINGECTOMIA PA 1302067 - 816.911 - 816.911 - 722.381
HMC1302051 LARINGOCELE, TRAT. QUIR. 1302069 - 354.716 - 354.716 - 313.669
HMN1302051 LARINGOCELE, TRAT. QUIR. 1302069 - 230.334 - 230.334 - 203.680
HMC1302061 PAPILOMAS LARINGEOS, TRAT. QUIR. (POR SE 1302070 - 852.226 - 852.226 - 753.613
HMN1302061 PAPILOMAS LARINGEOS, TRAT. QUIR. (POR SE 1302070 373.130 373.130 373.130 373.130 329.955 329.955
HMC1302062 PARALISIS DE CUERDAS VOCALES, TRAT. QUIR 1302071 - 852.226 - 852.226 - 753.613
HMN1302062 PARALISIS DE CUERDAS VOCALES, TRAT. QUIR 1302071 - 373.130 - 373.130 - 329.955
HMC1302017 TRAQUEOSTOMIA (PROC. AUT.) 1302072 - 852.226 - 852.226 - 753.613
HMN1302017 TRAQUEOSTOMIA (PROC. AUT.) 1302072 - 373.130 - 373.130 - 329.955
HMC1302018 ESTENOSIS LARINGOTRAQ. Y FARINGEAS, TRAT 1302073 - 852.226 - 852.226 - 753.613
HMN1302018 ESTENOSIS LARINGOTRAQ. Y FARINGEAS, TRAT 1302073 - 462.206 - 462.206 - 408.723
HMC1302274 INTERVENCION QUIRURGICA IMPLANTE COCLEAR 1302074 - 2.734.446 - 2.734.446 - 2.421.082
HMN1302274 INTERVENCION QUIRURGICA IMPLANTE COCLEAR 1302074 - 683.613 - 683.613 - 605.272
CON1303001 96966 EVALUACION DE LA VOZ 1303001 48.139 - 48.139 - 45.364 -
CON1303002 30209 EVALUACION DEL HABLA 1303002 49.352 - 49.352 - 47.563 -
CON1303003 30213 EVALUACION DEL LENGUAJE (INCL.VOZ, HABLA Y ASP.SEMAN.SINTAC.Y
1303003
FONOLOGICO, 61.259
ETC. E - 61.259 - 54.495 -
CON1303004 96964 REHABILITACION DE LA VOZ 1303004 50.546 - 50.546 - 45.364 -
CON1303005 30215 REHABILITACION DEL HABLA Y DEL LENGUAJE(CADA SESION MIN.30')1303005 49.582 - 49.582 - 45.364 -
HMC1401000 PUNCION EVACUADORA DE QUISTE TIROIDEO C/ 1401001 - 178.140 - 178.140 - 157.527
HMR1401001 96610 PUNCION EVACUADORA DE QUISTE TIROIDEO C/ 1401001 178.140 - 178.140 - 157.527 -
HMC1402002 TIROIDECTOMIA BILATERAL TOTAL 1402001 - 1.704.443 - 1.704.443 - 1.507.217
HMN1402002 TIROIDECTOMIA BILATERAL TOTAL 1402001 - 816.911 - 816.911 - 722.381
HMC1402054 TIROIDECTOMIA BILATERAL SUBTOTAL 1402002 - 1.704.443 - 1.704.443 - 1.507.213
HMN1402054 TIROIDECTOMIA BILATERAL SUBTOTAL 1402002 - 816.911 - 816.911 - 722.381
HMC1402015 BOCIO INTRATORACICO, TRAT. QUIR. POR EST 1402003 - 1.704.443 - 1.704.443 - 1.507.213
HMN1402015 BOCIO INTRATORACICO, TRAT. QUIR. POR EST 1402003 - 816.911 - 816.911 - 722.381
HMC1402030 LOBECTOMIA CON O SIN ISTMECTOMIA O RESEC 1402005 - 1.065.673 - 1.065.673 - 942.358
HMN1402030 LOBECTOMIA CON O SIN ISTMECTOMIA O RESEC 1402005 - 462.206 - 462.206 - 408.723
HMC1402055 TIROIDECTOMIA TOTAL AMPLIADA CON DISECCI 1402006 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402055 TIROIDECTOMIA TOTAL AMPLIADA CON DISECCI 1402006 - 816.911 - 816.911 - 722.381
HMC1402004 - AUTOINJERTO DE PARATIROIDES (OPERACION 1402007 - 284.071 - 284.071 - 251.199
HMN1402004 - AUTOINJERTO DE PARATIROIDES (OPERACION 1402007 - 664.289 - 664.289 - 587.420
HMC1402040 PARATIROIDES, EXPLORACION CERVICAL MAS E 1402008 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402040 PARATIROIDES, EXPLORACION CERVICAL MAS E 1402008 - 816.911 - 816.911 - 722.381
HMC1402041 PARATIROIDES, EXPLORACION CERVICAL POR H 1402009 - 1.704.443 - 1.704.443 - 1.507.213
HMN1402041 PARATIROIDES, EXPLORACION CERVICAL POR H 1402009 - 816.911 - 816.911 - 722.381
HMC1402042 PARATIROIDES, REINTERVENCION POR HIPERPA 1402010 - 1.704.443 - 1.704.443 - 1.507.213
HMN1402042 PARATIROIDES, REINTERVENCION POR HIPERPA 1402010 - 816.911 - 816.911 - 722.381
HMC1402043 PAROTIDECTOMIA PARCIAL (SUPRAFACIAL) 1402011 - 1.704.443 - 1.704.443 - 1.507.213
HMN1402043 PAROTIDECTOMIA PARCIAL (SUPRAFACIAL) 1402011 - 603.462 - 603.462 - 533.634
HMC1402044 PAROTIDECTOMIA TOTAL 1402012 - 2.131.322 - 2.131.322 - 1.884.700
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1402044 PAROTIDECTOMIA TOTAL 1402012 - 816.911 - 816.911 - 722.381
HMC1402045 PAROTIDECTOMIA TOTAL AMPLIADA (INCLUYE M 1402013 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402045 PAROTIDECTOMIA TOTAL AMPLIADA (INCLUYE M 1402013 - 1.136.297 - 1.136.297 - 1.004.812
HMC1402011 TOTALIZACION DE PAROTIDECTOMIA PARCIAL PREVIA 1402014 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402011 TOTALIZACION DE PAROTIDECTOMIA PARCIAL P 1402014 - 816.911 - 816.911 - 722.381
HMC1402053 SUB-MANDIBULECTOMIA AMPLIADA (INCLUYE PI 1402015 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402053 SUB-MANDIBULECTOMIA AMPLIADA (INCLUYE PI 1402015 - 1.136.297 - 1.136.297 - 1.004.812
HMC1402052 SUB-MANDIBULECTOMIA 1402016 - 1.065.673 - 1.065.673 - 942.358
HMN1402052 SUB-MANDIBULECTOMIA 1402016 - 603.462 - 603.462 - 533.634
HMC1402026 GLANDULA SUBLINGUAL: EXTIRP. UNA O AMBAS 1402017 - 852.226 - 852.226 - 753.613
HMN1402026 GLANDULA SUBLINGUAL: EXTIRP. UNA O AMBAS 1402017 - 373.130 - 373.130 - 329.955
HMC1402012 ABSCESO PAROTIDEO SUBMAXILAR Y/O CERVICAL PROFUNDO, TRAT.QUIR.
1402019 - 354.716 - 354.716 - 313.669
HMC1402005 ** CONDUCTOS SALIVALES DE EXCRECION, REI 1402020 - 1.065.673 - 1.065.673 - 942.358
HMN1402005 ** CONDUCTOS SALIVALES DE EXCRECION, REI 1402020 - 462.206 - 462.206 - 408.723
HMC1402006 ** FISTULA SALIVAL, TRAT. QUIR. 1402021 - 1.065.673 - 1.065.673 - 942.358
HMN1402006 ** FISTULA SALIVAL, TRAT. QUIR. 1402021 - 462.206 - 462.206 - 408.723
HMC1402008 ** MUCOCELE O QUISTE LABIAL, TRAT. QUIR. 1402022 - 354.716 - 354.716 - 313.669
HMC1402057 TORTICOLIS CONGENITA, TRAT. QUIR. 1402023 - 675.636 - 675.636 - 597.457
HMN1402057 TORTICOLIS CONGENITA, TRAT. QUIR. 1402023 - 284.071 - 284.071 - 251.199
HMC1402017 CUELLO: QUISTES Y/O FISTULAS DEL CONDUCT 1402024 - 1.065.673 - 1.065.673 - 942.358
HMN1402017 CUELLO: QUISTES Y/O FISTULAS DEL CONDUCT 1402024 - 462.206 - 462.206 - 408.723
HMC1402060 TUMORES DEL CUERPO CAROTIDEO, TRAT.QUIR. 1402025 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402060 TUMORES DEL CUERPO CAROTIDEO, TRAT.QUIR. 1402025 - 816.911 - 816.911 - 722.381
HMC1402013 BIOPSIA QUIR., MUCOSA ORONASOFARINGEA (P 1402026 - 248.762 - 248.762 - 219.977
HMC1402014 BIOPSIA QUIR., PIEL Y MUCOSA CARA (PROC. 1402027 - 213.445 - 213.445 - 188.746
HMC1402018 RESEC. CUTANEA AMPLIADA(INCLUYE MUSCUL 1402028 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402018 RESEC. CUTANEA AMPLIADA(INCLUYE MUSCUL 1402028 - 816.911 - 816.911 - 722.381
HMC1402019 CUELLO: RESEC.CUTANEA SIMPLE (SUTURA PRI 1402029 - 284.071 - 284.071 - 251.199
HMC1402058 TUMOR MALIGNO DE LABIO SUPERIOR O INFERI 1402030 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402058 TUMOR MALIGNO DE LABIO SUPERIOR O INFERI 1402030 - 816.911 - 816.911 - 722.381
HMN1402059 TUMOR MALIGNO DE LABIO SUPERIOR O INFERI 1402030 - 462.206 - 462.206 - 408.723
HMC1402059 TUMOR MALIGNO DE LABIO SUPERIOR O INFERI 1402031 - 1.065.673 - 1.065.673 - 942.358
HMC1402037 NARIZ: RESEC.PARCIAL Y CIR. REPARADORA 1402032 - 1.704.443 - 1.704.443 - 1.507.213
HMN1402037 NARIZ: RESEC.PARCIAL Y CIR. REPARADORA 1402032 - 816.911 - 816.911 - 722.381
HMC1402049 RESECCION FRONTO-NASO-ETMOIDIANA 1402034 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402049 RESECCION FRONTO-NASO-ETMOIDIANA 1402034 - 816.911 - 816.911 - 722.381
HMC1402020 EXANTERACION ORBITARIA AMPLIADA (INCLUYE 1402035 - 3.623.880 - 3.623.880 - 3.204.548
HMN1402020 EXANTERACION ORBITARIA AMPLIADA (INCLUYE 1402035 - 1.492.539 - 1.492.539 - 1.319.831
HMC1402029 HUESO TEMPORAL, EXTIRP. RADICAL 1402036 - 3.623.880 - 3.623.880 - 3.204.548
HMN1402029 HUESO TEMPORAL, EXTIRP. RADICAL 1402036 - 1.492.539 - 1.492.539 - 1.319.831
HMC1402032 MAXILECTOMIA PARCIAL (INCLUYE PALADAR OS 1402037 - 1.385.047 - 1.385.047 - 1.224.778
HMN1402032 MAXILECTOMIA PARCIAL (INCLUYE PALADAR OS 1402037 - 603.462 - 603.462 - 533.634
HMN1402033 MAXILECTOMIA PARCIAL (INCLUYE PALADAR OS 1402037 - 816.911 - 816.911 - 722.381
HMC1402033 MAXILECTOMIA PARCIAL (INCLUYE PALADAR OS 1402038 - 2.131.322 - 2.131.322 - 1.884.700
HMC1402036 MAXILEXTOMIA: RADICAL AMPLIADA(INCLUYE E 1402039 - 3.623.880 - 3.623.880 - 3.204.548
HMN1402036 MAXILEXTOMIA: RADICAL AMPLIADA(INCLUYE E 1402039 - 1.492.539 - 1.492.539 - 1.319.831
HMC1402034 MAXILECTOMIA RADICAL CLASICA (INCLUYE EX 1402040 - 3.623.880 - 3.623.880 - 3.204.548
HMN1402034 MAXILECTOMIA RADICAL CLASICA (INCLUYE EX 1402040 - 1.492.539 - 1.492.539 - 1.319.831
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1402027 GLOSECTOMIA PARCIAL, REPARACION PRIMARIA 1402042 - 1.065.673 - 1.065.673 - 942.358
HMN1402027 GLOSECTOMIA PARCIAL, REPARACION PRIMARIA 1402042 - 462.206 - 462.206 - 408.723
HMC1402016 RESEC. AMPLIA DE TU. MALIGNO Y DISECCCAV 1402043 - 2.558.211 - 2.558.211 - 2.262.191
HMN1402016 RESEC. AMPLIA DE TU. MALIGNO Y DISECC. 1402043 - 1.136.297 - 1.136.297 - 1.004.812
HMC1402028 HEMIMANDIBULECTOMIA 1402044 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402028 HEMIMANDIBULECTOMIA 1402044 - 816.911 - 816.911 - 722.381
HMC1402031 MANDIBULECTOMIA TOTAL 1402045 - 3.623.880 - 3.623.880 - 3.204.548
HMN1402031 MANDIBULECTOMIA TOTAL 1402045 - 1.492.539 - 1.492.539 - 1.319.831
HMC1402039 OPERACION COMANDO (INCLUYE EXTIRP. DEL T 1402046 - 3.623.880 - 3.623.880 - 3.204.548
HMN1402039 OPERACION COMANDO (INCLUYE EXTIRP. DEL T 1402046 - 1.847.255 - 1.847.255 - 1.633.501
HMC1402050 RESECCION MANDIBULA: PARCIAL 1402047 - 1.385.047 - 1.385.047 - 1.224.778
HMN1402050 RESECCION MANDIBULA: PARCIAL 1402047 - 603.462 - 603.462 - 533.634
HMC1402051 RESECCION TRIDIMENSIONAL INTRA-ORAL O FA 1402048 - 2.558.211 - 2.558.211 - 2.262.191
HMN1402051 RESECCION TRIDIMENSIONAL INTRA-ORAL O FA 1402048 - 1.136.297 - 1.136.297 - 1.004.812
HMC1402022 FARINGECTOMIA PARCIAL 1402050 - 1.385.047 - 1.385.047 - 1.224.778
HMN1402022 FARINGECTOMIA PARCIAL 1402050 - 603.462 - 603.462 - 533.634
HMC1402007 ** GENIOPLASTIA 1402051 - 1.385.047 - 1.385.047 - 1.224.778
HMN1402007 ** GENIOPLASTIA 1402051 - 603.462 - 603.462 - 533.634
HMC1402009 ** OSTEOTOMIAS SEGMENTARIAS SOBRE MANDIB 1402052 - 1.385.047 - 1.385.047 - 1.224.778
HMN1402009 ** OSTEOTOMIAS SEGMENTARIAS SOBRE MANDIB 1402052 - 603.462 - 603.462 - 533.634
HMC1402003 ** OSTEOTOMIAS TOTALES SOBRE LA MANDIBUL 1402053 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402003 ** OSTEOTOMIAS TOTALES SOBRE LA MANDIBUL 1402053 - 1.136.297 - 1.136.297 - 1.004.812
HMC1402024 REDUC. CERRADA DE FRACT. MAXILOFACIALES 1402054 - 675.636 - 675.636 - 597.457
HMN1402024 REDUC. CERRADA DE FRACT. MAXILOFACIALES 1402054 - 373.130 - 373.130 - 329.955
HMC1402023 **FRACT. MALAR, MAX.: C/ OSTEOSINTESIS M 1402055 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402023 **FRACT. MALAR, MAX.: C/ OSTEOSINTESIS M 1402055 - 373.130 - 373.130 - 329.955
HMC1402025 **REDUCCION ABIERTA DE FRACTURAS MAXILOFACIALES CON OSTEOSINTESIS
1402056 UNICA - 852.226 - 852.226 - 753.613
HMN1402025 **REDUCCION ABIERTA DE FRACTURAS MAXILOFACIALES CON OSTEOSINTESIS
1402056 UNICA - 267.850 - 267.850 - 236.856
HMC1402046 RECONSTRUCCIONES COMPLEJAS DE LA CARA SI 1402057 - 2.131.322 - 2.131.322 - 1.884.700
HMN1402046 RECONSTRUCCIONES COMPLEJAS DE LA CARA SI 1402057 - 423.511 - 423.511 - 386.514
HMC1402047 RECONSTRUCCIONES DE PARTES DURAS Y BLAND 1402058 - 2.558.211 - 2.558.211 - 2.262.191
HMN1402047 RECONSTRUCCIONES DE PARTES DURAS Y BLAND 1402058 - 1.136.297 - 1.136.297 - 1.004.812
HMC1402010 ** REMOCION QUIR. DE ARCOS Y/O ALAMBRES 1402059 - 284.071 - 284.071 - 251.199
HMP1402010 92014 ** REMOCION QUIR. DE ARCOS Y/O ALAMBRES(PROC. COMPLETO) 1402059 258.699 - 258.699 - 218.638 -
HMC1402048 **REDUC. FRACT. MALAR, MAXILAR: SIMPLE ( 1402060 - 532.820 - 532.820 - 471.163
HMC1502001 21247 HM C.PLAST.URG.HERIDAS FACIALES COMPLICADAS 1502001 686.834 686.834 686.834 686.834 510.491 585.565
HMC1502008 HDAS. CARA: COMPLICADAS 1 O VARIAS 5 CMS 1502001 - 699.429 - 699.429 - 618.495
HMN1502008 HDAS. CARA: COMPLICADAS 1 O VARIAS 5 CMS 1502001 - 284.071 - 284.071 - 251.199
HMT1502000 21245 HM C.PLAST.URG.HERIDA FACIAL COMPLICADA(EXT.)(URGENCIAS) 1502001 384.781 384.781 384.781 384.781 340.328 340.664
HMC1502002 21244 HM C.PLAST.URG.HERIDA FACIAL SIMPLE H. INHABIL 1502002 300.782 300.782 300.782 300.782 266.032 280.952
HMC1502009 HDA. CARA: SIMPLES 1 O VARIAS DE HASTA 5 1502002 - 501.537 - 501.537 - 443.502
HMC1502010 IMPLANTE DE SILICONA FACIAL (CUALQUIER Z 1502003 - 1.401.952 - 1.401.952 - 1.239.728
HMN1502010 IMPLANTE DE SILICONA FACIAL (CUALQUIER Z 1502003 - 462.206 - 462.206 - 408.723
HMC1502063 RESECCION CICATRICES HASTA 2 1502004 - 301.791 - 301.791 - 266.871
HMM1502004 92348 RES.PLASTICA DE HASTA 2 CICATRICES (CUAL.LOC.O TAMAÑO) 1502004 301.791 - 301.791 - 266.871 -
HMC1502064 RESECCION CICATRICES 3 Y MAS 1502005 - 522.127 - 522.127 - 461.709
HMP1502005 96590 RESECCION PLASTICA DE 3 O MAS CICATRICES (C/LOCA O TAMAÑO) 1502005 522.127 - 522.127 - 461.709 -
HMC1502038 INJERTO PIEL: HASTA 1% SUPERFICIE CORPO 1502006 - 699.429 - 699.429 - 618.495
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1502038 INJERTO PIEL: HASTA 1% SUPERFICIE CORPO 1502006 230.334 230.334 230.334 230.334 203.680 203.680
HMC1502011 INJERTO PIEL: HASTA 5% SUPERFICIE CORPOR 1502007 - 1.200.964 - 1.200.964 - 1.061.996
HMN1502011 INJERTO PIEL: HASTA 5% SUPERFICIE CORPOR 1502007 462.206 462.206 462.206 462.206 408.723 408.723
HMC1502039 INJERTO PIEL: HASTA 10% SUPERFICIE CORPO 1502008 - 1.802.682 - 1.802.682 - 1.594.089
HMN1502039 INJERTO PIEL: HASTA 10% SUPERFICIE CORPO 1502008 - 603.462 - 603.462 - 533.634
HMC1502040 INJERTO PIEL PARCIAL: X CADA 10% (O SU F 1502009 - 699.429 - 699.429 - 618.495
HMN1502040 INJERTO PIEL PARCIAL: X CADA 10% (O SU F 1502009 - 178.140 - 178.140 - 157.527
HMC1502042 INJERTOS 51% Y MAS DE SUPERFICIE CORPORA 1502010 - 2.803.904 - 2.803.904 - 2.479.453
HMN1502042 INJERTO PIEL: 51% Y MAS DE SUPERFICIE CO 1502010 - 1.136.297 - 1.136.297 - 1.004.812
HMC1502041 INJERTO: PIEL TOTAL, CUALQUIER TAMAÑO (I 1502011 - 913.421 - 913.421 - 807.728
HMN1502041 INJERTO: PIEL TOTAL, CUALQUIER TAMAÑO (I 1502011 - 284.071 - 284.071 - 251.199
HMC1502072 TOMA DE INJ.CARTILAGO (AURICULAR, COSTAL O SIMILARES) C/U 1502012 - 699.429 - 699.429 - 618.495
HMN1502072 TOMA DE INJ.CARTILAGO (AURICULAR, COSTAL O SIMILARES) C/U 1502012 - 230.334 - 230.334 - 203.680
HMC1502073 TOMA DE INJ.-OSEO (COSTAL, ILIACO, TIBIAL O SIMILARES) C/U 1502013 - 1.047.519 - 1.047.519 - 926.306
HMN1502073 TOMA DE INJ.-OSEO (COSTAL, ILIACO, TIBIAL O SIMILARES) C/U 1502013 - 373.130 - 373.130 - 329.955
HMC1502057 PLATIAS EN Z, HASTA 3 1502014 - 902.267 - 902.267 - 797.861
HMN1502057 PLATIAS EN Z, HASTA 3 1502014 - 284.071 - 284.071 - 251.199
HMC1502056 PLASTIAS EN Z, 4 Y MAS 1502015 - 1.200.964 - 1.200.964 - 1.061.996
HMN1502056 PLASTIAS EN Z, 4 Y MAS 1502015 - 462.206 - 462.206 - 408.723
HMC1502024 COLGAJOS COMPLEJOS (ABBE, MUSTARDA, CONV 1502016 - 1.802.682 - 1.802.682 - 1.594.089
HMN1502024 COLGAJOS COMPLEJOS (ABBE, MUSTARDA, CONV 1502016 - 603.462 - 603.462 - 533.634
HMC1502012 - COLGAJOS LIBRES CON MICROANASTOMOSIS ( 1502017 - 3.402.675 - 3.402.675 - 3.008.939
HMN1502012 - COLGAJOS LIBRES CON MICROANASTOMOSIS ( 1502017 - 1.492.539 - 1.492.539 - 1.319.831
HMC1502013 COLGAJOS MUSCULARES O MUSCULOCUTANEOS 1502018 - 2.024.740 - 2.024.740 - 1.790.448
HMN1502013 COLGAJOS MUSCULARES O MUSCULOCUTANEOS 1502018 - 816.911 - 816.911 - 722.381
HMC1502019 COLGAJOS OSTEOMUSCULOCUTANEOS 1502019 - 2.604.306 - 2.604.306 - 2.302.951
HMN1502019 COLGAJOS OSTEOMUSCULOCUTANEOS 1502019 - 816.911 - 816.911 - 722.381
HMC1502014 COLGAJOS SIMPLES DOS O MAS 1502020 - 902.267 - 902.267 - 797.861
HMN1502014 COLGAJOS SIMPLES DOS O MAS 1502020 - 373.130 - 373.130 - 329.955
HMC1502015 COLGAJO SIMPLE UNICO 1502021 - 760.119 - 760.119 - 672.162
HMN1502015 COLGAJO SIMPLE UNICO 1502021 - 284.071 - 284.071 - 251.199
HMC1502055 PARALISIS FACIAL, TRANSPLANTES MUSCULARE 1502022 - 2.803.904 - 2.803.904 - 2.479.453
HMN1502055 PARALISIS FACIAL, TRANSPLANTES MUSCULARE 1502022 - 1.136.297 - 1.136.297 - 1.004.812
HMC1502065 RIDECTOMIA CERVICO-FACIAL, UN LADO 1502023 - 2.382.411 - 2.382.411 - 2.106.732
HMN1502065 RIDECTOMIA CERVICO-FACIAL, UN LADO 1502023 - 373.130 - 373.130 - 329.955
HMC1502066 RIDECTOMIA FRONTAL 1502024 - 2.382.411 - 2.382.411 - 2.106.732
HMC1502053 OREJAS: ALADAS O EN ASA, CORRECCION PLAS 1502025 - 1.200.964 - 1.200.964 - 1.061.996
HMN1502053 OREJAS: ALADAS O EN ASA, CORRECCION PLAS 1502025 - 462.206 - 462.206 - 408.723
HMC1502047 LOBULO AURICULAR PARTIDO,CORRECCION PLAS 1502026 - 290.794 - 290.794 - 257.146
HMM1502026 92345 LOB.AURICULAR PARTIDO,CORRECCION PLASTICA (PROC. AUT) 1502026 290.794 - 290.794 - 257.146 -
HMC1502054 OREJAS: MALFORMACION CONGENITA COMPLEJA, 1502027 - 1.901.941 - 1.901.941 - 1.681.862
HMN1502054 OREJAS: MALFORMACION CONGENITA COMPLEJA, 1502027 - 1.136.297 - 1.136.297 - 1.004.812
HMC1502025 CORRECCION NASAL PARCIAL (ALARES,ALARGAM 1502028 - 1.437.255 - 1.437.255 - 1.270.943
HMN1502025 CORRECCION NASAL PARCIAL (ALARES,ALARGAM 1502028 - 462.206 - 462.206 - 408.723
HMC1502020 BLEFAROPLASTIA UNO O AMBOS PARPADOS INFE 1502029 - 940.517 - 940.517 - 831.685
HMN1502020 BLEFAROPLASTIA UNO O AMBOS PARPADOS INFE 1502029 - 373.130 - 373.130 - 329.955
HMC1502021 BLEFAROPLASTIA UNO O AMBOS PARPADOS SUPE 1502030 - 940.517 - 940.517 - 831.685
HMN1502021 BLEFAROPLASTIA UNO O AMBOS PARPADOS SUPE 1502030 - 373.130 - 373.130 - 329.955
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1502043 LABIOS: CORRECCION QX. SECUNDARIA DE QU 1502031 - 1.600.151 - 1.600.151 - 1.414.992
HMN1502043 LABIOS: CORRECCION QX. SECUNDARIA DE QU 1502031 - 603.462 - 603.462 - 533.634
HMC1502059 QUEILOPLASTIA PRIMARIA, UN LADO ( PROC. 1502032 - 1.600.151 - 1.600.151 - 1.414.992
HMN1502059 QUEILOPLASTIA PRIMARIA, UN LADO ( PROC. 1502032 - 603.462 - 603.462 - 533.634
HMC1502023 CIERRE DE PALADAR DURO Y/O CIERRE DE COM 1502033 - 1.600.151 - 1.600.151 - 1.414.992
HMN1502023 CIERRE DE PALADAR DURO Y/O CIERRE DE COM 1502033 - 603.462 - 603.462 - 533.634
HMC1502018 ** AFECCIONES CONGENITAS CIERRE MUCOSO V 1502034 - 1.600.151 - 1.600.151 - 1.414.992
HMN1502018 ** AFECCIONES CONGENITA SCIERRE MUCOSO V 1502034 - 603.462 - 603.462 - 533.634
HMC1502016 PLASTIA DE VELO (CUALQUIER TECNICA) 1502035 - 1.600.151 - 1.600.151 - 1.414.992
HMN1502016 PLASTIA DE VELO (CUALQUIER TECNICA) 1502035 - 603.462 - 603.462 - 533.634
HMC1502022 CIERRE DE MACROSTOMIA, UN LADO 1502036 - 1.600.151 - 1.600.151 - 1.414.992
HMN1502022 CIERRE DE MACROSTOMIA, UN LADO 1502036 - 603.462 - 603.462 - 533.634
HMC1502071 SINDROME DE TREACHER COLLINS, TRAT. QUIR 1502037 - 2.063.133 - 2.063.133 - 1.824.398
HMN1502071 SINDROME DE TREACHER COLLINS, TRAT. QUIR 1502037 - 816.911 - 816.911 - 722.381
HMC1502060 **RECONST. OSTEOPLAST. REBORDE ALVEOLAR: 1502038 - 1.962.490 - 1.962.490 - 1.735.402
HMN1502060 **RECONST. OSTEOPLAST. REBORDE ALVEOLAR: 1502038 - 603.462 - 603.462 - 533.634
HMC1502061 **RECONST. OSTEOPLAST. REBORDE ALVEOLAR: 1502039 - 1.401.952 - 1.401.952 - 1.239.728
HMN1502061 **RECONST. OSTEOPLAST. REBORDE ALVEOLAR: 1502039 - 462.206 - 462.206 - 408.723
HMC1502027 DISTOPLASIAS ORBITARIAS: MOVILIZACION UN 1502040 - 2.355.314 - 2.355.314 - 2.082.773
HMN1502027 DISTOPLASIAS ORBITARIAS: MOVILIZACION UN 1502040 - 816.911 - 816.911 - 722.381
HMC1502036 EXPANSION O RECONSTRUCCION DE UN MICRO-O 1502041 - 2.002.430 - 2.002.430 - 1.770.720
HMN1502036 EXPANSION O RECONSTRUCCION DE UN MICRO-O 1502041 - 816.911 - 816.911 - 722.381
HMC1502069 SINDROME DE APERT CROUZON O SIMILAR: AVA 1502042 - 4.004.869 - 4.004.869 - 3.541.451
HMN1502069 SINDROME DE APERT CROUZON O SIMILAR: AVA 1502042 - 1.847.255 - 1.847.255 - 1.633.501
HMC1502070 SINDROME DE APERT CROUZON O SIMILAR: OST 1502043 - 3.503.477 - 3.503.477 - 3.098.078
HMN1502070 SINDROME DE APERT CROUZON O SIMILAR: OST 1502043 - 1.847.255 - 1.847.255 - 1.633.501
HMC1502026 CORRECCION TELECANTO 1502044 - 1.192.918 - 1.192.918 - 1.054.883
HMN1502026 CORRECCION TELECANTO 1502044 - 462.206 - 462.206 - 408.723
HMC1502052 MOVILIZACION ORBITARIA INTRACRANEANA, TI 1502046 - 3.904.381 - 3.904.381 - 3.452.593
HMN1502052 MOVILIZACION ORBITARIA INTRACRANEANA, TI 1502046 - 1.136.297 - 1.136.297 - 1.004.812
HMC1502037 GINECOMASTIA, CORRECCION PLASTICA 1502047 - 1.178.507 - 1.178.507 - 1.042.140
HMN1502037 GINECOMASTIA, CORRECCION PLASTICA 1502047 - 353.552 - 353.552 - 329.955
HMC1502048 MAMOPLASTIA DE AUMENTO 1502048 - 1.550.600 - 1.550.600 - 1.371.175
HMN1502048 MAMOPLASTIA DE AUMENTO 1502048 - 462.206 - 462.206 - 408.723
HMC1502049 MAMOPLASTIA DE REDUCCION 1502049 - 2.002.430 - 2.002.430 - 1.770.720
HMN1502049 MAMOPLASTIA DE REDUCCION 1502049 - 816.911 - 816.911 - 722.381
HMC1502050 MASTOPEXIA C/S IMPLANTE DE PROTESIS 1502050 - 1.732.543 - 1.732.543 - 1.532.063
HMN1502050 MASTOPEXIA C/S IMPLANTE DE PROTESIS 1502050 - 816.909 - 816.909 - 722.381
HMC1502062 RECONSTRUCCION AREOLA Y/O PEZON C/S PLAS 1502051 - 1.178.507 - 1.178.507 - 1.042.140
HMN1502062 RECONSTRUCCION AREOLA Y/O PEZON C/S PLAS 1502051 - 373.130 - 373.130 - 329.955
HMC1502017 RECONSTRUCCION MAMARIA 1502052 - 2.821.564 - 2.821.564 - 2.495.070
HMN1502017 RECONSTRUCCION MAMARIA 1502052 - 1.492.539 - 1.492.539 - 1.319.831
HMC1502044 LIPECTOMIA ABDOMINAL C/S TRANSPLANTE DE 1502053 - 2.446.366 - 2.446.366 - 2.163.288
HMN1502044 LIPECTOMIA ABDOMINAL C/S TRANSPLANTE DE 1502053 - 816.911 - 816.911 - 722.381
HMC1502028 ESCARA C/ RESECCION OSEA C/S COLGAJO DE 1502054 - 1.566.397 - 1.566.397 - 1.385.142
HMN1502028 ESCARA C/ RESECCION OSEA C/S COLGAJO DE 1502054 - 462.206 - 462.206 - 408.723
HMC1502029 ESCARA C/ RESECCION OSEA Y COLGAJOS MUSC 1502055 - 2.487.865 - 2.487.865 - 2.199.985
HMN1502029 ESCARA C/ RESECCION OSEA Y COLGAJOS MUSC 1502055 - 816.911 - 816.911 - 722.381
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1502067 SINDACTILIA, TRAT. QUIR. CADA ESPACIO CO 1502056 - 1.200.964 - 1.200.964 - 1.061.996
HMN1502067 SINDACTILIA, TRAT. QUIR. CADA ESPACIO CO 1502056 - 462.206 - 462.206 - 408.723
HMC1502068 SINDACTILIA, TRAT. QUIR. CADA ESPACIO SI 1502057 - 651.744 - 651.744 - 576.328
HMN1502068 SINDACTILIA, TRAT. QUIR. CADA ESPACIO SI 1502057 - 284.071 - 284.071 - 251.199
HMC1502058 POLIDACTILIA, EXTIRPACION Y PLASTIA UN L 1502058 - 1.042.867 - 1.042.867 - 922.194
HMN1502058 POLIDACTILIA, EXTIRPACION Y PLASTIA UN L 1502058 - 230.334 - 230.334 - 203.680
HMC1502045 LIPECTOMIA GLUTEA, UN LADO 1502059 - 2.401.627 - 2.401.627 - 2.123.727
HMN1502045 LIPECTOMIA GLUTEA, UN LADO 1502059 - 603.462 - 603.462 - 533.634
HMC1502046 LIPECTOMIA TROCANTEREA, UN LADO 1502060 - 2.401.627 - 2.401.627 - 2.123.727
HMN1502046 LIPECTOMIA TROCANTEREA, UN LADO 1502060 - 603.462 - 603.462 - 533.634
HMC1502034 ESCAROTOMIA HASTA 10 % SUPERFICIE CORPOR 1502061 - 501.537 - 501.537 - 443.502
HMN1502034 ESCAROTOMIA HASTA 10% SUPERF. CORPORAL 1502061 - 230.334 - 230.334 - 203.680
HMC1502035 ESCAROTOMIA POR CADA 10 % ADICIONAL (O S 1502062 - 301.791 - 301.791 - 266.871
HMC1502030 ESCARECTOMIA HASTA 1 % SUPERFICIE CORPOR 1502063 - 400.891 - 400.891 - 354.501
HMC1502032 ESCARECTOMIA HASTA 5 % SUPERFICIE CORPOR 1502064 - 902.267 - 902.267 - 797.861
HMN1502032 ESCARECTOMIA HASTA 5 % SUPERFICIE CORPOR 1502064 - 373.130 - 373.130 - 329.955
HMC1502031 ESCARECTOMIA HASTA 10% SUPERFICIE CORPOR 1502065 - 1.401.952 - 1.401.952 - 1.239.728
HMN1502031 ESCARECTOMIA HASTA 10% SUPERFICIE CORPOR 1502065 - 462.206 - 462.206 - 408.723
HMC1502033 ESCARECTOMIA POR CADA 10% ADICIONAL (O S 1502066 - 600.490 - 600.490 - 531.006
HMC1601002 CURETAJE DE LESIONES VIRALES Y SIMILARES 1601110 - 167.694 - 167.694 - 148.289
HMD1601110 95983 CURETAJE DE LESIONES VIRALES HASTA 10 LESIONES 1601110 167.688 - 167.688 - 148.289 -
HMT1601111 96791 APLIC. DE INMUNOMODULARES QUIMICOS/SIMILARES HASTA 10 LESIONES 1601111 68.341 - 68.341 - 63.252 -
HMT9999006 99318 HM PROCEDIMIENTO INSERCION/EXTRACCION IMPLANON 1601115 112.547 - 112.547 - 95.119 -
HMC1601001 CRIOTERAPIA HASTA 5 LESIONES 1601116 - 108.470 - 108.470 - 101.319
HMD1601116 96450 CRIOTERAPIA HASTA 5 LESIONES POR SESION 1601116 117.412 - 117.412 - 101.319 -
HMD1601117 96792 CRIOTERAPIA 6 A 10 LESIONES POR SESION 1601117 208.366 - 208.366 - 188.522 -
HMC1601118 TUMOR MALIGNO POR CRIOCIRUG/POR CADA LESIÓN(EX. CÓD. 1601016 1601118 - 247.761 - 247.761 - 185.821
HMD1601119 96796 INYECCION INTRAC. AREAS HASTA 9 CM2 PORSESION 1601119 77.679 - 77.679 - 68.689 -
HMC1601017 TRATAMIENTO ABRASIVO CUTANEO MECANICO PO 1601120 - 112.647 - 112.647 - 99.731
HMC1601018 ABRASIVO QUIMICO MAYOR 1601121 - 197.134 - 197.134 - 174.530
HMD1601121 96176 TRATAMIENTO ABRASIVO CUTANEO QUIMICO P/SESION 1601121 98.568 - 98.568 - 92.069 -
HMC9999011 96668 HM - TRATAMIENTO POR LASER IPL O SIMILAR - HARMONY MENOR 1601124 187.858 - 187.858 - 131.500 -
HMC9999012 96102 HM - TRATAMIENTO POR LASER IPL O SIMILAR - HARMONY MEDIANO 1601124 234.823 - 234.823 - 164.376 -
HMC9999013 96103 HM - TRATAMIENTO POR LASER IPL O SIMILAR - HARMONY MAYOR 1601124 293.529 - 293.529 - 205.470 -
HMD1601124 96666 HM - TRAT.POR LASER, IPL O SIMILAR ( CANDELA MENOR ) 1601124 217.563 - 217.563 - 186.082 -
HMD1601224 96095 HM - TRAT.POR LASER, IPL O SIMILAR (CANDELA MEDIO) 1601124 312.761 - 312.761 - 292.142 -
HMD1601324 96670 HM - TRAT.POR LASER, IPL O SIMILAR ( CANDELA MAYOR) 1601124 407.946 - 407.946 - 348.915 -
HMD1601125 96744 TERAPIA FOTODINAMICA (NO INCLUYE MEDICAMENTO) POR SESION 1601125 234.823 - 234.823 - 219.342 -
HMC1602008 BIOPSIA DE PIEL Y/O MUCOSA POR CURETAJE 1602201 - 215.697 - 215.697 - 190.738
HMD1602008 99201 HM - BIOPSIA DE PIEL Y/O MUCOSA POR CURETAJE 1602201 215.697 - 215.697 - 190.738 -
HMC1602015 CABEZA, CUELLO, GENIT. HASTA 3 LESIONES: 1602202 - 431.236 - 431.236 - 381.335
HMD1602202 93953 HM - CABEZA, CUELLO, GENIT. H/3 LESIONES: EXTIRP., REPAR. O BIOPSIA,
1602202
TOTAL O PAR
431.236 - 431.236 - 381.335 -
HMN1602202 CABEZA, CUELLO, GENIT. H/ 3 LESIONES: EXT., REP.O BIOP.,TOT.O PARCIAL,
1602202DE LES.BE - 129.369 - 129.369 - 114.799
HMC1602000 EXT, REP O BIOP, TOT/PAR - RESTO DEL CUE 1602203 - 431.236 - 431.236 - 381.335
HMD1602203 93954 HM - RESTO DEL CUERPO: EXTIRP, REPARA OBIOP, TOT/PAR DE LESIONES1602203
BENIGNAS429.736 - 429.736 - 381.335 -
HMC1602014 CABEZA, CUELLO Y GENITALES DE 4 Y HASTA 1602204 - 431.236 - 431.236 - 381.335
HMD1602204 97242 HM - CABE, CUELLO Y GENITALES DE 4 Y HASTA 6 LESIONES: EXTIRP,1602204
REPAR O BIOPSIA,T
431.236 - 431.236 - 381.335 -
HMC1602013 EXT, REP O BIOP - RESTO DEL CUERPO DESDE 1602205 - 431.236 - 431.236 - 381.335
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMD1602205 97244 HM - RESTO DEL CUERPO: DE 4 Y HASTA 6 LESIONES: EXTIRP, REPAR1602205
O BIOPSIA,TOT/PARC
431.236 - 431.236 - 381.335 -
HMC1602011 EXT DE LES BEN POR SEC TANG, CURET Y/O F 1602206 - 431.236 - 431.236 - 381.335
HMD1602206 95985 HM - EXTIRP DE LES. BENIGNAS POR SEC TANGENCIAL, CURETAJE Y/O 1602206
FULGUR HASTA 429.736
15 LE - 429.736 - 381.335 -
HMC1602112 TRAT.POR ELECTRO DE HEMANG.O TELANGECTASIAS HASTA 15 LESION. 1602207 - 155.303 - 155.303 - 138.542
HMC1602001 TUM MAL POR EXC TOT/PAR,C/S SUT, C/LESIO 1602211 - 651.744 - 651.744 - 576.328
HMD1602211 95986 (CAB, CUELLO, GEN): TRAT. QUIR. TUMOR MALIG. X ESCISION TOTAL/PARCIAL,
1602211 C/S SUTUR
649.481 - 649.481 - 576.328 -
HMC1602019 TUM MALIG EXC TOT/PAR,C/S SUT, CADA LES 1602212 - 541.331 - 541.331 - 478.692
HMD1602212 95987 (RESTO DEL CUERPO): TRAT. QUIR. TUMOR MALIG. X ESCISION TOTAL/PARCIAL,
1602212 C/S SUTUR
539.451 - 539.451 - 478.692 -
HMC1602007 AMP MARG QUIR TUM MALIG-CAB,CUELLO, GENI 1602213 - 651.744 - 651.744 - 576.328
HMD1602213 98611 HM - AMP MARG QUIR TUM MALIG-CAB,CUELLO, GENIT O MELAN CUALQ 1602213
UBIC 651.744 - 651.744 - 576.328 -
HMC1602006 AMP MARG QUI TUMOR MALIGNO - RESTO DEL C 1602214 - 541.331 - 541.331 - 478.692
HMD1602214 98613 HM - AMP MARG QUI TUMOR MALIGNO - RESTODEL CUERPO 1602214 541.331 - 541.331 - 478.692 -
HMC1602002 TUMORES VASC PROF CARA, CUERO CABELLUDO, 1602215 - 651.744 - 651.744 - 576.328
HMC1602020 TUMORES VASCULARES PROFUNDOS RESTO DEL C 1602216 - 651.744 - 651.744 - 576.328
HMD1602216 93004 HM - TUMORES VASCULARES PROFUNDOS RESTODEL C 1602216 651.744 - 651.744 - 576.328 -
HMN1602020 TUMORES VASCULARES PROFUNDOS RESTO DEL C 1602216 - 230.334 - 230.334 - 203.680
HMC1602003 HERIDA CORTANTE O CONTUSA COMPLICADA, RE 1602221 - 281.057 - 281.057 - 248.533
HMC1602221 21107 HM SATURA DE FRENILLO 1602221 257.195 257.195 257.195 257.195 227.480 240.239
HMI1602000 21254 HM C.PLAST.URG.HERIDA CORP.COMPLIC.(EXT) 1602221 297.607 297.607 297.607 297.607 277.985 277.985
HMI1602001 21253 HM C. PLAST.URG.HERIDA CORP.SIMPLE HNH 1602221 257.195 257.195 257.195 257.195 240.239 240.239
HMI1602002 21255 HM C.PLAST.URG.HERIDAS CORP.COMPLICADASHNH 1602221 415.235 415.235 415.235 415.235 387.860 387.860
HMC1602016 HERIDA CORTANTE O CONTUSA NO COMPLICADA, 1602222 - 175.744 - 175.744 - 164.044
HMC1602024 21154 HERIDA CORTANTE O CONTUSA NO COMPLICADA. 1602222 - 166.147 - 166.147 - 155.086
HMI1602004 21249 HM C.PLAST.URG.HERIDA CORPORAL SIMPLE 1602222 171.463 171.463 171.463 171.463 160.048 160.048
HMC1602012 21156 CABEZA, CUELLO, GENITALES: EXT.DE LESION 1602223 - 391.297 - 391.297 - 341.053
HMD1602223 92346 (CAB, CUELLO, GEN): EXTIRP. LESION BEN.SUBEPIDERMICA, INCLUYE1602223
TUMOR SOLIDO,391.297
QU - 391.297 - 330.703 -
HMC1602004 EXT LES BEN SUBEP,TUM SOL,QUIS EP Y LIPO 1602224 - 246.043 - 246.043 - 217.573
HMD1602224 93973 (RESTO DEL CUERPO): EXTIRP. LESION BEN.SUBEPIDERMICA, INCLUYE 1602224
TUMOR SOLIDO,246.043
QUI - 246.043 - 217.573 -
HMC1602022 21158 VACIAMIENTO Y CURETAJE QUIR DE LESIONES 1602225 - 246.043 - 246.043 - 214.450
HMD1602225 96810 HM - VACIAMIENTO Y CURETAJE QUIR DE LESIONES 1602225 246.043 - 246.043 - 207.942 -
HMC1602017 21159 ONICECTOMIA TOTAL O PARCIAL SIMPLE 1602231 - 325.794 - 325.794 - 283.960
HMD1602231 93968 HM - ONICECTOMIA TOTAL O PARCIAL SIMPLE 1602231 269.714 - 269.714 - 227.948 -
HMC1602009 CIRUGIA REPARADORA UNGUEAL POR PROCESO I 1602232 - 325.794 - 325.794 - 288.094
HMC1602232 96806 HM - CIRUGIA REPARADORA UNGUEAL POR PROCESO INFLAMATORIO1602232 313.851 - 313.851 - 283.960 -
HMC1602021 UÑA: CORRECCION QUIRURGICA DE DEFECTO CO 1602233 - 576.012 - 576.012 - 509.359
HMN1602021 UÑA: CORRECCION QUIRURGICA DE DEFECTO CO 1602233 - 215.697 - 215.697 - 188.806
HMC1602005 CURACION HERIDAS POR QUEMADURAS HASTA 5% 1602240 - 325.794 - 325.794 - 288.094
HMC1602036 21155 HM CURACI POR MED QUEM. O SIMIL MENOR AL 1602240 166.147 166.147 166.147 166.147 126.421 144.071
HMC1602010 CURACION HERIDAS POR QUEMADURAS 5 A 10% 1602241 - 418.548 - 418.548 - 370.116
HMC1602018 QUEMADURA O SIMILAR MAYOR 10% SUP. CORPO 1602242 - 982.018 - 982.018 - 868.384
HMC1701000 SONDEO CARDIACO DERECHO C/S TERMODILUCIO 1701010 - 220.350 - 220.350 - 194.852
HMC1701033 SONDEO CARDIACO IZQUIERDO Y DERECHO, EN 1701011 - 368.825 - 368.825 - 326.147
HMC1701032 SONDEO CARDIACO IZQUIERDO: EN ADULTOS O 1701012 - 220.350 - 220.350 - 194.852
HMC1701018 CINECORONARIOGRAFIA DER.Y/O IZQ.(INC.VEN 1701019 - 498.284 - 498.284 - 440.627
HMC1701037 VENTRICULOGRAFIA DERECHA (INC.SONDEO CAR 1701020 - 332.281 - 332.281 - 293.831
HMC1701001 VENTRICULOGRAFIA IZQUIERDA (INC.SONDEO C 1701021 - 332.281 - 332.281 - 293.831
HMC1701012 AORTOGRAFIA, EN ADULTOS O NINOS (A.C. 04 1701022 - 434.484 - 434.484 - 384.210
HMC1701013 ARTERIOG. DE C/EXTREMIDADES (AC 0402025) 1701023 - 541.331 - 541.331 - 478.692
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1701017 CAVOGRAFIA (A.C. 04-02-035) 1701025 - 325.794 - 325.794 - 288.094
HMC1701026 FLEBOGRAFIA EXTREMIDAD (A.C.04-02-028) 1701026 - 215.697 - 215.697 - 190.738
HMC1701003 FLEBOGRAFIA YUGULAR, SUPRARRENAL, PORTOG 1701027 - 434.484 - 434.484 - 384.210
HMC1701029 PUNCION EVACUADORA DE PERICARDIO, C/S TO 1701030 - 332.281 - 332.281 - 293.831
HMC1701009 ANGIOPLASTIA INTRALUMINAL CORONARIA 1 VA 1701031 - 1.459.565 - 1.459.565 - 1.290.674
HMC1701010 ANGIOPLASTIA INTRALUMINAL CORONARIA MULT 1701031 - 1.738.887 - 1.738.887 - 1.537.674
HMN1701009 ANGIOPLASTIA INTRALUMINAL CORONARIA 1 VA 1701031 - 509.582 - 509.582 - 450.617
HMN1701010 ANGIOPLASTIA INTRALUMINAL CORONARIA PROC 1701031 - 610.085 - 610.085 - 539.490
HMC1701011 ANGIOPLASTIA INTRALUMINAL PERIFERICA PROC.CARDIO.(A.C.04-02-023)
1701032 - 1.085.755 - 1.085.755 - 960.118
HMN1701011 ANGIOPLASTIA INTRALUMINAL PERIFERICA PROC.CARD.(A.C.04-02-023)
1701032 - 370.545 - 370.545 - 327.668
HMC1701014 BIOPSIA ENDOMIOCARDICA (PROC. COMPLETO) 1701033 - 386.339 - 386.339 - 341.635
HMC1701015 CARDIOVERSION 1701034 - 313.089 - 313.089 - 276.862
HMC1701019 COLOCACION DE SONDA MARCAPASO TRANSITORI 1701035 - 368.825 - 368.825 - 326.147
HMC1701020 DESFIBRILACION 1701036 - 313.089 - 313.089 - 276.862
HMC1701030 PUNCION SUBCLAVIA O YUGULAR CON COLOCACION 1701037 - 164.588 - 164.588 - 145.544
HMC1701031 SEPTOSTOMIA DE RASHKIND 1701038 - 349.794 - 349.794 - 309.316
HMC1701034 TROMBOLISIS ARTERIAL PERIFERICA 1701039 - 550.926 - 550.926 - 487.175
HMP1701039 96600 HM AMB - TROMBOLISIS ARTERIAL PERIFERICA 1701039 550.926 - 550.926 - 487.175 -
HMC1701035 TROMBOLISIS INTRACORONARIA 1701040 - 440.831 - 440.831 - 389.821
HMP1701040 96602 HM AMB - TROMBOLISIS INTRACORONARIA 1701040 440.831 - 440.831 - 389.821 -
HMC1701036 VALVULOPLASTIA AORTICA Y/O PULMONAR,C/U 1701042 - 1.738.887 - 1.738.887 - 1.537.674
HMN1701036 VALVULOPLASTIA AORTICA Y/O PULMONAR,C/U 1701042 - 610.085 - 610.085 - 534.015
HMC1701025 ESTUDIO ELECTROFISIOLOGICO ENDOCARDIACO 1701046 - 677.133 - 677.133 - 598.780
HMN1701025 ESTUDIO ELECTROFISIOLOGICO ENDOCARDIACO 1701046 - 284.071 - 284.071 - 248.652
HMC1701007 ABLACION C/CORRIENTE CONTINUA O RADIOFRECUENCIA NODULO AURICULO-VENTRICULAR
1701050 - 1.200.964 - 1.200.964 - 1.061.996
HMN1701007 ABLACION C/CORRIENTE CONTINUA O RADIOFRECUENCIA NODULO AURICULO-VENTRICULAR
1701050 - 816.911 - 816.911 - 722.381
HMC1701008 ABLACION C/CORRIENTE CONTINUA O C/RADIOFRECUENCIA FOCO ARRITMICO
1701051 O VIAS ACCESORI
- 2.259.481 - 2.259.481 - 1.998.027
HMN1701008 ABLACION C/CORRIENTE CONTINUA O C/RADIOFRECUENCIA FOCO ARRITMICO
1701051 O VIAS ACCESORI
- 816.911 - 816.911 - 722.381
HMC1701061 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA PULMONAR EN ADULTOS1701061O NIÑOS (AC 0402019
- 541.331 - 541.331 - 478.692
HMC1701062 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA RENAL EN ADULTOS 1701062
O NIÑOS (AC 0402019-Ó 541.331 - 541.331 - 478.692
HMC1701063 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA TRONCO CELIACO EN 1701063
ADULTOS O NIÑOS (AC
- 541.331 - 541.331 - 478.692
HMC1701064 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA ARTERIA GLUTEA EN 1701064
ADULTOS O NIÑOS (AC- 541.331 - 541.331 - 478.692
HMC1701650 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA HIPOGASTRICA EN ADULTOS
1701065 O NIÑOS (AC -040 541.331 - 541.331 - 478.692
HMC1701066 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA HEPATICA EN ADULTOS1701066
O NIÑOS (AC 0402019
- 541.331 - 541.331 - 478.692
HMC1701067 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA MESENTERICA EN ADULTOS
1701067 O NIÑOS (AC 0402
- 541.331 - 541.331 - 478.692
HMC1701068 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA ARTERIA LUMBAR EN 1701068
ADULTOS O NIÑOS (AC- 0 541.331 - 541.331 - 478.692
HMC1701069 ARTERIOGRAFIA SELECTIVA O SUPERSELECTIVA ARTERIA VESICAL EN 1701069
ADULTOS O NIÑOS (AC- 541.331 - 541.331 - 478.692
HMC1703005 EMBOLECTOMIA Y/O TROMBECTOMIA, UNILATERA 1703001 - 1.065.673 - 1.065.673 - 942.358
HMN1703005 EMBOLECTOMIA Y/O TROMBECTOMIA, UNILATERA 1703001 - 373.130 - 373.130 - 329.955
HMC1703042 FISTULA ARTERIOVENOSA CONGENITA O TRAUMA 1703002 - 1.704.443 - 1.704.443 - 1.507.213
HMN1703042 FISTULA ARTERIOVENOSA CONGENITA O TRAUMA 1703002 - 603.462 - 603.462 - 533.634
HMC1703043 FISTULA ARTERIOVENOSA (DE BRESCIA O SIMI 1703003 - 852.226 - 852.226 - 753.613
HMN1703043 FISTULA ARTERIOVENOSA (DE BRESCIA O SIMI 1703003 - 373.130 - 373.130 - 329.955
HMC1703064 REPARACION QUIRURGICA DE VASOS ARTERIALE 1703005 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703064 REPARACION QUIRURGICA DE VASOS ARTERIALE 1703005 - 816.911 - 816.911 - 722.381
HMC1703065 REPARACION QUIRURGICA DE VASOS ARTERIALE 1703006 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703065 REPARACION QUIRURGICA DE VASOS ARTERIALE 1703006 - 603.462 - 603.462 - 533.634
HMC1703016 ANEURISMA AORTICO ABDOMINAL TRAT. QUIR. 1703007 - 3.091.028 - 3.091.028 - 2.733.354
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1703016 ANEURISMA AORTICO ABDOMINAL TRAT. QUIR. 1703007 - 1.492.539 - 1.492.539 - 1.319.831
HMC1703017 ANEURISMAS PERIFERICOS, TRAT. QUIR. 1703008 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703017 ANEURISMAS PERIFERICOS, TRAT. QUIR. 1703008 - 816.911 - 816.911 - 722.381
HMC1703018 ANEURISMAS TORACO-ABDOMINAL TRAT. QUIR. 1703009 - 4.262.651 - 4.262.651 - 3.769.403
HMN1703018 ANEURISMAS TORACO-ABDOMINAL TRAT. QUIR. 1703009 - 1.847.255 - 1.847.255 - 1.633.501
HMC1703058 PUENTES AORTO-BIFEMORAL; PUENTES DE TRON 1703010 - 2.558.211 - 2.558.211 - 2.262.191
HMN1703058 PUENTES AORTO-BIFEMORAL; PUENTES DE TRON 1703010 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703060 PUENTES AORTO-UNIFEMORAL 1703011 - 2.558.211 - 2.558.211 - 2.262.191
HMN1703060 PUENTES AORTO-UNIFEMORAL 1703011 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703061 PUENTES AORTO-VISCERAL (RENAL, MESENTERI 1703012 - 2.558.211 - 2.558.211 - 2.262.191
HMN1703061 PUENTES AORTO-VISCERAL (RENAL, MESENTERI 1703012 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703059 PUENTES AORTO-ILIACO 1703013 - 3.091.028 - 3.091.028 - 2.733.354
HMN1703059 PUENTES AORTO-ILIACO 1703013 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703039 ENDARTERECTOMIA CAROTIDEA, SUBCLAVIA, VE 1703014 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703039 ENDARTERECTOMIA CAROTIDEA, SUBCLAVIA, VE 1703014 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703040 ENDARTERECTOMIA FEMORAL COMUN, SUPERFICI 1703015 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703040 ENDARTERECTOMIA FEMORAL COMUN, SUPERFICI 1703015 - 603.462 - 603.462 - 533.634
HMC1703063 PUENTES (BY PASS) FEMORO-TIBIAL O DISTAL 1703017 - 2.558.211 - 2.558.211 - 2.262.191
HMN1703063 PUENTES (BY PASS) FEMORO-TIBIAL O DISTAL 1703017 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703062 PUENTES (BY PASS): FEMORO-POPLITEO 1703018 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703062 PUENTES (BY PASS): FEMORO-POPLITEO 1703018 - 816.911 - 816.911 - 722.381
HMC1703050 LIGADURA TRONCOS ARTERIALES, (PROC. AUT. 1703019 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703050 LIGADURA TRONCOS ARTERIALES, (PROC. AUT. 1703019 - 603.462 - 603.462 - 533.634
HMC1703054 OTRAS DERIVACIONES: FEMORO-FEMORAL, AXIL 1703020 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703054 OTRAS DERIVACIONES: FEMORO-FEMORAL, AXIL 1703020 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703013 ANASTOMOSIS PORTOCAVA U OTRAS PORTOSISTE 1703021 - 2.558.211 - 2.558.211 - 2.262.191
HMN1703013 ANASTOMOSIS PORTOCAVA U OTRAS PORTOSISTE 1703021 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703015 ANASTOMOSIS VENOSAS INTRAABDOMINALES 1703022 - 2.558.211 - 2.558.211 - 2.262.191
HMN1703015 ANASTOMOSIS VENOSAS INTRAABDOMINALES 1703022 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703025 DENUDACION VENOSA (PROC. AUT.) 1703023 284.071 284.071 284.071 284.071 247.594 251.199
HMC1703047 IMPLANTE FILTROS VENOSOS 1703025 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703047 IMPLANTE FILTROS VENOSOS 1703025 - 603.462 - 603.462 - 533.634
HMC1703049 LIGADURA CAYADO SAFENA INTERNA, UNILATER 1703026 - 675.636 - 675.636 - 597.457
HMN1703049 LIGADURA CAYADO SAFENA INTERNA, UNILATER 1703026 - 284.071 - 284.071 - 251.199
HMC1703006 LIGADURA OTROS TRONCOS VENOSOS (POPLITEO 1703027 - 852.226 - 852.226 - 753.613
HMN1703006 LIGADURA OTROS TRONCOS VENOSOS (POPLITEO 1703027 - 284.071 - 284.071 - 251.199
HMC1703051 LIGADURA VENA CAVA INFERIOR 1703028 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703051 LIGADURA VENA CAVA INFERIOR 1703028 - 462.206 - 462.206 - 408.723
HMC1703066 RESECCION CUTANEO-APONEUROTICA UNILATERA 1703029 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703066 RESECCION CUTANEO-APONEUROTICA UNILATERA 1703029 - 462.206 - 462.206 - 408.723
HMC1703007 SAFENECTOMIA INTERNA Y/O EXTERNA, UNILAT 1703030 - 852.226 - 852.226 - 753.613
HMN1703007 SAFENECTOMIA INTERNA Y/O EXTERNA, UNILAT 1703030 - 284.071 - 284.071 - 251.199
HMC1703071 TROMBECTOMIA DE VENAS PROFUNDAS 1703031 - 1.065.673 - 1.065.673 - 942.358
HMN1703071 TROMBECTOMIA DE VENAS PROFUNDAS 1703031 - 284.071 - 284.071 - 251.199
HMC1703012 ANASTOMOSIS LINFOVENOSAS 1703032 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703012 ANASTOMOSIS LINFOVENOSAS 1703032 - 462.206 - 462.206 - 408.723
HMC1703073 LINFEDEMA TRATAMIENTO QUIRURGICO DE UNA 1703033 - 3.184.351 - 3.184.351 - 2.974.412
HMN1703073 LINFEDEMA TRATAMIENTO QUIRURGICO DE UNA 1703033 - 1.050.836 - 1.050.836 - 981.556
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1703011 ADENITIS, TRAT. QUIR., 1703034 - 284.071 - 284.071 - 251.199
HMN1703011 ADENITIS, TRAT. QUIR., 1703034 85.220 85.220 85.220 85.220 59.654 79.602
HMC1703008 BIOPSIA QUIR. GANGLIONAR (CUALQUIER REGI 1703035 - 532.820 - 532.820 - 471.163
HMC1703019 BIOPSIA QUIR. GANGLIONAR VIA LAPAROSCOPI 1703035 - 532.820 - 532.820 - 471.163
HMN1703008 BIOPSIA QUIR. GANGLIONAR (CUALQUIER REGI 1703035 - 230.334 - 230.334 - 203.680
HMN1703019 BIOPSIA QUIR. GANGLIONAR VIA LAPAROSCOPI 1703035 - 230.334 - 230.334 - 203.680
HMC1703027 DISEC Y ESTIRP. GANGLIONAR AXILO-SUPRACL 1703036 - 1.065.673 - 1.065.673 - 942.358
HMN1703027 DISEC Y ESTIRP. GANGLIONAR AXILO-SUPRACL 1703036 - 462.206 - 462.206 - 408.723
HMC1703030 DISEC. Y EXTIRP. GANGLIONAR CERVICO-TORA 1703037 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703030 DISEC. Y EXTIRP. GANGLIONAR CERVICO-TORA 1703037 - 603.462 - 603.462 - 533.634
HMC1703028 DISEC. Y ESTIRP. GANGLIONAR: ILEOINGUINA 1703038 - 1.065.673 - 1.065.673 - 942.358
HMC1703029 DISEC. Y ESTIRP. GANGLIONAR ILEOINGUINAL 1703038 - 1.065.673 - 1.065.673 - 942.358
HMN1703028 DISEC. Y ESTIRP. GANGLIONAR: ILEOINGUINA 1703038 - 373.130 - 373.130 - 329.955
HMN1703029 DISEC. Y ESTIRP. GANGLIONAR ILEOINGUINAL 1703038 - 373.130 - 373.130 - 329.955
HMC1703031 DISEC. Y EXTIRP. GANGLIONAR: INGUINOESCR 1703039 - 1.065.673 - 1.065.673 - 942.358
HMN1703031 DISEC. Y EXTIRP. GANGLIONAR: INGUINOESCR 1703039 - 373.130 - 373.130 - 329.955
HMC1703032 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: LUMBO-AORTICOS
1703040
VIA LAPAROSCOPICA
- 2.558.211 - 2.558.211 - 2.262.191
HMC1703033 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: LUMBO-AORTICOS
1703040 - 2.558.211 - 2.558.211 - 2.262.191
HMN1703032 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: LUMBO-AORTICOS
1703040
VIA LAPAROSCOPICA
- 816.911 - 816.911 - 722.381
HMN1703033 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: LUMBO-AORTICOS
1703040 - 816.911 - 816.911 - 722.381
HMC1703034 DISEC. Y EXTIRP. GANGLIONAR: MEDIASTINIC 1703041 - 1.385.047 - 1.385.047 - 1.224.778
HMC1703037 DISECC Y EXTIRP GANGLIO MEDIATINICOS X V 1703041 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703034 DISEC. Y EXTIRP. GANGLIONAR: MEDIASTINIC 1703041 - 603.462 - 603.462 - 533.634
HMN1703037 DISECC Y EXTIRP GANGLIO MEDIATINICOS X V 1703041 - 603.462 - 603.462 - 533.634
HMC1703038 DISEC.Y EXTIRP. GANGLIONAR RADICAL CLASI 1703043 - 1.704.443 - 1.704.443 - 1.507.213
HMN1703038 DISEC.Y EXTIRP. GANGLIONAR RADICAL CLASI 1703043 - 603.462 - 603.462 - 533.634
HMC1703036 DISEC. Y EXTIRP. GANGLIONAR: YUGULAR SIM 1703044 - 1.065.673 - 1.065.673 - 942.358
HMN1703036 DISEC. Y EXTIRP. GANGLIONAR: YUGULAR SIM 1703044 - 462.206 - 462.206 - 408.723
HMC1703067 SIMPATECTOMIA CERVICO-TORACICA 1703045 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703067 SIMPATECTOMIA CERVICO-TORACICA 1703045 - 603.462 - 603.462 - 533.634
HMC1703068 SIMPATECTOMIA LUMBAR 1703046 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703068 SIMPATECTOMIA LUMBAR 1703046 - 462.206 - 462.206 - 408.723
HMC1703014 ANASTOMOSIS VASCULARES SISTEMICOPULMONAR 1703047 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703014 ANASTOMOSIS VASCULARES SISTEMICOPULMONAR 1703047 - 816.911 - 816.911 - 722.381
HMC1703020 CAMBIO DE GENERADOR DE MARCAP.S/CAMBIO E 1703048 - 1.065.673 - 1.065.673 - 942.358
HMN1703020 CAMBIO DE GENERADOR DE MARCAP.S/CAMBIO E 1703048 - 603.462 - 603.462 - 533.634
HMC1703021 COARTACION AORTICA INFANTIL (PREDUCTAL) 1703049 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703021 COARTACION AORTICA INFANTIL (PREDUCTAL) 1703049 - 816.911 - 816.911 - 722.381
HMC1703023 CONDUCTO ARTERIOSO PERSISTENTE, TRAT. QU 1703051 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703023 CONDUCTO ARTERIOSO PERSISTENTE, TRAT. QU 1703051 - 816.911 - 816.911 - 722.381
HMC1703046 IMPLANTACION DE MARCAPASO C/ELECTROD. IN 1703053 - 1.385.047 - 1.385.047 - 1.224.778
HMC1703048 INSTALACION MARCAPASO BICAMERAL 1703053 - 1.385.047 - 1.385.047 - 1.224.778
HMN1703046 IMPLANTACION DE MARCAPASO C/ELECTROD. IN 1703053 - 603.462 - 603.462 - 533.634
HMN1703048 INSTALACION MARCAPASO BICAMERAL 1703053 - 603.462 - 603.462 - 533.634
HMC1703052 OPERACION SOBRE ANILLOS VALVULARES O VAS 1703054 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703052 OPERACION SOBRE ANILLOS VALVULARES O VAS 1703054 - 816.911 - 816.911 - 722.381
HMC1703053 OPERACIONES SOBRE ARTERIA PULMONAR, CONS 1703055 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703053 OPERACIONES SOBRE ARTERIA PULMONAR, CONS 1703055 - 816.911 - 816.911 - 722.381
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1703055 PERICARDIECTOMIA Y/O EXTIRP. DE QUISTES 1703056 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703055 PERICARDIECTOMIA Y/O EXTIRP. DE QUISTES 1703056 - 816.911 - 816.911 - 722.381
HMC1703056 PERICARDIORRAFIA O MIOPERICARDIORRAFIA E 1703057 - 2.131.322 - 2.131.322 - 1.884.700
HMN1703056 PERICARDIORRAFIA O MIOPERICARDIORRAFIA E 1703057 - 816.911 - 816.911 - 722.381
HMC1703057 PERICARDIOTOMIA 1703058 - 1.704.443 - 1.704.443 - 1.507.213
HMN1703057 PERICARDIOTOMIA 1703058 - 816.911 - 816.911 - 722.381
HMC1703009 DE COMPLEJIDAD MAYOR: INCLUYE REEMPLAZOVALVULAR MULTI-PLE 1703061 - 4.262.651 - 4.262.651 - 3.769.403
HMN1703009 (Y) DE COMPLEJIDAD MAYOR: INCLUYE REEMPLAZO VALVULAR 1703061 - 1.492.539 - 1.492.539 - 1.319.831
HMC1703010 DE COMPLEJIDAD MEDIANA: INCLUYE COM. INTERVENTRI-C 1703062 - 3.623.880 - 3.623.880 - 3.204.548
HMN1703010 (Y) DE COMPLEJIDAD MEDIANA: INCLUYE COMUNICACION 1703062 - 1.136.297 - 1.136.297 - 1.004.812
HMC1703024 (Y) DE COMPLEJIDAD MENOR: INCLUYE COMUNICACION INTERAURICULAR
1703063
SIMPLE, ESTENOSIS
- 3.091.028 - 3.091.028 - 2.733.354
HMN1703024 DE COMPLEJIDAD MENOR:INCLUYE COMUNICACIO 1703063 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704002 CIRUGIA DEL OPERCULO TORACICO 1704001 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704002 CIRUGIA DEL OPERCULO TORACICO 1704001 - 816.911 - 816.911 - 722.381
HMC1704017 CIRUGIA TORAX ABIERTO TRAUMATICO Y/O FIJ 1704002 - 2.558.211 - 2.558.211 - 2.262.191
HMN1704017 CIRUGIA TORAX ABIERTO TRAUMATICO Y/O FIJ 1704002 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704034 FENESTRACION O TORACOPLASTIA 1704003 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704034 FENESTRACION O TORACOPLASTIA 1704003 - 816.911 - 816.911 - 722.381
HMC1704053 REPARACION PECTUM EXCAVATUM O CARINATUM, 1704004 - 2.558.211 - 2.558.211 - 2.262.191
HMN1704053 REPARACION PECTUM EXCAVATUM O CARINATUM, 1704004 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704054 RESECCION DE COSTILLAS Y/O PARED COSTAL 1704005 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704054 RESECCION DE COSTILLAS Y/O PARED COSTAL 1704005 - 816.911 - 816.911 - 722.381
HMC1704055 RESECCION DE PARED COSTAL C/PLASTIA (TOR 1704006 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704055 RESECCION DE PARED COSTAL C/PLASTIA (TOR 1704006 - 603.462 - 603.462 - 533.634
HMC1704060 TORACOFRENOLAPARATOMIA EXPLORADORA C/S R 1704007 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704060 TORACOFRENOLAPARATOMIA EXPLORADORA C/S R 1704007 - 816.911 - 816.911 - 722.381
HMC1704061 TORACOFRENOTOMIA EXPLORADORA 1704008 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704061 TORACOFRENOTOMIA EXPLORADORA 1704008 - 816.911 - 816.911 - 722.381
HMC1704062 TORACOTOMIA EXPLORADORA, C/S BIOPSIA, C/ 1704009 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704062 TORACOTOMIA EXPLORADORA, C/S BIOPSIA, C/ 1704009 - 603.462 - 603.462 - 533.634
HMC1704063 TORACOTOMIA MINIMA C/S RESECCION COSTAL, 1704010 - 1.065.673 - 1.065.673 - 942.358
HMN1704063 TORACOTOMIA MINIMA C/S RESECCION COSTAL, 1704010 - 373.130 - 373.130 - 329.955
HMC1704040 MEDIASTINOTOMIA EXPLORADORA ANT.O POST.C 1704011 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704040 MEDIASTINOTOMIA EXPLORADORA ANT.O POST.C 1704011 - 462.206 - 462.206 - 408.723
HMC1704022 DRENAJE QX. DE MEDIASTINO VIA CERVICAL 1704012 - 1.065.673 - 1.065.673 - 942.358
HMN1704022 DRENAJE QX. DE MEDIASTINO VIA CERVICAL 1704012 - 462.206 - 462.206 - 408.723
HMC1704023 DRENAJE QX. DE MEDIASTINO VIA TORACICA 1704013 - 2.131.322 - 2.131.322 - 1.884.700
HMN1704023 DRENAJE QX. DE MEDIASTINO VIA TORACICA 1704013 - 816.911 - 816.911 - 722.381
HMC1704058 TIMECTOMIA VIA CERVICAL 1704014 - 1.065.673 - 1.065.673 - 942.358
HMN1704058 TIMECTOMIA VIA CERVICAL 1704014 - 373.130 - 373.130 - 329.955
HMC1704059 TIMECTOMIA VIA TORACICA MEDIOESTERNAL 1704015 - 2.131.322 - 2.131.322 - 1.884.700
HMN1704059 TIMECTOMIA VIA TORACICA MEDIOESTERNAL 1704015 - 816.911 - 816.911 - 722.381
HMC1704018 CONDUCTO TORACICO, LIGADURA QUIRURGICA 1704016 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704018 CONDUCTO TORACICO, LIGADURA QUIRURGICA 1704016 - 462.206 - 462.206 - 408.723
HMC1704066 TUMORES O QUISTES DE MEDIASTINO (ANTERIO 1704017 - 2.558.211 - 2.558.211 - 2.262.191
HMN1704066 TUMORES O QUISTES DE MEDIASTINO (ANTERIO 1704017 - 816.911 - 816.911 - 722.381
HMC1704015 CIRUGIA DEL DIAFRAGMA C/CIRUGIA VISCERAS 1704018 - 2.558.211 - 2.558.211 - 2.262.191
HMN1704015 CIRUGIA DEL DIAFRAGMA C/CIRUGIA VISCERAS 1704018 - 816.911 - 816.911 - 722.381
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1704021 DIAFRAGMA: HERIDAS TRAUMATICAS, TRAT. QU 1704019 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704021 DIAFRAGMA: HERIDAS TRAUMATICAS, TRAT. QU 1704019 - 603.462 - 603.462 - 533.634
HMC1704038 HERNIOPLASTIA DIAFRAGMATICA POR VIA TORA 1704020 - 2.131.322 - 2.131.322 - 1.884.700
HMN1704038 HERNIOPLASTIA DIAFRAGMATICA POR VIA TORA 1704020 - 816.911 - 816.911 - 722.381
HMC1704037 HERNIOPLASTIA DIAFRAGMATICA POR VIA TORA 1704021 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704037 HERNIOPLASTIA DIAFRAGMATICA POR VIA TORA 1704021 - 816.911 - 816.911 - 722.381
HMC1704065 TUMORES, MALFORMACIONES O QUISTES DEL DI 1704022 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704065 TUMORES, MALFORMACIONES O QUISTES DEL DI 1704022 - 816.911 - 816.911 - 722.381
HMC1704003 DECORTICACION PLEUROPULMONAR (PLEURECTOM 1704024 - 2.131.322 - 2.131.322 - 1.884.700
HMN1704003 DECORTICACION PLEUROPULMONAR (PLEURECTOM 1704024 - 816.911 - 816.911 - 722.381
HMC1704044 PLEURODESIS POR PLEUROTOMIA 1704025 - 852.226 - 852.226 - 753.613
HMN1704044 PLEURODESIS POR PLEUROTOMIA 1704025 - 373.130 - 373.130 - 329.955
HMC1704045 PLEURODESIS POR TORACOTOMIA 1704026 - 1.385.047 - 1.385.047 - 1.224.778
HMC1704046 PLEURODESIS POR VIDEO TORACOSCOPIA (VIA 1704026 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704045 PLEURODESIS POR TORACOTOMIA 1704026 - 462.206 - 462.206 - 408.723
HMN1704046 PLEURODESIS POR VIDEO TORACOSCOPIA (VIA 1704026 - 462.206 - 462.206 - 408.723
HMC1704004 PLEUROTOMIA UNICA O DOBLE C/S BIOPSIA CO 1704027 - 426.868 - 426.868 - 377.473
HMC1704067 TUMORES PLEURALES, TRAT. QUIR. 1704028 - 2.131.322 - 2.131.322 - 1.884.700
HMN1704067 TUMORES PLEURALES, TRAT. QUIR. 1704028 - 816.911 - 816.911 - 722.381
HMC1704012 BRONCOTOMIA O TRAQUEOBRONCOTOMIA EXPLORA 1704029 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704012 BRONCOTOMIA O TRAQUEOBRONCOTOMIA EXPLORA 1704029 - 816.911 - 816.911 - 722.381
HMC1704016 CIRUGIA RUPTURA TRAQUEOBRONQUIAL O TRATA 1704030 - 3.091.028 - 3.091.028 - 2.733.354
HMN1704016 CIRUGIA RUPTURA TRAQUEOBRONQUIAL O TRATA 1704030 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704043 PLASTIA DE TRAQUEA Y/O BRONQUIOS C/S RES 1704031 - 3.091.028 - 3.091.028 - 2.733.354
HMN1704043 PLASTIA DE TRAQUEA Y/O BRONQUIOS C/S RES 1704031 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704064 TRATAMIENTO QUIRURGICO FISTULA BRONQUIAL 1704032 - 3.091.028 - 3.091.028 - 2.733.354
HMN1704064 TRATAMIENTO QUIRURGICO FISTULA BRONQUIAL 1704032 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704068 TUMORES TRAQUEALES, EXTIRPACION 1704033 - 3.091.028 - 3.091.028 - 2.733.354
HMN1704068 TUMORES TRAQUEALES, EXTIRPACION 1704033 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704006 ABSCESO PULMONAR, DRENAJE POR TORACOTOMI 1704034 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704006 ABSCESO PULMONAR, DRENAJE POR TORACOTOMI 1704034 - 603.462 - 603.462 - 533.634
HMC1704010 BIOPSIA PULMON POR VTC 1704035 - 1.385.047 - 1.385.047 - 1.224.778
HMC1704011 BIOPSIA PULMONAR POR TORACOTOMIA 1704035 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704010 BIOPSIA PULMON POR VTC 1704035 - 603.462 - 603.462 - 533.634
HMN1704011 BIOPSIA PULMONAR POR TORACOTOMIA 1704035 - 603.462 - 603.462 - 533.634
HMC1704013 BULAS, TRAT. QUIR. 1704036 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704013 BULAS, TRAT. QUIR. 1704036 - 816.911 - 816.911 - 722.381
HMC1704014 CIRUGIA DE QUISTE HIDATIDICO SIN RESECCI 1704037 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704014 CIRUGIA DE QUISTE HIDATIDICO SIN RESECCI 1704037 - 816.911 - 816.911 - 722.381
HMC1704036 HERIDAS DE PULMON, TRAT. QUIR. (PROC. AU 1704039 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704036 HERIDAS DE PULMON, TRAT. QUIR. (PROC. AU 1704039 - 603.462 - 603.462 - 533.634
HMC1704039 LOBECTOMIA O BILOBECTOMIA 1704040 - 3.091.028 - 3.091.028 - 2.733.354
HMN1704039 LOBECTOMIA O BILOBECTOMIA 1704040 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704048 PULMON: METASTASIS BILATERAL, TRAT. QUIR 1704041 - 2.558.211 - 2.558.211 - 2.262.191
HMN1704048 PULMON: METASTASIS BILATERAL, TRAT. QUIR 1704041 - 816.911 - 816.911 - 722.381
HMC1704049 PULMON: METASTASIS UNILATERAL 1704042 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704049 PULMON: METASTASIS UNILATERAL 1704042 - 816.911 - 816.911 - 722.381
HMC1704041 NEUMONECTOMIA C/S RESECCION DE PARED COS 1704043 - 3.623.880 - 3.623.880 - 3.204.548
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1704041 NEUMONECTOMIA C/S RESECCION DE PARED COS 1704043 - 1.492.539 - 1.492.539 - 1.319.831
HMC1704050 PULMON: QUISTECTOMIA SIMPLE 1704045 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704050 PULMON: QUISTECTOMIA SIMPLE 1704045 - 603.462 - 603.462 - 533.634
HMC1704051 PULMON: RESECCIONES SEGMENTARIAS 1704046 - 2.558.211 - 2.558.211 - 2.262.191
HMN1704051 PULMON: RESECCIONES SEGMENTARIAS 1704046 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704032 ESOFAGOSTOMIA CERVICAL (PROC. AUT.) 1704049 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704032 ESOFAGOSTOMIA CERVICAL (PROC. AUT.) 1704049 - 373.130 - 373.130 - 329.955
HMC1704028 ESOFAGO TU BENIGNOS Y QUISTES TRAT QUIR. 1704050 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704028 ESOFAGO TU BENIGNOS Y QUISTES TRAT QUIR. 1704050 - 462.206 - 462.206 - 408.723
HMC1704029 TUMORES BENIGNOS Y QUISTES TRAT QUIR. (V 1704051 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704029 TUMORES BENIGNOS Y QUISTES TRAT QUIR. (V 1704051 - 603.462 - 603.462 - 533.634
HMC1704026 ESOFAGO DIVERTICULOS: TRAT QUIR VIA CERV 1704052 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704026 ESOFAGO DIVERTICULOS: TRAT QUIR VIA CERV 1704052 - 462.206 - 462.206 - 408.723
HMC1704027 ESOFAGO DIVERTIVULOS: TRAT QUIR VIA TORA 1704053 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704027 ESOFAGO DIVERTIVULOS: TRAT QUIR VIA TORA 1704053 - 603.462 - 603.462 - 533.634
HMC1704007 ACHALASIA, TRAT. QUIR. 1704054 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704007 ACHALASIA, TRAT. QUIR. 1704054 - 603.462 - 603.462 - 533.634
HMC1704009 ATRESIA ESOFAGICA, TRAT. QUIR. 1704055 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704009 ATRESIA ESOFAGICA, TRAT. QUIR. 1704055 - 603.462 - 603.462 - 533.634
HMC1704024 ESOFAGECTOMIA CON RESTITUCION DEL TRANSI 1704056 - 3.091.028 - 3.091.028 - 2.733.354
HMN1704024 ESOFAGECTOMIA CON RESTITUCION DEL TRANSI 1704056 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704025 ESOFAGECTOMIA TOTAL CON ESOFAGOSTOMIA, G 1704057 - 3.091.028 - 3.091.028 - 2.733.354
HMN1704025 ESOFAGECTOMIA TOTAL CON ESOFAGOSTOMIA, G 1704057 - 1.136.297 - 1.136.297 - 1.004.812
HMC1704047 PROTESIS O TUBO ENDOESOFAGICO, COLOCACIO 1704059 - 1.065.673 - 1.065.673 - 942.358
HMN1704047 PROTESIS O TUBO ENDOESOFAGICO, COLOCACIO 1704059 - 373.130 - 373.130 - 329.955
HMC1704052 RECONSTITUCION DE TRANSITO EN SEGUNDO TI 1704060 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704052 RECONSTITUCION DE TRANSITO EN SEGUNDO TI 1704060 - 603.462 - 603.462 - 533.634
HMC1704056 SUTURA HERIDA O PERFORACION ESOFAGO CERV 1704061 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704056 SUTURA HERIDA O PERFORACION ESOFAGO CERV 1704061 - 816.911 - 816.911 - 722.381
HMC1704057 SUTURA HERIDA O PERFORACION ESOFAGO TORA 1704062 - 2.558.211 - 2.558.211 - 2.262.191
HMN1704057 SUTURA HERIDA O PERFORACION ESOFAGO TORA 1704062 - 816.911 - 816.911 - 722.381
HMC1704030 VARICES ESOFAGICOS, LIGADURA DIRECTA 1704063 - 1.385.047 - 1.385.047 - 1.224.778
HMN1704030 VARICES ESOFAGICOS, LIGADURA DIRECTA 1704063 - 462.206 - 462.206 - 408.723
HMC1704035 FRENOPARALISIS TRAT. QUIR. 1704064 - 1.704.443 - 1.704.443 - 1.507.213
HMN1704035 FRENOPARALISIS TRAT. QUIR. 1704064 - 816.911 - 816.911 - 722.381
HMC1707013 LARINGOTRAQUEOBRONCOSCOPIA CON FIBROSCOP 1707021 434.484 434.484 434.484 434.484 384.210 384.210
HMC1707012 LARIGOTRAQUEOSCOPIA CON TUBO RIGIDO 1707022 745.730 745.730 745.730 745.730 659.437 659.437
HMN1707012 LARIGOTRAQUEOSCOPIA CON TUBO RIGIDO 1707022 284.071 284.071 284.071 284.071 248.652 251.199
HMC1707014 MEDIASTINOSCOPIA C/S BIOPSIA 1707023 479.238 479.238 479.238 479.238 423.784 423.784
HMC1707016 PLEUROSCOPIA (TORACOSCOPIA) C/S BIOPSIA 1707024 996.426 996.426 996.426 996.426 884.196 884.196
HMN1707016 PLEUROSCOPIA (TORACOSCOPIA) C/S BIOPSIA 1707024 284.071 284.071 284.071 284.071 248.652 251.199
HMC1707118 BRONCOASPIRACION C/S LAVADO Y/O COLOC.MEDIC. 1707027 410.940 410.940 410.940 410.940 351.476 351.476
HMC1707017 TORACOCENTESIS EVACUADORA,C/S TOMA DE MU 1707029 - 151.741 - 151.741 - 134.182
HMR1707017 94240 HM -TORACOCENTESIS EVACUADORA,C/S TOMA DE MUESTRASC/S INYECCION
1707029 151.741 - 151.741 - 128.243 -
HMC1707001 BIOPSIA PLEURAL (CON AGUJA) 1707032 325.794 325.794 325.794 325.794 288.094 288.094
HMC1707002 BIOPSIA PULMONAR (CON AGUJA) NO INCLUYERADIOLOGIA 1707033 241.261 241.261 241.261 241.261 213.341 213.341
HMR1707033 96628 BIOPSIA PULMONAR (CON AGUJA) NO INCLUYERADIOLOGIA 1707033 241.261 - 241.261 - 213.341 -
HMC1707005 CUERPO EXTRANO DE BRONQUIO, EXTRACCION P 1707034 892.832 892.832 892.832 892.832 789.519 789.519
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1707005 CUERPO EXTRANO DE BRONQUIO, EXTRACCION P 1707034 373.130 373.130 373.130 373.130 326.611 329.955
HMC1801042 ENDOSONOGRAFIA (EBUS) 1707056 - 434.484 - 434.484 - 405.840
HMC1801047 GASTRODUODENOSCOPIA (INCLUYE ESOFAGOSCOP 1801001 - 114.583 - 114.583 - 107.030
HMP1801001 96336 GASTRODUODENOSCOPIA (INCLUYE ESOFAGOSCOPIA) 1801001 114.583 - 114.583 - 107.030 -
HMT1801055 96408 HM - PANENDOSCOPIA C/USO ARGON 1801001 329.876 - 329.876 - 292.056 -
HMC1801055 PANENDOSCOPIA C/USO ARGON 1801001 - 329.876 - 329.876 - 286.049
HMC1801018 ESOFAGOSCOPIA 1801002 - 108.550 - 108.550 - 95.988
HMC1801061 HM - ENTEROSCOPIA 1801003 - 382.989 - 382.989 - 357.739
HMT1801061 96376 HM - ENTEROSCOPIA 1801003 382.989 - 382.989 - 357.739 -
HMC1801993 ENTEROSCOPIA CON USO DE ARGON PLASMA 1801003 - 592.989 - 592.989 - 444.741
HMC1801903 ENTEROSCOPIA DOBLE BALON CON USO DE ARGON PLASMA 1801003 - 592.989 - 592.989 - 444.741
HMC1801005 ANO-RECTO-SIGMOIDOSCOPIA EN ADULTOS 1801004 - 118.302 - 118.302 - 104.614
HMT1801053 96396 HM - ANO-RECTO-SIGMOIDOSCOPIA EN ADULTOS 1801004 118.163 - 118.163 - 104.614 -
HMP1801004 HM - RECTOSCOPIA ADULTO CON USO DE ARGON PLASMA 1801004 328.163 - 328.163 - 229.714 -
HMC1801904 RECTOSCOPIA ADULTO CON USO DE ARGON PLASMA 1801004 - 328.163 - 328.163 - 246.122
HMC1801004 ANO-RECTO-SIGMOIDESCOPIA EN NINOS (ADEMA 1801005 - 99.100 - 99.100 - 87.632
HMP1801005 94252 HM - ANO-RECTO-SIGMOIDESCOPIA EN NINOS 1801005 99.100 - 99.100 - 83.754 -
HMP1801905 HM - RECTOSCOPIA NIÑOS CON USO DE ARGONPLASMA 1801005 309.100 - 309.100 - 216.370 -
HMC1801905 RECTOSCOPIA NIÑOS CON USO DE ARGON PLASMA 1801005 - 309.100 - 309.100 - 231.825
HMC1801009 COLONOSCOPIA LARGA (INCLUYE SIGMOIDOSCOP 1801006 - 225.133 - 225.133 - 199.083
HMP1801006 96344 HM - COLONOSCOPIA LARGA 1801006 221.759 - 221.759 - 199.083 -
HMT1801054 96406 HM - COLONSCOPIA LARGA C/USO DE ARGON 1801006 329.876 - 329.876 - 292.056 -
HMC1801054 COLONOSCOPIA LARGA C/USO DE ARGON (INCL. SIGMOIDOSCOPIA Y 1801006
COLONOSCOPIA IZQUIERDA)
- 329.876 - 329.876 - 286.049
HMC1801035 SIGMOIDOSCOPIA Y COLONOSCOPIA IZQUIERDA 1801007 - 113.491 - 113.491 - 100.358
HMP1801007 96340 HM - SIGMOID. Y COLONOSCOPIA IZQUIERDA C/TUBO FLEXIBLE 1801007 114.452 - 114.452 - 96.729 -
HMP1801907 HM - SIGMOIDOSCOPIA Y COLONOSCOPIA IZQUIERDA C/USO DE ARGON 1801007 271.952 - 271.952 - 190.366 -
HMC1801907 SIGMOIDOSCOPIA Y COLONOSCOPIA IZQUIERDAC/USO DE ARGON 1801007 - 271.952 - 271.952 - 203.964
HMC1801002 - COLEDOCOSCOPIA INTRAOPERATORIA C/S EXT 1801008 94.444 94.444 94.444 94.444 83.516 83.516
HMC1801003 - PERITONEOSCOPIA TRANSPARIETAL (INCLUYE 1801009 - 303.336 - 303.336 - 268.236
HMC1801006 BIOPSIA DE INTESTINO DELGADO, POR CAPSUL 1801015 215.697 215.697 215.697 215.697 190.738 190.738
HMC1801000 PUNCION BIOPSIA TRANSPARIETAL DE ORGANOS ABDOMINALES C/U 1801016 610.085 610.085 610.085 610.085 539.490 539.490
HMR1801016 96608 PUNCION BIOPSIA TRANSPARIETAL DE ORGANOS ABDOMINALES C/U 1801016 252.499 - 252.499 - 213.399 -
HMC1801007 COLANGIOPANCREATOGRAFIA RETROGRADA, POR 1801018 - 694.631 - 694.631 - 614.252
HMC1801068 HM COLANGIOPANCREATOGRAFIA RETROGRADA C/S PAPILOTOMIA V/E 1801018 - 676.248 - 676.248 - 631.664
HMN1801068 HMA COLANGIOPANCREATOGRAFIA RETROGRADA C/S PAPILOTOMIA 1801018
V/E - 202.874 - 202.874 - 189.499
HMC1801015 DRENAJE DE LA VIA BILIAR TRANSHEPATICA Y/O PERCUTANEO (A.C. 04-01-015)
1801019 651.744 651.744 651.744 651.744 576.328 576.328
HMN1801015 DRENAJE DE LA VIA BILIAR TRANSHEPATICA Y/O PERCUTANEO (A.C. 04-01-015)
1801019 230.334 230.334 230.334 230.334 201.621 203.680
HMC1801020 FISTULOGRAFIA (A.C. 04-02-009) 1801020 - 84.704 - 84.704 - 74.904
HMR1801020 96074 FISTULOGRAFIA (A.C. 04-02-009) 1801020 39.022 - 39.022 - 32.980 -
HMC1801024 INTUBACION SONDA DE SENGSTAKEN 1801022 - 130.993 - 130.993 - 115.834
HMC1801022 INSTALACION ENDOSCOPICA DE SONDA ENTERAL 1801024 - 215.697 - 215.697 - 190.738
HMC1801014 DILATACION ESSOFAGICA POR BALON NEUMATIC 1801025 - 282.747 - 282.747 - 250.030
HMC1801013 DILATACION ESOFAGICA POR BUJIA DE HG (HU 1801026 - 215.697 - 215.697 - 190.738
HMC1801008 COLOCACION ENDOSCOPICA DE TUBO TRANSTUMO 1801027 - 541.331 - 541.331 - 478.692
HMC1801010 CUERPO EXTRANO DE ESOFAGO Y/O ESTOMAGO, 1801028 - 325.794 - 325.794 - 288.094
HMP1801028 96950 CUERPO EXTRAÑO DE ESOFAGO Y/O ESTOMAGO 1801028 325.794 - 325.794 - 275.344 -
HMC1801011 DEVOLVULACION DEL SIGMOIDES POR ENDOSCOP 1801029 - 282.747 - 282.747 - 250.030
HMC1801012 DILATACION ANO-RECTAL, POR SESION 1801030 215.697 215.697 215.697 215.697 190.738 190.738
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMT1801069 98761 DILATACION ANO-RECTAL, POR SESION 1801030 215.697 - 215.697 - 182.296 -
HMC1801028 POLIPOS DE ESOFAGO Y/O ESTOMAGO O INTEST 1801031 - 175.744 - 175.744 - 155.405
HMP1801031 96596 HM - POLIPECTOMIA O MUCOSECTOMIA ENDOSCOPICA ALTA 1801031 402.451 - 402.451 - 340.131 -
HMC1801016 ESCLEROTERAPIA DE HEMORROIDES, CUALQUIER 1801032 - 311.403 - 311.403 - 275.368
HMC1801017 INYECTOTERAPIA HEMOSTATICA, HEMOSTASIA MEC., TERMICA, LIGADURA
1801033
ELASTICA - 423.186 - 423.186 - 374.218
HMP1801033 96135 HM - ESCLEROTERAPIA O HEMOSTASIA DE VARICES ESOFAGICAS Y/O1801033
ULCERA 423.186 - 423.186 - 374.218 -
HMC1801025 LIGADURA HEMORROIDES 1801035 - 423.186 - 423.186 - 374.218
HMP1801035 97173 LIGADURA HEMORROIDES 1801035 423.186 - 423.186 - 374.218 -
HMC1801027 EXTRACCION ENDOSCOPICA DE CALCULOS BILIARES 1801036 - 434.484 - 434.484 - 715.050
HMC1801030 PUNCION EVACUADORA DE ABSCESO INTRAABDOMINALES (HEPATICO 1801038
U OTROS). - 388.438 - 388.438 - 369.016
HMR1801030 94286 HM - PUNCION EVAC. DE ABSCESO INTRAABDOMINALES (HEPATICO U1801038
OTROS) 211.023 - 211.023 - 178.345 -
HMC1801031 PUNCION EVACUADORA DE LIQUIDO ASCITICO, 1801041 282.747 282.747 282.747 282.747 250.030 250.030
HMC1801038 VACIAMIENTO MANUAL DE FECALOMA 1801042 - 258.745 - 258.745 - 228.806
HMP1801042 VACIAMIENTO MANUAL DE FECALOMA 1801042 258.745 - 258.745 - 181.122 -
HMC1801029 POLIPECTOMIA O MUCOSECTOMIA ENDOSCOPICA 1801045 - 402.451 - 402.451 - 355.883
HMT1801062 96407 HM - POLIPECTOMIA O MUCOSECTOMIA END. BAJA 1801045 559.347 - 559.347 - 477.860 -
HMC1802010 HERNIA DIAFRAGMATICA POR VIA ABDOMINAL O 1802001 - 1.704.443 - 1.704.443 - 1.485.584
HMC1802011 HERNIA DIAFRAGMATICA VIA LAPAROSCOPICA 1802001 - 1.704.443 - 1.704.443 - 1.485.584
HMN1802010 HERNIA DIAFRAGMATICA POR VIA ABDOMINAL O 1802001 - 816.911 - 816.911 - 715.053
HMN1802011 HERNIA DIAFRAGMATICA VIA LAPAROSCOPICA 1802001 - 816.911 - 816.911 - 715.053
HMC1802085 HERNIA INCISIONAL O EVISCERACION POST-OP 1802002 - 1.385.047 - 1.385.047 - 1.224.778
HMC1802086 HERNIA INCISIONAL O EVISCERACION VIA LAP 1802002 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802085 HERNIA INCISIONAL O EVISCERACION POST-OP 1802002 - 462.206 - 462.206 - 408.723
HMN1802086 HERNIA INCISIONAL O EVISCERACION VIA LAP 1802002 - 462.206 - 462.206 - 408.723
HMC1802012 HERNIA INGUINAL, CRURAL, UMBILICAL, DE LIN.BLANCA O SIM. 1802003 - 1.065.673 - 1.065.673 - 928.836
HMC1802013 HERNIOPLASTIA INGUINAL VIA LAPAROSCOPICA 1802003 - 1.065.673 - 1.065.673 - 942.358
HMN1802012 HERNIA INGUINAL, CRURAL, UMBILICAL, DE L.BLANCA O SIM. 1802003 - 373.130 - 373.130 - 326.611
HMN1802013 HERNIOPLASTIA INGUINAL VIA LAPAROSCOPICA 1802003 - 373.130 - 373.130 - 329.955
HMC1802091 LAPAROTOMIA EXPLORADORA, C/S LIBERACION 1802004 - 1.119.099 - 1.119.099 - 989.603
HMN1802091 LAPAROTOMIA EXPLORADORA, C/S LIBERACION 1802004 - 462.206 - 462.206 - 408.723
HMC1802100 ONFALOCELE (HASTA 5 CMS.); TRAT. QUIR. 1802005 - 1.065.673 - 1.065.673 - 942.358
HMN1802100 ONFALOCELE (HASTA 5 CMS.); TRAT. QUIR. 1802005 - 462.206 - 462.206 - 408.723
HMC1802101 ONFALOCELE (MAS DE 5 CMS.); TRAT. QUIR. 1802006 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802101 ONFALOCELE (MAS DE 5 CMS.); TRAT. QUIR. 1802006 - 603.462 - 603.462 - 533.634
HMC1802014 PERITONITIS AGUDA VIA LAPAROSCOPICA 1802007 - 1.385.047 - 1.385.047 - 1.224.778
HMC1802111 PERITONITIS DIFUSA AGUDA, TRAT. QUIR. (P 1802007 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802014 PERITONITIS AGUDA VIA LAPAROSCOPICA 1802007 - 462.206 - 462.206 - 408.723
HMN1802111 PERITONITIS DIFUSA AGUDA, TRAT. QUIR. (P 1802007 - 462.206 - 462.206 - 408.723
HMC1802133 TUMOR Y/O QUISTE PERIT VIA LAPAROSCOPICA 1802008 - 1.065.673 - 1.065.673 - 942.358
HMC1802134 TUMOR Y/O QUISTE PERITONEAL (PARIETAL) 1802008 - 1.065.673 - 1.065.673 - 942.358
HMN1802133 TUMOR Y/O QUISTE PERIT VIA LAPAROSCOPICA 1802008 - 462.206 - 462.206 - 408.723
HMN1802134 TUMOR Y/O QUISTE PERITONEAL (PARIETAL) 1802008 - 462.206 - 462.206 - 408.723
HMC1802135 TUMOR Y/O QUISTE RETROPERIT. VIA LAPAROS 1802009 - 1.385.047 - 1.385.047 - 1.224.778
HMC1802136 TUMOR Y/O QUISTE RETROPERITONEAL 1802009 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802135 TUMOR Y/O QUISTE RETROPERIT. VIA LAPAROS 1802009 - 462.206 - 462.206 - 408.723
HMN1802136 TUMOR Y/O QUISTE RETROPERITONEAL 1802009 - 462.206 - 462.206 - 408.723
HMC1802023 ANTRECTOMIA Y VAGOTOMIA TRONCULAR O SELE 1802010 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802024 ANTRECTOMIA Y VAGOTOMIA TRONCULAR O SELE 1802010 - 1.704.443 - 1.704.443 - 1.507.213
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1802023 ANTRECTOMIA Y VAGOTOMIA TRONCULAR O SELE 1802010 - 603.462 - 603.462 - 533.634
HMN1802024 ANTRECTOMIA Y VAGOTOMIA TRONCULAR O SELE 1802010 - 603.462 - 603.462 - 533.634
HMC1802048 DESGASTRECTOMIA Y NEOANASTOMOSIS, C/S VA 1802011 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802049 DESGASTRECTOMIA Y NEOANASTOMOSIS. C/S VA 1802011 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802048 DESGASTRECTOMIA Y NEOANASTOMOSIS, C/S VA 1802011 - 603.462 - 603.462 - 533.634
HMN1802049 DESGASTRECTOMIA Y NEOANASTOMOSIS. C/S VA 1802011 - 603.462 - 603.462 - 533.634
HMC1802069 GASTROENTEROANASTOMOSIS, CUALQUIER TECNICA 1802012 - 2.558.211 - 2.558.211 - 2.229.726
HMC1802070 GASTROENTEROANASTOMOSIS. LAPAROSCOPICA 1802012 - 2.558.211 - 2.558.211 - 2.229.726
HMN1802069 GASTROENTEROANASTOMOSIS, CUALQUIER TECNICA 1802012 - 816.911 - 816.911 - 715.053
HMN1802070 GASTROENTEROANASTOMOSIS. VIA LAP. 1802012 - 816.911 - 816.911 - 715.053
HMC1802073 GASTROSQUISIS 1802013 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802073 GASTROSQUISIS 1802013 - 462.206 - 462.206 - 408.723
HMC1802075 GASTROTOMIA - CAMBIO DE SET 1802014 - 1.065.673 - 1.065.673 - 942.358
HMC1802076 GASTROTOMIA PERCUTANEA 1802014 - 1.065.673 - 1.065.673 - 942.358
HMC1802077 GASTROTOMIA Y/O GASTROSTOMIA LAPAROSC. 1802014 - 1.065.673 - 1.065.673 - 942.358
HMC1802078 GASTROTOMIA Y/O GASTROSTOMIA (PROC. AUT. 1802014 - 1.065.673 - 1.065.673 - 942.358
HMN1802076 GASTROTOMIA PERCUTANEA 1802014 - 373.130 - 373.130 - 329.955
HMN1802077 GASTROTOMIA Y/O GASTROSTOMIA LAPAROSC. 1802014 - 373.130 - 373.130 - 329.955
HMN1802078 GASTROTOMIA Y/O GASTROSTOMIA (PROC. AUT. 1802014 - 373.130 - 373.130 - 329.955
HMC1802107 PERFORACION GASTRICA AGUDA, TRAT. QUIR.(PROC. AUT.) 1802015 - 1.065.673 - 1.065.673 - 942.358
HMC1802108 PERFORACION GASTRICA AGUDA, TRAT. QUIR. 1802015 - 1.065.673 - 1.065.673 - 942.358
HMN1802107 PERFORACION GASTRICA AGUDA. T.QUIR. VIA 1802015 - 462.206 - 462.206 - 408.723
HMN1802108 PERFORACION GASTRICA AGUDA, TRAT. QUIR. 1802015 - 462.206 - 462.206 - 408.723
HMC1802113 PILOROPLASTIA LAPAROSC 1802016 - 1.065.673 - 1.065.673 - 942.358
HMC1802114 PILOROPLASTIA (PROC.AUT.) 1802016 - 1.065.673 - 1.065.673 - 942.358
HMN1802113 PILOROPLASTIA LAPAROSC 1802016 - 462.206 - 462.206 - 408.723
HMN1802114 PILOROPLASTIA (PROC.AUT.) 1802016 - 462.206 - 462.206 - 408.723
HMC1802062 GASTRECTOMIA SUBTOTAL CON DISECCION GANG 1802017 - 2.131.322 - 2.131.322 - 1.884.700
HMN1802062 GASTRECTOMIA SUBTOTAL CON DISECCION GANG 1802017 - 816.911 - 816.911 - 722.381
HMC1802016 GASTRECTOMIA SUBTOTAL SIN DISECCION GANG 1802018 - 2.189.571 - 2.189.571 - 1.908.423
HMN1802016 GASTRECTOMIA SUBTOTAL SIN DISECCION GANG 1802018 - 816.911 - 816.911 - 715.053
HMC1802053 DUMPING Y/O SINDROME ASA AFERENTE, TRAT. 1802019 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802053 DUMPING Y/O SINDROME ASA AFERENTE, TRAT. 1802019 - 603.462 - 603.462 - 533.634
HMC1802064 GASTRECTOMIA SUB-TOTAL PROXIMAL CON ESOF 1802021 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802064 GASTRECTOMIA SUB-TOTAL PROXIMAL CON ESOF 1802021 - 603.462 - 603.462 - 533.634
HMC1802065 GASTRECTOMIA TOTAL 1802022 - 2.131.322 - 2.131.322 - 1.884.700
HMC1802067 GASTRECTOMIA TOTAL LAPAROSCOPICA 1802022 - 2.131.322 - 2.131.322 - 1.884.700
HMN1802065 GASTRECTOMIA TOTAL 1802022 - 816.911 - 816.911 - 722.381
HMN1802067 GASTRECTOMIA TOTAL LAPAROSCOPICA 1802022 - 816.911 - 816.911 - 722.381
HMC1802068 GASTRECTOMIA TOTAL O SUBTOTAL AMPLIADA ( 1802023 - 2.558.211 - 2.558.211 - 2.262.191
HMN1802068 GASTRECTOMIA TOTAL O SUBTOTAL AMPLIADA ( 1802023 - 1.136.297 - 1.136.297 - 1.004.812
HMC1802071 GASTROPEXIA Y/U OTRA CIRUGIA ANTIRREFLUJO 1802024 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802072 GASTROPEXIA Y/U OTRA CIRUGIA ANTIRREFLUJO 1802024 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802071 GASTROPEXIA Y/U OTRA CIRUGIA ANTIRREFLUJ 1802024 - 816.911 - 816.911 - 722.381
HMN1802072 GASTROPEXIA Y/U OTRA CIRUGIA ANTIRREFLUJ 1802024 - 816.911 - 816.911 - 722.381
HMC1802138 VAGOTOMIA SELECTIVA Y SUPERSELECTIVA C/S 1802025 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802138 VAGOTOMIA SELECTIVA Y SUPERSELECTIVA C/S 1802025 - 603.462 - 603.462 - 533.634
HMC1802020 DRENAJE DE COLECCIONES LIQUIDAS HEPATICAS 1802026 - 1.704.443 - 1.704.443 - 1.507.213
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1802022 DRENAJE DE COLECCIONES LIQUIDAS HEPATICA(VIA LAP.) 1802026 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802020 DRENAJE DE COLECCIONES LIQUIDAS HEPATICAS 1802026 - 603.462 - 603.462 - 533.634
HMN1802022 DRENAJE DE COLECCIONES LIQUIDAS HEPATICA (VIA LAP.) 1802026 - 603.462 - 603.462 - 533.634
HMC1802028 COLANGIOENTEROANASTOMOSIS INTRAHEPATICA 1802027 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802028 COLANGIOENTEROANASTOMOSIS INTRAHEPATICA 1802027 - 603.462 - 603.462 - 533.634
HMC1802029 COLECISTECTOMIA C/S COLANGIOGRAFIA OPERA 1802028 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802029 COLECISTECTOMIA C/S COLANGIOGRAFIA OPERA 1802028 - 462.206 - 462.206 - 408.723
HMC1802030 COLECISTECTOMIA Y COLEDO VIA LAPAROSCOPI 1802029 - 1.065.673 - 1.065.673 - 942.358
HMC1802031 COLECISTECTOMIA Y COLEDOCOSTOMIA (SONDA 1802029 - 1.065.673 - 1.065.673 - 942.358
HMN1802030 COLECISTECTOMIA Y COLEDO VIA LAPAROSCOPI 1802029 - 462.206 - 462.206 - 408.723
HMN1802031 COLECISTECTOMIA Y COLEDOCOSTOMIA (SONDA 1802029 - 462.206 - 462.206 - 408.723
HMC1802009 COLECISTOGASTROANAST.O COLECISTOENTEROAN 1802030 - 2.442.343 - 2.442.343 - 2.163.917
HMN1802009 COLECISTOGASTROANAST.O COLECISTOENTEROAN 1802030 - 732.261 - 732.261 - 647.528
HMC1802032 COLECISTOSTOMIA (PROC. AUT.) 1802031 - 1.065.673 - 1.065.673 - 942.358
HMN1802032 COLECISTOSTOMIA (PROC. AUT.) 1802031 - 373.130 - 373.130 - 329.955
HMC1802037 COLEDOCO O HEPATOENT. VIA LAPAROSCOPICA 1802032 - 2.131.322 - 2.131.322 - 1.884.700
HMC1802038 COLEDOCO O HEPATOENTEROANASTOMOSIS 1802032 - 2.131.322 - 2.131.322 - 1.884.700
HMN1802037 COLEDOCO O HEPATOENT. VIA LAPAROSCOPICA 1802032 - 603.462 - 603.462 - 533.634
HMN1802038 COLEDOCO O HEPATOENTEROANASTOMOSIS 1802032 - 603.462 - 603.462 - 533.634
HMC1802039 COLEDOCOSTOMIA SUPRADUODENAL O HEPATICOS 1802033 - 1.065.673 - 1.065.673 - 942.358
HMN1802039 COLEDOCOSTOMIA SUPRADUODENAL O HEPATICOS 1802033 - 462.206 - 462.206 - 408.723
HMC1802046 DESCONEXION ACIGOPORTAL CON TRANSECCION 1802035 - 2.131.322 - 2.131.322 - 1.884.700
HMN1802046 DESCONEXION ACIGOPORTAL CON TRANSECCION 1802035 - 816.911 - 816.911 - 722.381
HMC1802052 DRENAJE VIA BILIAR TRANSHEPATICO 1802037 - 852.226 - 852.226 - 753.613
HMN1802052 DRENAJE VIA BILIAR TRANSHEPATICO 1802037 - 373.130 - 373.130 - 329.955
HMC1802059 ESFINTEROPLASTIA TRANSDUODENAL, (PROC. A 1802038 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802059 ESFINTEROPLASTIA TRANSDUODENAL, (PROC. A 1802038 - 462.206 - 462.206 - 408.723
HMC1802081 HEPATECTOMIA SEGMENT. VIA LAPAROSCOPICA 1802039 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802082 HEPATECTOMIA SEGMENTARIA (PROC. AUT.) 1802039 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802081 HEPATECTOMIA SEGMENT. VIA LAPAROSCOPICA 1802039 - 603.462 - 603.462 - 533.634
HMN1802082 HEPATECTOMIA SEGMENTARIA (PROC. AUT.) 1802039 - 603.462 - 603.462 - 533.634
HMC1802083 HERIDA TRAUMATICA DE HIGADO Y/O VIA BILI 1802040 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802083 HERIDA TRAUMATICA DE HIGADO Y/O VIA BILI 1802040 - 603.462 - 603.462 - 533.634
HMC1802092 LOBECTOMIA HEPATICA LAPAROSC. 1802041 - 2.558.211 - 2.558.211 - 2.262.191
HMC1802093 LOBECTOMIA HEPATICA (PROC. AUT.) 1802041 - 2.558.211 - 2.558.211 - 2.262.191
HMN1802092 LOBECTOMIA HEPATICA LAPAROSC. 1802041 - 816.911 - 816.911 - 722.381
HMN1802093 LOBECTOMIA HEPATICA (PROC. AUT.) 1802041 - 816.911 - 816.911 - 722.381
HMC1802115 QUISTE HIDATIDICO, UNICO O MULTIPLE, Y/O 1802042 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802116 QUISTE HIDATIDICO VIA LAPAROSCOPICA 1802042 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802115 QUISTE HIDATIDICO, UNICO O MULTIPLE, Y/O 1802042 - 603.462 - 603.462 - 533.634
HMN1802116 QUISTE HIDATIDICO VIA LAPAROSCOPICA 1802042 - 603.462 - 603.462 - 533.634
HMC1802021 ABSCESOS, QUISTES, PSEUDOQUISTES O SIMIL 1802043 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802021 ABSCESOS, QUISTES, PSEUDOQUISTES O SIMIL 1802043 - 603.462 - 603.462 - 533.634
HMC1802103 PANCREATECTOMIA PARCIAL 1802045 - 3.091.028 - 3.091.028 - 2.733.354
HMC1802104 PANCREATECTOMIA PARCIAL LAPAROSC. 1802045 - 3.091.028 - 3.091.028 - 2.733.354
HMN1802103 PANCREATECTOMIA PARCIAL 1802045 - 1.136.297 - 1.136.297 - 1.004.812
HMN1802104 PANCREATECTOMIA PARCIAL LAPAROSC. 1802045 - 1.136.297 - 1.136.297 - 1.004.812
HMC1802105 PANCREATECTOMIA TOTAL C/S ESPLENECTOMIA 1802046 - 3.623.880 - 3.623.880 - 3.204.548
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1802105 PANCREATECTOMIA TOTAL C/S ESPLENECTOMIA 1802046 - 1.136.297 - 1.136.297 - 1.004.812
HMC1802106 PANCREATODUODENECTOMIA 1802047 - 4.262.651 - 4.262.651 - 3.769.403
HMN1802106 PANCREATODUODENECTOMIA 1802047 - 1.492.539 - 1.492.539 - 1.319.831
HMC1802130 SECUESTRECTOMIA EN PANCREATITIS AGUDA 1802048 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802130 SECUESTRECTOMIA EN PANCREATITIS AGUDA 1802048 - 816.911 - 816.911 - 722.381
HMC1802025 AUTOIMPLANTE DE BAZO (INCLUYE ESPLENECTO 1802049 - 1.065.673 - 1.065.673 - 942.358
HMN1802025 AUTOIMPLANTE DE BAZO (INCLUYE ESPLENECTO 1802049 - 462.206 - 462.206 - 408.723
HMC1802060 ESPLECTOMIA VIA LAPAROSCOPICA 1802050 - 1.855.334 - 1.855.334 - 1.640.646
HMC1802061 ESPLENECTOMIA TOTAL O PARCIAL (PROC. AUT 1802050 - 1.855.334 - 1.855.334 - 1.640.646
HMN1802060 ESPLECTOMIA VIA LAPAROSCOPICA 1802050 - 816.911 - 816.911 - 722.381
HMN1802061 ESPLENECTOMIA TOTAL O PARCIAL (PROC. AUT 1802050 - 816.911 - 816.911 - 722.381
HMC1802102 OPERACION DE ETAPIFICACION (INCLUYE ESPL 1802051 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802102 OPERACION DE ETAPIFICACION (INCLUYE ESPL 1802051 - 816.911 - 816.911 - 722.381
HMC1802131 SUTURA ESPLENICA (PROC. AUT.) 1802052 - 1.065.673 - 1.065.673 - 942.358
HMN1802131 SUTURA ESPLENICA (PROC. AUT.) 1802052 - 462.206 - 462.206 - 408.723
HMC1802018 APENDICECTOMIA Y/O DREN. ABSCESO APENDIC 1802053 - 1.065.673 - 1.065.673 - 942.359
HMN1802018 APENDICECTOMIA Y/O DREN. ABSCESO APENDIC 1802053 - 373.130 - 373.130 - 329.954
HMC1802026 CIERRE DE COLOSTOMIA LAPAROSC. 1802054 - 1.160.191 - 1.160.191 - 1.025.942
HMC1802027 CIERRE DE COLOSTOMIA (PROC. AUT.) 1802054 - 1.160.191 - 1.160.191 - 1.025.942
HMN1802026 CIERRE DE COLOSTOMIA LAPAROSC. 1802054 - 462.206 - 462.206 - 408.723
HMN1802027 CIERRE DE COLOSTOMIA (PROC. AUT.) 1802054 - 462.206 - 462.206 - 408.723
HMC1802041 COLOSTOMIA POR VIA LAPAROSCOPICA 1802055 - 1.065.673 - 1.065.673 - 942.358
HMC1802042 COLOSTOMIA (PROC. AUT.) 1802055 - 1.065.673 - 1.065.673 - 942.358
HMN1802041 COLOSTOMIA POR VIA LAPAROSCOPICA 1802055 - 462.206 - 462.206 - 408.723
HMN1802042 COLOSTOMIA (PROC. AUT.) 1802055 - 462.206 - 462.206 - 408.723
HMC1802043 COLOSTOMIA,COMPLICACIONES TARDIAS,TRAT. 1802056 - 1.065.673 - 1.065.673 - 942.358
HMN1802043 COLOSTOMIA,COMPLICACIONES TARDIAS,TRAT. 1802056 - 462.206 - 462.206 - 408.723
HMC1802050 DIVERTICULO DE MECKEL, TRAT. QUIR. 1802057 - 1.065.673 - 1.065.673 - 942.358
HMC1802051 DIVERTICULO DE MECKEL VIA LAPAROSCÓPICA 1802057 - 1.065.673 - 1.065.673 - 942.358
HMN1802050 DIVERTICULO DE MECKEL, TRAT. QUIR. 1802057 - 462.206 - 462.206 - 408.723
HMN1802051 DIVERTICULO DE MECKEL VIA LAPAROSCÓPICA 1802057 - 462.206 - 462.206 - 408.723
HMC1802056 ENTERO-ENTEROANASTOMOSIS O ENTEROCOLOANA 1802058 - 1.065.673 - 1.065.673 - 942.358
HMC1802057 ENTERO-ENTEROANASTOMOSIS VIA LAPAROSCOPI 1802058 - 1.065.673 - 1.065.673 - 942.358
HMN1802056 ENTERO-ENTEROANASTOMOSIS O ENTEROCOLOANA 1802058 - 462.206 - 462.206 - 408.723
HMN1802057 ENTERO-ENTEROANASTOMOSIS VIA LAPAROSCOPI 1802058 - 462.206 - 462.206 - 408.723
HMC1802058 ENTEROTOMIA O ENTEROSTOMIA (YEYUNOSTOMIA 1802059 - 1.065.673 - 1.065.673 - 942.358
HMN1802058 ENTEROTOMIA O ENTEROSTOMIA (YEYUNOSTOMIA 1802059 - 373.130 - 373.130 - 329.955
HMC1802087 ILEOSTOMIA TERMINAL O EN ASA (PROC. AUT.) 1802060 - 1.065.673 - 1.065.673 - 942.358
HMC1802088 ILEOSTOMIA TERMINAL O EN ASA (PROC. AUT. 1802060 - 1.065.673 - 1.065.673 - 942.358
HMN1802087 ILEOSTOMIA TERMINAL O EN ASA (PROC. AUT. 1802060 - 462.206 - 462.206 - 408.723
HMN1802088 ILEOSTOMIA TERMINAL O EN ASA (PROC. AUT. 1802060 - 462.206 - 462.206 - 408.723
HMC1802089 INVAGINACION INTESTINAL, TRAT. QUIR. 1802061 - 1.065.673 - 1.065.673 - 942.358
HMC1802090 INVAGINACION INTESTINAL. TRAT. QUIR. VIA 1802061 - 1.065.673 - 1.065.673 - 942.358
HMN1802089 INVAGINACION INTESTINAL, TRAT. QUIR. 1802061 - 373.130 - 373.130 - 329.955
HMN1802090 INVAGINACION INTESTINAL. TRAT. QUIR. VIA 1802061 - 373.130 - 373.130 - 329.955
HMC1802117 QUISTE URACO, TRAT. QUIR. 1802063 - 852.226 - 852.226 - 753.613
HMC1802118 QUISTE URACO, TTO QX POR VIA LAPAR 1802063 - 852.226 - 852.226 - 753.613
HMN1802117 QUISTE URACO, TRAT. QUIR. 1802063 - 284.071 - 284.071 - 251.199
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1802118 QUISTE URACO, TRAT. QUIR. VIA LAPAROSC. 1802063 - 255.669 - 255.669 - 222.206
HMC1802096 OCLUSION INTESTINAL CON RESECCION 1802065 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802097 OCLUSION INTESTINAL CON RESEC.VIA LAPARO 1802065 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802096 OCLUSION INTESTINAL CON RESECCION 1802065 - 462.206 - 462.206 - 408.723
HMN1802097 OCLUSION INTESTINAL CON RESEC.VIA LAPARO 1802065 - 462.206 - 462.206 - 408.723
HMC1802098 OCLUSION INTESTINAL SIN RESEC. VIA LAPAR 1802066 - 1.065.673 - 1.065.673 - 942.358
HMC1802099 OCLUSION INTESTINAL SIN RESECCION 1802066 - 1.065.673 - 1.065.673 - 942.358
HMN1802098 OCLUSION INTESTINAL SIN RESEC. VIA LAPAR 1802066 - 462.206 - 462.206 - 408.723
HMN1802099 OCLUSION INTESTINAL SIN RESECCION 1802066 - 462.206 - 462.206 - 408.723
HMC1802033 COLECTOMIA PARCIAL O HEMICOLECTOMIA 1802067 - 2.534.069 - 2.534.069 - 2.240.842
HMC1802034 COLECTOMIA PARCIAL O HEMICOLECTOMIA VIA 1802067 - 2.534.069 - 2.534.069 - 2.240.842
HMN1802033 COLECTOMIA PARCIAL O HEMICOLECTOMIA 1802067 - 816.911 - 816.911 - 722.381
HMN1802034 COLECTOMIA PARCIAL O HEMICOLECTOMIA VIA 1802067 - 816.911 - 816.911 - 722.381
HMC1802035 COLECTOMIA TOTAL ABDOMINAL 1802068 - 2.739.533 - 2.739.533 - 2.422.531
HMC1802036 COLECTOMIA TOTAL ABDOMINAL POR VIA LAPAR 1802068 - 2.739.533 - 2.739.533 - 2.422.531
HMN1802035 COLECTOMIA TOTAL ABDOMINAL 1802068 - 816.911 - 816.911 - 722.381
HMN1802036 COLECTOMIA TOTAL ABDOMINAL POR VIA LAPAR 1802068 - 816.911 - 816.911 - 722.381
HMC1802044 DESCENSO DE COLON C/CONSERVACION DEL ESF 1802069 - 3.150.464 - 3.150.464 - 2.785.910
HMC1802045 DESCENSO DE COLON C/CONSERVACION DEL ESF 1802069 - 3.150.464 - 3.150.464 - 2.785.910
HMN1802044 DESCENSO DE COLON C/CONSERVACION DEL ESF 1802069 - 603.462 - 603.462 - 533.634
HMN1802045 DESCENSO DE COLON C/CONSERVACION DEL ESF 1802069 - 603.462 - 603.462 - 533.634
HMC1802079 HARTMANN, OPERACION DE (O SIMILAR) 1802070 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802080 HARTMANN. OPERACION DE VIA LAPAROSCOPICA 1802070 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802079 HARTMANN, OPERACION DE (O SIMILAR) 1802070 - 603.462 - 603.462 - 533.634
HMN1802080 HARTMANN. OPERACION DE VIA LAPAROSCOPICA 1802070 - 603.462 - 603.462 - 533.634
HMC1802109 PERFORACION Y/O HERIDA DE INTESTINO, UNI 1802071 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802110 PERFORACION Y/O HERIDA DE INTESTINO. UN. 1802071 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802109 PERFORACION Y/O HERIDA DE INTESTINO, UNI 1802071 - 603.462 - 603.462 - 533.634
HMN1802110 PERFORACION Y/O HERIDA DE INTESTINO. UN. 1802071 - 603.462 - 603.462 - 533.634
HMC1802120 QUISTE Y/O TUMOR DEL MESENTERIO Y/O EPIP 1802072 - 1.385.047 - 1.385.047 - 1.224.778
HMC1802121 QUISTE Y/O TUMOR MESENTERIO VIA LAPAROSC 1802072 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802120 QUISTE Y/O TUMOR DEL MESENTERIO Y/O EPIP 1802072 - 462.206 - 462.206 - 408.723
HMN1802121 QUISTE Y/O TUMOR MESENTERIO VIA LAPAROSC 1802072 - 462.206 - 462.206 - 408.723
HMC1802123 RECONSTITUCION TRANSITO POST OPERACION D 1802073 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802124 RECONSTITUCION TRANSITO POST OPER.DE HAR 1802073 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802123 RECONSTITUCION TRANSITO POST OPERACION D 1802073 - 603.462 - 603.462 - 533.634
HMN1802124 RECONSTITUCION TRANSITO POST OPER.DE HAR 1802073 - 603.462 - 603.462 - 533.634
HMC1802125 RESEC. INTESTINO Y ENTEROANAST. VIA LAPA 1802074 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802126 RESECCION DE INTESTINO Y ENTEROANASTOMOS 1802074 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802125 RESEC. INTESTINO Y ENTEROANAST. VIA LAPA 1802074 - 462.206 - 462.206 - 408.723
HMN1802126 RESECCION DE INTESTINO Y ENTEROANASTOMOS 1802074 - 462.206 - 462.206 - 408.723
HMC1802129 RESECCION INTESTINAL MASIVA POR TROMBOSI 1802075 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802129 RESECCION INTESTINAL MASIVA POR TROMBOSI 1802075 - 603.462 - 603.462 - 533.634
HMC1802054 DUPLICACION INTESTINAL. LAPAROSC 1802076 - 1.704.443 - 1.704.443 - 1.507.213
HMC1802055 DUPLICACION INTESTINAL, TRAT. QUIR. 1802076 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802054 DUPLICACION INTESTINAL. LAPAROSC 1802076 - 603.462 - 603.462 - 533.634
HMN1802055 DUPLICACION INTESTINAL, TRAT. QUIR. 1802076 - 603.462 - 603.462 - 533.634
HMC1802094 MAL ROTACION INTESTINAL, TRAT. QUIR. 1802077 - 1.704.443 - 1.704.443 - 1.507.213
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1802095 MAL ROTACION INTESTINAL (VIA LAPAROSC) 1802077 - 1.704.443 - 1.704.443 - 1.507.213
HMN1802094 MAL ROTACION INTESTINAL, TRAT. QUIR. 1802077 - 603.462 - 603.462 - 533.634
HMN1802095 MAL ROTACION INTESTINAL (VIA LAPAROSC) 1802077 - 603.462 - 603.462 - 533.634
HMC1802122 RECONSTITUCION DE TRANSITO EN 2° TIEMPO 1802080 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802122 RECONSTITUCION DE TRANSITO EN 2° TIEMPO 1802080 - 603.462 - 603.462 - 533.634
HMC1802019 COLECISTECTOMIA POR VIDEOLAPAROSCOPIA, P 1802081 - 1.385.047 - 1.385.047 - 1.207.201
HMN1802019 COLECISTECTOMIA POR VIDEOLAPAROSCOPIA, P 1802081 - 462.206 - 462.206 - 404.580
HMC1802127 RESECCION INTESTINAL CON OSTOMIAS PROXIM 1802082 - 1.385.047 - 1.385.047 - 1.224.778
HMC1802128 RESECCION INTESTINAL CON OSTOMIAS PROXIM 1802082 - 1.385.047 - 1.385.047 - 1.224.778
HMN1802127 RESECCION INTESTINAL CON OSTOMIAS PROXIM 1802082 - 462.206 - 462.206 - 408.723
HMN1802128 RESECCION INTESTINAL CON OSTOMIAS PROXIM 1802082 - 462.206 - 462.206 - 408.723
HMC1802132 TRASPLANTE HEPATICO 1802100 - 4.262.651 - 4.262.651 - 3.769.403
HMN1802132 TRASPLANTE HEPATICO 1802100 - 1.847.255 - 1.847.255 - 1.633.501
HMC1802139 YEYUNOPANCREATOSTOMIA 1802148 - 2.131.322 - 2.131.322 - 1.884.700
HMN1802139 YEYUNOPANCREATOSTOMIA 1802148 - 816.911 - 816.911 - 722.381
HMC1803009 ABSCESO ANORRECTAL COMPLEJO (IMPLICA HOS 1803001 - 852.226 - 852.226 - 753.613
HMN1803009 ABSCESO ANORRECTAL COMPLEJO (IMPLICA HOS 1803001 - 373.130 - 373.130 - 329.955
HMC1803010 ABSCESO ANORRECTAL SIMPLE , TRAT. QUIR. 1803002 - 284.071 - 284.071 - 251.199
HMC1803011 ABSCESO SACROCOXIGEO, DRENAJE 1803003 - 284.071 - 284.071 - 251.199
HMC1803012 BIOPSIA QUIRURGICA RECTAL (PROC. AUT.) 1803004 - 284.071 - 284.071 - 251.199
HMC1803015 CUERPO EXTRANO RECTAL, EXTRACCION POR VI 1803006 - 1.065.673 - 1.065.673 - 942.358
HMN1803015 CUERPO EXTRANO RECTAL, EXTRACCION POR VI 1803006 - 373.130 - 373.130 - 329.955
HMC1803016 CUERPO EXTRANO RECTAL, EXTRACCION POR VI 1803007 - 852.226 - 852.226 - 753.613
HMN1803016 CUERPO EXTRANO RECTAL, EXTRACCION POR VI 1803007 - 284.071 - 284.071 - 251.199
HMC1803017 DESGARROS Y HERIDAS ANORRECTALES CON COM 1803008 - 1.385.047 - 1.385.047 - 1.224.778
HMN1803017 DESGARROS Y HERIDAS ANORRECTALES CON COM 1803008 - 462.206 - 462.206 - 408.723
HMC1803018 DESGARROS Y HERIDAS ANORRECTALES SIN COM 1803009 - 852.226 - 852.226 - 753.613
HMN1803018 DESGARROS Y HERIDAS ANORRECTALES SIN COM 1803009 - 462.206 - 462.206 - 408.723
HMC1803019 ESFINTEROTOMIA (PROC. AUT.) 1803010 - 675.636 - 675.636 - 597.457
HMN1803019 ESFINTEROTOMIA (PROC. AUT.) 1803010 - 230.334 - 230.334 - 203.680
HMC1803020 ESTENOSIS ANAL, PLASTIA 1803011 - 1.065.673 - 1.065.673 - 942.358
HMN1803020 ESTENOSIS ANAL, PLASTIA 1803011 - 373.130 - 373.130 - 329.955
HMC1803021 ESTENOSIS RECTAL, PLASTIA 1803012 - 1.065.673 - 1.065.673 - 942.358
HMN1803021 ESTENOSIS RECTAL, PLASTIA 1803012 - 373.130 - 373.130 - 329.955
HMC1803022 FECALOMA, TRAT. QUIR. 1803013 - 675.636 - 675.636 - 597.457
HMN1803022 FECALOMA, TRAT. QUIR. 1803013 - 284.071 - 284.071 - 251.199
HMC1803024 FISTULA: RECTO-VESICAL 1803014 - 1.065.673 - 1.065.673 - 942.358
HMN1803024 FISTULA: RECTO-VESICAL 1803014 - 373.130 - 373.130 - 329.955
HMC1803023 FISTULA: RECTOVAGINAL O RECTOURETRAL, O 1803015 - 1.065.673 - 1.065.673 - 942.358
HMN1803023 FISTULA: RECTOVAGINAL O RECTOURETRAL, O 1803015 - 373.130 - 373.130 - 329.955
HMC1803004 FISTULA ANORECTAL DE CUALQUIER TIPO 1803016 - 890.356 - 890.356 - 787.331
HMN1803004 FISTULA ANORECTAL DE CUALQUIER TIPO 1803016 - 373.130 - 373.130 - 329.955
HMC1803005 FISURA ANAL REPAR.QUIR. 1803017 - 743.199 - 743.199 - 657.203
HMN1803005 FISURA ANAL REPAR.QUIR. 1803017 - 230.334 - 230.334 - 203.680
HMC1803006 HEMORROIDECTOMIA (INCL.OTRAS OPERAC. COM 1803018 - 852.226 - 852.226 - 753.613
HMN1803006 HEMORROIDECTOMIA (INCL.OTRAS OPERAC. COM 1803018 - 373.130 - 373.130 - 329.955
HMC1803026 HEMORROIDES,TROMBECTOMIA (PROC.AUTON.) 1803019 - 284.071 - 284.071 - 251.199
HMC1803029 IMPERFORACION ANAL, RECONST.TRANSITO POR VIA ABDO-PERINEAL
1803020 - 1.704.443 - 1.704.443 - 1.507.213
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1803029 IMPERFORACION ANAL, RECONST.TRANSITO POR VIA ABDO-PERINEAL 1803020 - 603.462 - 603.462 - 533.634
HMC1803027 IMPERFORACION ANAL, RECONSTITUCION TRANS 1803021 - 852.226 - 852.226 - 753.613
HMN1803027 IMPERFORACION ANAL, RECONSTITUCION TRANS 1803021 - 284.071 - 284.071 - 251.199
HMC1803030 INCONTINENCIA ANAL, TRAT.QUIR. CON CERCLAJE 1803023 - 852.226 - 852.226 - 753.613
HMN1803030 INCONTINENCIA ANAL, TRAT.QUIR. CON CERCLAJE 1803023 - 284.071 - 284.071 - 251.199
HMC1803031 INCONTINENCIA ANAL, TRAT.QUIR. CON PLAST 1803024 - 1.385.047 - 1.385.047 - 1.224.778
HMN1803031 INCONTINENCIA ANAL, TRAT.QUIR. CON PLAST 1803024 - 462.206 - 462.206 - 408.723
HMC1803035 POLIPO RECTAL, TRAT.QUIR. POR VIA ANAL 1803026 - 852.226 - 852.226 - 753.613
HMN1803035 POLIPO RECTAL, TRAT.QUIR. POR VIA ANAL 1803026 - 230.334 - 230.334 - 203.680
HMC1803038 PROLAPSO RECTAL, TRAT.QUIR. POR VIA ABDO 1803027 - 2.131.322 - 2.131.322 - 1.884.700
HMN1803038 PROLAPSO RECTAL, TRAT.QUIR. POR VIA ABDO 1803027 - 816.911 - 816.911 - 722.381
HMC1803039 PROLAPSO RECTAL, TRAT.QUIR. POR VIA ANAL 1803028 - 852.226 - 852.226 - 753.613
HMN1803039 PROLAPSO RECTAL, TRAT.QUIR. POR VIA ANAL 1803028 - 284.071 - 284.071 - 251.199
HMC1803032 PANPROCTOCOLECTOMIA (2 EQUIPOS) 1803029 - 3.150.464 - 3.150.464 - 2.785.910
HMN1803032 PANPROCTOCOLECTOMIA (2 EQUIPOS) 1803029 - 816.911 - 816.911 - 722.381
HMC1803007 QUISTE SACROCOXIGEO, TRAT. QUIR. 1803031 - 852.226 - 852.226 - 753.613
HMN1803007 QUISTE SACROCOXIGEO, TRAT. QUIR. 1803031 - 373.130 - 373.130 - 329.955
HMC1803042 RESECCION ABDOMINO-PERINEAL DE ANO Y REC 1803032 - 2.131.322 - 2.131.322 - 1.884.700
HMC1803043 RESECCION ABDOM-PERINEAL DE ANO Y RECTO 1803032 - 2.131.322 - 2.131.322 - 1.884.700
HMN1803042 RESECCION ABDOMINO-PERINEAL DE ANO Y REC 1803032 - 816.911 - 816.911 - 722.381
HMN1803043 RESECCION ABDOM-PERINEAL DE ANO Y RECTO 1803032 - 816.911 - 816.911 - 722.381
HMC1803041 RESECCION ABDOMINO-PERINEAL DE ANO Y REC 1803033 - 2.739.533 - 2.739.533 - 2.422.531
HMN1803041 RESECCION ABDOMINO-PERINEAL DE ANO Y REC 1803033 - 816.911 - 816.911 - 722.381
HMC1803044 RESECCION ANTERIOR DE RECTO 1803034 - 2.739.533 - 2.739.533 - 2.422.531
HMC1803045 RESECCION ANTERIOR DE RECTO LAPAROSC 1803034 - 2.344.456 - 2.344.456 - 2.073.170
HMN1803044 RESECCION ANTERIOR DE RECTO 1803034 - 816.911 - 816.911 - 722.381
HMN1803045 RESECCION ANTERIOR DE RECTO LAPAROSC 1803034 - 816.911 - 816.911 - 722.381
HMC1803046 RESECCION PERINEAL DE ANO Y RECTO 1803035 - 1.920.227 - 1.920.227 - 1.698.032
HMN1803046 RESECCION PERINEAL DE ANO Y RECTO 1803035 - 462.206 - 462.206 - 408.723
HMC1803008 A LOS CIRUJANOS DEL EQUIPO PERINEAL EN C 1803036 - 1.065.673 - 1.065.673 - 942.358
HMN1803008 A LOS CIRUJANOS DEL EQUIPO PERINEAL EN C 1803036 - 373.130 - 373.130 - 329.955
HMC1803013 CONDILOMAS ANALES, TRAT. QUIR.(PARA ELEC 1803038 - 852.226 - 852.226 - 753.613
HMN1803013 CONDILOMAS ANALES, TRAT. QUIR.(PARA ELEC 1803038 - 284.071 - 284.071 - 251.199
HMC1901007 EXPLORACION DE URETRA ANTERO-POSTERIOR C 1901001 - 137.347 - 137.347 - 121.454
HMC1901004 CISTOSCOPIA CON SONDEO DE UNO O AMBOS UR 1901002 - 412.189 - 412.189 - 364.493
HMC1901001 CISTOSCOPIA Y/O URETROCISTOSCOPIA Y/O UR 1901003 - 230.103 - 230.103 - 203.478
HMP1901003 96350 HM - CISTOSCOPIA 1901003 201.998 - 201.998 - 170.718 -
HMC1901012 URETERONEFROSCOPIA 1901004 - 684.405 - 684.405 - 605.206
HMC1901002 BIOPSIA PROSTATICA TRANSRECTAL O TRANSPE 1901005 344.997 344.997 344.997 344.997 305.075 305.075
HMP1901005 96348 HM - BIOPSIA PROSTATICA TRANSRECTAL O TRANSPERINEAL CON APOYO1901005 344.997 - 344.997 - 305.075 -
HMC1901003 BIOPSIA RENAL TRANSPARIETAL 1901006 - 344.997 - 344.997 - 305.075
HMC1901010 INYECCION DE MEDIO DE CONTRASTE EN CUERP 1901013 108.550 108.550 108.550 108.550 95.988 95.988
HMC1901013 URETEROPIELOGRAFIA ASCENDENTE (DIRECTA) 1901015 - 479.238 - 479.238 - 423.784
HMC1901014 URETROGRAFIA RETROGRADA O CISTOURETROGRAFIA (AC 0402014)1901016 - 84.704 - 84.704 - 74.904
HMR1901016 96078 URETROGRAFIA RETROGRADA O CISTOURETROGRAFIA (AC 0402014)1901016 129.153 - 129.153 - 120.638 -
HMC1901005 DILATACION URETRA C/S MASAJE, C/S INSTIL 1901018 - 182.100 - 182.100 - 161.027
HMU1901018 96632 DILATACION URETRA C/S MASAJE, C/S INSTILACION O INYEC. MEDICAMENTOS:
1901018 ANTERIOR
102.337
Y/ - 102.337 - 86.490 -
HMC1901008 INSTILACION VESICAL (INCLUYE COLOCACION 1901019 111.947 111.947 111.947 111.947 98.992 98.992
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMU1901019 96630 INSTILACION VESICAL (INCLUYE COLOCACIONDE SONDA) PROC. AUT.1901019 111.947 - 111.947 - 98.992 -
HMC1901016 VAC. VESICAL P/PUNCION HIPOGASTRICA O CISTOSTOMIA P/PUNCION1901021 365.733 365.733 365.733 365.733 323.413 323.413
HMC1901023 21132 HM DILATACION URETRAL CON ISTALACION DE 1901021 110.039 111.468 110.039 111.468 104.120 110.328
HMU1901021 96633 HM VAC. VESICAL P/PUNCION HIPOGASTRICA O CISTOSTOMIA P/PUNCION
1901021 110.039 - 110.039 - 104.120 -
HMC1901022 21121 HM LAVADO VESICAL (HEMOVEJIGA) 1901022 82.695 82.695 82.695 82.695 77.243 77.243
HMC1901006 ESTUDIO URODINAMICO (INCLUYE CISTOMETRIA 1901030 - 304.798 - 304.798 - 281.119
HMT1901024 96380 HM - ESTUDIO URODINAMIA 1901030 304.798 - 304.798 - 281.119 -
HMC1902013 ARTERIAS RENALES, OPERACIONES SOBRE (PRO 1902002 - 2.558.211 - 2.558.211 - 2.262.191
HMC1902104 ARTERIAS RENALES. OPERACIONES SOBRE (P.A 1902002 - 2.558.211 - 2.558.211 - 2.266.577
HMN1902013 ARTERIAS RENALES, OPERACIONES SOBRE (PRO 1902002 - 816.911 - 816.911 - 722.381
HMN1902104 ARTERIAS RENALES. OPERACIONES SOBRE (P.A 1902002 - 1.217.828 - 1.217.828 - 1.111.444
HMC1902079 RIÑON: AUTO O HETEROTRANSPLANTE 1902003 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902079 RIÑON: AUTO O HETEROTRANSPLANTE 1902003 - 816.911 - 816.911 - 722.381
HMC1902047 LITIASIS RENAL, TRAT. QUIR. PERCUTANEO C 1902005 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902047 LITIASIS RENAL, TRAT. QUIR. PERCUTANEO C 1902005 - 816.911 - 816.911 - 722.381
HMC1902048 LITIASIS RENAL, TRAT. QUIR. POR NEFROTOM 1902006 - 2.558.211 - 2.558.211 - 2.262.191
HMN1902048 LITIASIS RENAL, TRAT. QUIR. POR NEFROTOM 1902006 - 816.911 - 816.911 - 722.381
HMC1902049 LUMBOTOMIA EXPLORADORA C/S DREN., C/S BI 1902008 - 1.065.673 - 1.065.673 - 942.358
HMN1902049 LUMBOTOMIA EXPLORADORA C/S DREN., C/S BI 1902008 - 603.462 - 603.462 - 533.634
HMC1902053 NEFRECTOMIA PARCIAL VIA LAP/ROB 1902009 - 2.814.035 - 2.814.035 - 2.488.412
HMC1902054 NEFRECTOMIA PARCIAL Y/O CIRUGIA DE TRAUM 1902009 - 2.814.035 - 2.814.035 - 2.488.412
HMN1902053 NEFRECTOMIA PARCIAL VIA LAP/ROB 1902009 - 816.911 - 816.911 - 722.381
HMN1902054 NEFRECTOMIA PARCIAL Y/O CIRUGIA DE TRAUM 1902009 - 816.911 - 816.911 - 722.381
HMC1902056 NEFRECTOMIA RADICAL AMPLIADA VIA LAPAROS 1902010 - 2.558.211 - 2.558.211 - 2.262.191
HMN1902056 NEFRECTOMIA RADICAL AMPLIADA VIA LAPAROS 1902010 - 1.136.297 - 1.136.297 - 1.004.812
HMC1902057 NEFRECTOMIA POR PATOLOGIA BENIGNA O MALF. O TRASPLANTE 1902011 - 2.131.322 - 2.131.322 - 1.884.700
HMC1902058 NEFRECTOMIA POR PAT.BENIG.O MALF. TRASP. 1902011 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902057 NEFRECTOMIA POR PATOLOGIA BENIGNA O MALF 1902011 - 816.911 - 816.911 - 722.381
HMN1902058 NEFRECTOMIA POR PAT.BENIG.O MALF.o TRASP 1902011 - 816.911 - 816.911 - 722.381
HMC1902059 DRENAJE PERCUTANEO O ENDOSCOPICO DE HIDR 1902012 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902059 DRENAJE PERCUTANEO O ENDOSCOPICO DE HIDR 1902012 - 603.462 - 603.462 - 533.634
HMC1902067 PIELOTOMIA EXPLORADORA Y/O TERAPEUTICA ( 1902013 - 2.131.322 - 2.131.322 - 1.884.700
HMC1902068 PIELOTOMIA EXPLORADORA Y/O TERAPEUTICA V 1902013 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902067 PIELOTOMIA EXPLORADORA Y/O TERAPEUTICA ( 1902013 - 816.911 - 816.911 - 722.381
HMN1902068 PIELOTOMIA EXPLORADORA Y/O TERAPEUTICA V 1902013 - 816.911 - 816.911 - 722.381
HMC1902083 SUPRARRENALECTOMIA UNILATERAL 1902015 - 2.131.322 - 2.131.322 - 1.884.700
HMC1902084 SUPRARRENALECTOMIA UNILAT.VIA LAPAROSCOP 1902015 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902083 SUPRARRENALECTOMIA UNILATERAL 1902015 - 816.911 - 816.911 - 722.381
HMN1902084 SUPRARRENALECTOMIA UNILAT.VIA LAPAROSCOP 1902015 - 816.911 - 816.911 - 722.381
HMC1902012 ANASTOMOSIS DE LOS URETERES 1902016 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902012 ANASTOMOSIS DE LOS URETERES 1902016 - 603.462 - 603.462 - 533.634
HMC1902060 NEFROURETERECTOMIA 1902018 - 2.558.211 - 2.558.211 - 2.262.191
HMC1902061 NEFROURETERECTOMIA VIA LAPAROSCOPICA 1902018 - 2.558.211 - 2.558.211 - 2.262.191
HMN1902060 NEFROURETERECTOMIA 1902018 - 816.911 - 816.911 - 722.381
HMN1902061 NEFROURETERECTOMIA VIA LAPAROSCOPICA 1902018 - 816.911 - 816.911 - 722.381
HMC1902091 URETERECTOMIA 1902019 - 1.065.673 - 1.065.673 - 942.358
HMN1902091 URETERECTOMIA 1902019 - 462.206 - 462.206 - 408.723
HMC1902092 URETERO-LITOTOMIA ABIERTA 1902020 - 1.704.443 - 1.704.443 - 1.507.213
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1902092 URETERO-LITOTOMIA ABIERTA 1902020 - 462.206 - 462.206 - 408.723
HMC1902003 URET O NEFRO-LITOTOM ENDOS C/URETEROSC R 1902021 - 2.255.631 - 2.255.631 - 1.994.624
HMN1902003 URET O NEFRO-LITOTOM ENDOS C/URETEROSC R 1902021 - 603.462 - 603.462 - 533.634
HMC1902093 URETEROPLASTIAS, PROC. COMPLETO 1902022 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902093 URETEROPLASTIAS, PROC. COMPLETO 1902022 - 603.462 - 603.462 - 533.634
HMC1902094 URETERORRAFIA Y/O URETEROLISIS C/U 1902023 - 1.385.047 - 1.385.047 - 1.224.778
HMN1902094 URETERORRAFIA Y/O URETEROLISIS C/U 1902023 - 462.206 - 462.206 - 408.723
HMC1902095 URETEROSTOMIA BILATERAL:VESICAL,CUTANEA 1902024 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902095 URETEROSTOMIA BILATERAL:VESICAL,CUTANEA 1902024 - 816.911 - 816.911 - 722.381
HMC1902096 URETEROSTOMIA UNILATERAL: VESICAL, CUTAN 1902025 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902096 URETEROSTOMIA UNILATERAL: VESICAL, CUTAN 1902025 - 603.462 - 603.462 - 533.634
HMC1902017 CISTECTOMIA PARCIAL Y/O TRAT. QUIR. DE D 1902027 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902017 CISTECTOMIA PARCIAL Y/O TRAT. QUIR. DE D 1902027 - 603.462 - 603.462 - 533.634
HMC1902018 CISTECTOMIA RADICAL, PROC COMPLETO. 1902028 - 3.091.028 - 3.091.028 - 2.733.354
HMN1902018 CISTECTOMIA RADICAL, PROC COMPLETO. 1902028 - 1.136.297 - 1.136.297 - 1.004.812
HMC1902019 CISTOPLASTIA, PROC. COMPLETO 1902029 - 2.558.211 - 2.558.211 - 2.262.191
HMN1902019 CISTOPLASTIA, PROC. COMPLETO 1902029 - 1.136.297 - 1.136.297 - 1.004.812
HMC1902020 CISTORRAFIA, PROC. COMPLETO 1902030 - 1.065.673 - 1.065.673 - 942.358
HMN1902020 CISTORRAFIA, PROC. COMPLETO 1902030 - 373.130 - 373.130 - 329.955
HMC1902021 CISTOSTOMIA C/S EXTRACCION DE CUERPO EXT 1902031 - 852.226 - 852.226 - 753.613
HMN1902021 CISTOSTOMIA C/S EXTRACCION DE CUERPO EXT 1902031 - 284.071 - 284.071 - 251.199
HMC1902032 FISTULA VESICO-CUTANEA VIA LAPAROSC 1902033 - 1.704.443 - 1.704.443 - 1.507.213
HMC1902033 FISTULA VESICO-CUTANEA, Y/O VAGINAL, Y/O 1902033 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902032 FISTULA VESICO-CUTANEA VIA LAPAROSC 1902033 - 603.462 - 603.462 - 533.634
HMN1902033 FISTULA VESICO-CUTANEA, Y/O VAGINAL, Y/O 1902033 - 603.462 - 603.462 - 533.634
HMC1902043 CX ABIER/ENDO LES CUELL VES/HEMOVEJ PRIM 1902034 - 1.065.673 - 1.065.673 - 942.358
HMN1902043 CX ABIER/ENDO LES CUELL VES/HEMOVEJ PRIM 1902034 - 462.206 - 462.206 - 408.723
HMC1902045 LIGADURA DE ARTERIAS HIPOGASTRICAS (PROC 1902035 - 1.065.673 - 1.065.673 - 942.358
HMN1902045 LIGADURA DE ARTERIAS HIPOGASTRICAS (PROC 1902035 - 373.130 - 373.130 - 329.955
HMC1902062 OPERACION DE BRICKER 1902036 - 3.091.028 - 3.091.028 - 2.733.354
HMN1902062 OPERACION DE BRICKER 1902036 - 1.136.297 - 1.136.297 - 1.004.812
HMC1902077 RESECCION ENDOSCOPICA DE CANCER VESICAL 1902037 - 1.385.047 - 1.385.047 - 1.224.778
HMN1902077 RESECCION ENDOSCOPICA DE CANCER VESICAL 1902037 - 603.462 - 603.462 - 533.634
HMC1902078 RESERVORIO CONTINENTE INTESTINAL EXTERNO 1902038 - 3.091.028 - 3.091.028 - 2.733.354
HMN1902078 RESERVORIO CONTINENTE INTESTINAL EXTERNO 1902038 - 1.136.297 - 1.136.297 - 1.004.812
HMC1902026 EXTIRPACION DIVERTICULO O QUISTE PARA-UR 1902040 - 1.065.673 - 1.065.673 - 942.358
HMN1902026 EXTIRPACION DIVERTICULO O QUISTE PARA-UR 1902040 - 373.130 - 373.130 - 329.955
HMC1902034 FLEGMON URINOSO, DRENAJE Y CISTOSTOMIA 1902041 - 1.065.673 - 1.065.673 - 942.358
HMN1902034 FLEGMON URINOSO, DRENAJE Y CISTOSTOMIA 1902041 - 462.206 - 462.206 - 408.723
HMC1902040 HIPOSPADIA DISTAL O PLASTIA DE URETRA (C 1902043 - 1.065.673 - 1.065.673 - 942.358
HMN1902040 HIPOSPADIA DISTAL O PLASTIA DE URETRA (C 1902043 - 284.071 - 284.071 - 251.199
HMC1902041 URETROPLASTIA DE SUBSTITUCION, CADA TIEMPO 1902044 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902041 URETROPLASTIA DE SUBSTITUCION, CADA TIEMPO 1902044 - 462.206 - 462.206 - 408.723
HMC1902042 INCONTINENCIA URINARIA, TRAT. QUIR. POR 1902045 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902042 INCONTINENCIA URINARIA, TRAT. QUIR. POR 1902045 - 603.462 - 603.462 - 533.634
HMC1902052 MEATOTOMIA QUIR.C/S RESECCION DE POLIPOO CARUNCULA 1902047 - 426.868 - 426.868 - 377.473
HMN1902052 MEATOTOMIA QUIR. C/S RESECCION DE POLIPO O CARUNCULA 1902047 - 127.299 - 127.299 - 113.241
HMC1902097 URETRECTOMIA C/S CISTOSTOMIA 1902049 - 1.065.673 - 1.065.673 - 942.358
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1902097 URETRECTOMIA C/S CISTOSTOMIA 1902049 - 373.130 - 373.130 - 329.955
HMC1902070 PLASTIA DE URETRA O TRAT. DE FISTULAS RE 1902050 - 1.385.047 - 1.385.047 - 1.224.778
HMN1902070 PLASTIA DE URETRA O TRAT. DE FISTULAS RE 1902050 - 462.206 - 462.206 - 408.723
HMC1902098 URETROSTOMIA 1902051 - 852.226 - 852.226 - 753.613
HMN1902098 URETROSTOMIA 1902051 - 284.071 - 284.071 - 251.199
HMC1902099 URETROTOMIA EXTERNA (PROC. AUT.) 1902052 - 1.065.673 - 1.065.673 - 942.358
HMN1902099 URETROTOMIA EXTERNA (PROC. AUT.) 1902052 - 284.071 - 284.071 - 251.199
HMC1902100 URETROTOMIA INTERNA Y/O URETROLITOTOMIA 1902053 - 852.226 - 852.226 - 753.613
HMN1902100 URETROTOMIA INTERNA Y/O URETROLITOTOMIA 1902053 - 284.071 - 284.071 - 251.199
HMC1902073 TRAT. QUIR.DE ABSC.PROSTATA Y/O VES.SEMI 1902054 - 1.065.673 - 1.065.673 - 942.358
HMN1902073 TRAT. QUIR.DE ABSC.PROSTATA Y/O VES.SEMIN.C/VIA O TEC 1902054 - 462.206 - 462.206 - 408.723
HMC1902004 ADENOMA O CANCER PROSTATICO, RESECCION E 1902055 - 2.208.372 - 2.208.372 - 1.952.832
HMC1902113 ADENOMA O CA.PROSTA., C/TEC. REZUM OBSTR. (UNI, BIP., LASER U OTROS)
1902055 - 1.101.279 - 1.101.279 - 1.028.673
HMN1902004 ADENOMA O CANCER PROSTATICO, RES.ENDO.DE 1902055 - 603.462 - 603.462 - 533.634
HMN1902113 ADENOMA O CA.PROSTA., RES.ENDOS.DESOBSTR. C/TEC. REZUM (UNI 1902055 - 291.105 - 291.105 - 263.381
HMC1902008 ADENOMA PROSTATICO, TRAT. QUIR. CUALQUIE 1902056 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902008 ADENOMA PROSTATICO, TRAT. QUIR. CUALQUIE 1902056 - 603.462 - 603.462 - 533.634
HMC1902088 PROSTATECTOMIA RADICAL POR CANCER PROSTA 1902057 - 2.558.211 - 2.558.211 - 2.262.191
HMN1902088 PROSTATECTOMIA RADICAL POR CANCER PROSTA 1902057 - 816.911 - 816.911 - 722.381
HMC1902015 BIOPSIA QUIR.DE TESTICULO Y/O ASP.EPIDIDIMARIA. (VIA LAPAROSCO.)
1902059 - 895.923 - 895.923 - 792.252
HMC1902085 BIOPSIA QUIRURGICA DE TESTICULO Y/O ASPIRACION EPIDIDIMARIA. 1902059 - 689.981 - 689.981 - 610.141
HMN1902015 BIOPSIA QUIR.DE TESTICULO Y/O ASPIRACION EPIDID. (VIA LAPAR.) 1902059 - 230.334 - 230.334 - 203.680
HMN1902085 BIOPSIA QUIRURGICA DE TESTICULO Y/O ASPIRACION EPIDIDIMARIA. 1902059 - 230.334 - 230.334 - 203.680
HMC1902022 DESCENSO TESTICULO ABDOMINAL C/S HERNIOP 1902060 - 1.385.047 - 1.385.047 - 1.224.778
HMC1902023 DESCENSO TESTICULO ABDOMINAL C/S HERNIOP 1902060 - 1.385.047 - 1.385.047 - 1.224.778
HMN1902022 DESCENSO TESTICULO ABDOMINAL C/S HERNIOP 1902060 - 462.206 - 462.206 - 408.723
HMN1902023 DESCENSO TESTICULO ABDOMINAL C/S HERNIOP 1902060 - 462.206 - 462.206 - 408.723
HMC1902024 DESCENSO TESTICULO INGUINAL C/S HERNIOPL 1902061 - 852.226 - 852.226 - 753.614
HMC1902025 DESCENSO TESTICULO INGUINAL VIA LAPAROSC 1902061 - 852.226 - 852.226 - 753.613
HMN1902024 DESCENSO TESTICULO INGUINAL C/S HERNIOPL 1902061 - 373.130 - 373.130 - 329.954
HMN1902025 DESCENSO TESTICULO INGUINAL VIA LAPAROSC 1902061 - 373.130 - 373.130 - 329.955
HMC1902029 ESCROTO, PLASTIA DE, PROC. COMPLETO 1902062 - 532.820 - 532.820 - 471.163
HMN1902029 ESCROTO, PLASTIA DE, PROC. COMPLETO 1902062 - 230.334 - 230.334 - 203.680
HMC1902036 HIDATIDECTOMIA UNILAT. VIA LAPAROSCOPICA 1902063 - 675.636 - 675.636 - 597.457
HMC1902037 HIDATIDECTOMIA UNILAT.C/S EVERSION DE LA 1902063 - 675.636 - 675.636 - 597.457
HMN1902036 HIDATIDECTOMIA UNILAT. VIA LAPAROSCOPICA 1902063 - 230.334 - 230.334 - 203.680
HMN1902037 HIDATIDECTOMIA UNILAT.C/S EVERSION DE LA 1902063 - 230.334 - 230.334 - 203.680
HMC1902038 HIDROCELE Y/O HEMATOCELE, TRAT. QUIR. 1902064 - 852.226 - 852.226 - 753.613
HMC1902039 HIDROCELE Y/O HEMATOCELE VIA LAPAROSCOPI 1902064 - 852.226 - 852.226 - 753.613
HMN1902038 HIDROCELE Y/O HEMATOCELE, TRAT. QUIR. 1902064 - 284.071 - 284.071 - 251.199
HMN1902039 HIDROCELE Y/O HEMATOCELE VIA LAPAROSCOPI 1902064 - 284.071 - 284.071 - 251.199
HMC1902063 ORQUIDECTOMIA UN LADO 1902065 - 852.226 - 852.226 - 753.613
HMC1902064 ORQUIDECTOMIA UN LADO VIA LAPAROSCOPICA 1902065 - 852.226 - 852.226 - 753.613
HMN1902063 ORQUIDECTOMIA UN LADO 1902065 - 284.071 - 284.071 - 251.199
HMN1902064 ORQUIDECTOMIA UN LADO VIA LAPAROSCOPICA 1902065 - 284.071 - 284.071 - 251.199
HMC1902065 ORQUIDOPEXIA UN LADO 1902066 - 852.226 - 852.226 - 753.614
HMC1902066 ORQUIDOPEXIA UN LADO VIA LAPAROSCOPICA 1902066 - 852.226 - 852.226 - 753.613
HMN1902065 ORQUIDOPEXIA UN LADO 1902066 - 284.071 - 284.071 - 251.198
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1902066 ORQUIDOPEXIA UN LADO VIA LAPAROSCOPICA 1902066 - 284.071 - 284.071 - 251.199
HMC1902074 PROTESIS TESTICULAR, (PROC. AUT.) 1902067 - 852.226 - 852.226 - 753.613
HMN1902074 PROTESIS TESTICULAR, (PROC. AUT.) 1902067 - 284.071 - 284.071 - 251.199
HMC1902090 TUMORES MALIGNOS DEL TESTICULO, ORQUIDEC 1902068 - 1.065.673 - 1.065.673 - 942.358
HMN1902090 TUMORES MALIGNOS DEL TESTICULO, ORQUIDEC 1902068 - 373.130 - 373.130 - 329.955
HMC1902089 TUMORES MALIGNOS DEL TESTICULO, ORQUIDEC 1902069 - 3.091.028 - 3.091.028 - 2.733.354
HMN1902089 TUMORES MALIGNOS DEL TESTICULO, ORQUIDEC 1902069 - 1.136.297 - 1.136.297 - 1.004.812
HMC1902011 ANASTOMOSIS DE LOS DEFERENTES 1902070 - 1.385.047 - 1.385.047 - 1.224.778
HMN1902011 ANASTOMOSIS DE LOS DEFERENTES 1902070 - 462.206 - 462.206 - 408.723
HMC1902027 EPIDIDIMECTOMIA PARCIAL O TOTAL, UN LADO 1902071 - 852.226 - 852.226 - 753.613
HMN1902027 EPIDIDIMECTOMIA PARCIAL O TOTAL, UN LADO 1902071 - 373.130 - 373.130 - 329.955
HMC1902071 PLASTIA EPIDIDIMO-DEFERENTE (OPERACION D 1902072 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902071 PLASTIA EPIDIDIMO-DEFERENTE (OPERACION D 1902072 - 603.462 - 603.462 - 533.634
HMC1902075 QUISTES DEL CORDON, Y/O EPIDIDIMO, EXTIR 1902073 - 852.226 - 852.226 - 753.613
HMC1902076 QUISTES DEL CORDON Y/O EPIDIDIMO VIA LAP 1902073 - 852.226 - 852.226 - 753.613
HMN1902075 QUISTES DEL CORDON, Y/O EPIDIDIMO, EXTIR 1902073 - 284.071 - 284.071 - 251.199
HMN1902076 QUISTES DEL CORDON Y/O EPIDIDIMO VIA LAP 1902073 - 284.071 - 284.071 - 251.199
HMC1902086 EXPL. ESCROTO AGUDO INCL. HEMATOCELE POR TRAUMA, DESTORSION
1902074
Y FIJACION TESTICULO
- 1.065.673 - 1.065.673 - 942.358
HMN1902086 EXPL. ESCROTO AGUDO INCL. HEMATOCELE POR TRAUMA, DESTORSION
1902074
Y FIJACION TESTICULO
- 373.130 - 373.130 - 329.955
HMC1902101 VARICOCELE UNILATERAL, TRAT. QUIR. 1902075 - 1.065.673 - 1.065.673 - 928.836
HMC1902102 VARICOCELE UNILATERAL VIA LAPAROSCOPICA 1902075 - 1.065.673 - 1.065.673 - 942.358
HMN1902101 VARICOCELE UNILATERAL, TRAT. QUIR. 1902075 - 373.130 - 373.130 - 326.611
HMN1902102 VARICOCELE UNILATERAL VIA LAPAROSCOPICA 1902075 - 373.130 - 373.130 - 329.955
HMC1902005 VASECTOMIA BILATERAL, (PROC. AUT.) (LA V 1902076 - 852.226 - 852.226 - 742.798
HMN1902005 VASECTOMIA BILATERAL, (PROC. AUT.) (LA V 1902076 - 284.071 - 284.071 - 248.652
HMC1902009 AMPUTACION PARCIAL DEL PENE (PROC.AUT.) 1902078 - 1.385.047 - 1.385.047 - 1.224.778
HMN1902009 AMPUTACION PARCIAL DEL PENE (PROC.AUT.) 1902078 - 462.206 - 462.206 - 408.723
HMC1902010 AMPUTACION TOTAL DEL PENE, PROC. COMPLET 1902079 1.704.443 1.704.443 1.704.443 1.704.443 1.484.539 1.507.213
HMN1902010 AMPUTACION TOTAL DEL PENE, PROC. COMPLET 1902079 - 462.206 - 462.206 - 408.723
HMC1902014 BIOPSIA DE PENE (PROC. AUT.) 1902080 - 213.445 - 213.445 - 188.746
HMC1902910 CIRUGIA DEL PRIAPISMO CUALQUIER VIA O TECNICA 1902081 - 1.361.308 - 1.361.308 - 1.293.243
HMN1902910 CIRUGIA DEL PRIAPISMO CUALQUIER VIA O TECNICA 1902081 - 408.394 - 408.394 - 387.974
HMC1902006 CIRCUNCISION (INCLUYE SECCION DE FRENILL 1902082 - 852.226 - 852.226 - 742.798
HMN1902006 CIRCUNCISION (INCLUYE SECCION DE FRENILL 1902082 - 373.130 - 373.130 - 326.611
HMC1902044 LESIONES DEL CUERPO CAVERNOSO, TRAT. QUI 1902083 - 1.065.673 - 1.065.673 - 942.358
HMN1902044 LESIONES DEL CUERPO CAVERNOSO, TRAT. QUI 1902083 - 373.130 - 373.130 - 329.955
HMC1902105 21149 HM REDUCCION DE PARAFIMOSIS 1902084 - 298.852 - 298.852 - 264.586
HMC1902069 IMPLANTACION DE PROTESIS PENEANA (NO INC 1902085 - 2.131.322 - 2.131.322 - 1.884.700
HMN1902069 IMPLANTACION DE PROTESIS PENEANA (NO INC 1902085 - 603.462 - 603.462 - 533.634
HMC1902046 TRATAMIENTO INTEGRAL LITIASIS URINARIA P 1902090 - 1.704.443 - 1.704.443 - 1.507.213
HMN1902046 TRATAMIENTO INTEGRAL LITIASIS URINARIA P 1902090 - 603.462 - 603.462 - 533.634
HMC2001000 COLPOSCOPIA 2001002 - 140.601 - 140.601 - 124.329
HMP2001000 99313 HM PROCEDIMIENTO COLPOSCOPIA 2001002 148.947 - 148.947 - 139.127 -
HMC2001011 HISTEROSCOPIA DIAGNOSTICA (PROC. AUT.) 2001005 - 450.438 - 450.438 - 398.319
HMC2001016 HM PROCEDIMIENTO AMNIOCENTESIS 2001006 147.086 147.086 147.086 147.086 111.918 127.545
HMT2001016 99308 HM PROCEDIMIENTO AMNIOCENTESIS 2001006 147.086 - 147.086 - 127.544 -
HMC2001001 CULDOCENTESIS (PUNCION DEL DOUGLAS) 2001007 - 392.825 - 392.825 - 347.372
HMC2001008 GALACTOGRAFIA (A.C. 04-02-005) 2001012 159.803 159.803 159.803 159.803 141.313 141.313
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2001010 HISTEROSALPINGOGRAFIA (A.C. 04-02-011) 2001013 - 84.704 - 84.704 - 73.830
HMT2001010 94626 HISTEROSALPINGOGRAFIA (A.C. 04-02-011) 2001013 84.704 - 84.704 - 74.904 -
HMC2001006 BIOPSIA ENDOMETRIO, VULVA, VAGINA, CUELL 2001014 - 140.601 - 140.601 - 124.329
HMP2001006 94627 HM - BIOPSIA ENDOMETRIO, VULVA, VAGINA,CUELLO C/U (PROC. AUT.)
2001014 140.601 - 140.601 - 124.329 -
HMC2001002 COLOCACION O EXTRACCION DE DISPOSITIVO I 2001015 140.601 140.601 140.601 140.601 124.329 124.329
HMP2001015 99306 HM PROCEDIMIENTO INSERCION/EXTRACCION DIU 2001015 148.947 - 148.947 - 139.127 -
HMC2001003 ELECTRODIATERMO O CRIOCOAGULACION DE LESIONES DEL CUELLO 2001016 - 150.209 - 150.209 - 132.827
HMP2001016 96127 HM - ELECTRODIATERMO O CRIOCOAGULACION DE LESIONES DEL CUELLO
2001016 150.209 - 150.209 - 132.827 -
HMC2001012 PUNCION EVACUADORA DE QUISTES MAMARIOS, 2001022 119.849 119.849 119.849 119.849 105.981 105.981
HMR2001022 96612 PUNCION EVACUADORA DE QUISTES MAMARIOS, 2001022 119.849 - 119.849 - 105.981 -
HMC2002000 ABSCESO Y/O HEMATOMA DE MAMA, TRAT.QUIR. 2002001 - 426.868 - 426.868 - 377.473
HMC2002001 MASTECTOMIA PARCIAL (CUADRANTECTOMIA O S 2002002 - 1.385.047 - 1.385.047 - 1.224.783
HMN2002001 MASTECTOMIA PARCIAL (CUADRANTECTOMIA O S 2002002 - 462.206 - 462.206 - 408.723
HMC2002002 MASTECTOMIA RADICAL O TUMORECTOMIA C/VAC 2002003 - 2.558.211 - 2.558.211 - 2.262.191
HMN2002002 MASTECTOMIA RADICAL O TUMORECTOMIA C/VAC 2002003 - 816.911 - 816.911 - 722.381
HMC2002003 TUMOR BENIGNO Y/O QUISTE Y/O MAMA SUPERN 2002005 - 1.065.673 - 1.065.673 - 942.358
HMN2002003 TUMOR BENIGNO Y/O QUISTE Y/O MAMA SUPERN 2002005 - 462.206 - 462.206 - 408.723
HMC2002035 OOFERECTOMIA PARCIAL O TOT.VIA LAPAROSCO 2003001 - 1.385.047 - 1.385.047 - 1.224.783
HMC2002036 OOFORECTOMIA PARCIAL O TOTAL, UNI O BILA 2003001 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002035 OOFERECTOMIA PARCIAL O TOT.VIA LAPAROSCO 2003001 - 462.206 - 462.206 - 408.723
HMN2002036 OOFORECTOMIA PARCIAL O TOTAL, UNI O BILA 2003001 - 462.206 - 462.206 - 408.723
HMC2002004 ANEXECTOMIA Y/O VAC. DE ABSCESO TUBO-OVA 2003002 - 1.385.047 - 1.385.047 - 1.224.778
HMC2003002 ANEXECTOMIA POR VIA LAPAROSCOPICA 2003002 - 1.385.047 - 1.385.047 - 1.293.732
HMN2002004 ANEXECTOMIA Y/O VAC. DE ABSCESO TUBO-OVA 2003002 - 462.206 - 462.206 - 408.723
HMN2003002 ANEXECTOMIA POR VIA LAPAROSCOPICA 2003002 - 462.206 - 462.206 - 431.733
HMC2002009 EMBARAZO TUBARIO. TRAT. LAPAROSC 2003003 - 1.385.047 - 1.385.047 - 1.224.783
HMC2002010 EMBARAZO TUBARIO, TRAT. QUIR. 2003003 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002009 EMBARAZO TUBARIO. TRAT. LAPAROSC 2003003 - 462.206 - 462.206 - 408.723
HMN2002010 EMBARAZO TUBARIO, TRAT. QUIR. 2003003 - 462.206 - 462.206 - 408.723
HMC2002030 LIG. TROMPAS UNI O BILAT. VIA LAPARASCOP 2003004 - 1.385.047 - 1.385.047 - 1.224.778
HMC2002031 LIGADURA O SECCION UNI O BILATERAL DE LA 2003004 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002030 LIGADURA DE TROMPAS UNI O BILAT. VIA LAPARASCOPICA 2003004 - 462.206 - 462.206 - 408.723
HMN2002031 LIGADURA O SECCION UNI O BILATERAL DE LA 2003004 - 462.206 - 462.206 - 408.723
HMC2002042 SALPINGECTOMIA UNI O BILATERAL 2003005 - 1.385.047 - 1.385.047 - 1.224.778
HMC2002043 SALPINGECTOMIA UNI O BILAT.VIA LAPAROSCO 2003005 - 1.385.047 - 1.385.047 - 1.224.783
HMN2002042 SALPINGECTOMIA UNI O BILATERAL 2003005 - 462.206 - 462.206 - 408.723
HMN2002043 SALPINGECTOMIA UNI O BILAT.VIA LAPAROSCO 2003005 - 462.206 - 462.206 - 408.723
HMC2002011 ESTERILIDAD TUBARIA, OPERACION PLASTICA 2003006 - 1.704.443 - 1.704.443 - 1.507.213
HMC2002013 ESTER.TUBARIA LAPAROSCOPICO, UNI O BIL C 2003006 - 1.704.443 - 1.704.443 - 1.507.213
HMN2002011 ESTERILIDAD TUBARIA, OPERACION PLASTICA 2003006 - 603.462 - 603.462 - 533.634
HMN2002013 ESTER.TUBARIA LAPAROSCOPICO, UNI O BIL C 2003006 - 1.586.540 - 1.586.540 - 1.510.136
HMC2002012 ESTERILIDAD TUBARIA, OPERACION PLASTICA 2003007 - 1.385.047 - 1.385.047 - 1.224.778
HMC2002015 ESTER.TUBARIA LAPAROSCOPICO, UNI O BIL S 2003007 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002012 ESTERILIDAD TUBARIA, OPERACION PLASTICA 2003007 - 462.206 - 462.206 - 408.723
HMN2002015 ESTER.TUBARIA LAPAROSCOPICO, UNI O BIL S 2003007 - 462.206 - 462.206 - 408.723
HMC2002033 MIOMECTOMIA 2003008 - 1.385.047 - 1.385.047 - 1.224.783
HMC2002034 MIOMECTOMIA POR VIA LAP/ROB 2003008 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002033 MIOMECTOMIA 2003008 - 462.206 - 462.206 - 408.723
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN2002034 MIOMECTOMIA POR VIA LAP/ROB 2003008 - 462.206 - 462.206 - 408.723
HMC2002020 HISTERECTOMIA SUBTOTAL POR VIA ABDOMINAL 2003009 - 1.385.047 - 1.385.047 - 1.224.778
HMC2002021 HISTERECTOMIA SUBTOTAL POR VIA LAPAROSCO 2003009 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002020 HISTERECTOMIA SUBTOTAL POR VIA ABDOMINAL 2003009 - 462.206 - 462.206 - 408.723
HMN2002021 HISTERECTOMIA SUBTOTAL POR VIA LAPAROSCO 2003009 - 462.206 - 462.206 - 408.723
HMC2002024 HISTERECTOMIA TOTAL O AMP.VIA LAP/ROB 2003010 - 2.131.322 - 2.131.322 - 1.884.700
HMC2003003 HISTERECTOMIA TOTAL O AMPLIADA POR VIA ABDOMINAL 2003010 - 2.131.322 - 2.131.322 - 1.884.703
HMN2002024 HISTERECTOMIA TOTAL O AMP.VIA LAP/ROB 2003010 - 603.462 - 603.462 - 533.634
HMN2003003 HISTERECTOMIA TOTAL O AMPLIADA POR VIA A 2003010 - 603.462 - 603.462 - 533.634
HMC2002032 LIGAMENTO ANCHO: ABSCESOS Y/O HEMATOMAS 2003011 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002032 LIGAMENTO ANCHO: ABSCESOS Y/O HEMATOMAS 2003011 - 462.206 - 462.206 - 408.723
HMC2003004 CONIZACION Y/O AMPUTACION DEL CUELLO, DI 2003012 - 675.636 - 675.636 - 597.457
HMN2003004 CONIZACION Y/O AMPUTACION DEL CUELLO, DI 2003012 - 230.334 - 230.334 - 203.680
HMC2002016 EXANTERACION PELVIANA ANTERIOR Y/O POSTE 2003013 - 4.262.651 - 4.262.651 - 3.769.403
HMN2002016 EXANTERACION PELVIANA ANTERIOR Y/O POSTE 2003013 - 1.492.539 - 1.492.539 - 1.319.831
HMC2002018 HISTERECTOMIA POR VIA VAGINAL 2003014 - 2.131.322 - 2.131.322 - 1.884.700
HMN2002018 HISTERECTOMIA POR VIA VAGINAL 2003014 - 816.911 - 816.911 - 722.381
HMC2002019 HISTERECTOMIA RADICAL CON DISECCION PELV 2003015 - 3.623.880 - 3.623.880 - 3.204.548
HMN2002019 HISTERECTOMIA RADICAL CON DISECCION PELV 2003015 - 1.492.539 - 1.492.539 - 1.319.831
HMC2002022 HISTERECTOMIA TOTAL C/ INCONTINENCIA URI 2003016 - 2.558.211 - 2.558.211 - 2.262.191
HMC2002023 HISTERECTOMIA TOTAL C/INTERVENCION INCON 2003016 - 2.558.211 - 2.558.211 - 2.262.191
HMN2002022 HISTERECTOMIA TOTAL C/ INCONTINENCIA URINARIA 2003016 - 816.911 - 816.911 - 722.381
HMN2002023 HISTERECTOMIA TOTAL C/INTERVENCION INCON 2003016 - 816.911 - 816.911 - 722.381
HMC2002025 HISTEROPEXIA 2003017 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002025 HISTEROPEXIA 2003017 - 462.206 - 462.206 - 408.723
HMC2002037 PLASTIA UTERINA (OPERACION DE STRASSMAR 2003018 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002037 PLASTIA UTERINA (OPERACION DE STRASSMAR 2003018 - 462.206 - 462.206 - 408.723
HMC2003005 POLIPECTOMIA (UNO O MAS) (PROC. AUT.) 2003019 - 282.070 - 282.070 - 680.649
HMN2003005 POLIPECTOMIA (UNO O MAS) (PROC. AUT.) 2003019 - 178.140 - 178.140 - 157.527
HMC2002044 SINEQUIA Y/O ESTENOSIS CERVICAL , TRAT. 2003020 - 284.071 - 284.071 - 251.199
HMN2002044 SINEQUIA Y/O ESTENOSIS CERVICAL , TRAT. 2003020 - 178.140 - 178.140 - 157.527
HMC2002007 COLPOCELIOTOMIA 2003021 - 284.071 - 284.071 - 251.199
HMC2002026 INCONT.URINARIA DE ESFUERZO, TRAT QX. PO 2003022 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002026 INCONT.URINARIA DE ESFUERZO, TRAT QX. PO 2003022 - 462.206 - 462.206 - 408.723
HMC2002038 PROLAPSO ANTERIOR Y/O POSTERIOR CON REPA 2003023 - 1.704.443 - 1.704.443 - 1.507.213
HMN2002038 PROLAPSO ANTERIOR Y/O POSTERIOR CON REPA 2003023 - 603.462 - 603.462 - 533.634
HMC2002039 PROLAPSO ANTERIOR Y/O POSTERIOR C/S TRAT 2003024 - 1.704.443 - 1.704.443 - 1.507.213
HMN2002039 PROLAPSO ANTERIOR Y/O POSTERIOR C/S TRAT 2003024 - 603.462 - 603.462 - 533.634
HMC2002040 QUISTE Y/O DESGARRO Y/O TABIQUE VAGINAL, 2003025 - 675.636 - 675.636 - 597.458
HMN2002040 QUISTE Y/O DESGARRO Y/O TABIQUE VAGINAL, 2003025 - 230.334 - 230.334 - 203.681
HMC2002005 BARTOLINITIS, VACIAMIENTO Y DRENAJE (PRO 2003026 - 284.071 - 284.071 - 251.199
HMN2002005 BARTOLINITIS, VACIAMIENTO Y DRENAJE (PRO 2003026 - 178.140 - 178.140 - 157.527
HMC2002006 BARTOLINOCISTONEOSTOMIA O EXTIRP. DE LA 2003027 - 675.636 - 675.636 - 597.457
HMN2002006 BARTOLINOCISTONEOSTOMIA O EXTIRP. DE LA 2003027 - 230.334 - 230.334 - 203.680
HMC2002046 VULVECTOMIA RADICAL 2003028 - 2.131.322 - 2.131.322 - 1.884.700
HMN2002046 VULVECTOMIA RADICAL 2003028 - 603.462 - 603.462 - 533.634
HMC2002047 VULVECTOMIA SIMPLE 2003029 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002047 VULVECTOMIA SIMPLE 2003029 - 462.206 - 462.206 - 408.723
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2002008 DESGARRO CERVICAL TRAT. QUIR. 2003030 - 675.636 - 675.636 - 597.457
HMN2002008 DESGARRO CERVICAL TRAT. QUIR. 2003030 - 230.334 - 230.334 - 203.680
HMC2002045 VIDEOLAPAROSCOPIA GINECOLOGICA EXPLORADO 2003031 - 1.065.673 - 1.065.673 - 942.358
HMN2002045 VIDEOLAPAROSCOPIA GINECOLOGICA EXPLORADO 2003031 - 373.130 - 373.130 - 329.955
HMC2003006 INCOMPETENCIA CERVICAL TRAT. QUIR. 2003040 - 675.636 - 675.636 - 597.457
HMN2003006 INCOMPETENCIA CERVICAL TRAT. QUIR. 2003040 - 230.334 - 230.334 - 203.680
HMC2002017 EXTRACCION DE DIU INCRUSTADO, POR VIA AB 2003041 - 1.385.047 - 1.385.047 - 1.224.778
HMN2002017 EXTRACCION DE DIU INCRUSTADO, POR VIA AB 2003041 - 462.206 - 462.206 - 408.723
HMC2004003 ABORTO RETENIDO, VACIAMIENTO DE (INCLU 2004001 - 675.636 - 675.636 - 597.457
HMN2004003 - ABORTO RETENIDO, VACIAMIENTO DE (INCLU 2004001 - 230.334 - 230.334 - 203.681
HMC2004007 RASPADO UTERINO DIAGNOSTICO O TERAPEUTICO POR METRORRA-2004002
G - 532.820 - 532.820 - 471.164
HMN2004007 RASPADO UTERINO DIAGNOSTICO O TERAPEUTICO POR METRORRA-2004002
G - 159.847 - 159.847 - 141.349
HMC2004004 PARTO PRESENTACION CEFALICA O PODALICA 2004003 - 1.279.095 - 1.279.095 - 1.114.854
HMN2004004 PARTO PRESENTACION CEFALICA O PODALICA 2004003 - 462.206 - 462.206 - 404.580
HMC2004008 CESAREA CON HISTERECTOMIA 2004005 - 2.525.380 - 2.525.380 - 2.358.886
HMN2004008 CESAREA CON HISTERECTOMIA 2004005 - 806.425 - 806.425 - 753.258
HMC2004006 CESAREA C/S SALPINGOLIGADURA O SALPINGEC 2004006 - 1.279.095 - 1.279.095 - 1.114.854
HMN2004006 CESAREA C/S SALPINGOLIGADURA O SALPINGEC 2004006 - 462.206 - 462.206 - 404.580
HMC2004012 HONORARIO MATRONA PREPARTO 2004010 - 102.573 - 102.573 - 89.405
HMC2004013 HONORARIO MATRONA ATENCION PARTO 2004011 - 256.437 - 256.437 - 223.510
HMC2004014 HONORARIO MATRONA POST PARTO 2004012 - 153.864 - 153.864 - 134.106
HMC2101000 INFILTRACION LOCAL MEDICAMENTOS Y/O PUNCION EVACUADORA C/S
2101001
TOMA DE MUESTRA - 76.642 - 76.642 - 67.773
HMO2101001 96106 INFILTRACION LOCAL MEDICAMENTOS Y/O PUNCION EVACUADORA C/S
2101001
TOMA DE MUESTRA
65.750 - 65.750 - 65.750 -
HMC2101001 MOVILIZACION ARTICULAR BAJO ANESTESIA GE 2101003 - 338.654 - 338.654 - 299.466
HMC2104004 ARTROSCOPIA DIAGNOSTICA C/S BIOPSIA, C/S 2104001 - 1.065.673 - 1.065.673 - 942.358
HMN2104004 ARTROSCOPIA DIAGNOSTICA C/S BIOPSIA, C/S 2104001 - 373.130 - 373.130 - 329.955
HMC2104072 EXOSTOSIS U OSTEOCONDROMA, TRAT. QUIR. A 2104002 - 852.226 - 852.226 - 753.613
HMN2104072 EXOSTOSIS U OSTEOCONDROMA, TRAT. QUIR. A 2104002 - 373.130 - 373.130 - 329.955
HMC2104176 QUISTES SINOVIALES DE VAINAS FLEXORAS, B 2104003 - 532.820 - 532.820 - 471.163
HMC2104213 TRACCION HALOCRANEANA O ESTRIBO-CRANEANA 2104004 - 213.445 - 213.445 - 188.746
HMC2104026 ARTRODESIS DE CODO O MUNECA, C/U 2104007 - 1.065.673 - 1.065.673 - 942.358
HMN2104026 ARTRODESIS DE CODO O MUNECA, C/U 2104007 - 373.130 - 373.130 - 329.955
HMC2104027 ARTRODESIS DE HOMB,CAD,ROD,TOB VIA ARTOS 2104008 - 1.704.443 - 1.704.443 - 1.507.213
HMC2104028 ARTRODESIS DE HOMBRO, CADERA,RODILLA, TO 2104008 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104028 ARTRODESIS DE HOMBRO, CADERA,RODILLA, TO 2104008 - 603.462 - 603.462 - 533.634
HMC2104029 ARTRODESIS DE MANO O PIE C/U 2104009 - 532.820 - 532.820 - 471.163
HMN2104029 ARTRODESIS DE MANO O PIE C/U 2104009 - 230.334 - 230.334 - 203.680
HMC2104218 TRATAMIENTO COMPLETO DE FRACTURAS EXPUES 2104010 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104218 TRATAMIENTO COMPLETO DE FRACTURAS EXPUES 2104010 - 603.462 - 603.462 - 533.634
HMC2104219 TRATAMIENTO COMPLETO DE FRACTURAS EXPUES 2104011 - 1.065.673 - 1.065.673 - 942.358
HMN2104219 TRATAMIENTO COMPLETO DE FRACTURAS EXPUES 2104011 - 373.130 - 373.130 - 329.955
HMC2104140 OSTEITIS, RASPADO, C/S SECUESTRECTOMIA 2104012 - 852.226 - 852.226 - 753.613
HMN2104140 OSTEITIS, RASPADO, C/S SECUESTRECTOMIA 2104012 - 373.130 - 373.130 - 329.955
HMC2104143 OSTEOMIELITIS AGUDA HEMATOGENA, DRENAJE 2104013 - 1.065.673 - 1.065.673 - 942.358
HMN2104143 OSTEOMIELITIS AGUDA HEMATOGENA, DRENAJE 2104013 - 462.206 - 462.206 - 408.723
HMC2104144 OSTEOMIELITIS CRONICA HUESOS LARGOS, LEG 2104014 - 1.065.673 - 1.065.673 - 942.358
HMN2104144 OSTEOMIELITIS CRONICA HUESOS LARGOS, LEG 2104014 - 373.130 - 373.130 - 329.955
HMC2104030 ARTROTOMIA HOMBRO O CADERA C/U 2104015 - 1.065.673 - 1.065.673 - 942.358
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN2104030 ARTROTOMIA HOMBRO O CADERA C/U 2104015 - 373.130 - 373.130 - 329.955
HMC2104031 ARTROTOMIA DE CODO, MUÑECA, TOBILLO O TEMPOROMANDIBULAR,2104016
C/U - 852.226 - 852.226 - 753.613
HMC2104916 ARTROTOMIA CODO, MUÑ, TOB O TEMPOROMANDIBULAR, C/U (ARTROSCOPICA)
2104016 - 1.420.963 - 1.420.963 - 1.065.722
HMN2104031 ARTROTOMIA DE CODO, MUÑECA, TOBILLO O TEMPOROMANDIBULAR,2104016
C/U - 373.130 - 373.130 - 329.955
HMN2104916 ARTROTOMIA CODO, MUÑ, TOB O TEMPOROMANDIBULAR, C/U (ARTROSCOPICA)
2104016 - 426.290 - 426.290 - 319.717
HMC2104173 PSEUDOARTROSIS INFECTADA HUESOS LARGOS, 2104017 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104173 PSEUDOARTROSIS INFECTADA HUESOS LARGOS, 2104017 - 410.181 - 410.181 - 356.496
HMC2104033 AUTOTRANSPLANTE OSEO MICROQUIRURGICO 2104018 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104033 AUTOTRANSPLANTE OSEO MICROQUIRURGICO 2104018 - 816.911 - 816.911 - 722.381
HMC2104105 INJERTO ESPONJOSO METAFISIARIO 2104019 - 426.868 - 426.868 - 377.473
HMC2104106 INJERTOS ESPONJOSOS O CORTICO-ESPONJOSOS 2104020 - 426.868 - 426.868 - 377.473
HMN2104106 INJERTOS ESPONJOSOS O CORTICO-ESPONJOSOS 2104020 - 128.086 - 128.086 - 108.950
HMC2104215 TRANSPLANTE OSEO (AUTO U HOMOTRANSPLANTE 2104021 - 852.226 - 852.226 - 753.613
HMN2104215 TRANSPLANTE OSEO (AUTO U HOMOTRANSPLANTE 2104021 - 284.071 - 284.071 - 251.199
HMC2104107 LESIONES QUISTICAS CON FRACTURA PATOLOGI 2104022 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104107 LESIONES QUISTICAS CON FRACTURA PATOLOGI 2104022 - 816.911 - 816.911 - 722.381
HMC2104108 LESIONES QUISTICAS: LEGRADO OSEO, C/S RE 2104023 - 1.065.673 - 1.065.673 - 942.358
HMC2104226 LESIONES QUISTICAS: LEGRADO OSEO ARTROSC 2104023 - 1.065.673 - 1.065.673 - 942.358
HMN2104108 LESIONES QUISTICAS: LEGRADO OSEO, C/S RE 2104023 - 373.130 - 373.130 - 329.955
HMN2104226 LESIONES QUISTICAS: LEGRADO OSEO ARTROSC 2104023 - 373.130 - 373.130 - 329.955
HMC2104129 METASTASIS OSEA C/S FRACTURA PATOLOGICA, 2104024 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104129 METASTASIS OSEA C/S FRACTURA PATOLOGICA, 2104024 - 816.911 - 816.911 - 722.381
HMC2104222 TUMOR OSEO, RESECCION EN BLOQUE, C/S OST 2104025 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104222 TUMOR OSEO, RESECCION EN BLOQUE, C/S OST 2104025 - 816.911 - 816.911 - 722.381
HMC2104223 TUMORES O QUISTES O LESIONES PSEUDOQUIST 2104026 - 675.636 - 675.636 - 597.457
HMN2104223 TUMORES O QUISTES O LESIONES PSEUDOQUIST 2104026 - 284.071 - 284.071 - 251.199
HMC2104224 TUMORES OSEOS: RESECCION EN BLOQUE,EPIFI 2104027 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104224 TUMORES OSEOS: RESECCION EN BLOQUE,EPIFI 2104027 - 816.911 - 816.911 - 722.381
HMC2104225 TUMORES PRIMARIOS O METASTASICOS VERTEBR 2104028 - 4.262.651 - 4.262.651 - 3.769.403
HMN2104225 TUMORES PRIMARIOS O METASTASICOS VERTEBR 2104028 - 1.492.539 - 1.492.539 - 1.319.831
HMC2104203 SINOVECTOMIAS VIA ARTROSCOPICA CODO MUÑ 2104029 - 1.385.047 - 1.385.047 - 1.224.778
HMC2104204 SINOVECTOMIAS QUIRURGICAS DE CODO O MUNE 2104029 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104203 SINOVECTOMIAS VIA ARTROSCOPICA CODO MUÑE 2104029 - 605.318 - 605.318 - 565.410
HMN2104204 SINOVECTOMIAS QUIRURGICAS DE CODO O MUNE 2104029 - 373.130 - 373.130 - 329.955
HMC2104202 SINOVECTOMIA VIA ARTOSCÓPICA RODILLA CAD 2104030 - 2.131.322 - 2.131.322 - 1.884.700
HMC2104205 SINOVECTOMIAS QUIRURGICAS DE RODILLA O C 2104030 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104202 SINOVECTOMIA VIA ARTOSCÓPICA RODILLA CAD 2104030 - 816.911 - 816.911 - 722.381
HMN2104205 SINOVECTOMIAS QUIRURGICAS DE RODILLA O C 2104030 - 816.911 - 816.911 - 722.381
HMC2104065 EPINEURORRAFIA MICROQUIRURGICA CON MAGNI 2104031 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104065 EPINEURORRAFIA MICROQUIRURGICA CON MAGNI 2104031 - 603.462 - 603.462 - 533.634
HMC2104007 BIOPSIA OSEA POR PUNCION 2104033 - 532.820 - 532.820 - 471.163
HMP2104033 BIOPSIA OSEA POR PUNCION 2104033 532.820 - 532.820 - 372.974 -
HMC2104034 BIOPSIA OSEA QUIRURGICA 2104034 - 852.226 - 852.226 - 753.613
HMN2104034 BIOPSIA OSEA QUIRURGICA 2104034 - 284.071 - 284.071 - 251.199
HMC2104035 BIOPSIA SINOVIAL O MUSCULAR POR PUNCION 2104035 284.071 284.071 284.071 284.071 247.594 251.199
HMR2104035 96634 BIOPSIA SINOVIAL O MUSCULAR POR PUNCION 2104035 284.071 - 284.071 - 240.082 -
HMC2104036 BIOPSIA SINOVIAL O MUSCULAR QUIRURGICA 2104036 - 426.868 - 426.868 - 377.473
HMC2104037 BIOPSIA VERTEBRAL POR PUNCION 2104037 - 852.226 - 852.226 - 753.613
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2104130 MUNON DE AMPUTACION, REGULARIZACION DE 2104038 - 728.319 - 728.319 - 597.457
HMN2104130 MUNON DE AMPUTACION, REGULARIZACION DE 2104038 - 760.401 - 760.401 - 722.381
HMC2104141 OSTEOCONDROSIS O EPIFISITIS. ARTROSC 2104039 - 675.636 - 675.636 - 597.457
HMC2104142 OSTEOCONDROSIS O EPIFISITIS, TRAT. QUIR. 2104039 - 675.636 - 675.636 - 597.457
HMN2104142 OSTEOCONDROSIS O EPIFISITIS, TRAT. QUIR. 2104039 - 230.334 - 230.334 - 203.680
HMC2104018 AMPUTACION INTERESCAPULO-TORACICA 2104040 - 2.532.629 - 2.532.629 - 2.239.568
HMN2104018 AMPUTACION INTERESCAPULO-TORACICA 2104040 - 816.911 - 816.911 - 722.381
HMC2104058 ENDOPROTESIS TOTAL DE HOMBRO,(CUALQUIER 2104042 - 2.152.635 - 2.152.635 - 1.903.547
HMC2104188 REVISIÓN ENDOPRÓTESIS DE HOMBRO 2104042 - 2.152.635 - 2.152.635 - 1.903.547
HMN2104058 ENDOPROTESIS TOTAL DE HOMBRO,(CUALQUIER 2104042 - 816.911 - 816.911 - 722.381
HMN2104188 REVISION ENDOPROTESIS DE HOMBRO 2104042 - 816.911 - 816.911 - 722.381
HMC2104083 FRACTURA CUELLO HUMERAL, TRAT. QUIR. 2104044 - 1.398.897 - 1.398.897 - 1.237.026
HMC2104084 FRACTURA CUELLO HUMERAL. TRAT. QUIR VIA 2104044 - 1.398.897 - 1.398.897 - 1.237.026
HMN2104083 FRACTURA CUELLO HUMERAL, TRAT. QUIR. 2104044 - 603.462 - 603.462 - 533.634
HMN2104084 FRACTURA CUELLO HUMERAL. TRAT. QUIR VIA 2104044 - 373.130 - 373.130 - 329.955
HMC2104085 FRACTURA DE CLAVICULA, OSTEOSINTESIS 2104045 - 1.076.327 - 1.076.327 - 951.782
HMN2104085 FRACTURA DE CLAVICULA, OSTEOSINTESIS 2104045 - 462.206 - 462.206 - 408.723
HMC2104088 FRACTURA ESCAPULA, OSTEOSINTESIS 2104046 - 1.076.327 - 1.076.327 - 951.782
HMN2104088 FRACTURA ESCAPULA, OSTEOSINTESIS 2104046 - 462.206 - 462.206 - 408.723
HMC2104109 LUXACION ACROMIO-CLAVICULAR O ESTERNO CL 2104047 - 1.076.327 - 1.076.327 - 951.782
HMN2104109 LUXACION ACROMIO-CLAVICULAR O ESTERNO CL 2104047 - 462.206 - 462.206 - 408.723
HMC2104094 HOMBRO: LUX. RECIDIVANTE. TRAT. QUIR. VI 2104048 - 2.110.010 - 2.110.010 - 1.865.851
HMC2104096 HOMBRO: LUXACION RECIDIVANTE, TRAT. QUIR 2104048 - 2.110.010 - 2.110.010 - 1.865.851
HMN2104094 HOMBRO: LUX. RECIDIVANTE. TRAT. QUIR. VI 2104048 - 816.911 - 816.911 - 722.381
HMN2104096 HOMBRO: LUXACION RECIDIVANTE, TRAT. QUIR 2104048 - 816.911 - 816.911 - 722.381
HMC2104095 HOMBRO: LUX. TRAUMATICA, REDUCCION CRUEN 2104049 - 1.076.327 - 1.076.327 - 951.782
HMN2104095 HOMBRO: LUX. TRAUMATICA, REDUCCION CRUEN 2104049 - 373.130 - 373.130 - 329.955
HMC2104097 HOMBRO: LUXOFRACTURA,REDUCCION Y OSTEOSI 2104050 - 1.398.897 - 1.398.897 - 1.237.026
HMN2104097 HOMBRO: LUXOFRACTURA,REDUCCION Y OSTEOSI 2104050 - 462.206 - 462.206 - 408.723
HMC2104194 RUPTURA MANGUITO ROTADORES, TRAT. QUIR. 2104051 - 2.110.010 - 2.110.010 - 1.865.851
HMC2104195 RUPTURA MANGUITO ROTADORES VIA ARTROSCOP 2104051 - 2.110.010 - 2.110.010 - 1.865.851
HMN2104194 RUPTURA MANGUITO ROTADORES, TRAT. QUIR. 2104051 - 816.911 - 816.911 - 722.381
HMN2104195 RUPTURA MANGUITO ROTADORES VIA ARTROSCOP 2104051 - 816.911 - 816.911 - 722.381
HMC2104098 HOMBRO: TRANSPOSICIONES MUSC. VIA ARTROS 2104052 - 1.687.399 - 1.687.399 - 1.492.142
HMC2104099 HOMBRO: TRANSPOSICIONES MUSCULARES 2104052 - 1.687.399 - 1.687.399 - 1.492.142
HMN2104098 HOMBRO: TRANSPOSICIONES MUSC. VIA ARTROS 2104052 - 603.462 - 603.462 - 533.634
HMN2104099 HOMBRO: TRANSPOSICIONES MUSCULARES 2104052 - 603.462 - 603.462 - 533.634
HMC2104014 AMPUTACION BRAZO 2104053 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104014 AMPUTACION BRAZO 2104053 - 603.462 - 603.462 - 533.634
HMC2104091 FRACTURA SUPRACONDILEA NINO; TRACCION ES 2104054 - 1.065.673 - 1.065.673 - 942.358
HMN2104091 FRACTURA SUPRACONDILEA NINO; TRACCION ES 2104054 - 373.130 - 373.130 - 329.955
HMC2104100 HUMERO: OSTEOSINTESIS DIAFISIARIA (CUALQ 2104055 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104100 HUMERO: OSTEOSINTESIS DIAFISIARIA (CUALQ 2104055 - 462.206 - 462.206 - 408.723
HMC2104152 OSTEOSINTESIS SUPRA O INTERCONDILEA (CUA 2104056 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104152 OSTEOSINTESIS SUPRA O INTERCONDILEA (CUA 2104056 - 603.462 - 603.462 - 533.634
HMC2104101 HUMERO: OSTEOTOMIA (CUALQUIER TECNICA) 2104057 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104101 HUMERO: OSTEOTOMIA (CUALQUIER TECNICA) 2104057 - 462.206 - 462.206 - 408.723
HMC2104102 HUMERO: PSEUDOARTROSIS C/S OSTEOSINTESIS 2104058 - 1.704.443 - 1.704.443 - 1.507.213
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN2104102 HUMERO: PSEUDOARTROSIS C/S OSTEOSINTESIS 2104058 - 603.462 - 603.462 - 533.634
HMC2104041 ARTROPLASTIA CON FASCIA CODO 2104059 - 1.385.047 - 1.385.047 - 1.224.778
HMC2104047 CUPULA RADIAL, RESECCION 2104060 - 852.226 - 852.226 - 753.613
HMN2104047 CUPULA RADIAL, RESECCION 2104060 - 373.130 - 373.130 - 329.955
HMC2104048 CUPULA RADIAL, RESECCION CON IMPLANTE DE 2104061 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104048 CUPULA RADIAL, RESECCION CON IMPLANTE DE 2104061 - 462.206 - 462.206 - 408.723
HMC2104057 ENDOPROTESIS TOTAL DE CODO, (CUALQUIER T 2104062 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104057 ENDOPROTESIS TOTAL DE CODO, (CUALQUIER T 2104062 - 816.911 - 816.911 - 722.381
HMC2104062 EPICONDILITIS, TRAT. QUIR. (CUALQUIER TE 2104063 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104062 EPICONDILITIS, TRAT. QUIR. (CUALQUIER TE 2104063 - 462.206 - 462.206 - 408.723
HMC2104042 CODO: LUXACION, REDUCCION CRUENTA 2104064 - 852.226 - 852.226 - 753.613
HMN2104042 CODO: LUXACION, REDUCCION CRUENTA 2104064 - 373.130 - 373.130 - 329.955
HMC2104046 CUPULA RADIAL: LUXOFRACTURA, REDUCCION C 2104065 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104046 CUPULA RADIAL: LUXOFRACTURA, REDUCCION C 2104065 - 603.462 - 603.462 - 533.634
HMC2104146 OSTEOSINTESIS EPITROCLEA-EPICONDILO (CUA 2104066 - 852.226 - 852.226 - 753.613
HMN2104146 OSTEOSINTESIS EPITROCLEA-EPICONDILO (CUA 2104066 - 373.130 - 373.130 - 329.955
HMC2104150 OSTEOSINTESIS OLECRANON U OSTEOSINTESIS 2104067 - 1.065.673 - 1.065.673 - 942.358
HMN2104150 OSTEOSINTESIS OLECRANON U OSTEOSINTESIS 2104067 - 462.206 - 462.206 - 408.723
HMC2104216 TRASLOCACION NERVIO CUBITAL (PROC. AUT.) 2104068 - 1.065.673 - 1.065.673 - 942.358
HMN2104216 TRASLOCACION NERVIO CUBITAL (PROC. AUT.) 2104068 - 462.206 - 462.206 - 408.723
HMC2104137 OPERACION DE SALVATAJE RADIO-PROCUBITO 2104069 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104137 OPERACION DE SALVATAJE RADIO-PROCUBITO 2104069 - 603.462 - 603.462 - 533.634
HMC2104012 AMPUTACION - ANTEBRAZO 2104070 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104012 AMPUTACION - ANTEBRAZO 2104070 - 462.206 - 462.206 - 408.723
HMC2104076 EXTIRP.METAFISIS DISTAL DEL CUBITO Y ART 2104071 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104076 EXTIRPACION METAFISIS DISTAL DEL CUBITO 2104071 - 462.206 - 462.206 - 408.723
HMC2104023 ANTEBRAZO: LUXOFRACTURAS (MONTEGGIA-GALE 2104072 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104023 ANTEBRAZO: LUXOFRACTURAS (MONTEGGIA-GALE 2104072 - 462.206 - 462.206 - 408.723
HMC2104147 OSTEOSINTESIS, FRACT.CERRADA CUBITO Y/O 2104073 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104147 OSTEOSINTESIS, FRACT.CERRADA CUBITO Y/O 2104073 - 462.206 - 462.206 - 408.723
HMC2104024 ANTEBRAZO: OSTEOTOMIA UNO O AMBOS HUESOS 2104074 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104024 ANTEBRAZO: OSTEOTOMIA UNO O AMBOS HUESOS 2104074 - 462.206 - 462.206 - 408.723
HMC2104172 PSEUDOARTROSIS CUBITO Y/O RADIO C/S OSTE 2104075 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104172 PSEUDOARTROSIS CUBITO Y/O RADIO C/S OSTE 2104075 - 603.462 - 603.462 - 533.634
HMC2104025 ANTEBRAZO: TRANSPLANTES MUSCULO-TENDINOS 2104077 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104025 ANTEBRAZO: TRANSPLANTES MUSCULO-TENDINOS 2104077 - 603.462 - 603.462 - 533.634
HMC2104045 CONTRACTURA ISQUEM.DE VOLKMANN:DESCENSO 2104078 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104045 CONTRACTURA ISQUEM.DE VOLKMANN:DESCENSO 2104078 - 462.206 - 462.206 - 408.723
HMC2104071 ESTILOIDES CUBITAL, RADIAL, RESECCION DE 2104080 - 852.226 - 852.226 - 753.613
HMN2104071 ESTILOIDES CUBITAL, RADIAL, RESECCION DE 2104080 - 284.071 - 284.071 - 251.199
HMC2104089 FRACTURA O PSEUDOARTROSIS ESCAFOIDES,TRA 2104081 - 1.065.673 - 1.065.673 - 942.358
HMN2104089 FRACTURA O PSEUDOARTROSIS ESCAFOIDES,TRA 2104081 - 373.130 - 373.130 - 329.955
HMC2104112 LUXACION RADIOCARPIANA,TRAT. QUIR. 2104083 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104112 LUXACION RADIOCARPIANA,TRAT. QUIR. 2104083 - 462.206 - 462.206 - 408.723
HMC2104113 LUXACION SEMILUNAR,ESCAFOIDEA, REDUCCION 2104084 - 1.065.673 - 1.065.673 - 942.358
HMN2104113 LUXACION SEMILUNAR,ESCAFOIDEA, REDUCCION 2104084 - 462.206 - 462.206 - 408.723
HMC2104151 OSTEOSINTESIS RADIO, (CUALQUIER TECNICA) 2104085 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104151 OSTEOSINTESIS RADIO, (CUALQUIER TECNICA) 2104085 - 462.206 - 462.206 - 408.723
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2104207 TENDOVAGINOSIS DE DE QUERVAIN,TRAT. QUIR 2104086 - 675.636 - 675.636 - 597.457
HMN2104207 TENDOVAGINOSIS DE DE QUERVAIN,TRAT. QUIR 2104086 - 284.071 - 284.071 - 251.199
HMC2104016 AMPUTACION DEDOS (TRES O MAS) 2104087 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104016 AMPUTACION DEDOS (TRES O MAS) 2104087 - 462.206 - 462.206 - 408.723
HMC2104017 AMPUTACION DEDOS (UNO O DOS) 2104088 - 852.226 - 852.226 - 753.613
HMN2104017 AMPUTACION DEDOS (UNO O DOS) 2104088 - 373.130 - 373.130 - 329.955
HMC2104019 AMPUTACION MANO O DEL PULGAR 2104089 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104019 AMPUTACION MANO O DEL PULGAR 2104089 - 462.206 - 462.206 - 408.723
HMC2104021 AMPUTACION PULPEJOS (PLASTIA KUTLER O SI 2104090 - 532.820 - 532.820 - 471.163
HMC2104044 CONTRACTURA DUPUYTREN,TRAT. QUIR.,CADA T 2104091 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104044 CONTRACTURA DUPUYTREN,TRAT. QUIR.,CADA T 2104091 - 462.206 - 462.206 - 408.723
HMC2104120 MANO: CONTUSION-COMPRESION GRAVE,TRAT. Q 2104092 - 1.065.673 - 1.065.673 - 942.358
HMN2104120 MANO: CONTUSION-COMPRESION GRAVE,TRAT. Q 2104092 - 462.206 - 462.206 - 408.723
HMC2104049 DEDOS EN GATILLO,TRAT. QUIR.,CUALQUIER N 2104093 - 532.820 - 532.820 - 471.163
HMN2104049 DEDOS EN GATILLO,TRAT. QUIR.,CUALQUIER N 2104093 - 201.343 - 201.343 - 190.738
HMC2104080 FLEGMON MANO, TRAT. QUIR. 2104094 - 852.226 - 852.226 - 753.613
HMN2104080 FLEGMON MANO, TRAT. QUIR. 2104094 - 373.130 - 373.130 - 329.955
HMC2104117 LUXOFRACTURA METACARPOFALANGICA O INTERF 2104095 - 852.226 - 852.226 - 753.613
HMN2104117 LUXOFRACTURA METACARPOFALANGICA O INTERF 2104095 - 373.130 - 373.130 - 329.955
HMC2104122 MANO REUMATICA EN RAFAGA: TRASLOCACIONES 2104096 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104122 MANO REUMATICA EN RAFAGA: TRASLOCACIONES 2104096 - 603.462 - 603.462 - 533.634
HMC2104123 MANO REUMATICA: IMPLANT. SILASTIC, CUALQ 2104097 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104123 MANO REUMATICA: IMPLANT. SILASTIC, CUALQ 2104097 - 603.462 - 603.462 - 533.634
HMC2104121 MANO: MUTILACION GRAVE, ASEO.QUIR. COMPL 2104098 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104121 MANO: MUTILACION GRAVE, ASEO.QUIR. COMPL 2104098 - 603.462 - 603.462 - 533.634
HMC2104148 OSTEOSINTESIS METACARPIANAS O DE FALANGE 2104099 - 852.226 - 852.226 - 753.614
HMN2104148 OSTEOSINTESIS METACARPIANAS O DE FALANGE 2104099 - 373.130 - 373.130 - 329.954
HMC2104158 PANADIZO, TRAT. QUIR. 2104100 426.868 426.868 426.868 426.868 372.055 377.473
HMC2104174 PULGARIZACION DEDO (INDICE O ANULAR) 2104101 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104174 PULGARIZACION DEDO (INDICE O ANULAR) 2104101 - 816.911 - 816.911 - 722.381
HMC2104180 REIMPLANTE MANO O DEDO(S) 2104102 - 4.262.651 - 4.262.651 - 3.769.403
HMN2104180 REIMPLANTE MANO O DEDO(S) 2104102 - 1.492.539 - 1.492.539 - 1.319.831
HMC2104181 REPARACION FLEXORES: PRIMER TIEMPO ESPAC 2104103 - 852.226 - 852.226 - 753.613
HMN2104181 REPARACION FLEXORES: PRIMER TIEMPO ESPAC 2104103 - 373.130 - 373.130 - 329.955
HMC2104182 REPARACION NERVIO DIGITAL CON INJERTO IN 2104104 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104182 REPARACION NERVIO DIGITAL CON INJERTO IN 2104104 - 462.206 - 462.206 - 408.723
HMC2104199 RUPTURAS CERRADAS CAPSULO-LIGAMENT.O TEN 2104105 - 852.226 - 852.226 - 753.613
HMN2104199 RUPTURAS CERRADAS CAPSULO-LIGAMENT.O TEN 2104105 - 373.130 - 373.130 - 329.955
HMC2104206 SUTURA NERVIO(S) DIGITAL(ES) ; MICROCIRU 2104106 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104206 SUTURA NERVIO(S) DIGITAL(ES) ; MICROCIRU 2104106 - 462.206 - 462.206 - 408.723
HMC2104124 MANO: TENORRAFIA EXTENSORES 2104107 - 852.226 - 852.226 - 753.613
HMN2104124 MANO: TENORRAFIA EXTENSORES 2104107 - 373.130 - 373.130 - 329.955
HMC2104125 MANO: TENORRAFIA O INJERTOS FLEXORES 2104108 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104125 MANO: TENORRAFIA O INJERTOS FLEXORES 2104108 - 462.206 - 462.206 - 408.723
HMC2104126 MANO: TENOSINOVITIS SEPTICA, TRAT. QUIR. 2104109 - 852.226 - 852.226 - 753.613
HMN2104126 MANO: TENOSINOVITIS SEPTICA, TRAT. QUIR. 2104109 - 373.130 - 373.130 - 329.955
HMC2104214 TRANSPLANTE MICROQUIRURGICO PARA PULGAR 2104110 - 3.091.028 - 3.091.028 - 2.733.354
HMN2104214 TRANSPLANTE MICROQUIRURGICO PARA PULGAR 2104110 - 1.136.297 - 1.136.297 - 1.004.812
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2104127 MANO: TRANSPOSICIONES TENDINOSAS FLEXORA 2104111 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104127 MANO: TRANSPOSICIONES TENDINOSAS FLEXORA 2104111 - 603.462 - 603.462 - 533.634
HMC2104066 ESCOLIOSIS,TRAT.QUIR.,CUALQUIER VIA DE A 2104113 - 4.688.918 - 4.688.918 - 4.146.346
HMN2104066 ESCOLIOSIS,TRAT.QUIR.,CUALQUIER VIA DE A 2104113 - 1.847.255 - 1.847.255 - 1.633.501
HMC2104115 LUXACIONES,LUXOFRACTURAS VERTEBRALES (CE 2104116 - 3.805.078 - 3.805.078 - 3.364.776
HMN2104115 LUXACIONES,LUXOFRACTURAS VERTEBRALES (CE 2104116 - 1.492.539 - 1.492.539 - 1.319.831
HMC2104157 OSTEOTOMIAS VERTEBRALES CORRECTORAS,C/S 2104117 - 4.475.786 - 4.475.786 - 3.957.875
HMN2104157 OSTEOTOMIAS VERTEBRALES CORRECTORAS,C/S 2104117 - 1.847.255 - 1.847.255 - 1.633.501
HMC2104171 PLASTIAS COSTALES,CUALQUIER NUMERO 2104118 - 1.065.673 - 1.065.673 - 942.358
HMN2104171 PLASTIAS COSTALES,CUALQUIER NUMERO 2104118 - 462.206 - 462.206 - 408.723
HMC2104179 REEMPLAZO CUERPO VERTEBRAL CON ARTRODESI 2104119 - 4.262.651 - 4.262.651 - 3.769.403
HMN2104179 REEMPLAZO CUERPO VERTEBRAL CON ARTRODESI 2104119 - 1.847.255 - 1.847.255 - 1.633.501
HMC2104186 RESECCION DEL COXIS 2104121 - 1.065.673 - 1.065.673 - 942.358
HMN2104186 RESECCION DEL COXIS 2104121 - 462.206 - 462.206 - 408.723
HMC2104052 DIASTASIS PUBIANA, TRAT. QUIR. 2104122 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104052 DIASTASIS PUBIANA, TRAT. QUIR. 2104122 - 462.206 - 462.206 - 408.723
HMC2104159 PELVIS: FRACTURA,OSTEOSINTESIS QUIR. 2104123 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104159 PELVIS: FRACTURA,OSTEOSINTESIS QUIR. 2104123 - 816.911 - 816.911 - 722.381
HMC2104155 OSTEOTOMIA PELVIANA (SALTER,CHIARI O SIM 2104124 - 2.558.211 - 2.558.211 - 2.262.191
HMN2104155 OSTEOTOMIA PELVIANA (SALTER,CHIARI O SIM 2104124 - 816.911 - 816.911 - 722.381
HMC2104220 TRIPLE OSTEOTOMIA DE PELVIS 2104125 - 3.091.028 - 3.091.028 - 2.733.354
HMN2104220 TRIPLE OSTEOTOMIA DE PELVIS 2104125 - 1.136.297 - 1.136.297 - 1.004.812
HMC2104038 CADERA: DESARTICULACION 2104127 - 1.738.528 - 1.738.528 - 1.537.359
HMN2104038 CADERA: DESARTICULACION 2104127 - 603.462 - 603.462 - 533.634
HMC2104056 ENDOPROTESIS PARCIAL C/S CEMENTACION (CU 2104128 - 2.195.259 - 2.195.259 - 1.941.240
HMN2104056 ENDOPROTESIS PARCIAL C/S CEMENTACION (CU 2104128 - 816.911 - 816.911 - 722.381
HMC2104008 ENDOPROTESIS TOTAL DE CADERA 2104129 - 2.558.211 - 2.558.211 - 2.262.194
HMC2104187 REVISIÓN ENDOPRÓTESIS DE CADERA 2104129 - 3.646.475 - 3.646.475 - 3.224.525
HMN2104008 ENDOPROTESIS TOTAL DE CADERA 2104129 - 816.911 - 816.911 - 722.381
HMN2104187 REVISION ENDOPROTESIS DE CADERA 2104129 - 816.911 - 816.911 - 715.053
HMC2104064 EPIFISIOLISIS LENTA O AGUDA,TRAT. QUIR. 2104130 - 1.670.354 - 1.670.354 - 1.477.071
HMN2104064 EPIFISIOLISIS LENTA O AGUDA,TRAT. QUIR. 2104130 - 603.462 - 603.462 - 533.634
HMC2104086 FRACTURA DE CUELLO DE FEMUR,OSTEOSINTESI 2104131 - 1.670.354 - 1.670.354 - 1.477.071
HMN2104086 FRACTURA DE CUELLO DE FEMUR,OSTEOSINTESI 2104131 - 603.462 - 603.462 - 533.634
HMC2104087 FRACTURA DE CUELLO DE FEMUR,RESECCION EP 2104132 - 1.670.354 - 1.670.354 - 1.477.071
HMN2104087 FRACTURA DE CUELLO DE FEMUR,RESECCION EP 2104132 - 603.462 - 603.462 - 533.634
HMC2104039 CADERA: LUX.TRAUMATICA, REDUCCION CRUENT 2104133 - 1.315.794 - 1.315.794 - 1.163.538
HMN2104039 CADERA: LUX.TRAUMATICA, REDUCCION CRUENT 2104133 - 462.206 - 462.206 - 408.723
HMC2104116 LUXOFRACTURA ACETABULAR,TRAT.QUIR. 2104134 - 2.507.047 - 2.507.047 - 2.216.947
HMN2104116 LUXOFRACTURA ACETABULAR,TRAT.QUIR. 2104134 - 1.136.297 - 1.136.297 - 1.004.812
HMC2104009 OPERACION DE SALVATAJE CADERA ( VIA ARTROSC.) 2104135 - 3.037.130 - 3.037.130 - 2.647.151
HMC2104010 OPERACION DE SALVATAJE CADERA COLUMNA OSIMILARES 2104135 - 3.037.130 - 3.037.130 - 2.836.897
HMN2104009 OPERACION DE SALVATAJE CADERA (VIA ARTROSC.) 2104135 - 1.136.297 - 1.136.297 - 990.392
HMN2104010 OPERACION DE SALVATAJE CADERA COLUMNA OSIMILARES 2104135 - 1.136.297 - 1.136.297 - 1.004.812
HMC2104156 OSTEOTOMIAS FEMORALES 2104136 - 2.558.211 - 2.558.211 - 2.262.191
HMN2104156 OSTEOTOMIAS FEMORALES 2104136 - 816.911 - 816.911 - 722.381
HMC2104040 REDUCCION CRU.EN LUXACION CONGENITA O TR 2104137 - 1.315.794 - 1.315.794 - 1.163.538
HMN2104040 REDUCCION CRU.EN LUXACION CONGENITA O TR 2104137 - 462.206 - 462.206 - 408.723
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2104177 REDUCCION CRUENTA Y ACETABULOPLASTIA FEM 2104138 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104177 REDUCCION CRUENTA Y ACETABULOPLASTIA FEM 2104138 - 511.333 - 511.333 - 477.622
HMC2104178 REDUCCION CRUENTA Y OSTEOTOMIA FEMORAL 2104139 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104178 REDUCCION CRUENTA Y OSTEOTOMIA FEMORAL 2104139 - 603.462 - 603.462 - 533.634
HMC2104208 TENOTOMIA ADUCTORES C/S BOTAS, CON YUGO 2104140 - 689.149 - 689.149 - 609.404
HMN2104208 TENOTOMIA ADUCTORES C/S BOTAS, CON YUGO 2104140 - 284.071 - 284.071 - 251.199
HMC2104221 TROCANTEROPLASTIAS 2104141 - 1.065.673 - 1.065.673 - 942.358
HMN2104221 TROCANTEROPLASTIAS 2104141 - 373.130 - 373.130 - 329.955
HMC2104013 AMPUTACION - MUSLO 2104142 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104013 AMPUTACION - MUSLO 2104142 - 462.206 - 462.206 - 408.723
HMC2104063 EPIFISIODESIS (FEMUR Y/O TIBIA) 2104143 - 1.065.673 - 1.065.673 - 942.358
HMN2104063 EPIFISIODESIS (FEMUR Y/O TIBIA) 2104143 - 462.206 - 462.206 - 408.723
HMC2104131 MUSLO: OSTEOSINTESIS DIAFISIARIA O METAF 2104144 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104131 MUSLO: OSTEOSINTESIS DIAFISIARIA O METAF 2104144 - 603.462 - 603.462 - 533.634
HMC2104132 MUSLO: OSTEOTOMIA CORRECTORA 2104145 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104132 MUSLO: OSTEOTOMIA CORRECTORA 2104145 - 603.462 - 603.462 - 533.634
HMC2104133 MUSLO: OSTEOTOMIA DE ALARGAMIENTO O ACOR 2104146 - 2.558.211 - 2.558.211 - 2.262.191
HMN2104133 MUSLO: OSTEOTOMIA DE ALARGAMIENTO O ACOR 2104146 - 816.911 - 816.911 - 722.381
HMC2104134 MUSLO: OSTEOTOMIA EN ROSARIO CON ENCLAVI 2104147 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104134 MUSLO: OSTEOTOMIA EN ROSARIO CON ENCLAVI 2104147 - 603.462 - 603.462 - 533.634
HMC2104135 MUSLO: PSEUDOARTROSIS ,TRAT.QUIR. (CUALQ 2104148 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104135 MUSLO: PSEUDOARTROSIS ,TRAT.QUIR. (CUALQ 2104148 - 816.911 - 816.911 - 722.381
HMC2104198 RUPTURA Y/O HERNIA MUSCULAR,TRAT.QUIR. 2104149 - 852.226 - 852.226 - 753.613
HMN2104198 RUPTURA Y/O HERNIA MUSCULAR,TRAT.QUIR. 2104149 - 284.071 - 284.071 - 251.199
HMC2104190 RODILLA: ARTROTOMIA POR CUERPOS LIBRES,O 2104150 - 1.704.443 - 1.704.443 - 1.507.213
HMC2104191 RODILLA: ARTROTOMIA POR CUERPOS LIBRES.O 2104150 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104190 RODILLA: ARTROTOMIA POR CUERPOS LIBRES,O 2104150 - 603.462 - 603.462 - 533.634
HMN2104191 RODILLA: ARTROTOMIA POR CUERPOS LIBRES.O 2104150 - 603.462 - 603.462 - 533.634
HMC2104050 DESARTICULACION - RODILLA 2104151 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104050 DESARTICULACION - RODILLA 2104151 - 603.462 - 603.462 - 533.634
HMC2104054 DISFUNCION PATELO-FEMORAL. VIA ARTROSC. 2104152 - 1.704.443 - 1.704.443 - 1.507.213
HMC2104055 DISFUNCION PATELO-FEMORAL,REALINEAMIENTO 2104152 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104054 DISFUNCION PATELO-FEMORAL. VIA ARTROSC. 2104152 - 603.462 - 603.462 - 533.634
HMN2104055 DISFUNCION PATELO-FEMORAL,REALINEAMIENTO 2104152 - 603.462 - 603.462 - 533.634
HMC2104060 ENDOPROTESIS TOTAL DE RODILLA, (CUALQUIE 2104153 - 2.558.211 - 2.558.211 - 2.262.191
HMC2104189 REVISIÓN ENDOPRÓTESIS RODILLA 2104153 - 3.220.496 - 3.220.496 - 2.847.839
HMN2104060 ENDOPROTESIS TOTAL DE RODILLA, (CUALQUIE 2104153 - 1.136.297 - 1.136.297 - 1.004.812
HMN2104189 REVISION ENDOPROTESIS RODILLA 2104153 - 1.136.297 - 1.136.297 - 1.004.812
HMC2104090 FRACTURA ROTULA: OSTEOSINTESIS O PATELEC 2104154 - 1.065.673 - 1.065.673 - 942.358
HMC2104149 OSTEOSINTESIS O PATELECTOMIA PARC.O TOT 2104154 - 1.065.673 - 1.065.673 - 942.358
HMN2104090 FRACTURA ROTULA: OSTEOSINTESIS O PATELEC 2104154 - 462.206 - 462.206 - 408.723
HMN2104149 OSTEOSINTESIS O PATELECTOMIA PARC.O TOT 2104154 - 462.206 - 462.206 - 408.723
HMC2104092 FRACTURAS CONDILEAS O DE PLATILLOS TIBIA 2104155 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104092 FRACTURAS CONDILEAS O DE PLATILLOS TIBIA 2104155 - 603.462 - 603.462 - 533.634
HMC2104011 INESTABILIDAD CRONICA RODILLA (VIA ARTROSC.) 2104156 - 3.037.130 - 3.037.130 - 2.310.958
HMC2104104 INEST.CRONICA DE RODILLA, RECONSTR. 2104156 - 2.131.322 - 2.131.322 - 1.857.652
HMN2104011 INESTABILIDAD CRONICA DE RODILLA (VIA ARTROSC.) 2104156 - 911.139 - 911.139 - 793.871
HMN2104104 INEST. CRONICA DE RODILLA, RECONS. 2104156 - 816.911 - 816.911 - 715.053
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2104110 LUXACION O ROTURA LIGAMENTOS, TRAT.QUIR. 2104157 - 1.704.443 - 1.704.443 - 1.507.213
HMC2104111 LUXACION O ROTURA LIGAMENTOS. VIA ARTROS 2104157 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104110 LUXACION O ROTURA LIGAMENTOS, TRAT.QUIR. 2104157 - 603.462 - 603.462 - 533.634
HMN2104111 LUXACION O ROTURA LIGAMENTOS. VIA ARTROS 2104157 - 603.462 - 603.462 - 533.634
HMC2104128 MENISCECTOMIA QUIRURGICA. INTERNA Y/O EX 2104158 - 1.065.673 - 1.065.673 - 942.358
HMN2104128 MENISCECTOMIA QUIRURGICA. INTERNA Y/O EX 2104158 - 462.206 - 462.206 - 408.723
HMC2104003 MENISCECTOMIA U OTRAS INTERVENCIONES POR 2104159 - 1.385.047 - 1.385.047 - 1.207.201
HMN2104003 MENISCECTOMIA U OTRAS INTERVENCIONES POR 2104159 - 462.206 - 462.206 - 404.580
HMC2104175 QUISTE POPLITEO, TRAT.QUIR. 2104160 - 1.065.673 - 1.065.673 - 942.358
HMN2104175 QUISTE POPLITEO, TRAT.QUIR. 2104160 - 462.206 - 462.206 - 408.723
HMC2104192 RODILLA: RECONST. APARATO EXTENSOR VIA A 2104161 - 1.385.047 - 1.385.047 - 1.224.778
HMC2104193 RODILLA: RECONSTRUCCION APARATO EXTENSOR 2104161 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104192 RODILLA: RECONST. APARATO EXTENSOR VIA A 2104161 - 462.206 - 462.206 - 408.723
HMN2104193 RODILLA: RECONSTRUCCION APARATO EXTENSOR 2104161 - 462.206 - 462.206 - 408.723
HMC2104183 REPARACION QUIRURGICA LIGAMENTOS COL. VI 2104162 - 1.704.443 - 1.704.443 - 1.507.213
HMC2104184 REPARACION QUIRURGICA LIGAMENTOS COLATER 2104162 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104183 REPARACION QUIRURGICA LIGAMENTOS COL. VI 2104162 - 603.462 - 603.462 - 533.634
HMN2104184 REPARACION QUIRURGICA LIGAMENTOS COLATER 2104162 - 603.462 - 603.462 - 533.634
HMC2104217 TRASLOCACIONES MUSCULO-TENDINOSAS EN ROD 2104163 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104217 TRASLOCACIONES MUSCULO-TENDINOSAS EN ROD 2104163 - 603.462 - 603.462 - 533.634
HMC2104020 AMPUTACION DE PIERNA 2104164 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104020 AMPUTACION DE PIERNA 2104164 - 462.206 - 462.206 - 408.723
HMC2104078 FASCIOTOMIA POR SINDROME COMPARTAMENTAL 2104166 - 852.226 - 852.226 - 753.613
HMN2104078 FASCIOTOMIA POR SINDROME COMPARTAMENTAL 2104166 - 284.071 - 284.071 - 251.199
HMC2104153 OSTEOSINTESIS TIBIO-PERONE (CUALQUIER TE 2104167 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104153 OSTEOSINTESIS TIBIO-PERONE (CUALQUIER TE 2104167 - 603.462 - 603.462 - 533.634
HMC2104168 PIERNA: OSTEOTOMIA CORRECTORA DE EJES (C 2104168 - 1.704.443 - 1.704.443 - 1.507.213
HMN2104168 PIERNA: OSTEOTOMIA CORRECTORA DE EJES (C 2104168 - 603.462 - 603.462 - 533.634
HMC2104169 PIERNA: OSTEOTOMIA DE ALARGAMIENTO O ACO 2104169 - 2.558.211 - 2.558.211 - 2.262.191
HMN2104169 PIERNA: OSTEOTOMIA DE ALARGAMIENTO O ACO 2104169 - 816.911 - 816.911 - 722.381
HMN2104170 PIERNA: PSEUDOARTROSIS, C/S OSTEOSINTESI 2104169 - 603.462 - 603.462 - 533.634
HMC2104154 OSTEOTOMIA DEL PERONE 2104170 - 852.226 - 852.226 - 753.613
HMN2104154 OSTEOTOMIA DEL PERONE 2104170 - 284.071 - 284.071 - 251.199
HMC2104160 PERONE PROTIBIA 2104171 - 2.131.322 - 2.131.322 - 1.884.700
HMN2104160 PERONE PROTIBIA 2104171 - 816.911 - 816.911 - 722.381
HMC2104170 PIERNA: PSEUDOARTROSIS, C/S OSTEOSINTESI 2104172 - 1.704.443 - 1.704.443 - 1.507.213
HMC2104061 ENDOPROTESIS TOTAL TOBILLO, (CUALQUIER T 2104174 - 2.173.948 - 2.173.948 - 1.922.395
HMN2104061 ENDOPROTESIS TOTAL TOBILLO, (CUALQUIER T 2104174 - 816.911 - 816.911 - 722.381
HMC2104067 ESGUINCE GRAVE,TRAT.QUIR. CAPSULO-LIGAME 2104175 - 1.065.673 - 1.065.673 - 942.358
HMC2104068 ESGUINCE GRAVE.TRAT.QUIR. CAPSULO-LIGAME 2104175 - 1.065.673 - 1.065.673 - 942.358
HMN2104067 ESGUINCE GRAVE,TRAT.QUIR. CAPSULO-LIGAME 2104175 - 373.130 - 373.130 - 329.955
HMN2104068 ESGUINCE GRAVE.TRAT.QUIR. CAPSULO-LIGAME 2104175 - 373.130 - 373.130 - 329.955
HMC2104082 FRACTURA ASTRAGALO Y/O CALCANEO,OSTEOSIN 2104176 - 1.357.346 - 1.357.346 - 1.200.281
HMN2104082 FRACTURA ASTRAGALO Y/O CALCANEO,OSTEOSIN 2104176 - 462.206 - 462.206 - 408.723
HMC2104210 TOBILLO: HUESOS SUPERNUMERARIOS,EXTIRPAC 2104177 - 662.126 - 662.126 - 585.507
HMN2104210 TOBILLO: HUESOS SUPERNUMERARIOS,EXTIRPAC 2104177 - 198.638 - 198.638 - 185.542
HMC2104114 LUXACION TIBIO-ASTRAG.-CALCAN., REDUCC. 2104178 - 1.315.794 - 1.315.794 - 1.163.538
HMN2104114 LUXACION TIBIO-ASTRAG.-CALCAN., REDUCC. 2104178 - 462.206 - 462.206 - 408.723
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2104118 LUXOFRACTURA TOBILLO, CUALQUIER TIPO, OS 2104179 - 1.385.047 - 1.385.047 - 1.224.783
HMN2104118 LUXOFRACTURA TOBILLO, CUALQUIER TIPO, OS 2104179 - 462.206 - 462.206 - 408.723
HMC2104145 OSTEOPLASTIA TIBIO-CALCANEA 2104180 - 1.385.047 - 1.385.047 - 1.224.778
HMN2104145 OSTEOPLASTIA TIBIO-CALCANEA 2104180 - 462.206 - 462.206 - 408.723
HMC2104196 RUPTURA TENDON DE AQUILES O TIBIAL POSTE 2104181 - 1.065.673 - 1.065.673 - 942.358
HMN2104196 RUPTURA TENDON DE AQUILES O TIBIAL POSTE 2104181 - 462.206 - 462.206 - 408.723
HMC2104197 RUPTURA TIBIAL ANTERIOR U OTROS,TENORRAF 2104182 - 1.065.673 - 1.065.673 - 942.358
HMN2104197 RUPTURA TIBIAL ANTERIOR U OTROS,TENORRAF 2104182 - 373.130 - 373.130 - 329.955
HMC2104211 TOBILLO: TENORRAFIA EXTENSORES O TENOTOM 2104183 - 860.750 - 860.750 - 761.150
HMN2104211 TOBILLO: TENORRAFIA EXTENSORES O TENOTOM 2104183 - 373.130 - 373.130 - 329.955
HMC2104212 TOBILLO: TRASLOCACION TENDINOSA 2104184 - 1.619.219 - 1.619.219 - 1.431.856
HMN2104212 TOBILLO: TRASLOCACION TENDINOSA 2104184 - 603.462 - 603.462 - 533.634
HMC2104022 AMPUTACION TRANSMETATARSIANA 2104185 - 1.315.794 - 1.315.794 - 1.163.538
HMN2104022 AMPUTACION TRANSMETATARSIANA 2104185 - 462.206 - 462.206 - 408.723
HMC2104032 ASTRAGALO VERTICAL, TRAT. QUIR. 2104186 - 1.086.985 - 1.086.985 - 961.207
HMN2104032 ASTRAGALO VERTICAL, TRAT. QUIR. 2104186 - 462.206 - 462.206 - 408.723
HMC2104069 ESPOLON CALCANEO,TRAT.QUIR. 2104187 - 675.636 - 675.636 - 597.457
HMC2104075 EXOSTOSIS 5° METATARSIANO,( JUANETILLO ) 2104188 - 675.636 - 675.636 - 597.457
HMC2104077 FASCIOTOMIA PLANTAR (PROC.AUT.) 2104189 - 1.065.673 - 1.065.673 - 942.358
HMN2104077 FASCIOTOMIA PLANTAR (PROC.AUT.) 2104189 - 373.130 - 373.130 - 329.955
HMC2104093 HALLUX VALGUS O RIGIDUS,TRAT.QUIR. COMPL 2104190 - 1.065.673 - 1.065.673 - 942.359
HMN2104093 HALLUX VALGUS O RIGIDUS,TRAT.QUIR. COMPL 2104190 - 373.130 - 373.130 - 329.954
HMC2104163 PIE: LUXAC. / LUXOFRACTURAS,FRACTURAS, R 2104191 - 1.076.327 - 1.076.327 - 951.782
HMN2104163 PIE: LUXAC. / LUXOFRACTURAS,FRACTURAS, R 2104191 - 373.130 - 373.130 - 329.955
HMC2104119 MAL PERFORANTE PLANTAR,TRAT.QUIR. 2104192 - 675.636 - 675.636 - 597.457
HMC2104136 NEUROMA DE MORTON,TRAT.QUIR. 2104193 - 852.226 - 852.226 - 753.613
HMN2104136 NEUROMA DE MORTON,TRAT.QUIR. 2104193 - 373.130 - 373.130 - 329.955
HMC2104138 ORTEJOS EN GARRA,TRAT.QUIR.,CUALQ.NUMERO 2104194 - 1.012.388 - 1.012.388 - 895.241
HMC2104139 ORTEJOS,AMPUTACION,UNO O MAS DEL MISMO P 2104195 - 809.618 - 809.618 - 715.933
HMC2104161 PIE BOT U OTRAS MALFORMACIONES CONGENITA 2104196 - 1.076.327 - 1.076.327 - 951.782
HMN2104161 PIE BOT U OTRAS MALFORMACIONES CONGENITA 2104196 - 462.206 - 462.206 - 408.723
HMC2104162 PIE CAVO, TRAT.QUIR. (CUALQUIER TECNICA) 2104197 - 1.357.346 - 1.357.346 - 1.200.281
HMN2104162 PIE CAVO, TRAT.QUIR. (CUALQUIER TECNICA) 2104197 - 462.206 - 462.206 - 408.723
HMC2104164 PIE PLANO, TRAT. QUIR. (CUALQUIER TECNIC 2104198 - 1.357.346 - 1.357.346 - 1.200.281
HMN2104164 PIE PLANO, TRAT. QUIR. (CUALQUIER TECNIC 2104198 - 462.206 - 462.206 - 408.723
HMC2104165 PIE REUMATOIDEO, TRAT.QUIR.COMPLETO (CUA 2104199 - 1.619.219 - 1.619.219 - 1.431.856
HMN2104165 PIE REUMATOIDEO, TRAT.QUIR.COMPLETO (CUA 2104199 - 603.462 - 603.462 - 533.634
HMC2104200 SESAMOIDEOS,EXTIRPACION DE UNO O MAS DEL 2104200 - 809.618 - 809.618 - 715.933
HMC2104166 PIE: TENORRAFIA EXTENSORES 2104201 - 860.750 - 860.750 - 761.150
HMN2104166 PIE: TENORRAFIA EXTENSORES 2104201 - 284.071 - 284.071 - 251.199
HMC2104167 PIE: TRANSPLANTES TENDINOSOS (CUALQUIER 2104202 - 1.357.346 - 1.357.346 - 1.200.281
HMN2104167 PIE: TRANSPLANTES TENDINOSOS (CUALQUIER 2104202 - 462.206 - 462.206 - 408.723
HMC2105004 RODILLERA, BOTA LARGA O CORTA DE YESO 2105004 125.278 125.278 125.278 125.278 111.250 110.996
HMC2106000 RETIRO DE ENDOPROTESIS U OSTEOSINTESIS I 2106001 - 1.704.443 - 1.704.443 - 1.507.213
HMN2106000 RETIRO DE ENDOPROTESIS U OSTEOSINTESIS I 2106001 - 603.462 - 603.462 - 533.634
HMC2106003 RETIRO DE PLACAS RECTAS O ANGULADAS 2106002 - 675.636 - 675.636 - 597.457
HMN2106003 RETIRO DE PLACAS RECTAS O ANGULADAS 2106002 - 230.334 - 230.334 - 203.680
HMC2106001 RETIRO DE TORNILLOS, CLAV. DE OSTEOSINTE 2106003 - 532.820 - 532.820 - 471.163
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2106002 RETIRO DE TORNILLOS, CLAVOS, AGUJAS DE O 2106003 - 532.820 - 532.820 - 471.163
HMN2106001 RETIRO DE TORNILLOS, CLAV. DE OSTEOSINTE 2106003 - 230.334 - 230.334 - 203.680
HMN2106002 RETIRO DE TORNILLOS, CLAVOS, AGUJAS DE O 2106003 - 230.334 - 230.334 - 203.680
HMC2107002 LUXACIONES DE ARTICULACIONES MEDIANAS (HO 2107001 - 426.868 - 426.868 - 377.472
HMC2104005 LUXACIONES DE ARTICULACIONES MAYORES(COL 2107002 - 1.065.673 - 1.065.673 - 942.358
HMN2104005 LUXACIONES DE ARTICULACIONES MAYORES(COL 2107002 - 373.130 - 373.130 - 329.955
HMC2107003 LUXACIONES DE ARTICULACIONES MENORES (EL 2107003 - 185.804 - 185.804 - 164.303
HMC2107000 FRACTURAS MAYORES (COLUMNA, PELVIS, SUPR 2107004 - 1.065.673 - 1.065.673 - 942.358
HMN2107000 FRACTURAS MAYORES (COLUMNA, PELVIS, SUPR 2107004 - 462.206 - 462.206 - 408.723
HMC2104006 FRACTURAS MEDIANAS (DIAFISIS HUMERAL, RA 2107005 - 426.868 - 426.868 - 377.472
HMC2107001 FRACTURAS MENORES (EL RESTO) 2107006 - 185.804 - 185.804 - 164.303
HMC2107045 LUXACION CONGENITA DE CADERA TRAT, ORTOP 2107009 - 426.868 - 426.868 - 377.473
HMN2107045 HMA - LUXACION CONGENITA DE CADERA TRAT, 2107009 - 128.062 - 128.062 - 119.619
HMA2201002 96324 HM - ANESTESISTA 2201001 215.441 - 215.441 - 190.738 -
HMN2201001 ANESTESIA MINIMA GENE O REGIONAL 2201001 - 215.697 - 215.697 - 190.738
HMN2201006 ANESTESIA TAC O SPECT TORAX Y ABDOMEN 2201001 - 254.105 - 254.105 - 237.353
HMN9999005 ANESTESIA RNM SUCESIVAS 2201001 - 102.352 - 102.352 - 88.645
HMN2201003 ANESTESIA PERIDURAL CONTINUA, PROC. AUT. 2201002 - 332.281 - 332.281 - 293.831
NUT2602001 55116 ATENCION INTEGRAL DE NUTRICIONISTA 2602001 43.307 - 43.307 - 44.879 -
NUT2608001 99755 TELEMEDICINA: ATENCION INTEGRAL NUTRICIONISTA 2602001 47.171 - 47.171 - 47.171 -
CON0101023 CONSULTA INTEGRAL NUTRICIONISTA 2602001 43.307 - 43.307 - 44.879 -
ARS1302095 98383 ARS - HASTA 5 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLAR 55.020 - 55.020 - 52.400 -
ARS1302096 98384 ARS - DE 6 A 12 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLAR 55.020 - 55.020 - 52.400 -
ARS1302097 98386 ARS - MAS DE 12 EXODONCIAS SIMPLES O A COLGAJO+CURATAJE ALVEOLAR+ ALVEOLOPLASTIA
66.694 - 66.694 - 63.518 -
ARS1302099 98392 ARS - EXODONCIA A COLGAJO 55.020 - 55.020 - 52.400 -
ARS1302101 98445 ARS - TRAT. DE ALVEOLORRAGIAS O ALVEOLITIS DE LOS MAXILARES 55.020 - 55.020 - 55.020 -
ARS1302102 98449 ARS - ALVEOLOPLASTIA DE LOS MAXILARES (NO INCLUYE EXODONCIA) 55.020 - 55.020 - 52.400 -
ARS1302103 98451 ARS - CX COMPLEMENTARIA A EXODONCIA (REMOCION AGUJAS Y CUERPO EXTRAÑO) 55.020 - 55.020 - 52.400 -
ARS1302104 98468 ARS - PLASTIA COMUNICACION BUCO SINUSALO RETIRO CUERPO EXTRAÑO SENO MAXILAR
55.020(AS - 55.020 - 55.020 -
ARS1302105 98475 ARS - RECONSTRUCCION DE REBORDES MAXILAR O MANDIBULAR 55.020 - 55.020 - 55.020 -
ARS1302108 98477 ARS -TOMA DE INJERTO OSEO OTEJIDO BLANDO INTRAORAL O PIEL EN TERRITORIO MAXILOFA
55.020 - 55.020 - 55.020 -
ARS1302111 98505 ARS - INFILTRACIONES DE FARMACOS (ESCLEROIDES,ESTEROIDES,BOTOX,COLAGENO)ASOCIADO
55.020 - 55.020 - 55.020 -
ARS1302112 98507 ARS - PUNCIONES ASPIRATIVAS EN TERRITORIO MAXILOFACIAL (HEMATOMAS, ABSCESOS,
55.020
ETC - 55.020 - 55.020 -
ARS1302113 98513 ARS - ELEVACION DE PISO DE SENOMAXILAR UNILATERAL CON FINES PROTESICO IMPLANTOLO
61.074 - 61.074 - 61.074 -
ARS1302114 98515 ARS - ARTROCENTESIS UNILATERAL ARTICULACION TEMPORO MANDIBULAR 58.770 - 58.770 - 58.770 -
ARS1302123 98531 ARS - VESTIBULOPLASTIA BUCAL SIMPLE 55.020 - 55.020 - 55.020 -
ARS1302124 98533 ARS - VESTIBULOPLASTIA BUCAL COMPLEJA (CON INJERTO U OTRO SISTEMA CONTENCION)
55.020 - 55.020 - 55.020 -
ARS1302125 98545 ARS - PLASTIA DE REBORDES ALVEOLARES PALADAR DURO,TUBEROSIDAD U OTROS DEL55.020
TERRIT - 55.020 - 55.020 -
ARS1302127 98552 ARS - IMPL.CIGOMATICO Y/O EXTRA ALVEOLARES EN TERRIT. MAXILOFACIAL 61.074 - 61.074 - 61.074 -
ARS1302140 98579 ARS - BIOPSIA OSEA EN TERRITORIO MAXILOFACIAL + DESCOMPRESION 55.020 - 55.020 - 55.020 -
ARS1302141 98593 ARS - ENUCLEACION DE QUISTE O TUMOR SIMPLE EN TERRITORIO MAXILOFACIAL 55.020 - 55.020 - 55.020 -
ARS1302142 98595 ARS - ENUCLEACION DE QUISTE O TUMOR COMPLEJO 55.020 - 55.020 - 55.020 -
ARS1302148 98596 ARS - EXCERESIS CALCULO SALIVAL INTRAORAL 55.020 - 55.020 - 55.020 -
ARS1302149 98597 ARS - EXCERESIS GLANDULA SUB LINGUAL (RANULA) 61.074 - 61.074 - 61.074 -
ARS1302152 98598 ARS -TOMA DE MUESTRA PARA CULTIVO ASOCIADO A PATOLOGIA ORAL 55.020 - 55.020 - 55.020 -
ARS1302154 98599 ARS -TRATAMIENTO DE ABSCESO SUB MUCOSO EN TERRITORIO MAXILOFACILA (PISO BOCA,PER
55.020 - 55.020 - 55.020 -
ARS1302157 98603 ARS - SECUESTRECTOMIA O ASEO QUIRURGICODE OSTEOMIELITISU OSTERRRADIONECROSIS
55.020 DE - 55.020 - 55.020 -
ARS1302163 98605 ARS - TRATAMIENTO DE HERIDAS DE LA MUCOSA BUCAL (COMPLEJA) 55.020 - 55.020 - 55.020 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
ARS1302167 98609 ARS - REDUCCION E INMOVILIZACION DE LUXACION DENTARIA COMPLEJA 55.020 - 55.020 - 55.020 -
ARS1302171 98404 ARS - REMOCION DE ARCOS O ELEMENTOS DE CONTENCION EN TRAUMA FACIAL 55.020 - 55.020 - 55.020 -
ARS1401169 98489 ARS - IMPLANTE ALOPLASTICO (MALAR,MENTON,FRONTAL) COMO SECUELA DE TRAUMA 55.726
O FINES - 55.726 - 55.726 -
ARS1402061 98393 ARS - EXODONCIA PIEZAS DENTARIAS INCLUIDAS (HASTA 3) 55.020 - 55.020 - 52.400 -
ARS1402062 98427 ARS - FENESTRACION DENTARIA COMPLEJA 55.020 - 55.020 - 55.020 -
ARS1402068 98443 ARS - BIOPSIA MUCOSA BUCAL 55.020 - 55.020 - 55.020 -
ARS1402069 98399 ARS - IMPLANTE OSEO INTEGRADO 55.020 - 55.020 - 55.020 -
ARS1402901 97074 ARS - EXODONCIA PIEZA DENTARIA INCLUIDAHASTA 2 55.020 - 55.020 - 52.400 -
ARS1402902 97085 ARS - EXODONCIA PIEZA DENTARIA INCLUIDAHASTA 4 66.024 - 66.024 - 62.880 -
ARS1402903 97086 ARS - IMPLANTE OSEO INTEGRADO HASTA 2 55.020 - 55.020 - 55.020 -
ARS1402904 97129 ARS - IMPLANTE OSEO INTEGRADO HASTA 4 55.020 - 55.020 - 55.020 -
ARS1402905 97138 ARS - IMPLANTE OSEO INTEGRADO HASTA 6 77.028 - 77.028 - 77.028 -
ARS1402906 97139 ARS - FENESTRACION DENTARIA SIMPLE 55.020 - 55.020 - 55.020 -
ARS1402907 97146 ARS - FENESTRACION DENTARIA COMPLEJA MAS DE UNA PIEZA DENTARIA 55.020 - 55.020 - 55.020 -
ARS1402908 97147 ARS - INFILTRACION DE FARMACOS MAS DE UN SITIO QUIRURGICO 55.020 - 55.020 - 55.020 -
ARS1402909 97149 ARS - ELEVACION PISO DE SENO MAXILAR BILATERAL 88.032 - 88.032 - 88.032 -
ARS1402910 97151 ARS - ARTROCENTESIS BILATERAL 115.542 - 115.542 - 115.542 -
ARS1402911 97152 ARS - IMPLANTE CIGOMATICO Y OTROS EXTRAALVEOLARES EN TERRITORIO MAXILOFACIAL
82.530HA - 82.530 - 82.530 -
ARS1402912 97155 ARS - IMPLANTE CIGOMATICO Y OTROS EXTRAALVEOLARES EN TERRITORIO MAXILOFACIAL
137.550HA - 137.550 - 137.550 -
ARS1402913 97156 ARS - CIRUGIA APICAL O PARARRADICULAR PIEZA DENTARIA UNICA 55.020 - 55.020 - 55.020 -
ARS1402914 97157 ARS - CIRUGIA APICAL O PARARRADICULAR PIEZAS DENTARIAS MULTIPLES 55.020 - 55.020 - 55.020 -
ARS1402916 97158 ARS - EXTIRPACION BOLAS DE BICHAT BILATERAL 55.020 - 55.020 - 55.020 -
ARS1402917 97159 ARS - PLANIFICACION VIRTUAL PARA CIRUGIA ORTOGNATICA 55.020 - 55.020 - 55.020 -
ARS1402918 97164 ARS - INSTALACION DE TORNILLOS DE ANCLAJE ESQUELETAL HASTA 2 55.020 - 55.020 - 55.020 -
ARS1402919 97167 ARS - INSTALACION DE TORNILLOS DE ANCLAJE ESQUELETAL HASTA 4 55.020 - 55.020 - 55.020 -
ARS1402920 97168 ARS - INSTALACION DE PLACA DE TRACCION ESQUELETAL HASTA 2 55.020 - 55.020 - 55.020 -
ARS1402921 97169 ARS - INSTALACION DE PLACA DE TRACCION ESQUELETAL HASTA 4 82.530 - 82.530 - 82.530 -
ARS1502000 96109 ARSENALERA PROC. AMBULATORIO 42.465 - 42.465 - 42.465 -
ARS1601044 98614 ARS - APLICACIÓN BOTOX (100 U) 55.020 - 55.020 - 55.020 -
ARS1601045 98617 ARS - APLICACIÓN BOTOX (50 U) 55.020 - 55.020 - 55.020 -
ARS1601046 98619 ARS - APLICACIÓN BOTOX (25 U) 55.020 - 55.020 - 55.020 -
ARS1699083 98612 ARS CONCENTRADO PLAQUETARIO 6 ML PRP 55.020 - 55.020 - 55.020 -
ARS2107062 98610 ARS - EXTIRPACION BOLAS DE BICHAT 55.020 - 55.020 - 55.020 -
AYT1302095 98006 AYT - HASTA 5 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLAR 99.753 - 99.753 - 95.003 -
AYT1302096 98012 AYT - DE 6 A 12 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLAR 122.869 - 122.869 - 117.018 -
AYT1302097 98014 AYT - MAS DE 12 EXODONCIAS SIMPLES O A COLGAJO+CURATAJE ALVEOLAR+ ALVEOLOPLASTIA
166.735 - 166.735 - 158.795 -
AYT1302099 98033 AYT - EXODONCIA A COLGAJO 66.024 - 66.024 - 62.880 -
AYT1302101 98054 AYT - TRAT. DE ALVEOLORRAGIAS O ALVEOLITIS DE LOS MAXILARES 66.024 - 66.024 - 66.024 -
AYT1302102 98087 AYT - ALVEOLOPLASTIA DE LOS MAXILARES (NO INCLUYE EXODONCIA) 66.024 - 66.024 - 62.880 -
AYT1302103 98089 AYT - CX COMPLEMENTARIA A EXODONCIA (REMOCION AGUJAS Y CUERPO EXTRAÑO) 81.433 - 81.433 - 77.555 -
AYT1302104 98091 AYT - PLASTIA COMUNICACION BUCO SINUSALO RETIRO CUERPO EXTRAÑO SENO MAXILAR
101.791(AS - 101.791 - 101.791 -
AYT1302105 98093 AYT - RECONSTRUCCION DE REBORDES MAXILAR O MANDIBULAR 101.791 - 101.791 - 101.791 -
AYT1302108 98095 AYT -TOMA DE INJERTO OSEO OTEJIDO BLANDO INTRAORAL O PIEL EN TERRITORIO MAXILOFA
101.791 - 101.791 - 101.791 -
AYT1302111 98114 AYT - INFILTRACIONES DE FARMACOS (ESCLEROIDES,ESTEROIDES,BOTOX,COLAGENO)ASOCIADO
66.024 - 66.024 - 66.024 -
AYT1302112 98151 AYT - PUNCIONES ASPIRATIVAS EN TERRITORIO MAXILOFACIAL (HEMATOMAS, ABSCESOS,
66.024
ETC - 66.024 - 66.024 -
AYT1302113 98166 AYT - ELEVACION DE PISO DE SENOMAXILAR UNILATERAL CON FINES PROTESICO IMPLANTOLO
152.687 - 152.687 - 152.687 -
AYT1302114 98177 AYT - ARTROCENTESIS UNILATERAL ARTICULACION TEMPORO MANDIBULAR 146.922 - 146.922 - 146.922 -
AYT1302123 98206 AYT - VESTIBULOPLASTIA BUCAL SIMPLE 66.024 - 66.024 - 66.024 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
AYT1302124 98209 AYT - VESTIBULOPLASTIA BUCAL COMPLEJA (CON INJERTO U OTRO SISTEMA CONTENCION)
132.327 - 132.327 - 132.327 -
AYT1302125 98211 AYT-PLASTIA DE REBORDES ALVEOLARES PALADAR DURO,TUBEROSIDAD U OTROS DEL 101.791
TERRITOR - 101.791 - 101.791 -
AYT1302127 98213 AYT-IMPL.CIGOMATICO Y O. EXTRA ALVEOLARES EN TERRIT.MAXILOFACIAL 152.687 - 152.687 - 152.687 -
AYT1302140 98241 AYT - BIOPSIA OSEA EN TERRITORIO MAXILOFACIAL + DESCOMPRESION 101.791 - 101.791 - 101.791 -
AYT1302141 98246 AYT - ENUCLEACION DE QUISTE O TUMOR SIMPLE EN TERRITORIO MAXILOFACIAL 71.254 - 71.254 - 71.254 -
AYT1302142 98271 AYT - ENUCLEACION DE QUISTE O TUMOR COMPLEJO 127.239 - 127.239 - 127.239 -
AYT1302148 98273 AYT - EXCERESIS CALCULO SALIVAL INTRAORAL 91.611 - 91.611 - 91.611 -
AYT1302149 98275 AYT - EXCERESIS GLANDULA SUB LINGUAL (RANULA) 152.687 - 152.687 - 152.687 -
AYT1302152 98305 AYT -TOMA DE MUESTRA PARA CULTIVO ASOCIADO A PATOLOGIA ORAL 66.024 - 66.024 - 66.024 -
AYT1302154 98316 AYT -TRAT. DE ABSCESO SUB MUCOSO EN TERRITORIO MAXILOFACILAL (PISO BOCA,PERIAMIG
66.024 - 66.024 - 66.024 -
AYT1302157 98317 AYT - SECUESTRECTOMIA O ASEO QX DE OSTEOMIELITUS OSTERRRADIONECROSIS DE66.024
LOS MAXI - 66.024 - 66.024 -
AYT1302163 98330 AYT - TRATAMIENTO DE HERIDAS DE LA MUCOSA BUCAL (COMPLEJA) 66.024 - 66.024 - 66.024 -
AYT1302167 98372 AYT - REDUCCION E INMOVILIZACION DE LUXACION DENTARIA COMPLEJA 66.024 - 66.024 - 66.024 -
AYT1302171 98039 AYT - REMOCION DE ARCOS O ELEMENTOS DE CONTENCION EN TRAUMA FACIAL 66.024 - 66.024 - 66.024 -
AYT1401169 98112 AYT - IMPLANTE ALOPLASTICO (MALAR,MENTON,FRONTAL) COMO SECUELA DE TRAUMA139.314
O FINES - 139.314 - 139.314 -
AYT1402061 98035 AYT - EXODONCIA PIEZAS DENTARIAS INCLUIDAS (HASTA 3) 66.024 - 66.024 - 62.880 -
AYT1402062 98041 AYT - FENESTRACION DENTARIA COMPLEJA 82.530 - 82.530 - 82.530 -
AYT1402068 98047 AYT - BIOPSIA MUCOSA BUCAL 66.024 - 66.024 - 66.024 -
AYT1402069 98037 AYT - IMPLANTE OSEO INTEGRADO 66.024 - 66.024 - 66.024 -
AYT1402901 96892 AYT - EXODONCIA PIEZA DENTARIA INCLUIDAHASTA 2 82.530 - 82.530 - 78.600 -
AYT1402902 96894 AYT - EXODONCIA PIEZA DENTARIA INCLUIDAHASTA 4 165.060 - 165.060 - 157.200 -
AYT1402903 96908 AYT - IMPLANTE OSEO INTEGRADO HASTA 2 82.530 - 82.530 - 82.530 -
AYT1402904 96910 AYT - IMPLANTE OSEO INTEGRADO HASTA 4 137.550 - 137.550 - 137.550 -
AYT1402905 96914 AYT - IMPLANTE OSEO INTEGRADO HASTA 6 192.570 - 192.570 - 192.570 -
AYT1402906 96915 AYT - FENESTRACION DENTARIA SIMPLE 66.024 - 66.024 - 66.024 -
AYT1402907 96916 AYT - FENESTRACION DENTARIA COMPLEJA MAS DE UNA PIEZA DENTARIA 137.550 - 137.550 - 137.550 -
AYT1402908 96918 AYT - INFILTRACION DE FARMACOS MAS DE UN SITIO QUIRURGICO 75.653 - 75.653 - 75.653 -
AYT1402909 96920 AYT - ELEVACION PISO DE SENO MAXILAR BILATERAL 220.080 - 220.080 - 220.080 -
AYT1402910 96922 AYT - ARTROCENTESIS BILATERAL 288.855 - 288.855 - 288.855 -
AYT1402911 96924 AYT - IMPLANTE CIGOMATICO Y OTROS EXTRAALVEOLARES EN TERRITORIO MAXILOFACIAL
206.325HA - 206.325 - 206.325 -
AYT1402912 96926 AYT - IMPLANTE CIGOMATICO Y OTROS EXTRAALVEOLARES EN TERRITORIO MAXILOFACIAL
343.875HA - 343.875 - 343.875 -
AYT1402913 96928 AYT - CIRUGIA APICAL O PARARRADICULAR PIEZA DENTARIA UNICA 66.024 - 66.024 - 66.024 -
AYT1402914 96930 AYT - CIRUGIA APICAL O PARARRADICULAR PIEZAS DENTARIAS MULTIPLES 110.040 - 110.040 - 110.040 -
AYT1402916 96932 AYT - EXTIRPACION BOLAS DE BICHAT BILATERAL 123.795 - 123.795 - 123.795 -
AYT1402917 96934 AYT - PLANIFICACION VIRTUAL PARA CIRUGIA ORTOGNATICA 68.775 - 68.775 - 68.775 -
AYT1402918 96936 AYT - INSTALACION DE TORNILLOS DE ANCLAJE ESQUELETAL HASTA 2 66.024 - 66.024 - 66.024 -
AYT1402919 96938 AYT - INSTALACION DE TORNILLOS DE ANCLAJE ESQUELETAL HASTA 4 66.024 - 66.024 - 66.024 -
AYT1402920 96940 AYT - INSTALACION DE PLACA DE TRACCION ESQUELETAL HASTA 2 137.550 - 137.550 - 137.550 -
AYT1402921 97021 AYT - INSTALACION DE PLACA DE TRACCION ESQUELETAL HASTA 4 206.325 - 206.325 - 206.325 -
AYT1601044 98379 AYT - APLICACION BOTOX (100 U) 108.248 - 108.248 - 108.248 -
AYT1601045 98381 AYT - APLICACION BOTOX (50 U) 66.024 - 66.024 - 66.024 -
AYT1601046 98382 AYT - APLICACION BOTOX (25 U) 66.024 - 66.024 - 66.024 -
AYT1699083 98377 AYT - CONCENTRADO PLAQUETARIO 6 ML PRP 66.024 - 66.024 - 66.024 -
AYT2107062 98375 AYT - EXTIRPACION BOLAS DE BICHAT 74.099 - 74.099 - 74.099 -
CON0101570 55070 ASESORIA COORDINACION MEDICINA PREVENTIVA 5.502 - 5.502 - 5.502 -
CON0108120 99802 TELEMEDICINA: ATENCION FONOAUDIOLOGIA 47.171 - 47.171 - 47.171 -
CON0108336 91835 TELEMEDICINA: ATENCION PSICOPEDAGOGIA 47.171 - 47.171 - 47.171 -
CON0199019 92472 CONTROL ENF-MATRONA O NUTRICIONISTA GES - - - - - -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CON0199765 99765 ATENCION PODOLOGIA - - - - - -
DEN7041359 41359 URGENCIAS EXTERNAS - ORTODONCIA 56.238 - 56.238 - 56.238 -
DEN7041360 41360 ESTUDIO DE ORTODONCIA 101.000 - 101.000 - 101.000 -
DEN7041361 41361 MONTAJE EN ARTICULADOR - ORTODONCIA 50.500 - 50.500 - 50.500 -
DEN7041362 41362 TRAT ORTODONCIA C/AP REMOVIBLE, MALOS HABITOS Y AP FIJOS MODIFICADOS - ORTODONCI
539.427 - 539.427 - 539.427 -
DEN7041363 41363 EXPANSION MÁXILAR (QUEDHELIX/ MCNAMARA) -ORTODONCIA 1.009.991 - 1.009.991 - 1.009.991 -
DEN7041364 41364 TRATAMIENTO PRIMERA FASE - ORTODONCIA 1.710.098 - 1.710.098 - 1.710.098 -
DEN7041366 41366 CONTROL DE EVOLUCIÓN - ORTODONCIA 56.238 - 56.238 - 56.238 -
DEN7041367 41367 ESTAMPADO PASIVO DE MANTENCIÓN - ORTODONCIA 75.749 - 75.749 - 75.749 -
DEN7041368 41368 TRAT ORTODONCIA CON BOTON DE NANCE - ORTODONCIA 286.929 - 286.929 - 286.929 -
DEN7041369 41369 TRAT DE SEGUNDA FASE CON BRACKETS METALICOS - ORTODONCIA 3.270.994 - 3.270.994 - 3.270.994 -
DEN7041370 41370 TRAT DE SEGUNDA FASE CON BRACKETS AUTOLIOGADO - ORTODONCIA 3.385.766 - 3.385.766 - 3.385.766 -
DEN7041371 41371 TRAT DE SEGUNDA FASE CON BRACKETS CERAMICOS - ORTODONCIA 3.500.537 - 3.500.537 - 3.500.537 -
DEN7041374 41374 TRAT DE SEGUNDA FASE BR METALICOS PAC QUIRURGICOS - ORTODONCIA 4.361.325 - 4.361.325 - 4.361.325 -
DEN7041375 41375 TRAT DE ORTODONCIA INVISALIGN PACIENTESQUIRURGICOS - ORTODONCIA 5.681.200 - 5.681.200 - 5.681.200 -
DEN7041377 41377 TRAT ORTODONCIA INVISALIGN - ORTODONCIA 4.017.010 - 4.017.010 - 4.017.010 -
DEN7041379 41379 ALINEADORES APIÑAMIENTO MOD-SEVERO 1 ARCADA - ORTODONCIA 1.836.347 - 1.836.347 - 1.836.347 -
DEN7041380 41380 ALINEADORES APIÑAMIENTO MOD-SEVERO 2 ARCADAS - ORTODONCIA 2.180.663 - 2.180.663 - 2.180.663 -
DEN7041381 41381 PRESUPUESTO DE CONTENCIÓN - ORTODONCIA 562.381 - 562.381 - 562.381 -
DEN7041382 41382 ALINEADORES APIÑAMIENTO LEVE 1 ARCADA -ORTODONCIA 1.090.332 - 1.090.332 - 1.090.332 -
DEN7041383 41383 ALINEADORES APIÑAMIENTO LEVE 2 ARCADAS - ORTODONCIA 1.492.032 - 1.492.032 - 1.492.032 -
DEN7041384 41384 PPTO DE CONTENCIÓN ALINEAD APIÑAM. LEVE - ORTODONCIA 200.850 - 200.850 - 200.850 -
DEN7041385 41385 DISPOSITIVO DE AVANCE MANDIBULAR - ORTODONCIA 401.701 - 401.701 - 401.701 -
DEN7041386 41386 PLANO OCLUSAL - ORTODONCIA 447.610 - 447.610 - 447.610 -
DEN7041747 41747 TRAT ORTODONCIA INVISALIGN CASO COMPLEJO 4.533.483 - 4.533.483 - 4.533.483 -
DEN7041748 41748 TRAT ORTODONCIA INVISALIGN MODERADO 3.385.766 - 3.385.766 - 3.385.766 -
DEN7041749 41749 LABORATORIO - ORTODONCIA 102.147 - 102.147 - 102.147 -
DEN7041750 41750 EVALUACION INICIAL - ORTODONCIA 56.238 - 56.238 - 56.238 -
DEN7041751 41751 PRESUPUESTO ANUAL 1 - ORTODONCIA 1.147.717 - 1.147.717 - 1.147.717 -
DEN7041752 41752 PRESUPUESTO ANUAL 2 - ORTODONCIA 1.721.576 - 1.721.576 - 1.721.576 -
DEN7041753 41753 TRAT ORTODONCIA IFACE - INVISALIGN CASOLEVE - ORTODONCIA 2.754.522 - 2.754.522 - 2.754.522 -
HES1599001 15991 HM - PROC. APLIC. BOTOX 25 UN. 211.341 - 211.341 - 211.341 -
HES1599002 15992 HM - PROC. APLICACION BOTOX 50 UN. 211.341 - 211.341 - 211.341 -
HES1599003 15993 HM - PROC. APLIC. BOTOX 100 UN. - - - - - -
HES1599004 15994 HM - PROC. APLIC. JUVEDERM U.PLUS C/LIDOCAINA 234.823 - 234.823 - 234.823 -
HES1599005 96658 HM - RINOMODELACION - - - - - -
HES1599028 15928 HM - PROC. APLICACION DE SULPTRA - - - - - -
HES1599029 15929 HM - PROC. APLIC. RADIESSE C/LIDO JER. 1,5ml - - - - - -
HES1599030 15930 HON. POR PROC. APLIC. RADIESSE C/LIDO JER. 0,8 ml - - - - - -
HES1599031 99367 HM - PROCED. APLIC. RADIESSE 0,8 ML 255.018 - 255.018 - 255.018 -
HES1699007 16997 HM - PROC. APLIC. BOTOX 75 UN. 234.823 - 234.823 - 234.823 -
HES1699012 16992 HM - PROC. APLIC. JUVEDERM VOLBELLA 234.823 - 234.823 - 234.823 -
HES1699013 16993 HM - PROC. APLIC. JUVEDERM VOLIFT 234.823 - 234.823 - 234.823 -
HES1699014 16994 HM - PROC. APLIC. VOLUMA C/N LIDOCAINA 1ml 234.823 - 234.823 - 234.823 -
HMC0501000 EMBOLIZACION TUMOR COLUMNA - 2.125.222 - 2.125.222 - 1.840.652
HMC0501001 EMBOLIZACION TUMOR DE CABEZA O CUELLO - 2.125.222 - 2.125.222 - 1.840.652
HMC0501002 HONORARIOS POR MIELOGRAMA - 215.697 - 215.697 - 186.815
HMC0501005 PROCED DE INFUSION DE MEDULA OSEA TRASP - 880.997 - 880.997 - 763.030
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC0501006 PROCEDIMIENTO DE INFUSIÓN DE MEDULA OSEA - 694.631 - 694.631 - 601.620
HMC0501007 QMT DE CONDIC. CALIENTE SEGUN DIAGNOSTICO - 1.411.706 - 1.411.706 - 1.074.170
HMC0501008 QMT DE CONDIC. TRASPLANTE ALOGENICO - 1.835.225 - 1.835.225 - 1.396.426
HMC0501009 QUIMIOTERAPIA CALIENTE - 1.029.716 - 1.029.716 - 783.513
HMC0501010 RADIOFRECUENCIA TUMORES HEPATICOS - 1.738.887 - 1.738.887 - 1.506.045
HMC0501012 RIESGO ONCOLOGICO ALTO - 1.061.926 - 1.061.926 - 991.914
HMC0501013 RIESGO ONCOLOGICO BAJO - 434.484 - 434.484 - 384.210
HMC0501014 RIESGO ONCOLOGICO CRITICO - 1.411.706 - 1.411.706 - 1.318.634
HMC0501015 RIESGO ONCOLOGICO INTERMEDIO - 694.631 - 694.631 - 648.835
HMC0501016 HONORARIOS MEDICOS POR RIESGO BAJO QMT - 411.425 - 411.425 - 308.568
HMC1101011 BL DE NERV O TRIGGER PT O PTO MTR CON B.(12 PUNTOS) - 450.438 - 450.438 - 390.125
HMC1101012 BL DE NERV O TRIGGER PT O PTO MTR CON BOTOX 19 A 24 PTOS - 846.229 - 846.229 - 732.916
HMC1101013 BL DE NERV O TRIGGER PT O PTO MTR CON BOTOX MAS DE (24 PTOS) - 1.127.412 - 1.127.412 - 976.452
HMC1101014 BL DE NERV O TRIGGER PT O PTO MTR CON BOTOX 13 A 18 PTOS - 602.025 - 602.025 - 521.411
HMC1101015 CORTICOGRAFIA INTRAPABELLON (1 HR) - 159.803 - 159.803 - 138.406
HMC1101016 MONIT. NEUROFIS. INTRAOP X HORA (HASTA 4 - 191.694 - 191.694 - 166.028
HMC1101017 MONIT. NEUROFIS. INTRAOP X HORA (SOBRE 4 - 127.739 - 127.739 - 110.636
HMC1201026 HM INYECCION INTRAVITREA - 229.544 - 229.544 - 172.158
HMC1202084 HM ENDOCICLO FOTOCOAGULACION - 1.280.730 - 1.280.730 - 1.109.237
HMC1202085 IMPLANTE FILTRANTE, TTO GLAUCOMA - 1.805.936 - 1.805.936 - 1.569.568
HMC1202087 CROSSLINKING - 327.530 - 327.530 - 284.661
HMC1301032 HM PROCEDIMIENTO ESTROBOSCOPIA - 103.758 - 103.758 - 89.970
HMC1301033 HM PROCEDIMIENTO CAUTERIZACION NASAL - 54.297 - 54.297 - 47.084
HMC1301047 HM - LARINGOFARINGOSCOPIA TERAPEUTICA Y - 125.492 - 125.492 - 95.487
HMC1301121 ABRASIVO QUIMICO MENOR - 98.567 - 98.567 - 73.925
HMC1302083 TQ TUMOR BENIGNO OIDO EXTERNO - 215.697 - 215.697 - 161.773
HMC1302084 TUMORES BENIGNOS VIA ENDOSCOPI - 215.697 - 215.697 - 164.124
HMC1302088 FRACTURA NASAL RECIENTE CERRADA - 381.701 - 381.701 - 331.742
HMC1302091 FENESTRACIÓN BILATERAL - 215.697 - 215.697 - 164.124
HMC1302092 FERTILIZACION ASISTIDA (IVF, GIFT E ICSI - 1.722.931 - 1.722.931 - 1.492.229
HMC1302093 FRENESTRACCION UNICA 130.993 - 130.993 - 130.993 -
HMC1302094 TRAT. FRACT. DENTARIA 178.994 - 178.994 - 178.994 -
HMC1302095 HASTA 5 EXODONCIAS SIMPLES O A COLGAJO - 399.012 - 399.012 - 399.012
HMC1302097 96154 MAS DE 12 EXODONCIAS SIMPLES O A COLGAJO 666.939 - 666.939 - 635.180 -
HMC1302099 HM- EXODONCIA A COLGAJO - 81.432 - 81.432 - 81.432
HMC1302100 HM - EXODONCIA PIEZAS DENTARIAS INCLUIDA - 162.866 - 162.866 - 162.866
HMC1302126 HM-IMPLANTE ÓSEO INTEGRADO UNITARIO EN T - 570.027 - 570.027 - 433.736
HMC1302171 HM-REMOCIÓN DE ARCOS O ELEMENTOS DE CONT - 142.506 - 142.506 - 123.428
HMC1302174 INSTALACION DE CATETER DE PERITONEO DIALISIS - 780.483 - 780.483 - 593.871
HMC1401001 HM - PUNCION DE TIROIDES BAJO APOYO ECOGRAFICO - 97.034 - 97.034 - 84.140
HMC1401901 HM - PUNCION DE GANGLIO BAJO APOYO ECOGRAFICO - 97.034 - 97.034 - 72.775
HMC1402061 HM - EXODONCIA PIEZAS DENTARIAS INCLUIDA 164.623 - 164.623 - 156.784 -
HMC1402062 HM - FENESTRACION DENTARIA COMPLEJA - 164.623 - 164.623 - 164.623
HMC1402063 HM - BIOPSIA DE MUSCOSA ORAL (NO INCLUYE - 82.312 - 82.312 - 71.375
HMC1402066 EXTRACCION 3ER MOLAR - 164.175 - 164.175 - 124.922
HMC1402067 EXTRACCION 4 3OS MOLARES - 656.705 - 656.705 - 499.688
HMC1402068 HON.MED PARA BIOPSIA MUCOSA BUCAL 164.175 - 164.175 - 114.922 -
HMC1402069 IMPLANTE OSEO INTEGRADO - 164.175 - 164.175 - 124.922
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1402070 FENESTRACION PIEZA DENTARIA - 164.175 - 164.175 - 164.175
HMC1402071 HM - ARTROCENTESIS UNILATERAL MAXILOFACI - 150.590 - 150.590 - 114.584
HMC1402074 ATENCION DE URGENCIA ESPECIALIDAD ( Fuera de hora u Horario no habil) 88.058 - 88.058 - 61.641 -
HMC1402076 INFILTRACION (BLOQUEO) DE NERVIOS Y/O RAICES NERVIOSAS PERIF. 105.670 - 105.670 - 73.969 -
HMC1402078 BLOQUEO NEUROMUSCULAR MED. PUNCION SECA(POR SESION) 46.965 - 46.965 - 32.876 -
HMC1402079 INFILTRACION DE FARMACOS PARA TRAT. DEPATOLOGIA ARTICULAR 217.211 - 217.211 - 152.048 -
HMC1402082 INFILT.DE FAR.(CORTICOIDES) PAT.MUSCULAR (HASTA 6 PUNTOS) 176.117 - 176.117 - 123.282 -
HMC1402083 96614 INFILTRACION DE BOTOX PATOLOGIA MUSCULAR (MAS DE 6 PUNTOS) 311.140 - 311.140 - 217.798 -
HMC1402085 ESTABILIZACION MANDIBULAR C/DISPOSITIVOINMEDIATO S/ ESTAMPADO (TEMPORAL)176.117 - 176.117 - 123.282 -
HMC1402086 ESTABILIZACION MUSCULAR M/DIO INMEDIATO(Jig - Sved - Otros) 140.894 - 140.894 - 98.626 -
HMC1402087 98863 DISP.DE AV.MAND.- MANEJO ODONT. DE S/APNEA HIPOAPNEA OBSTRUC.DEL SUEÑO 610.539 - 610.539 - 427.378 -
HMC1402088 96107 TRATAMIENTO PAT.NEUROMUSCULAR (MED.DIFICULTAD) (3/SESIONES) 482.041 - 482.041 - 337.429 -
HMC1402089 TERAPIA ARTICULAR CON PLANO PIVOTANTE + 1 CONTROL 258.305 - 258.305 - - -
HMC1402090 TRATAMIENTO PATOLOGIA ARTICULAR ( 6 SESIONES DE CONTROL) - 798.399 - 798.399 - 598.799
HMC1402091 14207 INFILTR.DE FARM.PATOL. ARTICULA O MUSCULAR (TER.BIOL)( 3 SESIONES) 79.192 - 79.192 - 55.434 -
HMC1402093 DIAGNOSTICO INSTRUMENTAL DE BRUXISMO (Brux off) 70.447 - 70.447 - 49.313 -
HMC1402095 HASTA 5 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLAR - - - - - -
HMC1402096 HASTA 5 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLAR - - - - - -
HMC1402097 MAS DE 12 EXODONCIAS SIMPLES O A COLGAJO +CURATAJE ALVEOLAR+ ALVEOLOPLASTIAS+DREN
- - - - - -
HMC1402099 93299 EXTRACCION DE CANINOS - - - - - -
HMC1402100 92421 EXTRACCION 2 SUPERNUMERARIOS (MESIODENS) - - - - - -
HMC1402101 HM-TRATAMIENTO DE ALVEOLORRAGIAS O ALVEOLITIS DE LOS MAXILARES - - - - - -
HMC1402102 HM-ALVEOLOPLASTIA DE LOS MAXILARES (NO INCLUYE EXODONCIA) - - - - - -
HMC1402103 HM-CIRUGIA COMPLEMENTARIA A EXODONCIA(REMOCION AGUJAS Y CUERPO EXTRAÑO) - - - - - -
HMC1402161 HM - EXODONCIA PIEZAS DENTARIAS INCLUIDAS (HASTA 3) - - - - - -
HMC1402169 IMPLANTE OSEO INTEGRADO - - - - - -
HMC1402171 HM-REMOCIÓN DE ARCOS O ELEMENTOS DE CONTENCIÓN EN TRAUMA FACIAL - - - - - -
HMC1402199 HM- EXODONCIA A COLGAJO - - - - - -
HMC14O2074 ATENCION DE URGENCIA ESPECIALIDAD ( Fuera de hora u Horario no habil) - 88.058 - 88.058 - 66.044
HMC14O2075 CONTROL - 64.576 - 64.576 - 48.432
HMC14O2076 INFILTRACION (BLOQUEO) DE NERVIOS Y/O RAICES NERVIOSAS PERIF. - 105.670 - 105.670 - 79.252
HMC14O2077 INFILTRACION (BLOQUEO) DE NERVIOS Y/O RAICES NERVIOSAS TRIG. - 105.670 - 105.670 - 79.252
HMC14O2078 BLOQUEO NEUROMUSCULAR MED. PUNCION SECA(POR SESION) - 46.965 - 46.965 - 35.224
HMC14O2079 INFILTRACION DE FARMACOS PARA TRAT. DEPATOLOGIA ARTICULAR - 217.211 - 217.211 - 162.909
HMC1502003 21241 HM.C.PLAST.URG.HERIDA FACIAL SIMPLE 200.472 200.472 200.472 200.472 - 177.312
HMC1502074 TRATAM.CON BOTOX (20-30 PUNTOS) EN VEJIGA - 845.861 - 845.861 - 732.600
HMC1502075 LIPOTRANSFERENCIA MAMARIA - 1.151.754 - 1.151.754 - 876.372
HMC1502076 RECAMBIO DE PROTESIS UNILATERAL - 1.011.759 - 1.011.759 - 758.819
HMC1502077 LIPOASPIRACION 2,5 HORAS (PAB.AMB.) - 1.512.033 - 1.512.033 - 1.134.024
HMC1502079 LIPOASPIRACION 3,5 HORAS PAB AMB - 2.037.399 - 2.037.399 - 1.528.049
HMC1502082 OTOPLASTIA DOS LADOS - 1.035.023 - 1.035.023 - 776.267
HMC1502086 ABDOMINOPLASTIA - 2.415.407 - 2.415.407 - 1.811.556
HMC1502087 IMPLANT PROT GLUTEO DOS LADOS PAB AMB - 2.325.706 - 2.325.706 - 1.744.279
HMC1502088 IMPLANTE PANTORRILLA DOS LADOS - 1.556.881 - 1.556.881 - 1.167.661
HMC1502089 LIFTING DE BRAZOS - 2.375.436 - 2.375.436 - 1.781.577
HMC1502090 LIFTING FACIAL - 2.248.826 - 2.248.826 - 1.686.619
HMC1502091 LIFTING MUSLOS (PAB ,AMB.) - 2.248.826 - 2.248.826 - 1.686.619
HMC1502092 LIPOASPIRACION MEDIA HORA PAB AMB - 679.134 - 679.134 - 509.350
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1502093 LIPOASPIRACION DE PAPADA - 679.134 - 679.134 - 509.350
HMC1502094 LIPOASPIRACION 4 HORAS - 2.383.371 - 2.383.371 - 1.787.528
HMC1502095 LIPOASPIRACION 2 HORAS - 1.393.017 - 1.393.017 - 1.044.763
HMC1502096 LIPOASPIRACION 3 HORAS ( PAB AMB.) - 1.798.158 - 1.798.158 - 1.348.618
HMC1502097 MAMOPLASTIA REDUCTIVA DOS LADOS (ESTETICO) - 2.415.407 - 2.415.407 - 1.811.556
HMC1502098 MINIABDOMINOPLAST (PAB AMB.) - 1.403.115 - 1.403.115 - 1.052.336
HMC1502099 PEXIA MAMAR DOS LADOS PAB AMB. - 2.415.407 - 2.415.407 - 1.811.556
HMC1502101 LABIOPLASTIA DE LABIOS MENORES - 1.517.164 - 1.517.164 - 1.137.873
HMC1502102 LIFTING FRONTAL + BLEFAROPLASTIA INFERIOR - 1.973.330 - 1.973.330 - 1.479.998
HMC1502107 MAMOPLASTIA DE AUMENTO DOS LADOS (ESTETICO) - 1.915.666 - 1.915.666 - 1.436.750
HMC1502108 LIPOASPIRACION 1 HORA - 907.529 - 907.529 - 680.646
HMC1502109 MAMOPLASTIA DE REDUCCION + LIPO 1 HORA - 2.112.680 - 2.112.680 - 1.584.510
HMC1502112 LIPOASPIRACION 1,5 HORAS - 1.178.872 - 1.178.872 - 884.154
HMC1502113 RINOPLASTIA ESTETICA - 1.403.115 - 1.403.115 - 1.052.336
HMC1502114 BLEFAROPLASTIA ESTETICA 4 PARPADOS - 1.371.077 - 1.371.077 - 1.028.308
HMC1502115 PEXIA MAMAR CON IMPLANT. DOS LADOS (PABAMB.) - 2.415.407 - 2.415.407 - 1.811.556
HMC1502128 PEXIA DE CEJAS - 1.082.820 - 1.082.820 - 812.115
HMC1502129 BLEFAROPLASTIA INFERIOR - 730.387 - 730.387 - 634.792
HMC1502130 BLEFAROPLASTIA SUPERIOR - 672.726 - 672.726 - 584.677
HMC1502135 EXTIRPACION BOLAS DE BICHAT - 1.108.964 - 1.108.964 - 831.723
HMC1502141 IMPLANTE DE PELO MEDIANO - 3.249.743 - 3.249.743 - 2.437.307
HMC1502142 IMPLANTE DE PELO MAYOR - 4.581.404 - 4.581.404 - 3.436.053
HMC1502150 MASTOPEXIA + LIPOSUCCION 3 HORAS - 2.112.680 - 2.112.680 - 1.584.510
HMC1502168 IMPLANTE PROTESIS MENTON - 679.134 - 679.134 - 509.350
HMC1502183 RECAMBIO DE PROTESIS BILATERAL - 2.023.518 - 2.023.518 - 1.517.639
HMC1502186 ABDOMINOPLASTIA + LIPO 1 - 2.290.025 - 2.290.025 - 1.717.519
HMC1502188 98479 ABDOMINOPLASTIA + LIPO 2 HORAS - 2.585.909 - 2.585.909 - 1.939.431
HMC1502189 ABDOMINOPLASTIA + LIPO 3 HORAS - 2.797.062 - 2.797.062 - 2.097.797
HMC1502267 FLANCOPLASTIA - 2.415.407 - 2.415.407 - 2.300.388
HMC1502270 LIFTING CERVICOFACIAL - 2.447.443 - 2.447.443 - 1.835.582
HMC1502309 LIPECTOMIA ABDOMINAL - 2.415.407 - 2.415.407 - 1.811.556
HMC1502873 LIFTING FRONTAL - 1.403.115 - 1.403.115 - 1.052.336
HMC1502874 LIFTING FRONTAL ENDOSCOPICO - 1.582.508 - 1.582.508 - 1.186.881
HMC1599086 ABDOMINOPLASTIA - 2.415.407 - 2.415.407 - 1.811.556
HMC1599110 BLEFAROPLASTIA INFERIOR BILATERAL (PAB.AMB.) - 730.387 - 730.387 - 634.792
HMC1599111 BLEFAROPLASTIA SUPERIOR BILATERAL (PAB.AMB.) - 672.726 - 672.726 - 584.677
HMC1601003 PEELING QUIMICO - 108.550 - 108.550 - 82.597
HMC1601007 INSTALACION RESERVORIO SUBCUTANEO/TENCKO - 940.517 - 940.517 - 814.580
HMC1601022 21117 HM INSTALACION SONDA FOLEY - 92.498 - 92.498 - 81.251
HMC1601023 HM - CONCENTRADO PLAQUETARIO 12 ML PRP - 247.761 - 247.761 - 188.522
HMC1601044 HM APLICACIÓN BOTOX (100 U) - 432.987 - 432.987 - 329.461
HMC1601045 HM APLICACIÓN BOTOX (50 U) - 259.792 - 259.792 - 197.676
HMC1601046 HM APLICACIÓN BOTOX (25 U) - 259.792 - 259.792 - 197.676
HMC1601067 HM APLICACIÓN BOTOX (75 U) - 203.580 - 203.580 - 152.685
HMC1701028 INSTALACION DE CATETER SWAN-GANZ O SIMIL - 220.350 - 220.350 - 194.852
HMC1701038 CORONARIO / VENTRICULOGRAFIA CON ESTUDIO - 610.085 - 610.085 - 528.393
HMC1701039 ECOGRAFIA INTRACORONARIA - 466.219 - 466.219 - 403.791
HMC1701040 ECOGRAFIA INTRAOPERATORIA - 176.207 - 176.207 - 153.145
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC1701041 EMBOLIZACIÓN ARTERIAL O VENOSA - 868.670 - 868.670 - 742.699
HMC1701042 INSTALACION BALON CONTRAPULSACION - 332.281 - 332.281 - 287.787
HMC1701043 INSTALACION ECMO - 4.307.268 - 4.307.268 - 3.730.518
HMC1701045 RETIRO ECMO - 2.154.028 - 2.154.028 - 1.865.599
HMC1701046 TEST DE PROVOCACION FARMACOLOGICA EN ARR 313.089 313.089 313.089 313.089 238.230 271.168
HMC1701065 RETIRO CATETER C/ RESERVORIO - 466.552 - 466.552 - 383.706
HMC1703044 FISTULA ARTERIOVENOSA DERIVACION EXTERNA - 532.820 - 532.820 - 471.163
HMC1703069 SIN CIRCULACION EXTRACORPOREA - 2.131.322 - 2.131.322 - 1.856.345
HMC1703070 SINEQUIAS PERICARDICAS, TRAT.QUIR. ( PRO - 1.704.443 - 1.704.443 - 1.484.539
HMC1703072 TRANSPLANTE DE PULMON SIN C.E.C - 7.856.452 - 7.856.452 - 6.804.460
HMC1703074 NSTALACION CATETER TUNELIZADO - 940.466 - 940.466 - 705.350
HMC1703075 HM RETIRO CATETER TUNELIZADO - 705.349 - 705.349 - 529.012
HMC1703163 INSTALACION OCLUSOR SEPTAL 1.459.565 1.459.565 1.459.565 1.459.565 1.268.531 1.268.531
HMC1704069 21251 TORACOTOMIA DE URGENCIAS 264.989 264.990 264.989 264.990 230.306 230.307
HMC1707019 HMT DESENSIBILIZACION X HORA 116.063 116.063 116.063 116.063 100.872 100.872
HMC1801037 VACIAMIENTO GASTRICO, TEST DE (GOLDSTEIN 94.444 94.444 94.444 94.444 66.111 81.797
HMC1801043 INSTALACION SONDA ARGON - 164.588 - 164.588 - 125.236
HMC1801046 RETIRO O REPOSICIONAMIENTO BANDAS GASTRI - 1.299.904 - 1.299.904 - 1.109.207
HMC1801058 HM - ENDOSONOGRAFIA ALTA SIN PUNCION - 357.098 - 357.098 - 309.652
HMC1801059 HM - ENDOSONOGRAFIA ALTA CON PUNCION - 357.098 - 357.098 - 309.652
HMC1801066 HM PROCEDIMIENTO POR DRENAJE Y VACIAMIENTO 105.089 105.089 105.089 105.089 79.962 91.124
HMC1801067 HM - BIOPSIA HEPATICA 610.085 610.085 610.085 610.085 427.059 539.490
HMC1801075 HHMM - DP INVAGINACION INTESTINAL VIA RE - 280.993 - 280.993 - 213.808
HMC1801151 96400 HM - ESTUDIO ENDOSCOPICO DE INTESTINO DELGADO - 372.854 - 372.854 - -
HMC1801166 INSTALACION DE PROTESIS GASTRICA Y/O INTESTINO - 1.067.299 - 1.067.299 - 943.797
HMC1802063 GASTRECTOMIA SUB-TOTAL CON VAGOTOMIA - 1.385.047 - 1.385.047 - 1.206.353
HMC1802141 INSTALACION BALON INTRAGASTRICO (NO INCLUYE BALON) - 598.637 - 598.637 - 564.476
HMC1802144 RETIRO DE BALON INTRAGASTRICO NO INCLUYE - 415.859 - 415.859 - 360.175
HMC1802145 HM - GASTROTOMIA CAMBIO DE BOTON O SET - 206.347 - 206.347 - 178.929
HMC1802147 HM GASTROPLASTIA POR VIA ENDOSCOPICA - 1.882.374 - 1.882.374 - 1.636.003
HMC1802148 HMT GASTROPLASTIA LAPAROSCOPICA CON BARI - 1.704.443 - 1.704.443 - 1.296.913
HMC1802152 ABLACION POR RADIOFRECUENCIA DE UNO O VARIOS TUMORES HEPATICOS - 641.324 - 641.324 - 487.984
HMC1803014 CRIPTECTOMIA Y/O PAPILECTOMIA (CUALQUIER - 852.226 - 852.226 - 742.275
HMC1803033 POLIPO RECTAL, TRAT. QUIR POR VIA LAPARO - 852.226 - 852.226 - 753.613
HMC1803037 PROLAPSO RECTAL. T.QUIR. POR VIA LAPAROS - 2.131.322 - 2.131.322 - 1.884.700
HMC1901011 PIELOGRAFIA DIRECTA,P/PUNCION TRANSLUMBA 325.794 325.794 325.794 325.794 228.056 304.315
HMC1901026 HM RETIRO DE CATETER DE PERITONEO DIALISIS 1.025.267 1.025.267 1.025.267 1.025.267 891.077 891.077
HMC1902007 ABSCESO PERINEFRITICO, VACIAMIENTO 1.704.443 1.704.443 1.704.443 1.704.443 1.193.110 1.476.215
HMC1902072 POLIPO MEATO,ELECTROCOAGULACION - 213.445 - 213.445 - 185.905
HMC1902081 SUPRARRENALECTOMIA BILATERAL - 2.558.211 - 2.558.211 - 2.228.158
HMC1902082 SUPRARRENALECTOMIA BILAT.VIA LAPAROSCOPI - 2.558.211 - 2.558.211 - 2.228.158
HMC1902107 URETROLISIS VIA VAGINAL 1.385.047 1.385.047 1.385.047 1.385.047 1.203.767 1.203.767
HMC2001005 AMNIOSCOPIA C/S ESCALPE FETAL 94.444 94.444 94.444 94.444 66.111 81.797
HMC2002041 RETIRO CERCLAJE - 675.636 - 675.636 - 597.457
HMC2003007 ASPIRACION QUISTES OVULARES POR ECOGRAFIA - 392.825 - 392.825 - 341.412
HMC2003010 MARCACION PREOPERATORIA - 196.495 - 196.495 - 170.182
HMC2003011 TRANSFERENCIA EMBRIONARIA - 651.744 - 651.744 - 583.691
HMC2003012 TRANSFERENCIA AL UTERO - 424.548 - 424.548 - 323.039
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC2099002 HM - BIOPSIA MAMARIA BAJO RM (INCL. INST. CLIP MARCADOR) - 217.211 - 217.211 - 206.868
HMC2099003 HM - MARCACION DE NODULO O GANGLIO - 273.583 - 273.583 - 205.187
HMC2104070 ESPONDILODISCITIS VERTEBRAL (TBC U OTRA) - 2.131.322 - 2.131.322 - 1.856.345
HMC2104079 FIJACION DE ESCAPULA - 860.750 - 860.750 - 749.698
HMC2104081 FRACTURA APOFISIS ESPINOSA, TRAT. QUIR. - 1.085.755 - 1.085.755 - 945.676
HMC2104103 IMPLANTE SILASTIC O SIMILARES (ESCAFOIDE - 1.065.673 - 1.065.673 - 928.182
HMC2104185 RESECCION ARCO NEURAL (OPERACION DE GILL - 1.704.443 - 1.704.443 - 1.484.539
HMC2104227 ARSENALERA IVF - 72.256 - 72.256 - 72.256
HMC2104229 VERTEBROPLASTIA - 1.085.755 - 1.085.755 - 943.647
HMC2107038 DISECCION ENDOSCOPICA SUBMUCOSA 1.631.205 1.631.205 1.631.205 1.631.205 1.241.188 1.412.784
HMC2107039 CIERRE FISTULAS ENDOSCOPICA 1.067.299 1.067.299 1.067.299 1.067.299 747.109 924.384
HMC2107042 DRENAJE PSEUDO QUISTE PANCREATICO 1.631.205 1.631.205 1.631.205 1.631.205 1.141.844 1.412.784
HMC2107043 APLICACIÓN RADIOFRECUENCIA EN ESOFAGO DE - 1.067.299 - 1.067.299 - 924.384
HMC2107073 ECOGRAFISTA IVF - 34.506 - 34.506 - 30.903
HMC2107074 ECOGRAFISTA FERTILIZACION ASISTIDA - 33.998 - 33.998 - 25.869
HMC2502012 HM - ASPIRACION FOLICULAR - 918.782 - 918.782 - 699.103
HMC2502014 1er CIRUJANO TRANSFERENCIA EMBRIONARIA - 425.383 - 425.383 - 380.967
HMC2502015 HM PROCEDIMIENTO DE EXTRACCION DE OVULOS - 330.879 - 330.879 - 263.943
HMC2999034 HEMATOMA Y/O VACIAMIENTO DRENAJE PARTESBLANDAS - 518.997 - 518.997 - 388.781
HMC2999040 HEMOSTASIA PRIMARIA, REVISION POST CIRUGIA - 213.453 - 213.453 - 170.165
HMC7013493 13493 EXTRACCIÓN PIEZA DENTARIA INCLUIDA (HASTA 2) - 109.451 - 109.451 - 109.451
HMC7013494 41822 EXTRACCIÓN PIEZA DENTARIA INCLUIDA (HASTA 4) - 164.375 - 164.375 - 164.375
HMC7041003 INFORME BIOPSIA - 63.125 - 63.125 - 47.344
HMC7041005 INFORME PERICIAL - 63.125 - 63.125 - 47.344
HMC7041007 CONTROL - 44.187 - 44.187 - 33.140
HMC7041009 COMPOSITE POSTERIOR - 107.312 - 107.312 - 80.484
HMC7041015 HON. DENTALES POR RECEMENTACION DE PROTESIS FIJA - 75.749 - 75.749 - 75.749
HMC7041021 URGENCIA DENTAL - 75.749 - 75.749 - 75.749
HMC7041022 RECONSTITUCION COMPOSITE - 113.624 - 113.624 - 85.218
HMC7041024 COMPOSITE ANGULO - 113.624 - 113.624 - 85.218
HMC7041026 PERNO MUNON COMPOSITE - 113.624 - 113.624 - 85.218
HMC7041028 SELLADO AFRACCIONES POR GRUPO - 34.432 - 34.432 - 25.824
HMC7041030 AMALGAMA - 63.125 - 63.125 - 47.344
HMC7041032 COMPOSITE SIMPLE - 82.063 - 82.063 - 61.547
HMC7041034 LABORATORIO PROVISORIO - 88.374 - 88.374 - 66.281
HMC7041036 LABORATORIO CARILLA PORCELANA - 126.249 - 126.249 - 94.687
HMC7041038 LABORATORIO ABUTMENT CERAMICO - 227.248 - 227.248 - 170.436
HMC7041040 CORONA PORCELANA INCERAM - 454.496 - 454.496 - 340.872
HMC7041042 LABORATORIO IMPLANTE CERAMICA - 239.873 - 239.873 - 179.904
HMC7041048 CORONA PORCELANA PROCERA - 454.496 - 454.496 - 340.872
HMC7041049 PILAR TORNILLO PROVISORIO - 137.726 - 137.726 - 103.295
HMC7041050 LABORATORIO ESPIGA MUNON - 63.125 - 63.125 - 47.344
HMC7041051 CORONA PORCELANA ZIRCONIO - 454.496 - 454.496 - 340.872
HMC7041052 LABORATORIO PROTESIS AD-MODUM - 946.867 - 946.867 - 710.150
HMC7041054 ISOSIT-ARTGLASS-ADORO - 286.929 - 286.929 - 215.197
HMC7041055 RETIRO DE ESPIGA MUNON - 88.374 - 88.374 - 66.281
HMC7041056 LABORATORIO CORONA ZIRCONIO - 218.066 - 218.066 - 163.550
HMC7041057 RETIRO FERULIZACION - 91.817 - 91.817 - 68.863
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC7041058 CEREC INLAY - 252.498 - 252.498 - 189.373
HMC7041059 LABORATORIO PREPARACION DE PILAR - 80.340 - 80.340 - 60.255
HMC7041060 RETIRO DE CORONA - 88.374 - 88.374 - 66.281
HMC7041061 LABORATORIO CORONA PROCERA - 218.066 - 218.066 - 163.550
HMC7041062 LABORATORIO ENCIA ARTIFICIAL - 18.938 - 18.938 - 14.203
HMC7041063 CEREC ONLAY - 362.678 - 362.678 - 272.009
HMC7041064 PROTESIS AD-MODUM SOBRE IMPLANTES - 3.534.969 - 3.534.969 - 2.651.227
HMC7041065 LAB PUENTE PROV 3 PZAS - 75.749 - 75.749 - 56.812
HMC7041066 RETIRO DE PFP - 126.249 - 126.249 - 94.687
HMC7041067 LABORATORIO CORONA INCERAM - 138.874 - 138.874 - 104.156
HMC7041068 LABORATORIO ESPIGA MUñON PASANTE O DOBLE - 88.374 - 88.374 - 66.281
HMC7041069 CEREC CORONA - 366.121 - 366.121 - 274.591
HMC7041070 PROVISORIO - 137.726 - 137.726 - 103.295
HMC7041071 CIRUGIA DE ALARGAMIENTO CORONARIO - 101.000 - 101.000 - 75.750
HMC7041073 CORONA PORCELANA EMPRESS - 454.496 - 454.496 - 340.872
HMC7041075 ESPIGA MUñON PASANTE - 101.000 - 101.000 - 75.750
HMC7041077 LABORATORIO PILAR PERSONALIZADO - 80.340 - 80.340 - 60.255
HMC7041078 LABORATORIO CEREC - 151.498 - 151.498 - 113.624
HMC7041079 ENCERADO DIAGNóSTICO Y ESTUDIO - 227.248 - 227.248 - 170.436
HMC7041080 LABORATORIO CORONA PORCELANA EMPRESS - 113.624 - 113.624 - 85.218
HMC7041081 CORONA PORCELANA - 454.496 - 454.496 - 340.872
HMC7041082 CARILLAS CERAMICA LENTICULARES - 286.929 - 286.929 - 215.197
HMC7041083 LABORATORIO ISOSIT-ARTGLASS-ADORO - 109.033 - 109.033 - 81.775
HMC7041084 CORONA METAL PORCELANA - 454.496 - 454.496 - 340.872
HMC7041085 ENCERADO DIAGNOSTICO - 227.248 - 227.248 - 170.436
HMC7041086 LABORATORIO CARILLAS CERAMICA LENTICULARES - 151.498 - 151.498 - 113.624
HMC7041087 CORONA PROVISORIA CARILLA - 113.624 - 113.624 - 85.218
HMC7041088 CORONA PORCELANA INTERMEDIARIO - 454.496 - 454.496 - 340.872
HMC7041089 CARILLA PROVISORIA - 113.624 - 113.624 - 85.218
HMC7041090 CORONA PROVISORIA - 103.295 - 103.295 - 77.471
HMC7041091 ESPIGA MUñON COMPLEMENTARIO CON ESPIGAS PREFORMADAS - 101.000 - 101.000 - 75.750
HMC7041092 CARILLA DE PORCELANA - 265.123 - 265.123 - 198.842
HMC7041093 DESOBTURACION PARCIAL DE CONDUCTOS PARAANCLAJE - 85.849 - 85.849 - 64.387
HMC7041094 CORONA SOBRE IMPLANTE - 454.496 - 454.496 - 340.872
HMC7041095 ESPIGA MUNON - 88.374 - 88.374 - 66.281
HMC7041096 ESPIGA MUNON COMPOSITE - 101.000 - 101.000 - 75.750
HMC7041097 CORONA PROVISORIA SOBRE IMPLANTE - 229.544 - 229.544 - 172.158
HMC7041098 ESPIGA SANDRI - 101.000 - 101.000 - 75.750
HMC7041099 LABORATORIO PROVISORIO SOBRE IMPLANTE - 91.817 - 91.817 - 68.863
HMC7041100 ATTACH SOBRE IMPLANTES - 252.498 - 252.498 - 189.373
HMC7041101 PILAR TORNILLO Y ANALOGO TITANIO - 172.158 - 172.158 - 129.119
HMC7041103 LABORATORIO CORONA PORCELANA PURA - 218.066 - 218.066 - 163.550
HMC7041105 LABORATORIO CORONA METAL PORCELANA - 218.066 - 218.066 - 163.550
HMC7041107 PROTESIS TOTAL SUPERIOR - 631.244 - 631.244 - 473.433
HMC7041109 PROTESIS TOTAL INFERIOR - 631.244 - 631.244 - 473.433
HMC7041115 PROTESIS PARCIAL ACRILICA - 504.995 - 504.995 - 378.747
HMC7041117 PROTESIS PARCIAL METALICA - 631.244 - 631.244 - 473.433
HMC7041123 REPARACION PROTESIS - 138.874 - 138.874 - 104.156
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC7041124 PROVISORIA REMOVIBLE - 189.374 - 189.374 - 142.030
HMC7041125 REBASADO - 138.874 - 138.874 - 104.156
HMC7041126 LABORATORIO PROTESIS - 151.498 - 151.498 - 113.624
HMC7041127 LABORATORIO REPARACION - 126.249 - 126.249 - 94.687
HMC7041129 PULIDO RADICULAR POR GRUPO - 138.874 - 138.874 - 104.156
HMC7041130 EXAMEN DE PATOLOGIA DISFUNCIONAL - 75.749 - 75.749 - 56.812
HMC7041131 PLANO DE ALIVIO OCLUSAL - 353.497 - 353.497 - 265.123
HMC7041132 LABORATORIO PLANO ALIVIO OCLUSAL - 101.000 - 101.000 - 75.750
HMC7041133 APLICACION DE DESINSIBILIZANTE - 86.079 - 86.079 - 64.559
HMC7041134 DESGASTE SELECTIVO X SESION - 119.937 - 119.937 - 89.953
HMC7041135 LABORATORIO PUENTE MARYLAND - 101.000 - 101.000 - 75.750
HMC7041136 REFUERZO RIBBOND - 112.476 - 112.476 - 84.357
HMC7041137 TRAT. TRASTORNOS TEMPORO MANDIBULARES - 302.997 - 302.997 - 227.248
HMC7041138 CONTROL Y AJUSTE DE PLANO - 75.749 - 75.749 - 56.812
HMC7041139 LABORATORIO PLANO RELAJACION - 151.498 - 151.498 - 113.624
HMC7041140 FERULIZACION POR GRUPO - 113.624 - 113.624 - 85.218
HMC7041141 TRATAMIENTO PERIIMPLANTITIS POR SESION - 107.312 - 107.312 - 80.484
HMC7041142 CIRUGIA POR ALARGAMIENTO CORONARIO POR DIENTE - 151.498 - 151.498 - 113.624
HMC7041143 SCULPIN GINGIVAL - 91.817 - 91.817 - 68.863
HMC7041144 GINGIVECTOMIA POR SEXTANTE - 227.248 - 227.248 - 170.436
HMC7041145 PLASTICA GINGIVAL - 353.497 - 353.497 - 265.123
HMC7041146 GINGIVECTOMIA POR PIEZA - 75.749 - 75.749 - 56.812
HMC7041147 TRATAMIENTO DE REMINERALIZACIONES, HIPOCALCIFICACIONES MEDICAMENTOSAS, POR SESIO
- 101.000 - 101.000 - 75.750
HMC7041148 MAGO PLANO BIOESTETICO - 694.369 - 694.369 - 520.777
HMC7041149 COLGAJO DE ACCESO - 151.498 - 151.498 - 113.624
HMC7041150 FIBROTOMIA Y/O SINDESMOTOMIA - 151.498 - 151.498 - 113.624
HMC7041151 RADIOGRAFIA RETROALVEOLAR - 8.837 - 8.837 - 6.628
HMC7041152 ESTAMPADO STA-VAC - 101.000 - 101.000 - 75.750
HMC7041153 CONTROL MAGO - 101.000 - 101.000 - 75.750
HMC7041154 GUIA CANINA BIO ESTETICO - 137.726 - 137.726 - 103.295
HMC7041155 INDEXACION DE IMPLANTE C/U - 172.158 - 172.158 - 129.119
HMC7041156 CONTROL DE PLACA BACTERIANA - 44.187 - 44.187 - 33.140
HMC7041157 INJERTO GINGIVAL - 441.872 - 441.872 - 331.404
HMC7041158 LABORATORIO MAGO - 151.498 - 151.498 - 113.624
HMC7041159 LABORATORIO DE INDEXACION DE IMPLANTE - 51.647 - 51.647 - 38.736
HMC7041160 TOMA DE INJERTO ZONA DADORA - 151.498 - 151.498 - 113.624
HMC7041161 CIRUGÃ-A MUCOGINGIVAL - 353.497 - 353.497 - 265.123
HMC7041162 PROFILAXIS ARCADA TOTAL CON ANESTESIA - 172.158 - 172.158 - 129.119
HMC7041163 COLGAJO CON DESPLAZAMIENTO - 302.997 - 302.997 - 227.248
HMC7041164 CONFECCION DE JIG ANTERIOR - 107.312 - 107.312 - 80.484
HMC7041165 OTRAS CIRUGIAS MUCOGINGIVALES - 201.998 - 201.998 - 151.498
HMC7041166 COBERTURA ACRILICA POST-OPERATORIA - 101.000 - 101.000 - 75.750
HMC7041167 SESION DE MOTIVACION E INSTRUCCION DE HIGIENE ORAL - 75.749 - 75.749 - 56.812
HMC7041168 CIRUGIA PERIIMPLANTARIA TEJ. BLANDOS - 302.997 - 302.997 - 227.248
HMC7041169 PROFILAXIS - 88.374 - 88.374 - 66.281
HMC7041170 DESENSIBILIZACION TOPICA POR GRUPO - 56.812 - 56.812 - 42.609
HMC7041171 REGENERACION OSEA GUIADA POR PIEZA - 441.872 - 441.872 - 331.404
HMC7041172 EXAMEN PERIODONTAL Y PERIODONTOGRAMA - 75.749 - 75.749 - 56.812
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC7041173 PUENTE MARYLAND CON REFUERZO DE RIBBOND - 176.749 - 176.749 - 132.561
HMC7041174 INJERTO DE TEJIDO CONECTIVO POR PIEZA - 441.872 - 441.872 - 331.404
HMC7041175 TRATAMIENTO GUNA POR SESION - 75.749 - 75.749 - 56.812
HMC7041176 INJERTOS ALOPLASTICOS NO INCLUYE MATERIAL - 441.872 - 441.872 - 331.404
HMC7041177 TRATAMIENTO DE ABSCESO PERIODONTAL - 101.000 - 101.000 - 75.750
HMC7041178 CURETAJE GINGIVAL O DEBRIDAMIENTO - 131.987 - 131.987 - 98.990
HMC7041179 INJERTO DE ENCIA LIBRE - 401.701 - 401.701 - 301.275
HMC7041181 DESTARTRAJE SUPRAGINGIVAL POR GRUPO - 107.312 - 107.312 - 80.484
HMC7041182 SUTURA HERIDA - 88.374 - 88.374 - 66.281
HMC7041183 FLUORACION TOPICA BARNIZ-RESINA - 88.374 - 88.374 - 66.281
HMC7041184 FERULIZACION POR PZA. - 56.812 - 56.812 - 42.609
HMC7041185 CONTENSION FIJA METALICA - 113.624 - 113.624 - 85.218
HMC7041186 FLUORACION TOPICA - 55.549 - 55.549 - 41.662
HMC7041187 EXTRACCION PZA. TEMPORAL - 82.063 - 82.063 - 61.547
HMC7041188 RETIRO FERULA - 82.063 - 82.063 - 61.547
HMC7041189 TERAPIA BARNIZ-FLUOR 4 SESIONES - 113.624 - 113.624 - 85.218
HMC7041190 TEST MICROBIOLOGICO - 25.249 - 25.249 - 18.937
HMC7041191 LIMPIEZA DENTAL - 55.549 - 55.549 - 55.549
HMC7041192 TRATAMIENTO CON CLORHEXIDINA - 82.063 - 82.063 - 61.547
HMC7041193 OBTURACION Y SELLANTE - 83.325 - 83.325 - 62.494
HMC7041194 PROTECTOR BUCAL - 82.063 - 82.063 - 61.547
HMC7041195 SELLANTE - 55.549 - 55.549 - 41.662
HMC7041196 LABORATORIO - 75.749 - 75.749 - 56.812
HMC7041197 OBTURACION VIDRIO IONOMERO - 83.325 - 83.325 - 62.494
HMC7041198 INMOVILIZACION EN TRAUMATISMOS - 111.098 - 111.098 - 83.324
HMC7041199 RECUBRIMIENTO PULPAR - 47.975 - 47.975 - 35.981
HMC7041200 APLICACION DE FLUOR SILANO - 69.438 - 69.438 - 52.078
HMC7041202 TRAT. CONDUCTO PZA. TEMPORAL - 101.000 - 101.000 - 75.750
HMC7041204 OBTURACION CEMENTOS INTERMEDIOS - 56.812 - 56.812 - 42.609
HMC7041206 PULPOTOMIA PZA. TEMPORAL - 55.549 - 55.549 - 41.662
HMC7041208 ATENCION CON PREMEDICACION - 75.749 - 75.749 - 56.812
HMC7041210 OBTURACION AMALGAMA - 75.749 - 75.749 - 56.812
HMC7041212 OBTURACION COMPOSITE - 111.098 - 111.098 - 83.324
HMC7041213 PROFILAXIS DENTAL - 83.325 - 83.325 - 83.325
HMC7041215 OBTURACION COMPOSITE SIMPLE - 98.473 - 98.473 - 73.855
HMC7041217 ESTUDIO Y ANALISIS DE MODELOS - 56.812 - 56.812 - 42.609
HMC7041219 MANTENEDOR DE ESPACIO - 151.498 - 151.498 - 113.624
HMC7041221 TRAT. ORTODONCIA INTERCEPTIVA - 290.372 - 290.372 - 217.779
HMC7041222 DESGASTE SELECTIVO - 101.000 - 101.000 - 75.750
HMC7041223 PROTESIS INTERCEPTIVA - 290.372 - 290.372 - 217.779
HMC7041224 CORONA METAL PREFORMADA - 101.000 - 101.000 - 75.750
HMC7041225 CORONA DE RESINA - 123.724 - 123.724 - 92.793
HMC7041226 PLANO DE RELAJACION - 277.747 - 277.747 - 208.310
HMC7041227 LABORATORIO PLANO RELAJACION - 151.498 - 151.498 - 113.624
HMC7041228 MTA O BIODENTINE - 88.374 - 88.374 - 88.374
HMC7041229 TRATAMIENTO QUIRURGICO - 286.929 - 286.929 - 215.197
HMC7041230 DESOBTURACION DE CONDUCTOS POSTERIOR - 119.937 - 119.937 - 89.953
HMC7041231 ENDODONCIA ANTERIOR - 252.498 - 252.498 - 189.373
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC7041232 MICROSCOPIA - 101.000 - 101.000 - 75.750
HMC7041233 DESOBTURACION PARCIAL DE CONDUCTO - 63.125 - 63.125 - 47.344
HMC7041234 ENDODONCIA PREMOLAR - 265.123 - 265.123 - 198.842
HMC7041235 ENDODONCIA MOLAR - 328.247 - 328.247 - 246.185
HMC7041236 PULPOTOMIA PZA. PERMANENTE - 75.749 - 75.749 - 56.812
HMC7041237 DESOBTURACION DE CONDUCTOS PREMOLAR Y ANTERIOR - 88.374 - 88.374 - 66.281
HMC7041238 BLANQUEAMIENTO PZA. DESVITALIZADA - 138.874 - 138.874 - 104.156
HMC7041239 ENDODONCIA PREMOLAR TRIRADICULADO - 290.372 - 290.372 - 217.779
HMC7041240 INSTRUMENTACION MECANIZADA - 113.624 - 113.624 - 85.218
HMC7041241 SET JERINGAS BLANQUEAMIENTO - 34.432 - 34.432 - 25.824
HMC7041242 BLANQUEAMIENTO ZOOM - 378.747 - 378.747 - 284.060
HMC7041243 BLANQUEAMIENTO PEROXIDO CARBAMIDA POR ARCADA - 189.374 - 189.374 - 142.030
HMC7041244 BLANQUEAMIENTO ARCO PLASMA - 378.747 - 378.747 - 284.060
HMC7041245 BLANQUEAMIENTO PZA. DESVITALIZADA - 138.874 - 138.874 - 104.156
HMC7041246 LABORATORIO BLANQUEAMIENTO POR ARCADA - 44.187 - 44.187 - 33.140
HMC7041247 MICROIMPLANTE - 126.249 - 126.249 - 94.687
HMC7041248 EXODONCIA - 88.374 - 88.374 - 88.374
HMC7041249 IMPLANTE INTERNAL - 135.213 - 135.213 - 101.410
HMC7041250 OSTEOTOMIA (X SEXTANTE) - 302.997 - 302.997 - 227.248
HMC7041251 EXODONCIA A COLGAJO - 107.312 - 107.312 - 107.312
HMC7041252 CONEXION DE PILAR - 151.498 - 151.498 - 113.624
HMC7041253 RADECTOMIA U ODONTOSECCION POR PIEZA - 151.498 - 151.498 - 113.624
HMC7041254 CURETAJE APICAL - 229.544 - 229.544 - 172.158
HMC7041255 EXODONCIA SEMI-INCLUIDA - 107.312 - 107.312 - 107.312
HMC7041256 DECAPUCHONAMIENTO - 101.000 - 101.000 - 75.750
HMC7041257 APICECTOMIA ANTERIOR - 229.544 - 229.544 - 172.158
HMC7041258 EXODONCIA INCLUIDA - 126.249 - 126.249 - 126.249
HMC7041259 EXTRACCIóN DE IMPLANTE - 101.000 - 101.000 - 75.750
HMC7041260 APICECTOMIA POSTERIOR - 344.315 - 344.315 - 258.236
HMC7041261 EXODONCIA 4 INCLUIDOS - 441.872 - 441.872 - 441.872
HMC7041262 MUCOCELE - 214.623 - 214.623 - 160.967
HMC7041263 PABELLON HASTA 1 HORA - 126.249 - 126.249 - 94.687
HMC7041264 CHINCHETA DE FIJACION (CADA UNA) - 17.216 - 17.216 - 12.912
HMC7041265 AYUDANTIA 4 INCLUIDOS - 164.123 - 164.123 - 123.093
HMC7041266 CURETAJE - 189.374 - 189.374 - 142.030
HMC7041267 EXODONCIA DE FRAGMENTO FRACTURADO - 88.374 - 88.374 - 88.374
HMC7041268 QUISTECTOMIA - 151.498 - 151.498 - 113.624
HMC7041269 TORNILLO DE FIJACION (CADA UNO) - 28.693 - 28.693 - 21.520
HMC7041270 EXODONCIA 4SEMI-INCLUIDOS - 328.247 - 328.247 - 328.247
HMC7041271 ELIMINACION DE FIBROMA - 113.624 - 113.624 - 85.218
HMC7041272 AYUDANTIA 4 SEMI-INCLUIDOS - 151.498 - 151.498 - 113.624
HMC7041273 FRENECTOMIA - 252.498 - 252.498 - 189.373
HMC7041274 CORTICOTOMIA POR SEXTANTE (TEC DE WILCKO) - 883.742 - 883.742 - 662.806
HMC7041275 FENESTRACION - 138.874 - 138.874 - 104.156
HMC7041276 ADITAMENTO PARA TRACCION ORTODONTICA - 101.000 - 101.000 - 75.750
HMC7041277 EXODONCIA DE DIENTE SUPER NUMERARIO - 441.872 - 441.872 - 441.872
HMC7041278 BIOPSIA - 454.496 - 454.496 - 340.872
HMC7041279 COLOCACION DE MEMBRANA - 164.123 - 164.123 - 123.093
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC7041280 HUESO SINTETICO - 126.249 - 126.249 - 94.687
HMC7041281 AYUDANTIA - 68.863 - 68.863 - 51.647
HMC7041282 PABELLON HASTA 1,5 HORAS - 189.374 - 189.374 - 142.030
HMC7041283 AYUDANTIA - 172.851 - 172.851 - 129.638
HMC7041284 PABELLON HASTA 2 HORAS - 252.498 - 252.498 - 189.373
HMC7041285 SEDACION HASTA HORA Y MEDIA - 164.123 - 164.123 - 123.093
HMC7041286 PABELLON MAS DE 2 HORAS - 378.747 - 378.747 - 284.060
HMC7041287 CORONA PROVISORIA SOBRE IMPLANTE (NO INCLUYE LABORATORIO) - 189.374 - 189.374 - 142.030
HMC7041288 IMPLANTE CORTO - 198.311 - 198.311 - 148.734
HMC7041289 PROFUNDIZACION DE VESTIBULO - 201.998 - 201.998 - 151.498
HMC7041290 SEDACION ADICIONAL C/ 30 MIN - 50.500 - 50.500 - 37.875
HMC7041291 PABELLON HASTA 20 MINUTOS - 63.125 - 63.125 - 47.344
HMC7041292 TOMA DE MUESTRA TEJIDO DURO - 206.590 - 206.590 - 154.942
HMC7041293 INSUMOS SEDACION APROX. - 50.500 - 50.500 - 37.875
HMC7041294 1 FIJACION DE MEMBRANA - 8.837 - 8.837 - 6.628
HMC7041295 TOMA DE MUESTRA TEJIDO BLANDO - 91.817 - 91.817 - 68.863
HMC7041297 RETIRO IMPLANTE - 151.498 - 151.498 - 113.624
HMC7041298 2 FIJACION DE MEMBRANA - 17.675 - 17.675 - 13.256
HMC7041300 IMPLANTE - 555.495 - 555.495 - 416.621
HMC7041301 3 FIJACION DE MEMBRANA - 26.511 - 26.511 - 19.884
HMC7041304 AYUDANTIA IMPLANTE - 151.498 - 151.498 - 113.624
HMC7041306 4 FIJACION DE MEMBRANA - 35.349 - 35.349 - 26.512
HMC7041308 IMPLANTE TAPERED - 180.283 - 180.283 - 135.212
HMC7041310 ELEVACION DEL SENO MAXILAR - 694.369 - 694.369 - 520.777
HMC7041312 BIO-OSS COLLAGEN 1 BLOCK 100 MG - 131.389 - 131.389 - 98.541
HMC7041314 BIO-OSS COLLAGEN 1 BLOCK 250 MG - 250.621 - 250.621 - 187.966
HMC7041315 BIO-OSS ESPONJOSO 0,25-1MM 1 GR - 243.281 - 243.281 - 182.461
HMC7041316 COMBI - KIT COLLAGEN - 259.090 - 259.090 - 194.317
HMC7041317 BIO-OSS ESPONJOSO 0,5 GR (S) - 132.215 - 132.215 - 99.161
HMC7041318 BIO-OSS ESPONJOSO 2 GR (S)(L) - 440.500 - 440.500 - 330.375
HMC7041319 MEMBRANA BIOGIDE 25X25 - 210.842 - 210.842 - 158.132
HMC7041320 MEMBRANA DE TEFLON CON REFUERZO DE TITANIO - 321.361 - 321.361 - 241.021
HMC7041321 MEMBRANA BIOGIDE 13X25 - 177.496 - 177.496 - 133.122
HMC7041322 FIBRO-GIDE 15X20X6MM - 258.406 - 258.406 - 193.805
HMC7041323 MATRIZ MUCOGRAFT 15X20 - 248.982 - 248.982 - 186.737
HMC7041324 MATRIZ MUCOGRAFT 20X30 - 307.301 - 307.301 - 230.476
HMC7041325 INJERTO TEJIDO CONJUNTIVO - 631.244 - 631.244 - 473.433
HMC7041326 PROFILAXIS - 88.374 - 88.374 - 66.281
HMC7041327 TOMA DE INJERTO ZONA DADORA - 151.498 - 151.498 - 113.624
HMC7041328 INJERTO ALOPLASTICO (NO INCLUYE BIOMATERIAL) - 568.120 - 568.120 - 426.090
HMC7041329 PULIDO RADICULAR POR GRUPO - 138.874 - 138.874 - 104.156
HMC7041330 DESTARTRAJE Y PULIDO CORONARIO POR GRUPO - 138.874 - 138.874 - 104.156
HMC7041331 CURETAJE - 189.374 - 189.374 - 142.030
HMC7041332 EXODONCIA DE FRAGMENTO FRACTURADO - 88.374 - 88.374 - 88.374
HMC7041333 AYUDANTIA PABELLON CENTRAL - 315.623 - 315.623 - 236.717
HMC7041334 CORTICOTOMIA POR SEXTANTE (TEC DE WILCKO) - 883.742 - 883.742 - 662.806
HMC7041335 IMPLANTE OSEO INTEGRADO - 1.009.991 - 1.009.991 - 757.493
HMC7041336 COLGAJO DE ACCESO - 151.498 - 151.498 - 113.624
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMC7041337 CENTRIFUGADO L-PRF - 91.817 - 91.817 - 68.863
HMC7041338 ADITAMENTO PARA TRACCION ORTODONCICA - 151.498 - 151.498 - 113.624
HMC7041339 CENTRIFUGADO L-PRF (DR EXTERNO) - 57.386 - 57.386 - 43.039
HMC7041340 CONEXION DE PILAR - 151.498 - 151.498 - 113.624
HMC7041341 L-PRF - 215.198 - 215.198 - 161.398
HMC7041342 EXODONCIA SIMPLE - 113.624 - 113.624 - 113.624
HMC7041343 INJERTO DE TEJIDO CONECTIVO POR PIEZA - 441.872 - 441.872 - 331.404
HMC7041344 EXODONCIA SEMI-INCLUIDA - 107.312 - 107.312 - 107.312
HMC7041345 LABORATORIO DE INDEXACION DE IMPLANTE - 51.647 - 51.647 - 38.736
HMC7041346 FENESTRACION - 138.874 - 138.874 - 104.156
HMC7041347 EXODONCIA INCLUIDA - 126.249 - 126.249 - 126.249
HMC7041348 INDEXACION DE IMPLANTE C/U - 172.158 - 172.158 - 129.119
HMC7041349 APICECTOMIA ANTERIOR - 229.544 - 229.544 - 172.158
HMC7041350 EXODONCIA DIENTE SUPERNUMERARIO - 479.746 - 479.746 - 479.746
HMC7041351 APICECTOMIA POSTERIOR - 344.315 - 344.315 - 258.236
HMC7041352 FRENECTOMIA - 252.498 - 252.498 - 189.373
HMC7041353 INJERTO DE ENCIA LIBRE - 401.701 - 401.701 - 301.275
HMC7041354 L-PRF - 215.198 - 215.198 - 161.398
HMC7041355 TOMA DE MUESTRA - 30.989 - 30.989 - 23.241
HMC7041356 CENTRIFUGADO L-PRF - 91.817 - 91.817 - 68.863
HMC7041357 CENTRIFUGADO L-PRF (DR EXTERNO) - 57.386 - 57.386 - 43.039
HMC7041755 PERNO MUÑÓN CON FRENTE CERAMICO - 103.295 - 103.295 - 77.471
HMC9230004 HMT TEST REY - 61.087 - 61.087 - 46.480
HMC9902000 ASEO QUIRURGICO TIPO I - 461.435 - 461.435 - 351.107
HMC9902001 ASEO QUIRURGICO TIPO I I - 568.583 - 568.583 - 432.636
HMC9902002 ASEO QUIRURGICO TIPO I I I - 771.275 - 771.275 - 586.865
HMC9902003 PROCURAMIENTO - 798.529 - 798.529 - 607.603
HMC9902004 FERTILIZACION ASISTIDA (ASPIRACION) - 845.861 - 845.861 - 732.600
HMC9902005 FERTILIZACION ASISTIDA (TRANSFERENCIA) - 563.909 - 563.909 - 488.399
HMC9902010 HM TRAT LASER, IPL O SIMILAR (CANDELA 10 - 520.205 - 520.205 - 395.824
HMC9999000 HONORARIOS PABELLON POR HORA - 164.588 - 164.588 - 125.236
HMC9999003 INFORME GENOTIPIFICACION CYP450 113.271 113.271 113.271 113.271 86.188 86.188
HMC9999014 97041 HHMM LAB MARCHA Y MOVIMIENTO 90.233 - 90.233 - 68.658 -
HMD1601050 96784 HM TRAT.POR LASER, IPL O SIMILAR (LASERPIXEL CO2 MAYOR) 1.663.720 - 1.663.720 - 1.164.604 -
HMD1601051 96782 HM TRAT. POR LASER, IPL O SIMILAR (LASER PIXEL CO2 MEDIO) 969.819 - 969.819 - 678.873 -
HMD1601052 96780 HM TRAT.POR LASER, IPL O SIMILAR (LASERPIXEL CO2 MENOR) 482.041 - 482.041 - 337.429 -
HMD1601058 96768 HM TRATAMIENTO POR LASER (KTP MAYOR) 311.852 - 311.852 - 218.296 -
HMD1601059 96766 HM TRATAMIENTO POR LASER (KTP MEDIANO) 203.384 - 203.384 - 142.369 -
HMD1601060 96684 HM TRATAMIENTO POR LASER (KTP MENOR) 162.706 - 162.706 - 113.894 -
HMD1601061 96682 HM TRAT. LASER POR REV LITE MAYOR 270.046 - 270.046 - 189.032 -
HMD1601062 96680 HM TRAT.POR LASER (REV LITE MEDIANO) 183.162 - 183.162 - 128.213 -
HMD1601063 96678 HM TRATAMIENTO POR LASER (REV LITE MENOR) 154.983 - 154.983 - 108.488 -
HMD1601812 96724 FOTOTERAPIA SOLO LUZ (AZUL , ROJA) - 1 SESION 29.353 - 29.353 - 20.547 -
HMD1601813 96762 FOTOTERAPIA SOLO LUZ (AZUL , ROJA) - 4 SESIONES 68.863 - 68.863 - 48.204 -
HMD1601951 96574 ESTUDIO, ANALISIS E INFORME POR TEST DE ALERGENOS (TRUE TEST ) 70.447 - 70.447 - 49.313 -
HMD1698015 96902 HONORARIOS MEDICOS DERMATOLOGIA - - - - - -
HMD1699001 96706 HM - LASER FRAXEL - CARA 310.502 - 310.502 - 217.351 -
HMD1699002 96708 HM LASER FRAXEL - CARA Y CUELLO 358.273 - 358.273 - 250.791 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMD1699003 96710 HM LASER FRAXEL - LOCALIZADO MEDIO 163.449 - 163.449 - 114.415 -
HMD1699004 96712 HM LASER FRAXEL - LOCALIZADO MAYOR 206.028 - 206.028 - 144.219 -
HMD1699005 96714 HM LASER FRAXEL - CARA, DORSO Y MANOS 483.098 - 483.098 - 338.168 -
HMD1699006 96776 HM TRATAMIENTO LASER CO2 MEDIO 286.929 - 286.929 - 200.851 -
HMD1699007 96778 HM TRATAMIENTO LASER CO2 MAYOR 401.701 - 401.701 - 281.190 -
HMD1699008 96114 HM TRATAMIENTO LASER CO2 (VERRUGAS) HASTA 5 LESIONES 286.929 - 286.929 - 200.851 -
HMD1699009 96115 HM TRATAMIENTO LASER CO2 (VERRUGAS) SOBRE 5 LESIONES 401.701 - 401.701 - 281.190 -
HMD1699010 96720 HM PROCEDIMIENTO DERMATOLÓGICO CON (THERMAGE) 743.285 - 743.285 - 520.299 -
HMD1699011 96760 HM LASER FRAXEL - LOCALIZADO MENOR 114.771 - 114.771 - 80.340 -
HMD1699026 96686 HM LASER ALEXANDRITA PIGMENTARIO O VASCULAR - MENOR 176.117 - 176.117 - 123.282 -
HMD1699027 96786 HM LASER ALEXANDRITA PIGMENTARIO O VASCULAR - MEDIO 234.823 - 234.823 - 164.376 -
HMD1699028 96586 HM LASER ALEXANDRITA PIGMENTARIO O VASCULAR - MAYOR 293.529 - 293.529 - 205.470 -
HMD1699083 96716 HM - CONCENTRADO PLAQUETARIO 6 ML PRP 234.823 - 234.823 - 164.376 -
HMD1699199 96576 HM - RESURFACING 459.087 - 459.087 - 321.361 -
HME2502014 98869 ECOGRAFISTA DE TRANSFERENCIA EMBRIONARIA - 34.270 - 34.270 - 30.779
HMN0501000 EMBOLIZACION TUMOR COLUMNA - 745.730 - 745.730 - 645.875
HMN0501001 EMBOLIZACION TUMOR DE CABEZA O CUELLO - 745.730 - 745.730 - 645.875
HMN1101011 BL DE NERV O TRIGGER PT O PTO MTR CON B 204.384 204.384 204.384 204.384 155.516 177.016
HMN1101012 BL DE NERV O TRIGGER PT O PTO MTR CON B 296.994 296.994 296.994 296.994 225.983 257.225
HMN1101013 BL DE NERV O TRIGGER PT O PTO MTR CON B 394.388 394.388 394.388 394.388 300.091 341.578
HMN1101014 BL DE NERV O TRIGGER PT O PTO MTR CON B 210.901 210.901 210.901 210.901 160.475 182.659
HMN1202084 HM ENDOCICLO FOTOCOAGULACION 266.672 266.672 266.672 266.672 231.770 231.770
HMN1202085 HM IMPLANTE FILTRANTE - 456.051 - 456.051 - 342.038
HMN1202086 HM PROBING DE GLANDULAS DE MEIBOMIO 100.520 100.520 100.520 100.520 70.364 76.485
HMN1302092 FERTILIZACION ASISTIDA (IVF, GIFT E ICSI - 603.033 - 603.033 - 550.358
HMN1302174 INSTALACION DE CATETER DE PERITONEO DIALISIS 322.352 322.352 322.352 322.352 225.646 245.279
HMN1502074 TRATAM. CON BOTOX (20-30 PUNTOS) EN VEJ 253.760 253.760 253.760 253.760 193.086 219.781
HMN1502075 LIPOTRANSFERENCIA MAMARIA - 345.527 - 345.527 - 262.912
HMN1502076 RECAMBIO DE PROTESIS UNILATERAL - 303.528 - 303.528 - 227.646
HMN1502077 LIPOASPIRAC. 2,5 HORAS PAB AMB - 453.611 - 453.611 - 340.208
HMN1502079 LIPOASPIRACION 3,5 HORAS PAB AMB - 611.220 - 611.220 - 458.415
HMN1502082 OTOPLASTIA DOS LADOS - 303.528 - 303.528 - 227.646
HMN1502086 ABDOMINOPLASTIA - 724.622 - 724.622 - 629.782
HMN1502087 IMPLANT PROT GLUTEO DOS LADOS PAB AMB - 697.713 - 697.713 - 523.285
HMN1502088 IMPLANTE PANTORRILLA DOS LADOS - 467.063 - 467.063 - 350.297
HMN1502089 LIFTING DE BRAZOS - 712.630 - 712.630 - 534.472
HMN1502090 LIFTING FACIAL - 674.649 - 674.649 - 505.987
HMN1502091 LIFTING MUSLOS PAB AMB - 674.649 - 674.649 - 505.987
HMN1502092 LIPOASPIRACION MEDIA HORA PAB AMB - 203.739 - 203.739 - 152.804
HMN1502093 LIPOASPIRACION DE PAPADA - 203.739 - 203.739 - 152.804
HMN1502094 LIPOASPIRACION 4 HORAS - 715.009 - 715.009 - 536.257
HMN1502095 LIPOASPIRACION 2 HORAS - 417.904 - 417.904 - 313.428
HMN1502096 LIPOASPIRACION 3 HORAS( PAB AMB.) - 539.447 - 539.447 - 404.585
HMN1502097 MAMOPLASTIA REDUCTIVA DOS LADOS (ESTETICO) - 724.622 - 724.622 - 543.466
HMN1502098 MINIABDOMINOPLASTIA ( PAB. AMB.) - 420.935 - 420.935 - 315.701
HMN1502099 PEXIA MAMARIA DOS LADOS (AMB) - 724.622 - 724.622 - 543.466
HMN1502101 LABIOPLASTIA DE LABIOS MENORES - 531.101 - 531.101 - 398.325
HMN1502102 LIFTING FRONTAL + BLEFAROPLASTIA INFERIOR - 591.999 - 591.999 - 444.000
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN1502107 MAMOPLASTIA DE AUMENTO DOS LADOS (ESTETICO) - 574.701 - 574.701 - 431.026
HMN1502108 LIPOASPIRACION 1 HORA - 272.259 - 272.259 - 204.194
HMN1502109 MAMOPLASTIA DE REDUCCION + LIPO 1 HORA - 633.804 - 633.804 - 475.353
HMN1502112 LIPOASPIRACION 1,5 HORAS - 353.662 - 353.662 - 265.247
HMN1502113 RINOPLASTIA ESTETICA - 423.461 - 423.461 - 317.596
HMN1502114 BLEFAROPLASTIA 4 PARPADOS - 411.325 - 411.325 - 308.494
HMN1502115 PEXIA MAMAR CON IMPLANT. DOS LADOS ( PAB AMB.) - 724.622 - 724.622 - 543.466
HMN1502128 PEXIA DE CEJAS - 324.848 - 324.848 - 243.636
HMN1502129 BLEFAROPLASTIA INFERIOR - 219.116 - 219.116 - 164.337
HMN1502130 BLEFAROPLASTIA SUPERIOR - 201.818 - 201.818 - 151.364
HMN1502135 EXTIRPACION BOLAS DE BICHAT - 324.848 - 324.848 - 243.636
HMN1502150 MASTOPEXIA + LIPOSUCCION 3 HORAS - 633.804 - 633.804 - 475.353
HMN1502168 IMPLANTE PROTESIS MENTON - 203.737 - 203.737 - 152.803
HMN1502186 ABDOMINOPLASTIA + LIPO 1 - 687.007 - 687.007 - 515.255
HMN1502188 98488 ABDOMINOPLASTIA + LIPO 2 HORAS - 775.773 - 775.773 - 581.829
HMN1502189 ABDOMINOPLASTIA + LIPO 3 HORAS - 839.121 - 839.121 - 629.341
HMN1502267 FLANCOPLASTIA - 724.622 - 724.622 - 690.116
HMN1502270 LIFTING CERVICOFACIAL - 734.234 - 734.234 - 550.675
HMN1502309 LIPECTOMIA ABDOMINAL - 724.622 - 724.622 - 543.466
HMN1502873 LIFTING FRONTAL - 420.935 - 420.935 - 315.701
HMN1502874 LIFTING FRONTAL ENDOSCOPICO - 474.752 - 474.752 - 356.064
HMN1599086 ABDOMINOPLASTIA - 724.622 - 724.622 - 629.782
HMN1599110 BLEFAROPLASTIA INFERIOR BILATERAL (PAB.AMB.) - 219.116 - 219.116 - 190.437
HMN1599111 BLEFAROPLASTIA SUPERIOR BILATERAL (PAB.AMB.) - 201.818 - 201.818 - 175.405
HMN1599130 BLEFAROPLASTIA SUPERIOR - 201.816 - 201.816 - 175.403
HMN1601007 INSTALACION RESERVORIO SUBCUTANEO/TENCKO - 329.045 - 329.045 - 284.985
HMN1701043 INSTALACION ECMO - 1.508.176 - 1.508.176 - 1.306.229
HMN1701045 RETIRO ECMO - 754.094 - 754.094 - 653.120
HMN1703069 SIN CIRCULACION EXTRACORPOREA - 816.911 - 816.911 - 715.053
HMN1703070 SINEQUIAS PERICARDICAS, TRAT.QUIR. ( PRO - 816.911 - 816.911 - 715.053
HMN1703072 TRANSPLANTE DE PULMON SIN C.E.C - 1.964.034 - 1.964.034 - 1.701.047
HMN1703163 INSTALACION OCLUSOR SEPTAL 437.870 437.870 437.870 437.870 380.560 380.560
HMN1801046 RETIRO O REPOSICIONAMIENTO BANDAS GASTRI 388.824 388.824 388.824 388.824 272.177 331.783
HMN1801067 ANESTESISTA - BIOPSIA HEPATICA 183.024 183.024 183.024 183.024 128.117 158.517
HMN1801166 INSTALACION DE PROTESIS GASTRICA Y/O INTESTINO - 320.190 - 320.190 - 240.143
HMN1802063 GASTRECTOMIA SUB-TOTAL CON VAGOTOMIA - 603.462 - 603.462 - 528.221
HMN1802147 HM GASTROPLASTIA POR VIA ENDOSCOPICA - 564.711 - 564.711 - 490.800
HMN1802148 HMA GASTROPLASTIA LAPAROSCOPICA CON BARI - 816.911 - 816.911 - 709.991
HMN1802152 ABLACION POR RADIOFRECUENCIA DE UNO O VARIOS TUMORES HEPATICOS - 192.396 - 192.396 - 146.395
HMN1803014 CRIPTECTOMIA Y/O PAPILECTOMIA (CUALQUIER - 373.130 - 373.130 - 326.611
HMN1803033 POLIPO RECTAL, TRAT. QUIR POR VIA LAPARO - 230.334 - 230.334 - 203.680
HMN1902007 ABSCESO PERINEFRITICO, VACIAMIENTO 603.462 603.462 603.462 603.462 422.424 522.659
HMN1902081 SUPRARRENALECTOMIA BILATERAL - 1.136.297 - 1.136.297 - 1.004.812
HMN1902082 SUPRARRENALECTOMIA BILATERAL VIA LAPAROSCOPICA - 1.136.297 - 1.136.297 - 994.621
HMN1902107 URETROLISIS VIA VAGINAL - 462.818 - 462.818 - 402.242
HMN2003011 TRANSFERENCIA INTRAUTERINA - 418.548 - 418.548 - 362.504
HMN2104070 ESPONDILODISCITIS VERTEBRAL (TBC U OTRA) - 816.911 - 816.911 - 715.053
HMN2104081 FRACTURA APOFISIS ESPINOSA, TRAT. QUIR. - 462.206 - 462.206 - 404.580
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMN2104103 IMPLANTE SILASTIC O SIMILARES (ESCAFOIDE - 373.130 - 373.130 - 326.611
HMN2104185 RESECCION ARCO NEURAL (OPERACION DE GILL - 816.911 - 816.911 - 715.053
HMN2104229 VERTEBROPLASTIA - 325.727 - 325.727 - 247.846
HMN2107020 LIPECTOMIA ABDOMINAL PAB AMB - 694.748 - 694.748 - 521.061
HMN2201099 95005 ANESTESISTA PABELLON DENTAL (HORA SIGUIENTES) - 185.352 - 185.352 - 185.352
HMN2502012 ANESTESISTA ASPIRACION FOLICULAR - 124.189 - 124.189 - 94.496
HMN9902004 HM - FERTILIZACION ASISTIDA (ASPIRACION) - 124.189 - 124.189 - 115.092
HMN9999006 ASEO QUIRURGICO TIPO I I I - 231.637 - 231.637 - 200.619
HMN9999007 CATETERIZACIÓN ARTERIAL - 185.352 - 185.352 - 160.533
HMN9999008 INTUBACIÓN Y/O REANIMACION - 130.993 - 130.993 - 113.451
HMN9999009 RECOLECCION DE MEDULA OSEA - 1.584.055 - 1.584.055 - 1.371.945
HMN9999010 TRAT. PDA POST OPERATORIO - 84.704 - 84.704 - 73.362
HMN9999011 TRAT. PDA NO QUIRURGICO - 84.704 - 84.704 - 73.362
HMN9999012 VIA VENOSA CENTRAL - 258.745 - 258.745 - 224.098
HMN9999013 VIA VENOSA CENTRAL PERIFERICA (VIA VENOS - 215.697 - 215.697 - 186.815
HMN9999014 VIA VENOSA PERIFERICA - 84.704 - 84.704 - 73.362
HMO2101022 HM - EXAMEN DE MEDICION SINDROME COMPARTAMENTAL 215.697 - 215.697 - 215.697 -
HMO7041003 41003 INFORME BIOPSIA - ODONTOLOGIA 63.125 - 63.125 - 63.125 -
HMO7041005 41005 INFORME PERICIAL 63.125 - 63.125 - 63.125 -
HMO7041007 41007 CONTROL 44.187 - 44.187 - 44.187 -
HMO7041009 41009 COMPOSITE POSTERIOR 107.312 - 107.312 - 107.312 -
HMO7041015 41015 RECEMENTACION DE PROTESIS FIJA 75.749 - 75.749 - 75.749 -
HMO7041021 41021 URGENCIA DENTAL 75.749 - 75.749 - 75.749 -
HMO7041022 41022 RECONSTITUCION COMPOSITE 113.624 - 113.624 - 113.624 -
HMO7041024 41024 COMPOSITE ANGULO 113.624 - 113.624 - 113.624 -
HMO7041026 41026 PERNO MUNON COMPOSITE 113.624 - 113.624 - 113.624 -
HMO7041028 41028 SELLADO AFRACCIONES POR GRUPO 34.432 - 34.432 - 34.432 -
HMO7041030 41030 AMALGAMA 63.125 - 63.125 - 63.125 -
HMO7041032 41032 COMPOSITE SIMPLE 82.063 - 82.063 - 82.063 -
HMO7041034 41034 LABORATORIO PROVISORIO 88.374 - 88.374 - 88.374 -
HMO7041036 41036 LABORATORIO CARILLA PORCELANA 126.249 - 126.249 - 126.249 -
HMO7041038 41038 LABORATORIO ABUTMENT CERAMICO 227.248 - 227.248 - 227.248 -
HMO7041040 41040 CORONA PORCELANA INCERAM 454.496 - 454.496 - 454.496 -
HMO7041042 41042 LABORATORIO IMPLANTE CERAMICA 239.873 - 239.873 - 239.873 -
HMO7041048 41048 CORONA PORCELANA PROCERA 454.496 - 454.496 - 454.496 -
HMO7041049 41049 PILAR TORNILLO PROVISORIO 137.726 - 137.726 - 137.726 -
HMO7041050 41050 LABORATORIO ESPIGA MUNON 63.125 - 63.125 - 63.125 -
HMO7041051 41051 CORONA PORCELANA ZIRCONIO 454.496 - 454.496 - 454.496 -
HMO7041052 41052 LABORATORIO PROTESIS AD-MODUM 946.867 - 946.867 - 946.867 -
HMO7041054 41054 ISOSIT-ARTGLASS-ADORO 286.929 - 286.929 - 286.929 -
HMO7041055 41055 RETIRO DE ESPIGA MUNON 88.374 - 88.374 - 88.374 -
HMO7041056 41056 LABORATORIO CORONA ZIRCONIO 218.066 - 218.066 - 218.066 -
HMO7041057 41057 RETIRO FERULIZACION 91.817 - 91.817 - 91.817 -
HMO7041058 41058 CEREC INLAY 252.498 - 252.498 - 252.498 -
HMO7041059 41059 LABORATORIO PREPARACION DE PILAR 80.340 - 80.340 - 80.340 -
HMO7041060 41060 RETIRO DE CORONA 88.374 - 88.374 - 88.374 -
HMO7041061 41061 LABORATORIO CORONA PROCERA 218.066 - 218.066 - 218.066 -
HMO7041062 41062 LABORATORIO ENCIA ARTIFICIAL 18.938 - 18.938 - 18.938 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMO7041063 41063 CEREC ONLAY 362.678 - 362.678 - 362.678 -
HMO7041064 41064 PROTESIS AD-MODUM SOBRE IMPLANTES 3.534.969 - 3.534.969 - 3.534.969 -
HMO7041065 41065 LAB PUENTE PROV 3 PZAS 75.749 - 75.749 - 75.749 -
HMO7041066 41066 RETIRO DE PFP 126.249 - 126.249 - 126.249 -
HMO7041067 41067 LABORATORIO CORONA INCERAM 138.874 - 138.874 - 138.874 -
HMO7041068 41068 LABORATORIO ESPIGA MUñON PASANTE O DOBLE 88.374 - 88.374 - 88.374 -
HMO7041069 41069 CEREC CORONA 366.121 - 366.121 - 366.121 -
HMO7041070 41070 PROVISORIO 137.726 - 137.726 - 137.726 -
HMO7041071 41071 CIRUGIA DE ALARGAMIENTO CORONARIO 101.000 - 101.000 - 101.000 -
HMO7041073 41073 CORONA PORCELANA EMPRESS 454.496 - 454.496 - 454.496 -
HMO7041075 41075 ESPIGA MUÑON PASANTE 101.000 - 101.000 - 101.000 -
HMO7041077 41077 LABORATORIO PILAR PERSONALIZADO 80.340 - 80.340 - 80.340 -
HMO7041078 41078 LABORATORIO CEREC 151.498 - 151.498 - 151.498 -
HMO7041079 41079 ENCERADO DIAGNóSTICO Y ESTUDIO 227.248 - 227.248 - 227.248 -
HMO7041080 41080 LABORATORIO CORONA PORCELANA EMPRESS 113.624 - 113.624 - 113.624 -
HMO7041081 41081 CORONA PORCELANA 454.496 - 454.496 - 454.496 -
HMO7041082 41082 CARILLAS CERAMICA LENTICULARES 286.929 - 286.929 - 286.929 -
HMO7041083 41083 LABORATORIO ISOSIT-ARTGLASS-ADORO 109.033 - 109.033 - 109.033 -
HMO7041084 41084 CORONA METAL PORCELANA 454.496 - 454.496 - 454.496 -
HMO7041085 41085 ENCERADO DIAGNOSTICO 227.248 - 227.248 - 227.248 -
HMO7041086 41086 LABORATORIO CARILLAS CERAMICA LENTICULARES 151.498 - 151.498 - 151.498 -
HMO7041087 41087 CORONA PROVISORIA CARILLA 113.624 - 113.624 - 113.624 -
HMO7041088 41088 CORONA PORCELANA INTERMEDIARIO 454.496 - 454.496 - 454.496 -
HMO7041089 41089 CARILLA PROVISORIA 113.624 - 113.624 - 113.624 -
HMO7041090 41090 CORONA PROVISORIA 103.295 - 103.295 - 103.295 -
HMO7041091 41091 ESPIGA MUÑON COMPLEMENTARIO CON ESPIGASPREFORMADAS 101.000 - 101.000 - 101.000 -
HMO7041092 41092 CARILLA DE PORCELANA 265.123 - 265.123 - 265.123 -
HMO7041093 41093 DESOBTURACION PARCIAL DE CONDUCTOS PARAANCLAJE 85.849 - 85.849 - 85.849 -
HMO7041094 41094 CORONA SOBRE IMPLANTE 454.496 - 454.496 - 454.496 -
HMO7041095 41095 ESPIGA MUNON 88.374 - 88.374 - 88.374 -
HMO7041096 41096 ESPIGA MUNON COMPOSITE 101.000 - 101.000 - 101.000 -
HMO7041097 41097 CORONA PROVISORIA SOBRE IMPLANTE 229.544 - 229.544 - 229.544 -
HMO7041098 41098 ESPIGA SANDRI 101.000 - 101.000 - 101.000 -
HMO7041099 41099 LABORATORIO PROVISORIO SOBRE IMPLANTE 91.817 - 91.817 - 91.817 -
HMO7041100 41100 ATTACH SOBRE IMPLANTES 252.498 - 252.498 - 252.498 -
HMO7041101 41101 PILAR TORNILLO Y ANALOGO TITANIO 172.158 - 172.158 - 172.158 -
HMO7041103 41103 LABORATORIO CORONA PORCELANA PURA 218.066 - 218.066 - 218.066 -
HMO7041105 41105 LABORATORIO CORONA METAL PORCELANA 218.066 - 218.066 - 218.066 -
HMO7041107 41107 PROTESIS TOTAL SUPERIOR 631.244 - 631.244 - 631.244 -
HMO7041109 41109 PROTESIS TOTAL INFERIOR 631.244 - 631.244 - 631.244 -
HMO7041115 41115 PROTESIS PARCIAL ACRILICA 504.995 - 504.995 - 504.995 -
HMO7041117 41117 PROTESIS PARCIAL METALICA 631.244 - 631.244 - 631.244 -
HMO7041123 41123 REPARACION PROTESIS 138.874 - 138.874 - 138.874 -
HMO7041124 41124 PROVISORIA REMOVIBLE 189.374 - 189.374 - 189.374 -
HMO7041125 41125 REBASADO 138.874 - 138.874 - 138.874 -
HMO7041126 41126 LABORATORIO PROTESIS 151.498 - 151.498 - 151.498 -
HMO7041127 41127 LABORATORIO REPARACION 126.249 - 126.249 - 126.249 -
HMO7041129 41129 PULIDO RADICULAR POR GRUPO 138.874 - 138.874 - 138.874 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMO7041130 41130 EXAMEN DE PATOLOGIA DISFUNCIONAL 75.749 - 75.749 - 75.749 -
HMO7041131 41131 PLANO DE ALIVIO OCLUSAL 353.497 - 353.497 - 353.497 -
HMO7041132 41132 LABORATORIO PLANO ALIVIO OCLUSAL 101.000 - 101.000 - 101.000 -
HMO7041133 41133 APLICACION DE DESINSIBILIZANTE 86.079 - 86.079 - 86.079 -
HMO7041134 41134 DESGASTE SELECTIVO X SESION 119.937 - 119.937 - 119.937 -
HMO7041135 41135 LABORATORIO PUENTE MARYLAND 101.000 - 101.000 - 101.000 -
HMO7041136 41136 REFUERZO RIBBOND 112.476 - 112.476 - 112.476 -
HMO7041137 41137 TRAT. TRASTORNOS TEMPORO MANDIBULARES 302.997 - 302.997 - 302.997 -
HMO7041138 41138 CONTROL Y AJUSTE DE PLANO 75.749 - 75.749 - 75.749 -
HMO7041139 41139 LABORATORIO PLANO RELAJACION 151.498 - 151.498 - 151.498 -
HMO7041140 41140 FERULIZACION POR GRUPO 113.624 - 113.624 - 113.624 -
HMO7041141 41141 TRATAMIENTO PERIIMPLANTITIS POR SESION 107.312 - 107.312 - 107.312 -
HMO7041142 41142 CIRUGIA POR ALARGAMIENTO CORONARIO POR DIENTE 151.498 - 151.498 - 151.498 -
HMO7041143 41143 SCULPIN GINGIVAL 91.817 - 91.817 - 91.817 -
HMO7041144 41144 GINGIVECTOMIA POR SEXTANTE 227.248 - 227.248 - 227.248 -
HMO7041145 41145 PLASTICA GINGIVAL 353.497 - 353.497 - 353.497 -
HMO7041146 41146 GINGIVECTOMIA POR PIEZA 75.749 - 75.749 - 75.749 -
HMO7041147 41147 TRATAMIENTO DE REMINERALIZACIONES, HIPOCALCIFICACIONES MEDICAMENTOSAS,101.000
POR SESIO - 101.000 - 101.000 -
HMO7041148 41148 MAGO PLANO BIOESTETICO 694.369 - 694.369 - 694.369 -
HMO7041149 41149 COLGAJO DE ACCESO 151.498 - 151.498 - 151.498 -
HMO7041150 41150 FIBROTOMIA Y/O SINDESMOTOMIA 151.498 - 151.498 - 151.498 -
HMO7041151 41151 RADIOGRAFIA RETROALVEOLAR 8.837 - 8.837 - 8.837 -
HMO7041152 41152 ESTAMPADO STA-VAC 101.000 - 101.000 - 101.000 -
HMO7041153 41153 CONTROL MAGO 101.000 - 101.000 - 101.000 -
HMO7041154 41154 GUIA CANINA BIO ESTETICO 137.726 - 137.726 - 137.726 -
HMO7041155 INDEXACION DE IMPLANTE C/U 172.158 - 172.158 - 172.158 -
HMO7041156 41156 CONTROL DE PLACA BACTERIANA 44.187 - 44.187 - 44.187 -
HMO7041157 41157 INJERTO GINGIVAL 441.872 - 441.872 - 441.872 -
HMO7041158 41158 LABORATORIO MAGO 151.498 - 151.498 - 151.498 -
HMO7041159 LABORATORIO DE INDEXACION DE IMPLANTE 51.647 - 51.647 - 51.647 -
HMO7041160 TOMA DE INJERTO ZONA DADORA 151.498 - 151.498 - 151.498 -
HMO7041161 41161 CIRUGIA MUCOGINGIVAL 353.497 - 353.497 - 353.497 -
HMO7041162 41162 PROFILAXIS ARCADA TOTAL CON ANESTESIA 172.158 - 172.158 - 172.158 -
HMO7041163 41163 COLGAJO CON DESPLAZAMIENTO 302.997 - 302.997 - 302.997 -
HMO7041164 41164 CONFECCION DE JIG ANTERIOR 107.312 - 107.312 - 107.312 -
HMO7041165 41165 OTRAS CIRUGIAS MUCOGINGIVALES 201.998 - 201.998 - 201.998 -
HMO7041166 41166 COBERTURA ACRILICA POST-OPERATORIA 101.000 - 101.000 - 101.000 -
HMO7041167 41167 SESION DE MOTIVACION E INSTRUCCION DE HIGIENE ORAL 75.749 - 75.749 - 75.749 -
HMO7041168 41168 CIRUGIA PERIIMPLANTARIA TEJ. BLANDOS 302.997 - 302.997 - 302.997 -
HMO7041169 PROFILAXIS 88.374 - 88.374 - 88.374 -
HMO7041170 41170 DESENSIBILIZACION TOPICA POR GRUPO 56.812 - 56.812 - 56.812 -
HMO7041171 41171 REGENERACION OSEA GUIADA POR PIEZA 441.872 - 441.872 - 441.872 -
HMO7041172 41172 EXAMEN PERIODONTAL Y PERIODONTOGRAMA 75.749 - 75.749 - 75.749 -
HMO7041173 41173 PUENTE MARYLAND CON REFUERZO DE RIBBOND 176.749 - 176.749 - 176.749 -
HMO7041174 INJERTO DE TEJIDO CONECTIVO POR PIEZA 441.872 - 441.872 - 441.872 -
HMO7041175 41175 TRATAMIENTO GUNA POR SESION 75.749 - 75.749 - 75.749 -
HMO7041176 41176 INJERTOS ALOPLASTICOS NO INCLUYE MATERIAL 441.872 - 441.872 - 441.872 -
HMO7041177 41177 TRATAMIENTO DE ABSCESO PERIODONTAL 101.000 - 101.000 - 101.000 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMO7041178 41178 CURETAJE GINGIVAL O DEBRIDAMIENTO 131.987 - 131.987 - 131.987 -
HMO7041179 INJERTO DE ENCIA LIBRE 401.701 - 401.701 - 401.701 -
HMO7041181 41181 DESTARTRAJE SUPRAGINGIVAL POR GRUPO 107.312 - 107.312 - 107.312 -
HMO7041182 41182 SUTURA HERIDA 88.374 - 88.374 - 88.374 -
HMO7041183 41183 FLUORACION TOPICA BARNIZ-RESINA 88.374 - 88.374 - 88.374 -
HMO7041184 41184 FERULIZACION POR PZA. 56.812 - 56.812 - 56.812 -
HMO7041185 41185 CONTENSION FIJA METALICA 113.624 - 113.624 - 113.624 -
HMO7041186 41186 FLUORACION TOPICA 55.549 - 55.549 - 55.549 -
HMO7041187 41187 EXTRACCION PZA. TEMPORAL 82.063 - 82.063 - 82.063 -
HMO7041188 41188 RETIRO FERULA 82.063 - 82.063 - 82.063 -
HMO7041189 41189 TERAPIA BARNIZ-FLUOR 4 SESIONES 113.624 - 113.624 - 113.624 -
HMO7041190 41190 TEST MICROBIOLOGICO 25.249 - 25.249 - 25.249 -
HMO7041191 41191 LIMPIEZA 55.549 - 55.549 - 55.549 -
HMO7041192 41192 TRATAMIENTO CON CLORHEXIDINA 82.063 - 82.063 - 82.063 -
HMO7041193 41193 OBTURACION Y SELLANTE 83.325 - 83.325 - 83.325 -
HMO7041194 41194 PROTECTOR BUCAL 82.063 - 82.063 - 82.063 -
HMO7041195 41195 SELLANTE 55.549 - 55.549 - 55.549 -
HMO7041196 41196 LABORATORIO 75.749 - 75.749 - 75.749 -
HMO7041197 41197 OBTURACION VIDRIO IONOMERO 83.325 - 83.325 - 83.325 -
HMO7041198 41198 INMOVILIZACION EN TRAUMATISMOS 111.098 - 111.098 - 111.098 -
HMO7041199 41199 RECUBRIMIENTO PULPAR 47.975 - 47.975 - 47.975 -
HMO7041200 41200 APLICACION DE FLUOR SILANO 69.438 - 69.438 - 69.438 -
HMO7041202 41202 TRAT. CONDUCTO PZA. TEMPORAL 101.000 - 101.000 - 101.000 -
HMO7041204 41204 OBTURACION CEMENTOS INTERMEDIOS 56.812 - 56.812 - 56.812 -
HMO7041206 41206 PULPOTOMIA PZA. TEMPORAL 55.549 - 55.549 - 55.549 -
HMO7041208 41208 ATENCION CON PREMEDICACION 75.749 - 75.749 - 75.749 -
HMO7041210 41210 OBTURACION AMALGAMA 75.749 - 75.749 - 75.749 -
HMO7041212 41212 OBTURACION COMPOSITE 111.098 - 111.098 - 111.098 -
HMO7041213 41213 PROFILAXIS DENTAL 83.325 - 83.325 - 83.325 -
HMO7041215 41215 OBTURACION COMPOSITE SIMPLE 98.473 - 98.473 - 98.473 -
HMO7041217 41217 ESTUDIO Y ANALISIS DE MODELOS 56.812 - 56.812 - 56.812 -
HMO7041218 41218 PENDIENTE - - - - - -
HMO7041219 41219 MANTENEDOR DE ESPACIO 151.498 - 151.498 - 151.498 -
HMO7041221 41221 TRAT. ORTODONCIA INTERCEPTIVA 290.372 - 290.372 - 290.372 -
HMO7041222 41222 DESGASTE SELECTIVO 101.000 - 101.000 - 101.000 -
HMO7041223 41223 PROTESIS INTERCEPTIVA 290.372 - 290.372 - 290.372 -
HMO7041224 41224 CORONA METAL PREFORMADA 101.000 - 101.000 - 101.000 -
HMO7041225 41225 CORONA DE RESINA 123.724 - 123.724 - 123.724 -
HMO7041226 41226 PLANO DE RELAJACION 277.747 - 277.747 - 277.747 -
HMO7041227 41227 LABORATORIO PLANO RELAJACION 151.498 - 151.498 - 151.498 -
HMO7041228 41228 MTA O BIODENTINE 88.374 - 88.374 - 88.374 -
HMO7041229 41229 TRATAMIENTO QUIRURGICO 286.929 - 286.929 - 286.929 -
HMO7041230 41230 DESOBTURACION DE CONDUCTOS POSTERIOR 119.937 - 119.937 - 119.937 -
HMO7041231 41231 ENDODONCIA ANTERIOR 252.498 - 252.498 - 252.498 -
HMO7041232 41232 MICROSCOPIA 101.000 - 101.000 - 101.000 -
HMO7041233 41233 DESOBTURACION PARCIAL DE CONDUCTO 63.125 - 63.125 - 63.125 -
HMO7041234 41234 ENDODONCIA PREMOLAR 265.123 - 265.123 - 265.123 -
HMO7041235 41235 ENDODONCIA MOLAR 328.247 - 328.247 - 328.247 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMO7041236 41236 PULPOTOMIA PZA. PERMANENTE 75.749 - 75.749 - 75.749 -
HMO7041237 41237 DESOBTURACION DE CONDUCTOS PREMOLAR Y ANTERIOR 88.374 - 88.374 - 88.374 -
HMO7041238 BLANQUEAMIENTO PZA. DESVITALIZADA 138.874 - 138.874 - 138.874 -
HMO7041239 41239 ENDODONCIA PREMOLAR TRIRADICULADO 290.372 - 290.372 - 290.372 -
HMO7041240 41240 INSTRUMENTACION MECANIZADA 113.624 - 113.624 - 113.624 -
HMO7041241 41241 SET JERINGAS BLANQUEAMIENTO 34.432 - 34.432 - 34.432 -
HMO7041242 41242 BLANQUEAMIENTO ZOOM 378.747 - 378.747 - 378.747 -
HMO7041243 41243 BLANQUEAMIENTO PEROXIDO CARBAMIDA POR ARCADA 189.374 - 189.374 - 189.374 -
HMO7041244 41244 BLANQUEAMIENTO ARCO PLASMA 378.747 - 378.747 - 378.747 -
HMO7041245 41238 BLANQUEAMIENTO PZA. DESVITALIZADA 138.874 - 138.874 - 138.874 -
HMO7041246 41246 LABORATORIO BLANQUEAMIENTO POR ARCADA 44.187 - 44.187 - 44.187 -
HMO7041247 41247 MICROIMPLANTE 126.249 - 126.249 - 126.249 -
HMO7041248 41248 EXODONCIA 88.374 - 88.374 - 88.374 -
HMO7041249 41249 IMPLANTE INTERNAL 135.213 - 135.213 - 135.213 -
HMO7041250 41250 OSTEOTOMIA (X SEXTANTE) 302.997 - 302.997 - 302.997 -
HMO7041251 41251 EXODONCIA A COLGAJO 107.312 - 107.312 - 107.312 -
HMO7041252 CONEXION DE PILAR 151.498 - 151.498 - 151.498 -
HMO7041253 41253 RADECTOMIA U ODONTOSECCION POR PIEZA 151.498 - 151.498 - 151.498 -
HMO7041254 41254 CURETAJE APICAL 229.544 - 229.544 - 229.544 -
HMO7041255 EXODONCIA SEMI-INCLUIDA 107.312 - 107.312 - 107.312 -
HMO7041256 41256 DECAPUCHONAMIENTO 101.000 - 101.000 - 101.000 -
HMO7041257 APICECTOMIA ANTERIOR 229.544 - 229.544 - 229.544 -
HMO7041258 EXODONCIA INCLUIDA 126.249 - 126.249 - 126.249 -
HMO7041259 41259 EXTRACCIóN DE IMPLANTE 101.000 - 101.000 - 101.000 -
HMO7041260 APICECTOMIA POSTERIOR 344.315 - 344.315 - 344.315 -
HMO7041261 41261 EXODONCIA 4 INCLUIDOS 441.872 - 441.872 - 441.872 -
HMO7041262 41262 MUCOCELE 214.623 - 214.623 - 214.623 -
HMO7041263 41263 PABELLON HASTA 1 HORA 126.249 - 126.249 - 126.249 -
HMO7041264 41264 CHINCHETA DE FIJACION (CADA UNA) 17.216 - 17.216 - 17.216 -
HMO7041265 41265 AYUDANTIA 4 INCLUIDOS 164.123 - 164.123 - 164.123 -
HMO7041266 CURETAJE 189.374 - 189.374 - 189.374 -
HMO7041267 EXODONCIA DE FRAGMENTO FRACTURADO 88.374 - 88.374 - 88.374 -
HMO7041268 41268 QUISTECTOMIA 151.498 - 151.498 - 151.498 -
HMO7041269 41269 TORNILLO DE FIJACION (CADA UNO) 28.693 - 28.693 - 28.693 -
HMO7041270 41270 EXODONCIA 4SEMI-INCLUIDOS 328.247 - 328.247 - 328.247 -
HMO7041271 41271 ELIMINACION DE FIBROMA 113.624 - 113.624 - 113.624 -
HMO7041272 41272 AYUDANTIA 4 SEMI-INCLUIDOS 151.498 - 151.498 - 151.498 -
HMO7041273 FRENECTOMIA 252.498 - 252.498 - 252.498 -
HMO7041274 CORTICOTOMIA POR SEXTANTE (TEC DE WILCKO) 883.742 - 883.742 - 883.742 -
HMO7041275 FENESTRACION 138.874 - 138.874 - 138.874 -
HMO7041276 41276 ADITAMENTO PARA TRACCION ORTODONTICA 101.000 - 101.000 - 101.000 -
HMO7041277 41277 EXODONCIA DE DIENTE SUPER NUMERARIO 441.872 - 441.872 - 441.872 -
HMO7041278 41278 BIOPSIA 454.496 - 454.496 - 454.496 -
HMO7041279 41279 COLOCACION DE MEMBRANA 164.123 - 164.123 - 164.123 -
HMO7041280 41280 HUESO SINTETICO 126.249 - 126.249 - 126.249 -
HMO7041281 41281 AYUDANTIA 68.863 - 68.863 - 68.863 -
HMO7041282 41282 PABELLON HASTA 1,5 HORAS 189.374 - 189.374 - 189.374 -
HMO7041283 41283 AYUDANTIA 172.851 - 172.851 - 172.851 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMO7041284 41284 PABELLON HASTA 2 HORAS 252.498 - 252.498 - 252.498 -
HMO7041285 41285 SEDACION HASTA HORA Y MEDIA 164.123 - 164.123 - 164.123 -
HMO7041286 41286 PABELLON MAS DE 2 HORAS 378.747 - 378.747 - 378.747 -
HMO7041287 41287 CORONA PROVISORIA SOBRE IMPLANTE (NO INCLUYE LABORATORIO) 189.374 - 189.374 - 189.374 -
HMO7041288 41288 IMPLANTE CORTO 198.311 - 198.311 - 198.311 -
HMO7041289 41289 PROFUNDIZACION DE VESTIBULO 201.998 - 201.998 - 201.998 -
HMO7041290 41290 SEDACION ADICIONAL C/ 30 MIN 50.500 - 50.500 - 50.500 -
HMO7041291 41291 PABELLON HASTA 20 MINUTOS 63.125 - 63.125 - 63.125 -
HMO7041292 41292 TOMA DE MUESTRA TEJIDO DURO 206.590 - 206.590 - 206.590 -
HMO7041293 41293 INSUMOS SEDACION APROX. 50.500 - 50.500 - 50.500 -
HMO7041294 41294 1 FIJACION DE MEMBRANA 8.837 - 8.837 - 8.837 -
HMO7041295 41295 TOMA DE MUESTRA TEJIDO BLANDO 91.817 - 91.817 - 91.817 -
HMO7041297 41297 RETIRO IMPLANTE 151.498 - 151.498 - 151.498 -
HMO7041298 41298 2 FIJACION DE MEMBRANA 17.675 - 17.675 - 17.675 -
HMO7041300 41300 IMPLANTE 555.495 - 555.495 - 555.495 -
HMO7041301 41301 3 FIJACION DE MEMBRANA 26.511 - 26.511 - 26.511 -
HMO7041304 41304 AYUDANTIA IMPLANTE 151.498 - 151.498 - 151.498 -
HMO7041306 41306 4 FIJACION DE MEMBRANA 35.349 - 35.349 - 35.349 -
HMO7041308 41308 IMPLANTE TAPERED 180.283 - 180.283 - 180.283 -
HMO7041310 41310 ELEVACION DEL SENO MAXILAR 694.369 - 694.369 - 694.369 -
HMO7041312 41312 BIO-OSS COLLAGEN 1 BLOCK 100 MG 131.389 - 131.389 - 131.389 -
HMO7041314 41314 BIO-OSS COLLAGEN 1 BLOCK 250 MG 250.621 - 250.621 - 250.621 -
HMO7041315 41315 BIO-OSS ESPONJOSO 0,25-1MM 1 GR 243.281 - 243.281 - 243.281 -
HMO7041316 41316 COMBI - KIT COLLAGEN 259.090 - 259.090 - 259.090 -
HMO7041317 41317 BIO-OSS ESPONJOSO 0,5 GR (S) 132.215 - 132.215 - 132.215 -
HMO7041318 41318 BIO-OSS ESPONJOSO 2 GR (S)(L) 440.500 - 440.500 - 440.500 -
HMO7041319 41319 MEMBRANA BIOGIDE 25X25 210.842 - 210.842 - 210.842 -
HMO7041320 41320 MEMBRANA DE TEFLON CON REFUERZO DE TITANIO 321.361 - 321.361 - 321.361 -
HMO7041321 41321 MEMBRANA BIOGIDE 13X25 177.496 - 177.496 - 177.496 -
HMO7041322 41322 FIBRO-GIDE 15X20X6MM 258.406 - 258.406 - 258.406 -
HMO7041323 41323 MATRIZ MUCOGRAFT 15X20 248.982 - 248.982 - 248.982 -
HMO7041324 41324 MATRIZ MUCOGRAFT 20X30 307.301 - 307.301 - 307.301 -
HMO7041325 41325 INJERTO TEJIDO CONJUNTIVO 631.244 - 631.244 - 631.244 -
HMO7041326 41169 PROFILAXIS 88.374 - 88.374 - 88.374 -
HMO7041327 41160 TOMA DE INJERTO ZONA DADORA 151.498 - 151.498 - 151.498 -
HMO7041328 41328 INJERTO ALOPLASTICO (NO INCLUYE BIOMATERIAL) 568.120 - 568.120 - 568.120 -
HMO7041329 41329 PULIDO RADICULAR POR GRUPO 138.874 - 138.874 - 138.874 -
HMO7041330 41330 DESTARTRAJE Y PULIDO CORONARIO POR GRUPO 138.874 - 138.874 - 138.874 -
HMO7041331 41266 CURETAJE 189.374 - 189.374 - 189.374 -
HMO7041332 41267 EXODONCIA DE FRAGMENTO FRACTURADO 88.374 - 88.374 - 88.374 -
HMO7041333 41333 AYUDANTIA PABELLON CENTRAL 315.623 - 315.623 - 315.623 -
HMO7041334 41274 CORTICOTOMIA POR SEXTANTE (TEC DE WILCKO) 883.742 - 883.742 - 883.742 -
HMO7041335 41335 IMPLANTE OSEO INTEGRADO 1.009.991 - 1.009.991 - 1.009.991 -
HMO7041336 41336 COLGAJO DE ACCESO 151.498 - 151.498 - 151.498 -
HMO7041337 CENTRIFUGADO L-PRF 91.817 - 91.817 - 91.817 -
HMO7041338 41338 ADITAMENTO PARA TRACCION ORTODONCICA 151.498 - 151.498 - 151.498 -
HMO7041339 CENTRIFUGADO L-PRF (DR EXTERNO) 57.386 - 57.386 - 57.386 -
HMO7041340 41252 CONEXION DE PILAR 151.498 - 151.498 - 151.498 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMO7041341 L-PRF 215.198 - 215.198 - 215.198 -
HMO7041342 41342 EXODONCIA SIMPLE 113.624 - 113.624 - 113.624 -
HMO7041343 41174 INJERTO DE TEJIDO CONECTIVO POR PIEZA 441.872 - 441.872 - 441.872 -
HMO7041344 41255 EXODONCIA SEMI-INCLUIDA 107.312 - 107.312 - 107.312 -
HMO7041345 41159 LABORATORIO DE INDEXACION DE IMPLANTE 51.647 - 51.647 - 51.647 -
HMO7041346 41275 FENESTRACION 138.874 - 138.874 - 138.874 -
HMO7041347 41258 EXODONCIA INCLUIDA 126.249 - 126.249 - 126.249 -
HMO7041348 41155 INDEXACION DE IMPLANTE C/U 172.158 - 172.158 - 172.158 -
HMO7041349 41257 APICECTOMIA ANTERIOR 229.544 - 229.544 - 229.544 -
HMO7041350 41350 EXODONCIA DIENTE SUPERNUMERARIO 479.746 - 479.746 - 479.746 -
HMO7041351 41260 APICECTOMIA POSTERIOR 344.315 - 344.315 - 344.315 -
HMO7041352 41273 FRENECTOMIA 252.498 - 252.498 - 252.498 -
HMO7041353 41179 INJERTO DE ENCIA LIBRE 401.701 - 401.701 - 401.701 -
HMO7041354 41341 L-PRF 215.198 - 215.198 - 215.198 -
HMO7041355 41355 TOMA DE MUESTRA 30.989 - 30.989 - 30.989 -
HMO7041356 41337 CENTRIFUGADO L-PRF 91.817 - 91.817 - 91.817 -
HMO7041357 41339 CENTRIFUGADO L-PRF (DR EXTERNO) 57.386 - 57.386 - 57.386 -
HMO7041755 41755 PERNO MUÑÓN CON FRENTE CERAMICO 103.295 - 103.295 - 103.295 -
HMO7041823 41823 APLICACION TOPICA DE MEDICAMENTOS - ODONTOLOGIA 88.866 - 88.866 - 88.866 -
HMO7041825 41825 CUBETA INDIVIDUAL - ODONTOLOGIA 55.020 - 55.020 - 55.020 -
HMO7041827 41827 FERULA NEUROSENSORIAL - ODONTOLOGIA 220.080 - 220.080 - 220.080 -
HMO7041829 41829 LAB PUENTE PROV 3 PZAS - ODONTOLOGIA 75.749 - 75.749 - 75.749 -
HMO7041831 41831 TORNILLO PROTESICO EN IMPLANTE - ODONTOLOGIA 88.032 - 88.032 - 88.032 -
HMO7041833 41833 CARILLA COMPOSITE - ODONTOLOGIA 220.080 - 220.080 - 220.080 -
HMO7041837 41837 GINGIVITIS GENERALIZADA - ODONTOLOGIA 275.100 - 275.100 - 275.100 -
HMO7041839 41839 LABORATORIO ENCERADO DE DIAGNOSTICO PORPIEZA - ODONTOLOGIA 33.012 - 33.012 - 33.012 -
HMO7041841 41841 TREPANACION DE URGENCIA - ODONTOLOGIA 88.032 - 88.032 - 88.032 -
HMO7041843 41843 LABORATORIO ESTAMPADO STA-VAC - ODONTOLOGIA 52.500 - 52.500 - 52.500 -
HMO7042835 42835 ENCERADO DE DIAGNOSTICO Y ESTUDIO - ODONTOLOGIA 308.112 - 308.112 - 308.112 -
HMP1401901 97174 HM - PUNCION DE GANGLIO BAJO APOYO ECOGRAFICO 97.034 - 97.034 - 67.924 -
HMP1402901 96656 EXODONCIA PIEZA DENTARIA INCLUIDA HASTA2 330.120 - 330.120 - 314.400 -
HMP1402902 96764 EXODONCIA PIEZA DENTARIA INCLUIDA HASTA4 660.240 - 660.240 - 628.800 -
HMP1402903 96814 IMPLANTE OSEO INTEGRADO HASTA 2 330.120 - 330.120 - 231.084 -
HMP1402904 96822 IMPLANTE OSEO INTEGRADO HASTA 4 550.200 - 550.200 - 385.140 -
HMP1402905 96824 IMPLANTE OSEO INTEGRADO HASTA 6 770.280 - 770.280 - 539.196 -
HMP1402906 96826 FENESTRACION DENTARIA SIMPLE 220.080 - 220.080 - 209.600 -
HMP1402907 96828 FENESTRACION DENTARIA COMPLEJA MAS DE UNA PIEZA DENTARIA 550.200 - 550.200 - 524.000 -
HMP1402908 96830 INFILTRACION DE FARMACOS MAS DE UN SITIO QUIRURGICO 302.610 - 302.610 - 211.827 -
HMP1402909 96832 ELEVACION PISO DE SENO MAXILAR BILATERAL 880.320 - 880.320 - 616.224 -
HMP1402910 96834 ARTROCENTESIS BILATERAL 1.155.420 - 1.155.420 - 808.794 -
HMP1402911 96836 IMPLANTE CIGOMATICO Y OTROS EXTRA ALVEOLARES EN TERRITORIO MAXILOFACIAL825.300
HASTA 2 - 825.300 - 825.300 -
HMP1402912 96838 IMPLANTE CIGOMATICO Y OTROS EXTRA ALVEOLARES EN TERRITORIO MAXILOFACIAL
1.375.500
HASTA 4 - 1.375.500 - 1.375.500 -
HMP1402913 96842 CIRUGIA APICAL O PARARRADICULAR PIEZA DENTARIA UNICA 220.080 - 220.080 - 209.600 -
HMP1402914 96844 CIRUGIA APICAL O PARARRADICULAR PIEZAS DENTARIAS MULTIPLES 440.160 - 440.160 - 419.200 -
HMP1402916 96846 EXTIRPACION BOLAS DE BICHAT BILATERAL 495.180 - 495.180 - 346.626 -
HMP1402917 96848 PLANIFICACION VIRTUAL PARA CIRUGIA ORTOGNATICA 275.100 - 275.100 - 192.570 -
HMP1402918 96850 INSTALACION DE TORNILLOS DE ANCLAJE ESQUELETAL HASTA 2 165.060 - 165.060 - 115.542 -
HMP1402919 96852 INSTALACION DE TORNILLOS DE ANCLAJE ESQUELETAL HASTA 4 247.590 - 247.590 - 173.313 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMP1402920 96868 INSTALACION DE PLACA DE TRACCION ESQUELETAL HASTA 2 550.200 - 550.200 - 385.140 -
HMP1402921 96870 INSTALACION DE PLACA DE TRACCION ESQUELETAL HASTA 4 825.300 - 825.300 - 577.710 -
HMP1701043 PERFUSIONISTA INSTALACION ECMO - 939.291 - 939.291 - 704.468
HMP1901961 96134 HM - INSTALACION DE FIDUCIALES PARA RADIOTERAPIA 332.187 - 332.187 - 232.531 -
HMP2001901 96652 HM - INSEMINACION INTRAUTERINA 69.325 - 69.325 - 48.528 -
HMR1701043 ARSENALERA NSTALACION ECMO - 469.646 - 469.646 - 469.646
HMR1801075 98987 HHMM RADIOLOGO - INVAGINACION INTESTINAL - 134.388 - 134.388 - 102.256
HMR2099000 96098 HM - INSTALACION DE CLIP MARCADOR 217.211 - 217.211 - 152.048 -
HMR2099002 96434 HM - BIOPSIA MAMARIA BAJO RM (INCL. INST. CLIP MARCADOR) 217.211 - 217.211 - 152.048 -
HMR2099003 96638 HM - MARCACION DE NODULO O GANGLIO 273.583 - 273.583 - 191.508 -
HMR2904997 99988 HM POR RIESGO INTERMEDIO (AMB) QUIMIOT. 568.276 - 568.276 - 397.793 -
HMS0307001 96616 HM - TEST DE PROVOCACION 211.341 - 211.341 - 147.939 -
HMS0307002 96619 HM - TEST DE SUTURA 211.341 - 211.341 - 147.939 -
HMS0307003 96620 HM - DESENSIBILIZACIÓN 211.341 - 211.341 - 147.939 -
HMS0307004 96622 ESTUDIO DE PROTOCOLO COMPLETO (IDR + TC+ TP) 211.341 - 211.341 - 147.939 -
HMS0307005 96624 ESTUDIO DE IDR CON TEST CUTANEO 140.894 - 140.894 - 98.626 -
HMS0307006 96625 ESTUDIO DE PARCHE CON TEST CUTANEO 140.894 - 140.894 - 98.626 -
HMT1201026 90901 HM INYECCION INTRAVITREA 229.544 - 229.544 - 160.681 -
HMT1301032 99301 HM PROCEDIMIENTO ESTROBOSCOPIA 103.758 - 103.758 - 89.970 -
HMT1301047 97269 HM - LARINGOFARINGOSCOPIA TERAPEUTICA YDIAGNOSTICA 125.491 - 125.491 - 95.486 -
HMT1302091 95072 FENESTRACIÓN BILATERAL 215.697 - 215.697 - 164.124 -
HMT1302093 95078 FRENESTRACCION UNICA 130.993 - 130.993 - 99.672 -
HMT1302094 95097 TRATAMIENTO FRACTURA DENTARIA 178.994 - 178.994 - 170.470 -
HMT1302095 96075 HASTA 5 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLAR 399.013 - 399.013 - 380.012 -
HMT1302096 96089 DE 6 A 12 EXODONCIAS SIMPLES O A COLGAJO + CURETAJE ALVEOLA 491.472 - 491.472 - 468.069 -
HMT1302097 96090 MAS DE 12 EXODONCIAS SIMPLES O A COLGAJO+CURATAJE ALVEOLAR+ ALVEOLOPLASTIAS+DREN
666.939 - 666.939 - 635.180 -
HMT1302099 96137 HM- EXODONCIA A COLGAJO 165.060 - 165.060 - 157.200 -
HMT1302101 96139 HM-TRATAMIENTO DE ALVEOLORRAGIAS O ALVEOLITIS DE LOS MAXILARES 110.040 - 110.040 - 77.028 -
HMT1302102 96140 HM-ALVEOLOPLASTIA DE LOS MAXILARES (NO INCLUYE EXODONCIA) 220.080 - 220.080 - 209.600 -
HMT1302103 96151 HM-CIRUGIA COMPLEMENTARIA A EXODONCIA(REMOCION AGUJAS Y CUERPO EXTRAÑO)325.731 - 325.731 - 310.220 -
HMT1302104 96152 HM-PLASTIA COMUNICACIÓN BUCO SINUSAL O RETIRO CUERPO EXTRAÑO SENO MAXILAR
407.164
(ASOCI - 407.164 - 285.015 -
HMT1302105 96159 HM-RECONSTRUCCIÓN DE REBORDES MAXILAR OMANDIBULAR 407.164 - 407.164 - 285.015 -
HMT1302108 96168 HM-TOMA DE INJERTO ÓSEO OTEJIDO BLANDO INTRAORAL O PIEL EN TERRITORIO MAXILOFACI
407.164 - 407.164 - 407.164 -
HMT1302111 96180 HM-INFILTRACIONES DE FARMACOS(ESCLEROIDES,ESTEROIDES,BOTOX,COLAGENO)ASOCIADOS
220.080 A - 220.080 - 154.056 -
HMT1302112 96181 HM-PUNCIONES ASPIRATIVAS EN TERRITORIO MAXILOFACIAL(HEMATOMAS, ABSCESOS,
220.080
ETC) - 220.080 - 220.080 -
HMT1302113 96182 HM-ELEVACIÓN DE PISO DE SENOMAXILAR UNILATERAL CON FINES PROTESICOO IMPLANTOLOGI
610.746 - 610.746 - 427.522 -
HMT1302114 96183 HM-ARTROCENTESIS UNILATERAL ARTICULACION TEMPORO MANDIBULAR 770.280 - 770.280 - 539.196 -
HMT1302123 96192 HM - VESTIBULOPLASTIA BUCAL SIMPLE 220.080 - 220.080 - 154.056 -
HMT1302124 96193 HM-VESTIBULOPLASTIA BUCAL COMPLEJA (CONINJERTO U OTRO SISTEMA CONTENCION)
529.311 - 529.311 - 370.518 -
HMT1302125 96194 HM-PLASTIA DE REBORDES ALVEOLARES PALADAR DURO,TUBEROSIDAD U OTROS DEL 407.164
TERRITORI - 407.164 - 285.015 -
HMT1302126 96195 HM-IMPLANTE ÓSEO INTEGRADO UN.EN TERRITORIO MAXILOFACIAL 570.027 - 570.027 - 570.027 -
HMT1302127 96196 HM-IMPL.CIGOMATICO Y O. EXTRA ALVEOLARES EN TERRIT.MAXILOFACIAL 550.200 - 550.200 - 550.200 -
HMT1302140 96482 HM-BIOPSIA OSEA EN TERRITORIO MAXILOFACIAL MAS DESCOMPRESION 407.164 - 407.164 - 407.164 -
HMT1302141 96486 HM-ENUCLEACIÓN DE QUISTE O TUMOR SIMPLEEN TERRITORIO MAXILOFACIAL 285.016 - 285.016 - 285.016 -
HMT1302142 96488 ENUCLEACION DE QUISTE O TUMOR COMPLEJO 508.955 - 508.955 - 356.268 -
HMT1302148 96500 HM - EXCERESIS CALCULO SALIVAL INTRAORAL 366.446 - 366.446 - 256.512 -
HMT1302149 96502 HM - EXCERESIS GLANDULA SUB LINGUAL (RANULA) 610.746 - 610.746 - 427.522 -
HMT1302152 96506 HM - TOMA DE MUESTRA PARA CULTIVO ASOCIADO A PATOLOGIA ORAL 110.040 - 110.040 - 77.028 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMT1302154 96518 HM-TRATAMIENTO DE ABSCESO SUB MUCOSO ENTERRITORIO MAXILOFACILA (PISO BOCA,PERIA
220.080 - 220.080 - 220.080 -
HMT1302157 96528 HM-SECUESTRECTOMIA O ASEO QUIRURGICO DEOSTEOMIELITISU OSTERRRADIONECROSIS
244.299 DE LO - 244.299 - 171.010 -
HMT1302163 96540 HM-TRATAMIENTO DE HERIDAS DE LA MUCOSA BUCAL (COMPLEJA) 162.866 - 162.866 - 114.006 -
HMT1302167 96548 HM-REDUCCIÓN E INMOVILIZACIÓN DE LUXACIÓN DENTARIA COMPLEJA 220.080 - 220.080 - 209.600 -
HMT1302171 96562 HM-REMOCIÓN DE ARCOS O ELEMENTOS DE CONTENCIÓN EN TRAUMA FACIAL 142.506 - 142.506 - 123.428 -
HMT1401001 96454 HM - PUNCION DE TIROIDES BAJO APOYO ECOGRAFICO 97.034 - 97.034 - 84.141 -
HMT1401169 96169 HM-IMPLANTE ALOPLASTICO(MALAR,MENTON,FRONTAL)COMO SECUELA DE TRAUMA 557.254
O FINES FUNC - 557.254 - 390.078 -
HMT1402061 97116 HM - EXODONCIA PIEZAS DENTARIAS INCLUIDAS (HASTA 3) 165.060 - 165.060 - 157.200 -
HMT1402062 97117 HM - FENESTRACION DENTARIA COMPLEJA 330.120 - 330.120 - 314.400 -
HMT1402066 99929 EXTRACCION 3ER MOLAR 164.175 - 164.175 - 124.922 -
HMT1402068 99931 HON.MED PARA BIOPSIA MUCOSA BUCAL 220.080 - 220.080 - 154.056 -
HMT1402069 99932 IMPLANTE OSEO INTEGRADO 220.080 - 220.080 - 154.056 -
HMT1402072 98642 HM PROGRAMACION DE ESTIMULADOR 309.703 - 309.703 - 235.654 -
HMT1402075 97189 INSTALACION 4 MICRO TORNILLOS - - - - - -
HMT1402076 ATENCION DE URGENCIAS ESPECIALIDAD ( FUERA DE HORARIO ) - - - - - -
HMT1402077 INFILTRACION (BLOQUEO) DE NERVIOS Y/O RAICES NERVIOSAS PERIFE. - - - - - -
HMT1402078 INFILTRACION (BLOQ.) DE NERVIOS Y/O RAICES NERVIOSAS TRIGEMINALES - - - - - -
HMT1402079 93394 BLOQUEO NEUROMUSCULAR PUNCION SECA C/SESION 44.016 - 44.016 - 30.811 -
HMT1402080 INFILTRACION DE FARMACOS POR PAT. ARTICULAR - - - - - -
HMT1402082 INFILTRACION DE FARMACOS POR PAT. MUSCULAR - - - - - -
HMT1402083 APLICACION DE ELECTROFISICA C/SESION - - - - - -
HMT1402084 93402 TERAPIA BIOCONDUCTUAL C/SESION 47.298 - 47.298 - 33.109 -
HMT1402085 TECNICAS DE MOVILIZACION ASISTIDA C/SESION - - - - - -
HMT1402086 ESTABILIZACION MANDIBULAR C/DISPOSITIVOINM. S/ESTAMPADO (TEMPO) - - - - - -
HMT1402087 ESTABILIZACION MUSCULAR MEDIANTE DIO INMEDIATO - - - - - -
HMT1402088 DISPOSITIVO DE AVANCE MANDIBULAR - - - - - -
HMT1402089 TRATAMIENTO PATOLOGIA NEUROMUSCULAR(MEDIANA DIF.) 3 SESIONES - - - - - -
HMT1601022 HM INSTALACION SONDA FOLEY 92.498 - 92.498 - 81.251 -
HMT1601044 96692 HM APLICACIÓN BOTOX (100 U) 432.987 - 432.987 - 329.461 -
HMT1601045 99434 HM APLICACIÓN BOTOX (50 U) 259.792 - 259.792 - 197.676 -
HMT1601046 96689 HM APLICACIÓN BOTOX (25 U) 259.792 - 259.792 - 197.676 -
HMT1801058 96370 HM - ENDOSONOGRAFIA ALTA SIN PUNCIÓN 357.098 - 357.098 - 271.716 -
HMT1801059 96372 HM - ENDOSONOGRAFIA ALTA CON PUNCION 357.098 - 357.098 - 271.716 -
HMT1801060 96374 HM - ENDOSONOGRAFIA BAJA 64.835 - 64.835 - 49.333 -
HMT1801066 99320 HM PROCEDIMIENTO POR DRENAJE Y VACIAMIENTO 105.089 - 105.089 - 79.962 -
HMT1801151 96400 HM - ESTUDIO ENDOSCOPICO DE INTESTINO DELGADO 372.854 - 372.854 - 332.103 -
HMT1802141 94290 INSTALACION BALON INTRAGASTRICO (NO INCLUYE ENDOSC) 500.000 - 500.000 - 564.475 -
HMT1802145 96422 HM - GASTROTOMIA CAMBIO DE BOTON O SET 206.347 - 206.347 - 182.686 -
HMT2107062 99243 EXTIRPACION BOLAS DE BICHAT 330.120 - 330.120 - 231.084 -
HMT9999003 92001 INFORME GENOTIPIFICACION CYP450 113.271 - 113.271 - 86.188 -
HMT9999005 96063 RIESGO ONCOLOGICO BAJO (AMBULATORIO) 390.971 - 390.971 - 273.679 -
HMX1401201 14201 HON POR PROC. LAB. PLANO ARTICULAR (MAXILOFACIAL) - - - - - -
HMX1401202 14203 HON. POR PROC. LABORATORIO APNEA DEL SUEÑO (MAXFACIAL) - - - - - -
HMX1401203 14303 HON. POR PLANO ARTICULAR (MAXILOFACIAL) - - - - - -
HMX1401204 14304 HM POR PLANO APNEA (MAXILOFACIAL) - - - - - -
HMX1401205 14205 HM POR PROC. LAB. PIVOT (MAXILOFACIAL) - - - - - -
HMX1401206 14306 HM POR TRATAMIENTO PIVOT (MAXILOFACIAL) - - - - - -
HMX1401207 14027 HM POR INFILTRACION ARTICULAR (MAXILOFACIAL) - - - - - -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
HMX1401208 14308 HM POR APLICACION DE INFILTRACION (MAXILOFACIAL) - - - - - -
HMY1701043 2DO CIRUJANO INSTALACION ECMO - 469.646 - 469.646 - 408.177
OTP2603007 33543 ATENCION PODOLOGIA BASICA (ONICOTOMIA,RESECADO QUERATOSIS Y HELA) 41.628 - 41.628 - 41.628 -
OTP2603008 33544 DESBASTADO DE ONICOGRIFOSIS Y ONICOMICOSIS 23.788 - 23.788 - 23.788 -
OTP2603009 33545 ONICOCRIPTOSIS LEVE SIN INFECCION (UÑA ENCARNADA) 71.363 - 71.363 - 71.363 -
OTP2603010 33546 TRATAMIENTO DE ORTONIXIA 35.681 - 35.681 - 35.681 -
OTP2603011 33547 TRATAMIENTOS DE ORTOPODOLOGIA(Dedo en garra y Heloma interdigital) 30.152 - 30.152 - 30.152 -
OTP2603012 33448 TRATAMIENTOS DE ORTOPODOLOGIA (Hallus Valgus c/u,dedo en martillo,) 39.250 - 39.250 - 39.250 -
PSQ0901000 21058 INTERCONSULTA PSIQUIATRIA(SERV.URGENCIAS) 124.046 124.046 124.046 124.046 112.942 112.942
PSQ0901001 21059 INTERCONSULTA PSIQUIATRIA H.NO HABIL(SERV.URGENCIAS) 148.855 148.855 148.855 148.855 135.531 135.531
VIS0101335 33565 VISITA A PACIENTE AMB. CONVENIO ESPECIAL 31.500 33.012 31.500 33.012 - -
VIS0103017 33517 VISITA PSICOLOGO A PAC. HOSPITALIZADO - 96.008 - 96.008 - 83.991
VIS0103021 33521 VISITA PSICOPEDAGOGO A PAC. HOSPITALIZADO - 56.969 - 56.969 - 47.111
HMP1801901 CIERRE FISTULAS ENDOSCOPICA 1.067.299 - 1.067.299 - 747.109 -
HMS0307007 ESTUDIO DE PARCHE 69.553 - 69.553 - 48.687 -
HMS0307009 ESTUDIO DE PRICK TEST 69.553 - 69.553 - 48.687 -
HMC1801060 HM - ENDOSONOGRAFIA BAJA - 64.835 - 64.835 - 56.220
HMC2099000 HM - INSTALACION DE CLIP MARCADOR - 217.211 - 217.211 - 162.909
HMP1801066 HM - INSTALACION DE PROTESIS GASTRICA Y/O INTESTINO 1.067.299 - 1.067.299 - 747.109 -
HMD1601921 HM - MICROSCOPIA CONFOCAL HASTA 6 LESIONES 94.500 - 94.500 - 66.150 -
HMO1301901 HM - PUNCION TIMPANICA 69.553 - 69.553 - 48.687 -
HMS0307008 HM - TEST DE SUERO AUTOLOGO 69.553 - 69.553 - 48.687 -
HMS0307010 HM - TRATAMIENTO INMUNOLOGICO 69.553 - 69.553 - 48.687 -
HMP1502901 HM - URG. HERIDAS FACIALES COMPLICADAS (MAXILOFACIAL) 384.781 384.781 384.781 384.781 269.347 288.586
HMP1502902 HM - URG. HERIDAS FACIALES SIMPLES (MAXILOFACIAL) 200.472 200.472 200.472 200.472 140.331 150.354
HMR1599000 HM APLICACION CONCENTRADO PLAQUETARIO 236.414 - 236.414 - 165.490 -
HMR1502142 IMPLANTE DE PELO MAYOR (ARSENALERA) - 200.000 - 200.000 - -
HMC2107040 POEM(Miotomía endoscópica por vía ora) - 1.569.761 - 1.569.761 - 1.412.784
HMC7041844 TERAPIA DE BIOMODELACION PREVENTIVA - 53.000 - 53.000 - -
HMO7041844 TERAPIA DE BIOMODELACION PREVENTIVA 53.000 - 53.000 - - -
ENF2601039 PROCEDIMIENTO ESPECIFICO DIALISIS PERITONEAL - 73.500 - 73.500 - 55.125
ANE1801066 ANES - INSTALACION DE PROTESIS GASTRICAY/O INTESTINO 320.190 - 320.190 - - -
ANE9999014 ANESTESISTA - VIA VENOSA PERIFERICA 84.704 - 84.704 - - -
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00
HRS.
EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
RXC0402001 29144 COLANGIOPANCREAT.ENDOSCOPICA 402008 297.965 332.998 297.965 332.998 263.800 293.084
RXC0402012 8011 ANGIOGRAFIA SELECTIVA DE CAROTIDA EXTERNA O INTERNA 402019 - 588.620 - 588.620 - 521.128
RXC0402013 8231 ANGIOGRAFIA SELECTIVA MEDULAR 402020 - 949.511 - 949.511 - 840.643
RXC0402014 8043 ANGIOP INTRALUM CORONARIA PROCED RX (1701031) 402022 - 143.277 - 143.277 - 126.848
RXC0402015 29198 ANGIOPLAST.INTRALUMIN.PERIFER. 402023 - 664.579 - 664.579 - 588.380
RXC0402016 8053 ANGIOPLASTIA INTRALUMINAR PERIFERICA (AC 1701032) 402023 - 445.342 - 445.342 - 415.695
RXC0402017 8012 AORTOGRAFIA CON AOT O CINE (AC 1701022) 402024 - 408.898 - 408.898 - 362.015
RXC0402018 8194 ARTERIOGRAFIA DE CADA EXTREMIDAD (AC 1701023) 402025 - 224.628 - 224.628 - 249.684
RXC0402020 29182 ARTERIOG. SELEC. CON AOT O CINEANGIOGRAFIA (PULMONAR, RENAL, TRONCO CELIACO
402027 - O SI 485.584 - 485.584 - 427.382
RXC0402021 8030 ARTERIOGRAFIA CAROTIDA VERT. (AC 1101013) 402029 - 577.055 - 577.055 - 510.891
RXC0402023 8040 CINECORONARIOGRAFIA (AC 1701019) 402030 - 112.099 - 112.099 - 99.247
RXC0402024 8054 EMBOLIZACION O BALONIZACION INTRACEREBRAL (AC) 402031 - 1.710.676 - 1.710.676 - 1.514.533
RXC0402025 8200 EMBOLIZACION O BALONIZACION PERIFERICA (AC ANGIO) 402031 - 629.887 - 629.887 - 587.954
RXC0402026 8055 VENTRICULOGRAFIA DERECHA Y/O IZQUIERDA 402033 - 209.419 - 209.419 - 185.409
RXC0402027 29184 CAVOGRAFIA (AC 1701025) 402035 - 237.494 - 237.494 - 209.030
RXC0402028 29186 FLEBOGRAFIA EXTR. INF. O SUP. UNILATERAL (ac 1701026) C/EXTREMIDAD
402038 - 242.792 - 242.792 - 214.954
RXC0402029 29190 FLEBOGRAFIA SELECT. 402041 - 379.920 - 379.920 - 334.383
CNE1101019 19887 RELLENADO DE BOMBAS DE ADM.DE FARMACOS LCR 1101001 - 410.051 - 410.051 - 346.553
CNE1103089 17856 MALF.VASCULARES DEL CUERO CABELLUDO INCL.ANEURISMA CIRSOIDEO 1103001 - 1.973.127 - 1.973.127 - 1.568.273
CNE1103088 18713 SINUS PERICRANI, TRAT. QUIR. 1103002 - 1.973.127 - 1.973.127 - 1.843.040
CNE1103000 18026 HUNDIMIENTO SIMPLE. REPARACION DE 1103003 - 2.252.175 - 2.252.175 - 1.993.949
CNE1103001 18018 CREANEOPLASTIA CON AUTOINJERTO 1103004 - 2.483.933 - 2.483.933 - 2.199.130
CNE1103002 18733 CRANEOPLASTIA CON PROTESIS (NO INCL.EL VALOR DE LA PROT. )1103005 - 2.483.933 - 2.483.933 - 2.199.130
CNE1103003 18016 TUMORES DE CALOTA. EXTIRP. DE 1103006 - 2.607.305 - 2.607.305 - 2.308.358
CNE1103004 18736 OSTEOMELITIS.LIMPIEZA QUIRURGICA 1103007 - 2.252.037 - 2.252.037 - 1.993.822
CNE1103005 18341 CRANIECTOMIAS DESCOMPRESIVAS 1103008 - 2.237.976 - 2.237.976 - 1.981.374
CNE1103073 18030 REPARACION DE FRACTURA CRECEDORA 1103009 - 1.909.901 - 1.909.901 - 1.782.755
CNE1103076 18036 CRANEOTOMIAS LINEALES 1103010 - 2.195.398 - 2.195.398 - 1.943.679
CNE1103006 18034 CRANIECTOMIAS C/S REMODELACION OSEA 1103011 - 3.308.131 - 3.308.131 - 2.928.830
CNE1103007 18004 CIRUGIA REPARADORA CRANEO-ORBITO-FACIAL 1103012 - 4.738.622 - 4.738.622 - 4.195.300
CNE1103008 18050 HEMATOMA O ABSCESO EXTRADURAL. VACIAMIENTO DE 1103014 - 2.426.997 - 2.426.997 - 2.148.721
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CNE1103009 18074 REPARACION DE FISTULA DE LCR 1103015 - 3.206.011 - 3.206.011 - 2.838.417
CNE1103010 18607 HEMATOMA. EMPIEMA O COLECCION SUBDURAL.VACIAMIENTO DE 1103016 - 2.426.997 - 2.426.997 - 2.148.721
CNE1103011 18042 QUISTES ARACNOIDALES ENCEFALICOS. TRAT.QUIR. 1103017 - 3.542.292 - 3.542.292 - 3.136.143
CNE1103012 20362 QUISTES ARACNOIDALES ENCEFALICOS. VIA ENDOSCOP. 1103017 - 4.812.084 - 4.812.084 - 4.260.340
CNE1103013 18012 VENTRICULOSTOMIA O INST.DE DERIVATIVA VENTRICULAR EXT. 1103018 - 1.132.840 - 1.132.840 - 2.341.897
CNE1103014 20084 INSTALACION DE CAPTOR DE MEDICION DE PIC O PUNCION BIOPSIA1103018 - 2.995.055 - 2.995.055 - 2.341.897
CNE1103015 20380 VENTRICUL.O INSTALACION DE DERIVATIVA VENTRICULAR C/NEURO 1103018 - 2.995.055 - 2.995.055 - 2.651.649
CNE1103016 18020 ABSCESO CEREBRAL. TRAT. QUIR. 1103019 - 3.502.339 - 3.502.339 - 3.100.770
CNE1103072 18290 TRAT.QUIR.DEL TRAU.CRAN.AB.O PEN. (HER.A BALA U OTRO ELEM.)1103020 - 2.127.244 - 2.127.244 - 1.883.340
CNE1103017 18611 HUNDIMIENTO EXPUESTO.REPAR.DE 1103021 - 2.469.586 - 2.469.586 - 2.186.430
CNE1103075 18078 LOBECTOMIAS POR CONTUSION CEREBRAL 1103022 - 3.140.577 - 3.140.577 - 2.838.334
CNE1103018 18028 HEMATOMA INTRACEREBRAL. VACIAMIENTO DE 1103023 - 3.534.382 - 3.534.382 - 3.129.139
CNE1103020 18014 TUMORES Y/O QUISTES. EXTIRP.DE BASE CRANEO 1103024 - 3.444.376 - 3.444.376 - 3.049.455
CNE1103021 20384 TUMORES Y/O QUISTES. EXTIRP.DE BASE CRANEO C/NEURONAVEGADOR1103024 - 4.071.919 - 4.071.919 - 3.605.044
CNE1103022 20370 TUMORES Y/O QUISTES. EXTIRP.DE BASE CRANEO (VIA ENDOSCOP.) 1103024 - 4.714.168 - 4.714.168 - 4.173.655
CNE1103023 18066 INTRAORBITARIOS, RESECCION DE TUMORES Y/O QUISTES Y/O CAVERNOMA
1103025 - 3.283.681 - 3.283.681 - 2.907.185
CNE1103025 20383 TUMORES Y/O QUISTES. ENCEF. Y DE HIPOF.ENDOSCOP C/NEURONAV.1103026 - 4.071.919 - 4.071.919 - 3.800.846
CNE1103026 20080 TUMORES Y/O QUISTES. ENCEFALICOS Y DE HIPOFISIS. EXTIRP. DE1103026 - 3.444.376 - 3.444.376 - 3.049.455
CNE1103027 18048 ANEURISMAS, MALFORMACIONES ARTERIOVENOSAS ENCEFALICAS1103027 - 4.087.630 - 4.087.630 - 3.618.951
CNE1103085 18876 FISTULA CAROTIDO CAVERNOSA. TRAT. ENDOVASCULAR 1103028 - 2.457.286 - 2.457.286 - 2.295.280
CNE1103079 18006 FISTULA CAROTIDO CAVERNOSA (TRAT.QUIRURGICO) 1103029 - 2.649.205 - 2.649.205 - 2.474.547
CNE1103028 18619 REVASCUL.INTRACRANEANA INDIRECTA(ENDODUROSINANGIOSIS, MULTITREPANACION,
1103030 EMAS,
- 2.426.997
ET - 2.426.997 - 2.148.721
CNE1103070 18052 ANASTOMOSIS Y REVASC.CEREBRAL EXTRA-INTRACRANEANA 1103031 - 4.233.963 - 4.233.963 - 3.748.504
CNE1103068 18040 INSTALACION DE DERIVATIVAS DE LCR (NO INCL.VALOR VALVULA) 1103032 - 3.206.011 - 3.206.011 - 2.838.417
CNE1103029 18593 REVISION O EXTERIORIZACION DE DERIVATIVA 1103033 - 1.666.881 - 1.666.881 - 1.475.759
CNE1103030 18291 VENTRICULOCISTERNOSTOMIA 1103034 - 2.457.286 - 2.457.286 - 2.175.540
CNE1103031 18245 VENTRICULOCISTERNOSTOMIA C/NEURONAVEGADOR 1103034 - 3.411.460 - 3.411.460 - 3.020.307
CNE1103032 18292 VENTRICULOCISTERNOSTOMIA ENDOSCOPICA 1103034 - 3.411.460 - 3.411.460 - 3.020.307
CNE1103033 18621 FENESTRACION.SEPTOSTOMIA O COAG.PLEXOS COROIDEOS 1103035 - 3.411.460 - 3.411.460 - 3.020.306
CNE1103034 18044 CIRUGIA DESCOMPRESIVA DE FOSA POSTERIORU OCCIPITO-VERTEBRAL1103036 - 3.359.052 - 3.359.052 - 2.973.913
CNE1103035 18765 MENINGO Y MENINGOENCEFALOCELE OCCIP.(REPAR.DE) 1103037 - 3.359.052 - 3.359.052 - 2.973.913
CNE1103036 18064 CIRUGIA DESCOMPRESIVA NEUROVASCULAR. 1103038 - 3.341.502 - 3.341.502 - 2.958.374
CNE1103037 18128 NEUROTOMIAS 1103039 - 1.658.088 - 1.658.088 - 1.467.976
CNE1103038 18623 NEUROLISIS O MICROCOMPRESION CUTANEA 1103040 - 1.640.539 - 1.640.539 - 1.452.439
CNE1103039 18649 CIRUGIA DE LA EPILEPSIA (CUALQUIER TECNICA) 1103041 - 3.359.052 - 3.359.052 - 2.973.913
CNE1103040 18655 CIRUGIA DE LA EPILEPSIA (C/TECNICA) (C/NEURON.) 1103041 - 4.103.979 - 4.103.979 - 3.633.426
CNE1103041 18796 BIOPSIA ESTEREOTAXICA CEREBRAL C/MARCODE ESTEREOTAXIA 1103042
O NEURONAVEGADOR- 3.508.920 - 3.508.920 - 3.106.596
CNE1103080 19987 COAGULACION DE NUCLEOS O VIAS ENCEFALICAS 1103043 - 3.359.052 - 3.359.052 - 3.137.594
CNE1103042 18104 ESTIMULADOR INTRACRANEANO.INSTALACION DE 1103045 - 3.371.347 - 3.371.347 - 2.984.801
CNE1103043 18106 INSTALACION DE ESTIMULADORES MEDULARES 1103046 - 3.204.838 - 3.204.838 - 2.837.381
CNE1103044 18122 DISRRAFIAS ESPINALES: MENINGOCELE. MIELOMENINGOCELE. 1103047 - 3.359.052 - 3.359.052 - 2.973.913
CNE1103045 18110 NEUROTOMIA FACETARIA PERCUTANEA, INCLUYE BLOQUEO FACETARIO 1103048 - 1.457.856 - 1.457.856 - 1.388.292
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CNE1103046 19031 HERNIA NUCLEO PULPOSO ESTEN. ARACN. FIB.PER.CERVICAR DORSAL O LUMBAR, TRAT.QUIR.
1103049 - 2.825.358 - 2.825.358 - 2.552.556
CNE1103047 18166 HERNIA NUCLEO PULPOSO. VIA ENDOSCOP. 1103049 - 3.417.247 - 3.417.247 - 3.189.755
CNE1103048 18116 HERNIA NUCLEO PULPOSO. VIA PERCUTANEA 1103049 - 3.413.686 - 3.413.686 - 3.022.278
CNE1103049 18114 LAMINECTOMIA DESCOMPRESIVA 1103050 - 3.043.855 - 3.043.855 - 2.694.856
CNE1103082 18987 HERIDAS RAQUIMEDULARES, TRAT. QUIR. 1103051 - 2.195.398 - 2.195.398 - 2.050.659
CNE1103050 18647 TUMOR VERTEBRAL.TRAT.QUIR. 1103052 - 2.426.997 - 2.426.997 - 2.148.721
CNE1103051 18124 TUMOR O QUISTE MEDULAR O INTRARRAQUIDEO. TRAT.QUIR. 1103053 - 3.519.747 - 3.519.747 - 3.116.180
CNE1103052 18126 MALFORMACION ARTERIOVENOSA O FISTULA DURAL MEDULAR. 1103054 - 3.333.590 - 3.333.590 - 2.951.370
CNE1103081 19997 CORDOTOMIA PERCUTANEA 1103055 - 1.666.881 - 1.666.881 - 1.556.986
CNE1103071 18084 MIELOTOMIA. DREZTOMIA 1103056 - 2.196.993 - 2.196.993 - 1.945.089
CNE1103053 18086 RIZOTOMIA (CUALQUIER TECNICA) 1103057 - 2.163.632 - 2.163.632 - 1.915.553
CNE1103074 20083 RIZOTOMIA (PERCUTANEA) 1103057 - 1.559.073 - 1.559.073 - 1.455.283
CNE1103054 18132 TUMORES NERVIO PERIFERICO RESECCION 1103058 - 1.666.881 - 1.666.881 - 1.475.759
CNE1103055 18142 REPARACION PLEXOS C/S NEUROTIZACION CONTECNICA MICROQUI-1103059 - 2.396.700 - 2.396.700 - 2.121.898
CNE1103056 18136 SECCION DE NERVIO. REPARACION CON INJERTO 1103060 - 2.459.780 - 2.459.780 - 2.177.752
CNE1103057 18134 SECCION DE NERVIO. REPARACION SIN INJERTO 1103061 - 2.000.040 - 2.000.040 - 1.770.720
CNE1103058 18654 NEUROLISIS CON TECNICA MICROQUIRURGICA 1103062 - 2.459.780 - 2.459.780 - 2.177.752
CNE1103059 18667 NEUROLISIS EXTERNA 1103063 - 1.211.563 - 1.211.563 - 1.104.704
CNE1103060 18144 SINDROME DEL ESCALENO. TRAT. QUIR. 1103064 - 2.002.534 - 2.002.534 - 1.772.928
CNE1103061 18146 SINDROME COSTILLA CERVICAL.RESECCION DE 1103065 - 1.964.765 - 1.964.765 - 1.739.491
CNE1103062 19772 SIND.DEL TUNEL CARPO O TARSO U OTRO.TRAT. QUIR. 1103066 - 939.663 - 939.663 - 877.108
CNE1103063 20081 SIND.TUNEL DEL CARPO O TARSO U OTRO. (VIA ENDOS.) 1103066 - 939.247 - 939.247 - 876.719
CNE1103064 18130 TRANSPOSICION CUBITAL. REPAR. DE 1103067 - 1.658.088 - 1.658.088 - 1.467.976
CNE1103065 18603 NEURECTOMIA. CUALQUIER LOCALIZACION. CADA ZONA QUIRURGICA
1103068 - 1.668.929 - 1.668.929 - 1.477.572
CNE1103066 18499 FIJACION DE COLUMNA(CERVICAL-LUMBAR-DORSAL)CUALQ.VIA 1103069 - 3.045.024 - 3.045.024 - 2.695.888
CNE1103067 18785 FIJACION DE COLUMNA VIA ENDOSCOP. 1103069 - 4.247.074 - 4.247.074 - 3.760.116
POF1201029 18833 CRIOCOAGULACIÓN CONJUNTIVAL, CORNEAL O PALPEBRAL EN ADULTOS
1201035 430.876 430.876 430.876 430.876 398.787 398.787
POF1201030 18842 CRIOCOAGULACIÓN CONJUNTIVAL, CORNEAL O PALPEBRAL EN NIÑOS
1201036 155.624 155.624 155.624 155.624 398.787 398.787
POF1201028 18357 GLAUCOMA. CICLODIATERMIA Y/O CICLOCRIOTERAPIA 1201037 241.004 241.004 241.004 241.004 224.960 224.960
POF1201016 18683 SONDAJE VIA LAGRIMAL EN NINOS (BAJO ANESTESIA GENERAL) 1201041 205.335 205.335 205.335 205.335 187.240 187.240
COF1202000 18150 INTUBACION VIA LAGRIMAL 1202001 370.531 370.531 370.531 370.531 345.865 345.865
COF1202001 18154 PUNTOS LAGRIMALES. PLASTIA DE 1202002 384.654 384.654 384.654 384.654 359.048 359.048
COF1202002 18152 RECONSTITUCION DE CANALICULOS 1202003 441.928 441.928 441.928 441.928 412.508 412.508
COF1202003 18156 ABSCESO, VAC. Y/O DREN.DE SACO Y/O GLAND.LAGRIM 1202004 240.762 240.762 240.762 240.762 224.735 224.735
COF1202004 18160 DACRIOCISTORRINOSTOMIA 1202005 724.415 724.415 724.415 724.415 605.662 605.662
COF1202005 18864 DACRIOCISTORRINOSTOMIA VIA ENDOSCOPICA 1202005 - 733.821 - 733.821 - 684.968
COF1202078 18158 EXTIRPACION DE SACO Y/O GLAND. LAGRIMAL 1202006 399.157 399.157 399.157 399.157 372.584 372.584
COF1202006 18164 RECONSTITUCION VIA LAGRIMAL EN AUSENCIADEL SACO 1202007 - 733.821 - 733.821 - 684.969
COF1202007 18685 TUMOR DE GLANDULA LAGRIMAL. TRAT. QUIR.COMP. 1202008 - 760.896 - 760.896 - 710.242
COF1202079 18162 TUMOR MALIGNO DEL SACO. TRAT. QUIR. COMP. 1202009 - 733.821 - 733.821 - 684.969
COF1202008 18168 ABSCESO, TRAT. QUIR. PARPADO O CEJA 1202010 240.762 240.762 240.762 240.762 224.735 224.735
COF1202009 18270 BIOPSIA DE PARPADO Y/O ANEXOS (PROC. AUT.) 1202011 263.211 263.211 263.211 263.211 245.688 245.688
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
COF1202010 18178 BLEFAROCHALASIS. PLASTIA DE 1202012 600.937 600.937 600.937 600.937 502.424 502.424
COF1202077 18643 BLEFAROFIMOSIS, PLASTIA DE 1202013 - 600.937 - 600.937 - 560.931
COF1202011 18172 BLEFARORRAFIA CON BLEFAROTOMIA POSTERIOR 1202014 574.840 574.840 574.840 574.840 482.704 482.704
COF1202012 18176 CANTOPLASTIA 1202015 263.211 263.211 263.211 263.211 245.688 245.688
COF1202013 18192 CHALAZION Y OTROS TUMORES BENIGNO 1202016 263.211 263.211 263.211 263.211 245.688 245.688
COF1202014 18188 COLOBOMA. PLASTIA DE 1202017 - 574.350 - 574.350 - 536.115
COF1202015 18180 ECTROPION. PLASTIA DE 1202018 448.889 448.889 448.889 448.889 419.006 419.006
COF1202016 18182 ENTROPION. PLASTIA DE 1202019 448.889 448.889 448.889 448.889 419.006 419.006
POF1202020 18857 EPICANTO, PLASTIA DE 1202020 536.376 536.376 536.376 536.376 428.604 428.604
COF1202017 18186 PTOSIS. TRAT. QUIR. 1202021 - 574.350 - 574.350 - 536.115
COF1202018 18174 QUISTE DERMOIDE DE LA COLA DE LA CEJA. RESEC. PLASTICA 1202022 363.381 363.381 363.381 363.381 339.190 339.190
COF1202019 18194 TUMOR MALIGNO DE PARPADO O CEJA, TRAT. QUIR. COMPLETO 1202023 - 574.350 - 574.350 - 536.115
COF1202020 18170 XANTELASMA. TRAT. QUIR. 1202024 263.211 263.211 263.211 263.211 245.688 245.688
COF1202073 18196 HERIDA O DEHISCENCIA DE LA CONJUNTIVA, SUTURA DE (PROC. AUT.)
1202025 384.654 384.654 384.654 384.654 359.048 359.048
COF1202021 18198 PTERIGION Y/O PSEUDOPTERIGION O SU RECIDIVA . EXTIRP. 1202026 384.654 384.654 384.654 384.654 359.048 359.048
COF1202022 18202 SIMBLEFARON. RESECCION DE ADHERENCIAS YPLASTIA DE 1202027 - 574.350 - 574.350 - 536.115
COF1202023 18200 EXTIRPACION DE TUMOR BENIGNO DE LA CONJUNTIVA 1202028 384.654 384.654 384.654 384.654 359.048 359.048
COF1202024 18206 ABSCESO ORBITARIO, TRAT. QUIR. 1202029 384.654 384.654 384.654 384.654 359.048 359.048
COF1202025 18204 CORRECCION DE CAVIDAD ANOFTALMICA TRAT.COMPLETO 1202030 - 1.017.066 - 1.017.066 - 949.358
COF1202026 18335 CUERPO EXTRANO ORBITARIO (CON ORBITOTOMIA) 1202031 - 1.226.958 - 1.226.958 - 1.145.277
COF1202027 18210 EXANTERACION ORBITARIA O TUMOR ORBIT.TRAT.QUIR.COMP 1202032 - 1.901.015 - 1.901.015 - 1.774.462
COF1202028 18214 ORBITOTOMIA ANTERIOR 1202033 - 760.896 - 760.896 - 710.242
COF1202029 18208 ORBITOTOMIA LATERAL DESCOMPRESIVA 1202034 - 574.350 - 574.350 - 536.115
COF1202030 18272 BIOPSIA DE GLOBO OCULAR (PROC. AUT) 1202035 - 574.350 - 574.350 - 536.115
COF1202031 18220 ENUCLEACION O IMPLANTE PROTESIS OCULAR (P.AUT.) 1202036 - 1.017.066 - 1.017.066 - 949.358
COF1202032 18222 ENUCLEACION CON IMPLANTE 1202037 - 1.226.958 - 1.226.958 - 1.145.277
COF1202033 18224 ESTRABISMO. TRAT. QUIR. COMP.(UNO O AMBOS OJOS) 1202038 - 1.017.066 - 1.017.066 - 949.358
COF1202034 18218 EXANTERACION OCULAR (PROC. AUT.) 1202039 - 1.017.066 - 1.017.066 - 949.358
COF1202035 18216 SUTURA DE LESION TRAUMATICA DE GLOBO O MUSCULOS OCULARES (PROC. AUT.)
1202040 - 574.350 - 574.350 - 536.115
COF1202037 18355 CRIOTERAPIA Y RECESION CONJUNTIVAL 1202042 318.083 318.083 318.083 318.083 296.908 296.908
COF1202038 18226 EXTRACCION QUIR. DE CUERPO EXTRAÑO EN CORNEA Y/O ESCLERA 1202044 384.654 384.654 384.654 384.654 359.048 359.048
COF1202039 18234 GLAUCOMA. TRAT. QUIR. POR CUALQ. TECNICA 1202045 - 1.359.633 - 1.359.633 - 1.269.120
COF1202040 18228 HERIDA PENETRANTE CORNEAL O CORNEO-ESCLERAL 1202046 - 574.350 - 574.350 - 536.115
COF1202041 18240 QUERATECTOMIA LAMINAR 1202047 - 894.880 - 894.880 - 835.306
COF1202042 18230 QUERATOPLASTIA. INJ. LAMELAR O PENETRANTE. TRAT. QUIR. 1202048 - 1.226.958 - 1.226.958 - 1.145.277
COF1202043 18232 QUERATOPROTESIS. IMPL. DE (NO INC.PROTESIS) 1202049 - 1.359.633 - 1.359.633 - 1.269.120
COF1202044 18347 RECUBRIMIENTO CONJUNTIVAL 1202050 - 760.896 - 760.896 - 710.242
COF1202045 18353 REHABILIT. SUP.OCULAR (CON INJERTO DE MUCOSA) 1202051 - 733.821 - 733.821 - 684.969
COF1202046 18242 IRIDECTOMIA PERIFERICA Y/U OPTICA. (PROC. AUT.) 1202053 - 574.350 - 574.350 - 536.115
COF1202154 23988 TRAT.QUIR.DE LESION TUMORAL DE IRIS O CUERPO 1202054 - 1.030.460 - 1.030.460 - 961.861
COF1202047 18250 DESGARRO S/DESP. DIATERMO Y/O FOTOCOAGULACISN 1202055 384.654 384.654 384.654 384.654 359.048 359.048
COF1202049 18254 DESPRENDIMIENTO RETINAL. CIR.CONVENCIONAL (EXOIMPLANTES)1202056 - 1.226.958 - 1.226.958 - 1.145.277
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
COF1202050 36112 PANFOTOCOAGULACION (3 SESIONES) 1202057 384.654 384.654 384.654 384.654 359.048 359.048
COF1202082 17783 TUMOR RETINAL O COROIDAL, DIATERMO Y/O CRIO Y/O FOTOCOAGULACION
1202058 DE 384.654 384.654 384.654 384.654 359.048 359.048
COF1202054 18252 VASCULOPATIA RETINAL (EXC. RETINOPATIA PROLIFERATIVA) 1202059 384.654 384.654 384.654 384.654 359.048 359.048
COF1202056 18127 VITRECTOMIA C/RETINOTOMIA (C/S INYEC. DE GAS O SILICONA) 1202060 - 1.384.817 - 1.384.817 - 1.292.628
COF1202057 18359 VITRECTOMIA CON INYECCION DE GAS O SILICONA 1202061 - 1.226.958 - 1.226.958 - 1.145.277
COF1202058 18262 VITRECTOMIA CON VITREOFAGO (PROC. AUT) 1202062 - 1.226.958 - 1.226.958 - 1.145.277
COF1202059 18236 FACOERESIS INTRACAPSULAR O CAT.SEC. O DISCISION Y ASPIRACION DE MASAS
1202063 - 1.017.066 - 1.017.066 - 949.358
COF1202060 18268 FACOERESIS EXTRACAPS.CON IMPL/LENTE INTRAOCULAR (N/INCLUYE EL VALOR DE LA PROTES
1202064 - 875.457 - 875.457 - 817.176
COF1202061 18686 IMPLANTE SECUNDARIO DE LENTE INTRAOCULAR 1202065 - 1.507.976 - 1.507.976 - 1.407.589
COF1202062 18671 ASPIRACION ESFERULAR C/S CAPSULOTOMIA 1202066 - 580.957 - 580.957 - 542.282
COF1202063 18687 DISCISION DE CAPSULA POSTERIOR 1202067 395.987 395.987 395.987 395.987 369.625 369.625
COF1202064 18244 IRIDOTOMIA 1202068 384.654 384.654 384.654 384.654 359.048 359.048
COF1202065 36115 TRABECULOPLASTIA O IRIDOPLASTIA 1202069 384.637 384.637 384.637 384.637 359.031 359.031
COF1202066 18238 SINEQUIOTOMIA (PROC. AUT.) 1202070 - 733.821 - 733.821 - 684.969
COF1202067 18669 HERIDA O DEHISCENCIA DE SUTURA DE PARPADO. REPAR. 1202071 263.211 263.211 263.211 263.211 245.688 245.688
COF1202068 18674 RECONSTRUCCION DE PISO ORBITARIO. 1202072 - 733.821 - 733.821 - 684.969
COF1202091 18634 OPERACION TRIPLE (INJERTO, FACOERESIS E 1202073 - 1.507.976 - 1.507.976 - 1.407.589
COF1202074 18002 HERNIA DE IRIS Y/O FISTULAS REP.DE 1202074 - 1.017.066 - 1.017.066 - 949.358
COF1202069 18701 RETINOPEXIA NEUMATICA 1202075 - 1.017.066 - 1.017.066 - 949.358
COF1202070 18651 EXTRAC. O CORREC. DE DESPLAZ. DE LENTE INTRAOCULAR 1202076 - 1.226.958 - 1.226.958 - 1.145.277
COF1202071 18003 DESPRENDIMIENTO O HEMORRAGIA COROIDEA. T.QUIR. 1202077 - 760.896 - 760.896 - 710.242
COF1202072 15701 CIR.FOTORREFRACTIVA .O FOTO TERAP DE CORNEA, C/TECNICA 1202078 - 1.175.752 - 1.175.752 - 964.666
COF1202178 18887 CIR. FOTORREFRACTIVA CON FEMTO BILATERAL 1202078 - - - - - -
COF1202378 18885 CIR. FOTORREFRACTIVA CON FEMTO UNILATERAL 1202078 1.175.752 1.175.752 1.175.752 1.175.752 823.026 1.093.449
COF1202478 18886 CIR. FOTORREFRACTIVA PRK UNILATERAL 1202078 975.875 975.875 975.875 975.875 683.112 907.563
POR1301025 18288 VASOS Y/O CORNETES. ELECTROCAUTERIZACION (UNI O BILAT.) 1301028 403.506 419.421 403.506 419.421 376.902 376.902
POR1301027 18369 CUERPO EXTRAÑO EN LARINGE Y/O TRAQUEA, EXTRACCION DE (ADULTOS)
1301035 461.522 461.522 461.522 461.522 408.607 474.488
POR1301028 18371 CUERPO EXTRAÑO EN LARINGE Y/O TRAQUEA, EXTRACCION DE (NIÑOS)1301036 459.718 459.718 459.718 459.718 407.009 472.628
POR1301029 18317 DILATACION ESOFAGICA POR SESION 1301037 425.126 448.526 425.126 448.526 397.101 461.079
POR1301030 18377 CUERPO EXTRAÑO EXT.EN HIPOFARINGE Y/O ESOFAGO (POR TUBO1301038
RIGIDO) EN NIÑOS
399.591 415.355 399.591 415.355 380.174 433.279
POR1301031 18375 CUERPO EXTRAÑO EXT.EN HIPOFARINGE Y/O ESOFAGO (POR TUBO1301039
RIGIDO) EN ADULTOS
421.585 421.585 421.585 421.585 380.174 433.279
COR1302000 13652 ABSCESO Y/O HEMATOMAS OIDO EXTERNO, TRAT. QUIR. 1302001 470.927 470.927 470.927 470.927 368.227 368.227
COR1302002 18300 CUERPO EXTRANO EN COND.AUDITIVO EXTERNO. EXTRAC.DE 1302002 455.810 455.810 455.810 455.810 403.546 403.546
COR1302003 18306 FISTULA PREAURICULAR COMPLICADA. TRAT. QUIR. 1302003 - 625.246 - 625.246 - 553.555
COR1302004 18302 TUMOR BENIGNO. TRAT. QUIR. 1302004 457.836 457.836 457.836 457.836 405.345 405.345
COR1302005 18304 TUMOR MALIGNO OIDO EXTERNO, TRAT. QUIR. 1302005 - 625.246 - 625.246 - 553.555
COR1302006 18314 ESTAPEDECTOMIA 1302006 - 1.658.825 - 1.658.825 - 1.468.628
COR1302007 18312 MASTOIDECTOMIA C/S SECCION CUERDA DEL TIMPANO 1302007 - 1.650.769 - 1.650.769 - 1.461.498
COR1302009 18308 TRAT.QUIR.MUCOSITIS TIMP.,OTITIS MEDIA C/CON EFUS.UNI O BILAT.
1302008 433.711 433.711 433.711 433.711 396.903 396.903
COR1302010 18316 OPERACION RADICAL DEL OIDO C/S SEC. CUERDA DEL TIMPANO 1302009 - 1.658.088 - 1.658.088 - 1.467.976
COR1302012 18318 RECONSTITUCION FUNCIONAL DE OIDO RADICALIZADO 1302011 - 1.990.671 - 1.990.671 - 1.762.426
COR1302014 18310 TIMPANOPLASTIA FUNC.(CUALQ.TIPO) C/S MASTOIDECTOMIA 1302012 - 1.658.088 - 1.658.088 - 1.467.976
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
COR1302015 18320 RECONSTITUCION PLASTICA DE CONDUCTO AUDITIVO EXTERNO 1302013 - 1.641.404 - 1.641.404 - 1.453.206
COR1302017 18401 EXOSTOSIS U OSTEOMA OIDO MEDIO O EXTERNO, RESECCION POR1302014
CUALQUIER VIA - 1.662.925 - 1.662.925 - 1.472.261
COR1302019 18324 RECONSTITUCION DE CONDUCTO AUDITIVO EXTERNO 1302016 - 1.652.679 - 1.652.679 - 1.463.187
COR1302178 13278 TRAT.QUIR. DE TUMOR GLOMICO TIMPANICO OIDO INT. Y NERV.ACUST.
1302017 - 1.539.944 - 1.539.944 - 1.509.172
COR1302021 18326 LABERINTECTOMIA 1302018 - 1.545.411 - 1.545.411 - 1.388.292
COR1302022 18328 NEURINOMA DEL ACUSTICO. T.QUIR. VIA. TRANSLABERINTICA 1302019 - 2.006.473 - 2.006.473 - 1.776.418
COR1302023 18330 DESCOMPRESION INTRAOSEA NERVIO FACIAL C/S PLASTIA 1302020 - 1.202.785 - 1.202.785 - 1.104.704
COR1302024 18332 LESIONES A NIVEL DEL CONDUCTO AUDITIVO INTERNO. T.QUIR. 1302021 - 1.588.131 - 1.588.131 - 1.406.040
COR1302025 18334 BIOPSIA BUCO-FARINGEA (PROC. AUT.) 1302022 419.143 419.143 419.143 419.143 380.174 380.174
COR1302026 18525 SECCION Y/O RESECCION FRENILLOS CAVIDADBUCAL 1302023 419.143 419.143 419.143 419.143 380.174 380.174
COR1302027 18340 DRENAJE DE ABSCESO O FLEGMON DE PISO DEBOCA 1302024 419.588 419.588 419.588 419.588 371.481 371.481
COR1302029 18336 DRENAJE DE ABSCESO O FLEGMON PERIAMIGDALIANO 1302025 418.817 418.817 418.817 418.817 370.796 370.796
COR1302030 18338 DRENAJE DE ABSCESO O FLEGMON RETROFARINGEO O FARINGOLARINGEO
1302026 418.842 418.842 418.842 418.842 380.174 380.174
COR1302031 18769 DRENAJE DE ABSCESO O FLEGMON DE VESTIBULO BUCAL 1302027 422.088 422.088 422.088 422.088 393.990 393.990
COR1302032 18342 ADENOIDECTOMIA (PROC. AUT.) 1302028 - 948.037 - 948.037 - 839.339
COR1302033 20359 ADENOIDECTOMIA VIA ENDOSCOPICA (PROC. AUT.) 1302028 - 1.561.938 - 1.561.938 - 1.388.292
COR1302034 18344 AMIGDALECTOMIA C/S ADENOIDECTOMIA, UNI O BILATERAL 1302029 - 946.273 - 946.273 - 837.777
COR1302035 18321 CALCULOS SALIVALES. TRAT. QUIR. 1302030 419.588 419.588 419.588 419.588 371.481 371.481
COR1302036 18346 TUMOR BENIGNO DE MUCOSA BUCAL. EXTIRP.C/S BIOPSIA 1302031 131.809 419.588 131.809 419.588 123.121 371.481
COR1302037 18348 TUMOR MALIGNO DE LAS AMIGDALAS. T.QUIR. 1302032 - 1.561.504 - 1.561.504 - 1.388.292
COR1302038 18350 TUMOR BENIGNO BASE DE LA LENGUA. EXTIRP. DE: 1302033 - 1.211.563 - 1.211.563 - 1.104.704
COR1302039 18352 TUMOR MALIGNO BASE DE LA LENGUA. EXTIRP. DE: 1302034 - 2.203.146 - 2.203.146 - 1.950.539
COR1302040 18358 FARINGOPLASTIA (CUALQ.TECN.). C/S DESPLAZ. DE COLGAJOS 1302035 - 1.997.107 - 1.997.107 - 1.768.124
COR1302041 20381 FARINGOPLASTIA (CUALQ.TECN.). C/S DESPLAZ. DE COLGAJOS C/NE1302035 - 2.622.760 - 2.622.760 - 2.322.041
COR1302042 18356 FIBROANGIOMA DEL RINOFARINX. TRAT. QUIR. 1302036 - 2.205.633 - 2.205.633 - 1.993.949
COR1302043 18448 FIBROANGIOMA DEL RINOFARINX. VIA ENDOSCOPICA 1302036 - 3.184.793 - 3.184.793 - 2.819.633
COR1302096 18354 GLOSECTOMIA TOTAL C/S DISECCION RADICALDE CUELLO 1302037 - 2.227.156 - 2.227.156 - 1.971.794
COR1302044 20310 ABSC.Y HEMAT.DEL TABIQUE NASAL.(VIA ENDOSCOP) 1302038 - 419.143 - 419.143 - 391.241
COR1302045 18333 ABSCESOS Y HEMATOMA DEL TABIQUE NASAL. T.QUIR. 1302038 419.143 419.143 419.143 419.143 380.174 380.174
COR1302046 20317 ARTERIA ESFENOPALATINA. CAUT. (VIA ENDOSCOP) 1302039 - 1.211.563 - 1.211.563 - 1.104.704
COR1302047 18386 ARTERIA ESFENOPALATINA. CAUTERIZACION POR VIA NASAL 1302039 - 625.246 - 625.246 - 553.555
COR1302093 18384 ARTERIA MAXILAR INTERNA. LIGAD.DE (P/VIA TRANSMAXILAR) 1302040 - 1.065.696 - 1.065.696 - 994.751
COR1302048 18394 ARTERIAS ETMOIDALES ANTERIORES. LIGADURA DE 1302041 - 634.022 - 634.022 - 561.326
COR1302049 18366 TURBINECTOMIA O CAUTERIZACION DE CORNETES, CUALQUIER TECNICA
1302042 - 658.315 - 658.315 - 582.834
COR1302103 18370 CONDUCTO Y/O SENO LAGRIMAL, OBST. DEL, TRAT. QUIR. VIA NASAL
1302043 - 956.958 - 956.958 - 893.866
COR1302050 18396 ETMOIDECTOMIA ENDO O EXONASAL 1302044 - 1.755.267 - 1.755.267 - 1.554.013
COR1302051 20328 ETMOIDECTOMIA ENDO O EXONASAL (VIA ENDOSC.) 1302044 - 1.735.445 - 1.735.445 - 1.619.914
COR1302052 20387 ETM. ENDO O EXONASAL (VIA ENDOSC.) CON NEURONAVEGADOR 1302044 - 2.877.527 - 2.877.527 - 2.547.598
COR1302053 20391 ETMOIDECTOMIA ENDO O EXONASAL (CON NEURONAVEGADOR) 1302044 - 2.382.678 - 2.382.678 - 2.109.485
COR1302092 18390 FISTULA BUCO-SINUSAL. TRAT. QUIR. 1302045 - 956.958 - 956.958 - 847.233
COR1302113 20322 FISTULA BUCO-SINUSAL. TRAT. QUIR. (VIA ENDOSCOP.) 1302045 - 956.958 - 956.958 - 1.390.745
COR1302054 18360 FRACT. NASAL RECIENTE. CERR.O EXP.REDUCC. C/S YESO 1302046 419.143 419.143 419.143 419.143 380.174 380.174
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
COR1302055 18368 PERFORACION DEL TABIQUE. T.QUIR. 1302048 - 634.022 - 634.022 - 561.326
COR1302056 20316 PERFORACION DEL TABIQUE. T.QUIR. (VIA ENDOSCOP.) 1302048 - 1.220.338 - 1.220.338 - 1.104.704
COR1302057 18392 POLIPO NASAL Y/O COANAL. TRAT. QUIR. 1302049 457.556 457.556 457.556 457.556 405.093 405.093
COR1302058 20314 POLIPO NASAL Y/O COANAL. TRAT. QUIR. (VIA ENDOSCOP.) 1302049 - 971.733 - 971.733 - 860.318
COR1302104 17453 RINITIS ATROFICA, TRAT. POR INCLUSION SUBMUCOSA, CON 1302050 - 939.247 - 939.247 - 877.324
COR1302251 13251 RINOFIMA, TRAT. QUIR. 1302051 - 1.203.489 - 1.203.489 - 1.124.146
COR1302059 20382 RINOPLASTIA Y/O SEPTOPLASTIA. C/NEURONAVEGA 1302052 - 2.630.653 - 2.630.653 - 2.329.029
COR1302060 18364 RINOPLASTIA Y/O SEPTOPLASTIA, CUALQUIERTECNICA 1302052 - 1.200.435 - 1.200.435 - 1.104.704
COR1302061 20326 SENO ESFENOIDAL. ABERT.(VIA ENDOSCOPICA) 1302053 - 2.009.854 - 2.009.854 - 1.779.409
COR1302062 18388 SENO ESFENOIDAL. ABERT.(VIA TRANSETMOIDAL O TRANSEPTAL) 1302053 - 1.262.351 - 1.262.351 - 1.117.615
COR1302063 20320 SENO FRONTAL C/S VACIAM. ETMOIDAL (VIA ENDOSCOP) 1302054 - 1.666.881 - 1.666.881 - 1.475.759
COR1302064 20395 SENO FRONTAL C/S VACIAM. ETMOIDAL C/NEURO 1302054 - 2.294.425 - 2.294.425 - 2.031.349
COR1302065 18378 SENO FRONTAL. T.QUIR. C/S VACIAMIENTO ETMOIDAL 1302054 - 939.247 - 939.247 - 831.553
COR1302066 20325 ANTROSTOMIA SENO MAXILAR , (VIA ENDOSC.) 1302055 - 2.016.147 - 2.016.147 - 1.784.978
COR1302067 20385 ANTROSTOMIA SENO MAXILAR, CUALQUIER VIAC/NEURONAVEGADOR 1302055 - 2.641.926 - 2.641.926 - 2.339.009
COR1302068 18376 ANTROSTOMIA SENO MAXILAR ,CUALQUIER VIA 1302055 - 1.268.642 - 1.268.642 - 1.123.183
COR1302069 18362 SINEQUIA NASAL. TRAT. QUIR. 1302056 419.143 419.143 419.143 419.143 380.174 380.174
COR1302070 20311 SINEQUIA NASAL. TRAT. QUIR. (VIA ENDOSCOP.) 1302056 - 662.699 - 662.699 - 586.720
COR1302072 20321 TUMOR NASAL. EXTIRP. POR RINOT.LATERAL (VIA ENDOSC.) 1302057 - 1.666.881 - 1.666.881 - 1.475.759
COR1302073 18380 TUMOR NASAL. EXTIRP. POR RINOTOMIA LATERAL 1302057 - 939.247 - 939.247 - 831.553
COR1302074 20319 VACIAM. ETMOIDAL C/S POLIP. (VIA ENDOSCOP.) 1302058 - 1.641.114 - 1.641.114 - 1.452.951
COR1302075 18374 VACIAMIENTO ETMOIDAL POR VIA NASAL C/S POLIPECTOMIA 1302058 - 986.672 - 986.672 - 873.543
COR1302076 18402 ARITENOIDECTOMIA VIA ENDOSCOPICA 1302059 - 636.648 - 636.648 - 563.653
COR1302095 18400 ARITENOIDECTOMIA VIA EXTERNA 1302060 - 1.196.975 - 1.196.975 - 1.104.704
COR1302077 18398 DECORTICACION DE CUERDAS VOCALES C/MICROSC. 1302061 - 1.220.497 - 1.220.497 - 1.104.704
COR1302078 19110 TUMORES BENIGNOS POR LARINGOTOMIA 1302062 433.855 433.855 433.855 433.855 396.903 396.903
COR1302079 18404 TUMOR BEN.CUERDAS VOCALES, TRAT. QUIR.(VIA ENDOSC.) 1302063 433.855 433.855 433.855 433.855 396.903 396.903
COR1302080 18305 CORDECTOMIA LARINGEA O SINEQUIA C.VOCALES POR VIA EXT. 1302064 - 939.247 - 939.247 - 831.553
COR1302081 18416 ESTENOSIS LARINGOTRAQUEALES Y/O FARINGEAS. T.QUIR. 1302065 - 1.162.676 - 1.162.676 - 1.104.704
COR1302082 18534 LARINGECTOMIA PARCIAL O SUBTOTAL (CUALQ.TECNICA) 1302066 - 1.967.258 - 1.967.258 - 1.741.697
COR1302094 18536 LARINGECTOMIA TOTAL MAS FARINGECTOMIA PARCIAL 1302067 - 2.310.135 - 2.310.135 - 2.045.263
COR1302083 18412 LARINGOCELE. TRAT. QUIR. 1302069 - 939.247 - 939.247 - 831.553
COR1302084 18519 LARINGOSCOPIA + EXTIRP. POLIPOS 1302070 - 419.143 - 419.143 - 380.174
COR1302085 20313 LARINGOSCOPIA + EXTIRP. POLIPOS (VIA ENDOSCOP.) 1302070 - 652.164 - 652.164 - 577.388
COR1302086 18406 PAPILOMAS LARINGEOS. T.QUIR. (POR SESION) 1302070 412.836 412.836 412.836 412.836 380.174 380.174
COR1302087 20312 PAPILOMAS LARINGEOS. T.QUIR. (POR SESION) (VIA ENDOSCOP.) 1302070 - 652.164 - 652.164 - 577.388
COR1302088 20323 PARALISIS DE CUERDAS VOCALES. T.QUIR. (VIA ENDOSC) 1302071 - 1.666.588 - 1.666.588 - 1.475.503
COR1302089 18410 PARALISIS DE CUERDAS VOCALES. T.QUIR. CUALQ.TEC. 1302071 - 939.247 - 939.247 - 831.553
COR1302090 18414 TRAQUEOSTOMIA (PROC. AUT.) 1302072 - 939.247 - 939.247 - 831.553
COR1302091 18367 ESTENOSIS LARINGOTRAQ.FARIN.T.QUIR.P/VIA ENDOSCOPICA 1302073 445.273 445.273 445.273 445.273 396.903 396.903
COR1302174 13123 INTERVENCION QUIRURGICA IMPLANTE COCLEAR 1302074 - 3.330.660 - 3.330.660 - 3.276.213
CCA1402000 18436 TIROIDECTOMIA BILATERAL TOTAL 1402001 - 1.620.478 - 1.620.478 - 1.434.678
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CCA1402001 20341 TIROIDECTOMIA BILATERAL TOTAL VIA ENDOSC. 1402001 - 2.205.633 - 2.205.633 - 1.952.737
CCA1402002 18434 TIROIDECTOMIA BILATERAL SUBTOTAL 1402002 - 1.642.876 - 1.642.876 - 1.454.509
CCA1402003 18440 BOCIO INTRATORACICO. T.QUIR. POR ESTERNOTOMIA 1402003 - 2.197.740 - 2.197.740 - 1.945.750
CCA1402004 18627 LOBECTOMIA CON O S/ ISTMECTOMIA O RESEC.PARCIAL 1402005 - 1.190.634 - 1.190.634 - 1.104.704
CCA1402005 18442 TIROIDECTOMIA TOT. AMPLIADA (INCLUYE EXTIRP. DE ESTRUC. ANATOMICAS
1402006 VECINAS) - 2.137.145 - 2.137.145 - 1.892.108
COR1302008 18450 AUTOINJERTO DE PARATIROIDES 1402007 - 1.191.804 - 1.191.804 - 1.104.704
CCA1402006 18446 PARATIROIDES. EXP. CERVIC.MAS ESTERNOTOMIA POR HIPERPAR.1402008 - 2.208.126 - 2.208.126 - 1.954.952
CCA1402007 18444 PARATIROIDES. EXPLOR. CERVICAL POR HIPERPARATIROIDISMO 1402009 - 1.647.121 - 1.647.121 - 1.458.266
CCA1402008 18691 PARATIROIDES. REINTERV.POR HIPERPARATIROIDISMO 1402010 - 2.221.290 - 2.221.290 - 1.966.600
COR1302011 18452 PAROTIDECTOMIA PARCIAL (SUPRAFACIAL) 1402011 - 1.211.563 - 1.211.563 - 1.104.704
COR1302013 18454 PAROTIDECTOMIA TOTAL 1402012 - 1.643.613 - 1.643.613 - 1.455.159
COR1302016 18456 PAROTIDECTOMIA TOTAL AMPLIADA 1402013 - 2.150.311 - 2.150.311 - 1.903.758
COR1302018 18458 TOTALIZACION DE PAROTIDECTOMIA PARCIAL PREVIA 1402014 - 2.180.312 - 2.180.312 - 1.930.326
CCA1402009 18462 SUB-MANDIBULECTOMIA AMPLIADA 1402015 - 1.914.423 - 1.914.423 - 1.694.919
COR1302020 18460 SUB-MANDIBULECTOMIA 1402016 - 1.211.563 - 1.211.563 - 1.104.704
CCA1402010 18464 **EXTIRPACION GLANDULA SALIVAL SUBLINGUAL 1402017 - 948.037 - 948.037 - 839.339
CCA1402011 18474 ABSCESO PAROTIDEO SUBMAXILAR Y/O CERVICAL PROFUNDO,TRAT.QUIR
1402019 - 424.924 - 424.924 - 396.903
CCA1402012 18472 CONDUCTOS SALIVALES DE EXCRECION.REIMP.ORO-FARINGEA 1402020 - 939.247 - 939.247 - 831.553
COR1402006 18470 FISTULA SALIVAL. TRAT. QUIR. 1402021 - 436.663 - 436.663 - 396.903
CCA1402013 18468 MUCOCELE O QUISTE LABIAL. TRAT. QUIR. 1402022 391.435 412.978 391.435 412.978 365.628 380.174
CCA1402014 18001 TORTICOLIS CONGENITA. TRAT. QUIR. 1402023 - 1.134.287 - 1.134.287 - 1.058.775
CCA1402015 18476 QUISTES Y/O FISTULAS DEL CONDUCTO TIROGLOSO.Y/O BRANQUIAL.1402024 - 1.211.563 - 1.211.563 - 1.104.704
CCA1402016 18478 TUMORES DEL CUERPO CAROTIDEO. T.QUIR.(INC.PROC.VASCULAR)1402025 - 1.653.265 - 1.653.265 - 1.463.707
CCA1402017 18482 BIOPSIA QUIR.MUCOSA ORONASOFARINGEA (P.AUT.) 1402026 419.143 419.143 419.143 419.143 380.174 380.174
CCA1402018 20330 BIOPSIA QUIR.MUCOSA ORONASOFARINGEA ENDOSCÓPICA 1402026 - 662.699 - 662.699 - 586.720
CCA1402019 18695 BIOPSIA QUIR.PIEL Y MUCOSA CARA (P.AUT.) 1402027 419.143 419.143 419.143 419.143 380.174 380.174
CCA1402020 18486 RESECCION CUTANEA AMPLIADA 1402028 - 1.211.563 - 1.211.563 - 1.104.704
CCA1402021 18484 RESECCION CUTANEA SIMPLE (SUTURA PRIMARIA) 1402029 - 455.810 - 455.810 - 403.546
CCA1402022 18488 TUMOR MALIGNO DE LABIO SUP.O INF.RESEC.TOTAL 1402030 - 1.173.211 - 1.173.211 - 1.104.704
CCA1402023 18697 TUMOR MALIGNO DE LABIO SUP.O INF.RESEC.PARCIAL 1402031 - 1.211.563 - 1.211.563 - 1.104.704
CCA1402024 18490 RESECCION PARCIAL Y CIRUGIA REPARADORA NARIZ 1402032 - 939.247 - 939.247 - 831.553
CCA1402045 18502 RESECCION FRONTO-NASO-ETMOIDIANA 1402034 - 1.927.939 - 1.927.939 - 1.706.889
CCA1402135 18510 EXANT.ORBITARIA AMPLIADA (INC.ETMOIDES,HUE.FRONTAL, B.CRANEO ANTERIOR Y REGION
1402035 - 3.161.231 - 3.161.231 - 2.838.334
CCA1402025 18512 HUESO TEMPORAL. EXTIRP. RADICAL 1402036 - 3.123.324 - 3.123.324 - 2.765.211
CCA1402026 18504 MAXILECTOMIA PARCIAL (INC.PALADAR OSEO) 1402037 - 1.655.604 - 1.655.604 - 1.465.778
CCA1402044 18699 **MAXILECTOMIA PARCIAL (INCLUYE PALADAROSEO; REPARACION CON COLGAJO)
1402038 - 1.664.236 - 1.664.236 - 1.473.419
CCA1402046 18508 MAXILECTOMIA RADICAL AMPLIADA (INCLUYE EXANTERACION ORBITARIA Y DE FOSA CRANEAL
1402039 - 3.161.231 - 3.161.231 - 2.838.334
CCA1402043 18506 MAXILECTOMIA RADICAL CLASICA (INCLUYE EXANTERACION ORBITARIA Y REPARACION CON
1402040 - 2.449.539
CO - 2.449.539 - 2.168.678
CCA1402027 18514 GLOSECTOMIA PARCIAL. REPARACION PRIMARIA 1402042 - 1.211.709 - 1.211.709 - 1.104.704
CCA1402028 18703 RESECCION AMPLIA DE TUMOR MALIGNO CAVIDAD ORAL Y OROFARINGEA
1402043Y DISECCION GANGLIO
- 1.545.554 - 1.545.554 - 1.388.292
CCA1402029 18522 HEMIMANDIBULECTOMIA 1402044 - 1.644.336 - 1.644.336 - 1.455.799
CCA1402080 17943 ** MANDIBULECTOMIA TOTAL 1402045 - 1.863.895 - 1.863.895 - 1.739.812
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CCA1402030 18530 OPERACION COMANDO (INC.EXTIRP.TUMOR. HEMIMANDIB.) 1402046 - 3.904.546 - 3.904.546 - 3.502.382
CCA1402031 18520 RESECCION DE MANDIBULA PARCIAL 1402047 - 939.247 - 939.247 - 831.553
COR1302102 18528 RESEC.TRIDIMENSIONAL INTRA-ORAL O FARINGEA AMPLIADA 1402048 - 405.901 - 405.901 - 1.720.911
CCA1402032 18532 FARINGECTOMIA PARCIAL 1402050 - 1.211.563 - 1.211.563 - 1.104.704
CCA1402033 18542 GENIOPLASTIA 1402051 - 605.465 - 605.465 - 565.158
CCA1402034 18544 OSTEOTOMIAS SEG.SOBRE MANDIBULA (TIPO KO 1402052 - 1.211.563 - 1.211.563 - 1.104.704
CCA1402035 18546 OSTEOTOMIAS TOT.SOBRE MAND.(SAGITAL.DE R 1402053 - 1.638.043 - 1.638.043 - 1.450.228
CCA1402036 18552 REDUC. CERRADA DE FRACT. MAXILOFACIALES 1402054 - 645.294 - 645.294 - 571.305
CCA1402037 18556 REDUC.Y OSTEOSINT.MULT.C/S LIG.CIRCUNFER 1402055 - 930.471 - 930.471 - 824.257
CCA1402038 18554 **REDUCCION ABIERTA DE FRACTURAS MAXILOFACIALES CON OSTEOSINTESIS
1402056 UNICA - 625.246 - 625.246 - 553.555
CCA1402039 18560 RECONST.COMPLEJ.DE LA CARA SIMULT.C/PROC 1402057 - 2.396.700 - 2.396.700 - 2.121.898
CCA1402040 18558 RECONSTRUC.DE PART.DURAS Y BLANDAS DE LA 1402058 - 1.619.160 - 1.619.160 - 1.433.511
CCA1402041 18562 REMOCION QUIR.DE ARCOS Y/O ALAMB.(P.COMP) 1402059 - 654.659 - 654.659 - 579.599
CCA1402042 18550 ** REMOCION SIMPLE (PROC.AUT.) 1402060 - 454.336 - 454.336 - 402.242
CPL1502004 18572 HERIDAS COMPLICADAS: 1 O VARIAS DE MAS DE 5 CMS. Y/O UBICADAS EN
1502001 625.246 625.246 625.246 625.246 553.555 553.555
CPL1502005 18570 HERIDAS SIMPLES: 1 O VARIAS DE HASTA 5 CMS. QUE SOLO COMPROMETEN
1502002 418.842 418.842 418.842 418.842 380.174 380.174
CPL1502158 21051 HERIDAS SIMPLES: 1 O VARIAS DE HASTA 5 CMS. (URGENCIA) 1502002 131.810 131.810 131.810 131.810 123.121 123.035
CPL1502006 18574 IMPLANTE DE SILICONA FACIAL (CUALQ. ZONA O ZONAS) 1502003 603.023 636.213 603.023 636.213 563.268 563.268
CPL1502007 18576 RESECCION PLASTICA DE HASTA 2 CICATRICES (CUALQUIER 1502004 126.249 425.068 126.249 425.068 376.330 396.903
CPL1502008 18578 RESECCION PLASTICA DE 3 O MAS CICATRICES (CUALQUIER 1502005 212.328 620.265 212.328 620.265 549.152 549.152
CPL1502009 18580 INJERTOS HASTA 1% SUPERFICIE CORPORAL RECEPTORA 1502006 457.836 457.836 457.836 457.836 405.345 405.345
CPL1502010 18582 INJERTOS HASTA 5% SUPERFICIE CORPORAL RECEPTORA 1502007 652.165 652.165 652.165 652.165 577.389 577.389
CPL1502011 18584 INJERTO PIEL Y/O MUCOSA HASTA 10% SUPERFICIE CORPORAL RECEP.
1502008 - 951.544 - 951.544 - 842.443
CPL1502012 18586 INJERTOS POR CADA 10% (O SU FRACCION) ADICIONAL HASTA 50%1502009 - 1.242.287 - 1.242.287 - 1.104.704
CPL1502187 INJERTOS 51% Y MAS DE SUPERFICIE CORPORAL RECEPTORA 1502010 - 4.109.171 - 4.109.171 - 3.502.382
CPL1502013 18590 PIEL TOTAL.CUAL.TAM.(INC.TRAT.ZONAS) 1502011 - 2.016.142 - 2.016.142 - 1.784.977
CPL1502014 18592 TOMA DE INJ.CARTILAGO (AURICULAR, COSTAL O SIMILARES) C/U 1502012 625.246 625.246 625.246 625.246 553.555 553.555
CPL1502015 18594 TOMA DE INJ.OSEO (COSTAL, ILIACO, TIBIAL O SIMILARES) C/U. 1502013 - 928.420 - 928.420 - 824.257
CPL1502016 18596 PLATIAS EN Z. HASTA 3 1502014 625.246 625.246 625.246 625.246 553.555 553.555
CPL1502017 18598 PLASTIAS EN Z. 4 Y MAS 1502015 - 939.247 - 939.247 - 831.553
CPL1502018 18604 COLGAJOS COMPLEJOS (ABBE.MUSTARDA.CONVERSE) 1502016 - 1.658.088 - 1.658.088 - 1.467.976
CPL1502019 18610 COLGAJOS LIBRES CON MICROANASTOMOSIS 1502017 - 2.144.898 - 2.144.898 - 1.898.970
CPL1502020 18606 COLGAJOS MUSCULARES O MUSCULOTANEOS 1502018 - 1.635.115 - 1.635.115 - 1.447.637
CPL1502021 18608 COLGAJOS OSTEOMUSCULOCUTANEOS 1502019 - 1.940.474 - 1.940.474 - 1.717.981
CPL1502022 18602 COLGAJOS SIMPLES DOS O MAS 1502020 - 1.211.563 - 1.211.563 - 1.104.704
CPL1502023 18600 COLGAJO SIMPLE UNICO 1502021 - 944.226 - 944.226 - 835.963
CPL1502025 18618 PARALISIS FACIAL. TRANSPLANTES MUSCULARES 1502022 - 1.190.043 - 1.190.043 - 1.104.704
CPL1502026 18620 RIDECTOMIA CERVICO-FACIAL. UN LADO 1502023 - 1.205.270 - 1.205.270 - 1.104.704
CPL1502027 18622 RIDECTOMIA FRONTAL 1502024 - 939.247 - 939.247 - 831.553
CPL1502028 20372 RIDECTOMIA FRONTAL (VIA ENDOSCOPICA) 1502024 - 1.666.881 - 1.666.881 - 1.475.759
CPL1502029 18624 OREJAS ALADAS O EN ASA, CORRECCION PLASTICA 1502025 599.194 599.194 599.194 599.194 530.494 530.492
CPL1502030 18629 LOBULO AURICULAR PARTIDO.CORR.PLAST.(PR. AUT) 1502026 126.249 457.836 126.249 457.836 405.345 405.345
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CPL1502031 18626 MALFORMACION CONGENITA COMPLEJA EN OREJAS, CADA PLASTIA O PLASTIAS EN TIEMPOS
1502027 - DI
939.247 - 939.247 - 831.553
CPL1502032 18632 CORRECCION NASAL PARCIAL (ALARES.ALARG.O SIMILAR) 1502028 - 939.247 - 939.247 - 831.553
CPL1502033 18636 BLEFAROPLASTIA UNO O AMBOS PARPADOS INFERIORES 1502029 - 939.247 - 939.247 - 831.553
CPL1502034 18383 BLEFAROPLASTIA UNO O AMBOS PARPADOS SUPERIORES 1502030 - 936.622 - 936.622 - 829.228
CPL1502035 18640 CORRECCION QUIRURGICA SECUNDARIA DE QUEILOPLASTIA 1502031 - 939.247 - 939.247 - 831.553
CPL1502036 18638 QUEILOPLASTIA PRIMARIA. UN LADO ( PR.QUIR.COMP.) 1502032 - 939.247 - 939.247 - 831.553
CPL1502037 18644 CIERRE DE PALADAR DURO Y/O CIERRE DE COM.ORO-NASAL 1502033 - 939.247 - 939.247 - 831.553
CPL1502038 18648 CIERRE MUCOSO VESTIBULO ORAL 1502034 - 939.247 - 939.247 - 831.553
CPL1502039 18642 PLASTIA DE VELO (CUALQ.TECNICA) 1502035 - 939.247 - 939.247 - 831.553
CPL1502040 18656 CIERRE DE MACROSTOMIA. UN LADO 1502036 - 939.247 - 939.247 - 831.553
CPL1502071 15271 TRAT.QUIRURGICO DE ANOMALIAS CRANEO FACIALES 1502037 - 1.632.626 - 1.632.626 - 1.524.991
CPL1502041 18652 **RECONSTRUCCION OSTEOPLASTICA REBORDE ALVEOLAR BILATERAL EN UN TIEMPO -
1502038 1.190.043 - 1.190.043 - 1.104.704
CPL1502042 18650 **RECONSTRUCCION OSTEOPLASTICA REBORDE ALVEOLAR UNILATERAL 1502039 - 935.294 - 935.294 - 828.055
CPL1502066 15266 DIST. ORBITARIAS: MOVILIZACION UNILATERAL O VERTICAL 1502040 - 1.132.280 - 1.132.280 - 1.205.273
CPL1502157 18672 EXPANSION O RECONSTRUCCION DE UN MICRO-ORBITISMO 1502041 - 2.457.470 - 2.457.470 - 2.295.453
CPL1502043 18705 SIND.DE APERT CROUZON O SIMILAR:AVANCE FRONTO-ORBITO-MAX 1502042 - 3.330.660 - 3.330.660 - 2.948.775
CPL1502044 18666 SIND.DE APERT CROUZON O SIMILAR: OSTEOTOMIA TIPO LE FORT III 1502043 - 3.330.660 - 3.330.660 - 2.948.775
CPL1502045 18660 CORRECCION TELECANTO 1502044 - 1.205.270 - 1.205.270 - 1.104.704
CPL1502116 18664 MOVILIZACION ORBITARIA INTRACRANEANA. TIEMPO FACIAL 1502046 - 4.001.471 - 4.001.471 - 3.542.676
CPL1502046 18684 GINECOMASTIA. CORRECCION PLASTICA 1502047 - 938.954 - 938.954 - 831.296
CPL1502047 18411 MAMOPLASTIA DE AUMENTO (UNILATERAL) 1502048 - 1.211.563 - 1.211.563 - 1.104.704
CPL1502048 18676 MAMOPLASTIA DE REDUCCION 1502049 - 1.201.763 - 1.201.763 - 1.104.704
CPL1502049 18678 MASTOPEXIA C/S IMPLANTE DE PROTESIS 1502050 - 1.213.899 - 1.213.899 - 1.104.704
CPL1502050 18682 RECONSTRUCCION AREOLA Y/O PEZON C/S PLASTIA (PROC. AUT.) 1502051 - 939.247 - 939.247 - 831.553
CPL1502051 18680 RECONSTRUCCION MAMARIA 1502052 - 1.648.287 - 1.648.287 - 1.459.298
CPL1502052 18628 LIPECTOMIA ABDOMINAL C/S TRANSPLANTE DEOMBLIGO 1502053 - 1.191.804 - 1.191.804 - 1.104.704
CPL1502053 18690 TRATAMIENTO DE ESCARAS DE DECUBITO, CONRESECCION OSEA C/S COLGAJO DE ROTACION
1502054 - 1.668.929 - 1.668.929 - 1.477.572
CPL1502054 18692 TRATAMIENTO DE ESCARAS DE DECUBITO, CONRESECCION OSEA Y COLGAJOS MUSCULARES
1502055 - 1.632.626
OM - 1.632.626 - 1.445.435
CPL1502055 18696 SINDACTILIA. TRAT. QUIR. CADA ESPACIO CON INJERTO 1502056 - 939.247 - 939.247 - 831.553
COR1302071 18449 SINDACTILIA. TRAT. QUIR. CADA ESPACIO SIN INJERTO 1502057 652.165 652.165 652.165 652.165 577.389 577.389
CPL1502056 18698 POLIDACTILIA. EXTIRPACION Y PLASTIA UN LADO 1502058 - 939.247 - 939.247 - 831.553
CPL1502057 18639 LIPECTOMIA GLUTEA. UN LADO 1502059 - 1.184.482 - 1.184.482 - 1.104.704
CPL1502058 18641 LIPECTOMIA TROCANTEREA. UN LADO 1502060 - 1.211.709 - 1.211.709 - 1.104.704
CPL1502059 18704 ESCAROTOMIA HASTA 10% SUPERFICIE CORPORAL 1502061 661.384 661.384 661.384 661.384 585.551 585.551
CPL1502060 18706 ESCAROTOMIA POR CADA 10% ADICIONAL (O SU FRACCION) 1502062 423.373 423.373 423.373 423.373 380.174 380.174
CPL1502062 18708 ESCARECTOMIA HASTA 1% SUPERFICIE CORPORAL 1502063 451.998 451.998 451.998 451.998 400.173 400.173
CPL1502063 18710 ESCARECTOMIA HASTA 5% SUPERFICIE CORPORAL 1502064 644.843 644.843 644.843 644.843 570.912 570.910
CPL1502064 18712 ESCARECTOMIA HASTA 10% SUPERFICIE CORPORAL 1502065 - 948.037 - 948.037 - 839.339
CPL1502065 18714 ESCARECTOMIA POR CADA 10% ADICIONAL (O SU FRACCION) 1502066 - 1.236.155 - 1.236.155 - 1.104.704
CDE1601124 20386 TRATAMIENTO POR LASER, IPL O SIMILAR POR AREA HASTA 16 CM21601124 - 230.019 - 230.019 - 194.399
CDE1602006 18764 BIOPSIA PIEL Y/O MUCOSA POR CURETAJE O SEC.TANGENCIAL C/S1602201
ELECTRO POR 197.556
LESION 415.462 97.556 415.462 92.679 380.174
CDE1602007 18774 CABEZA, CUELLO, GENIT. HASTA 3 LESIONES: EXT., REP.O BIOP.,TOT.O PARCIAL, DE97.556
1602202 LES 404.355 97.556 404.355 92.678 380.174
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CDE1602008 18782 RESTO DEL CUERPO HASTA 3 LESIONES: EXTIRPACION, REPARACION O BIOPSIA, TOTAL
1602203 97.556O PA 419.143 97.556 419.143 92.678 380.174
CDE1602009 19005 CABEZA, CUELLO Y GENITALES DESDE 4 Y HASTA 6 LESIONES: EXTIRPACION,
1602204 REP. O97.556
BIOPS 327.511 97.556 327.511 92.678 305.707
CDE1602010 19015 RESTO DEL CUERPO DESDE 4 Y HASTA 6 LESIONES: EXTIRPACION, 1602205
REPARACION O 97.556
BIOPSIA, 344.641 97.556 344.641 92.678 321.697
CDE1602011 18038 EXT DE LES BEN POR SEC TANG, CURET Y/O FULG. HASTA 15 LESIONES
1602206 97.556 395.126 97.556 395.126 92.679 368.822
CDE1602012 18056 TRAT. ELECTRO DE HAMANG. O TELANGECTASIAS HASTA 15 LESIONES 1602207 395.126 395.126 395.126 395.126 368.822 368.822
CDE1602013 19007 CAB, CUELLO, GEN: TRAT. QUIR. TUMOR MALIG. X ESCISION TOTAL/PARCIAL,
1602211 C/S SUTURA,
126.249 360.822 126.249 360.822 119.937 336.802
CDE1602211 18169 TUM MAL EXC TOT/PAR C/S SUT C/LES CAB, CUE Y GEN - TECNICA MOHS
1602211 441.434 441.434 441.434 441.434 309.004 373.078
CDE1602016 18424 RESTO DEL CUERPO: TRAT. QUIR. TUMOR MALIG. X ESCISION TOTAL/PARCIAL,
1602212 C/S 126.249
SUTURA, 426.398 126.249 426.398 119.937 396.903
CDE1602017 19009 CAB, CUE, GEN O MELANOMA: AMP MARGEN QUIR. TUM MALIG. CUALQ UBICACION 97.556
1602213 345.073 97.556 345.073 92.678 322.102
CDE1602018 19011 RESTO DEL CUERPO: AMP MARGEN QUIR. TUM MALIG. CUALQ UBICACION
1602214 97.556 366.738 97.556 366.738 92.678 342.324
CDE1602019 18054 TUMORES VASC. PROF. CARA, CUERO CABELLUDO, CUELLO, GENITALES1602215 602.011 602.011 602.011 602.011 532.989 532.990
CDE1602020 18778 TUMORES VASCULARES PROFUNDOS RESTO DEL CUERPO 1602216 457.836 457.836 457.836 457.836 405.345 405.345
CDE1602021 18768 HER.CORTANTE O CONTUSA COMP., REP.Y SUTURA (MAS DE 5 CM)1602221 444.680 444.680 444.680 444.680 396.903 396.903
CDE1602022 21252 SUTURA MENOR GENERAL 1602222 86.193 86.193 86.193 86.193 80.511 80.455
CDE1602023 18766 HERIDA CORTANTE O CONTUSA NO COMPLICADA. REP. Y SUT. 1602222 419.143 419.143 419.143 419.143 391.241 391.241
CDE1602035 21052 HERIDA CORTANTE O CONTUSA NO COMPLICADA. REP. Y SUT. (URGENCIAS)
1602222 131.810 131.810 131.810 131.810 123.035 123.035
CDE1602024 18055 CAB, CUELLO, GEN: EXTIRP. LESION BEN. SUBEPIDERMICA, INCLUYE TUMOR SOLIDO,
1602223 97.556
QUIST 417.513 97.556 417.513 92.678 380.174
CDE1602025 18792 RESTO DEL CUERPO: EXTIRP. LESION BEN. SUBEPIDERMICA, INCLUYE TUMOR SOLIDO,
1602224 97.556
QUIST 419.143 97.556 419.143 97.969 380.174
CDE1602026 18772 VACIAMIENTO Y CURETAJE QUIR. DE LESIONES QUISTICAS O ABSESOS1602225 97.556 412.836 97.556 412.836 92.678 380.174
CDE1602027 19630 ONICECTOMIA TOTAL O PARCIAL SIMPLE 1602231 99.444 419.143 99.444 419.143 92.824 380.174
CDE1602028 19017 CIRUGIA REPARADORA UNGUEAL POR PROCESO INFLAMATORIO 1602232 99.444 388.401 99.444 388.401 92.824 362.545
CDE1602029 19001 CORRECCION QUIRURGICA DE DEFECTO CONGENITO O POR TUMOR UNGUE
1602233 395.864 395.864 395.864 395.864 369.511 369.511
CDE1602030 18756 CURACION POR MEDICO QUEMADURAS O SIMIL MENOR AL 5% 1602240 973.923 973.923 973.923 973.923 862.255 862.255
CDE1602036 21053 CURACION POR MEDICO QUEM. O SIMIL MENORAL 5% (URGENCIA) 1602240 131.810 131.810 131.810 131.810 123.120 123.035
CDE1602031 18758 CURACION POR MEDICO QUEMADURAS O SIMIL DE 5% AL 10% 1602241 1.241.118 1.241.118 1.241.118 1.241.118 1.098.813 1.098.813
CDE1602032 18760 CURACION POR MEDICO QUEMADURAS O SIMIL.MAYOR AL 10% SUPERF. 1602242 - 1.692.178 - 1.692.178 - 1.498.157
PCA1701016 8000 CINECORONARIOGRAFIA DER.Y/O IZQ.(INC.VENTRICULOGRAFIA IZQUIERDA)
1701019 (A.C. 04-02-030
- 855.555 - 855.555 - 756.712
PCA1701017 8002 ESTUDIO BY-PASS 1701019 - 453.397 - 453.397 - 428.178
PCA1701068 8087 VENTRICULOGRAFIA DERECHA (INC.SONDEO CARDIACO IZ) NI O ADUL.1701020 - 588.543 - 588.543 - 521.449
PCA1701018 8058 VENTRICULOGRAFIA IZQUIERDA (INC.SONDEO CARDIACO IZ) NI O ADUL.
1701021 - 211.329 - 211.329 - 197.261
CCD1703069 19611 FLEBOGRAFIA DE CADA EXTREMIDAD (A.C.04-02-038) 1701026 - - - - - 210.194
PCA1701024 8013 ANGIOPL. INTRA CORONARIA PROC. CARDIO (AC 0402022) 1701031 - 1.349.299 - 1.349.299 - 1.212.511
PCA1701025 8018 ANGIOPLASTIA INTRALUMINAL PERIFERICA PROC.CARDIO.(A.C.04-02-023)
1701032 - 868.734 - 868.734 - 824.256
PCA1701027 18459 BIOPSIA ENDOMIOCARDICA (PROC. COMPLETO) 1701033 - 438.025 - 438.025 - 450.242
PCA1701033 18457 SEPTOSTOMIA DE RASHKIND 1701038 - 438.332 - 438.332 - 396.902
PCA1701034 20510 TROMBOLISIS ARTERIAL CEREBRAL 1701039 - 1.534.332 - 1.534.332 - 1.340.257
PCA1701035 18463 TROMBOLISIS ARTERIAL PERIFERICA 1701039 - 451.924 - 451.924 - 400.107
PCA1701036 18461 TROMBOLISIS INTRACORONARIA ( D.P. ) 1701040 - 420.090 - 420.090 - 396.902
PCA1701037 8034 VALVULOPLASTIA AORTICA Y PULMONAR(AC 04-02-033) 1701042 - 756.040 - 756.040 - 591.163
PCA1701042 18029 ESTUDIO ELECTROFISIOLOGICO ENDOCARDIACODE ARRITMIAS 1701046 - 652.696 - 652.696 - 671.758
PCA1701043 18033 ABLACION C/CORRIENTE CONTINUA O RADIOFRECUENCIA NODULO1701050AURICULO-VENTRICULAR - 649.279 - 649.279 - 668.229
PCA1701045 18171 ABLACION C/CORRIENTE CONTINUA O C/RADIOFRECUENCIA FOCO ARRITMICO
1701051 O VIAS ACCESORI
- 1.145.148 - 1.145.148 - 1.110.736
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PCA1701046 31001 ECOCARDIOGRAMA BIDIMENSIONAL DOPPLER COLOR TRANSESOFAGICO1701055 358.843 358.843 358.843 358.843 334.954 334.954
CCD1703000 18900 EMBOLECTOMIA Y/O TROMBECTOMIA. UNILAT. MIEMBRO SUP. O INF.
1703001 - 2.016.142 - 2.016.142 - 1.784.977
CCD1703001 18906 FISTULA ARTERIOVENOSA CONGENITA O TRAUMATICA. REP.QUIR. 1703002 - 792.882 - 792.882 - 740.098
CCD1703002 18908 FISTULA ARTERIOVENOSA (DE BRESCIA O SIMILAR) 1703003 - 1.666.881 - 1.666.881 - 1.475.759
CCD1703004 18902 REP.QUIR. DE VASOS ARTERIALES Y/O VENOSOS 1703005 - 2.426.997 - 2.426.997 - 2.148.721
CCD1703005 18904 REP.QUIR. DE VASOS ARTERIALES Y/O VENOSOS PERIFERICOS 1703006 - 1.992.286 - 1.992.286 - 1.763.858
CCD1703006 18914 ANEURISMA AORTICO ABDOMINAL TRAT.QUIR. 1703007 - 3.443.179 - 3.443.179 - 3.569.674
CCD1703007 18915 ANEURISMA AORTICO ABD.TRAT.QUIR.(VIA PERCUTANEA) 1703007 - 3.472.782 - 3.472.782 - 3.074.042
CCD1703008 18916 ANEURISMAS PERIFERICOS. TRAT.QUIR. 1703008 - 1.622.833 - 1.622.833 - 1.436.761
CCD1703009 18912 ANEURISMAS TORACO-ABDOMINAL TRAT.QUIR. 1703009 - 4.867.923 - 4.867.923 - 5.058.416
CCD1703010 18992 TTO. ENDOVASC. ANEURISMA TORACICO C/ ENDOPROTESIS 1703009 - 4.867.923 - 4.867.923 - 5.058.416
CCD1703011 18431 PUENTE AORTO BIFEMORAL 1703010 - 2.376.653 - 2.376.653 - 2.104.154
CCD1703012 18426 PUENTE AORTO UNIFEMORAL 1703011 - 2.411.781 - 2.411.781 - 2.135.252
CCD1703013 18918 PUENTES AORTO-VISCERAL (RENAL. MESENTERICO O SIMILAR) 1703012 - 3.353.640 - 3.353.640 - 2.969.119
CCD1703014 18920 PUENTES AORTO-ILIACO 1703013 - 3.355.829 - 3.355.829 - 2.971.060
CCD1703015 18926 ENDARTERECTOMIA CAROTIDEA. SUBCLAVIA. VERTEBRAL. FEMORAL 1703014 - 2.411.781 - 2.411.781 - 2.135.252
CCD1703016 18930 ENDARTERECTOMIA FEMORAL COMUN. SUPERFICIAL O PROFUNDA1703015 - 2.454.950 - 2.454.950 - 2.173.470
CCD1703017 18435 PUENTE FEMORO-TIBIAL O DISTALES 1703017 - 2.411.781 - 2.411.781 - 2.135.252
CCD1703018 18922 PUENTE FEMORO-POPLITEO 1703018 - 2.411.781 - 2.411.781 - 2.135.252
CCD1703019 18932 LIGADURA TRONCOS ARTERIALES. (PROC.AUT.) 1703019 - 2.016.142 - 2.016.142 - 1.784.977
CCD1703020 18924 OTRAS DERIV.: FEMORO-FEMORAL. AXILO-HUMERAL 1703020 - 2.431.379 - 2.431.379 - 2.152.605
CCD1703021 18944 ANASTOMOSIS PORTOCAVA U OTRAS PORTOSISTEMICAS 1703021 - 3.336.075 - 3.336.075 - 2.953.570
CCD1703022 18946 ANASTOMOSIS VENOSAS INTRAABDOMINALES 1703022 - 3.365.933 - 3.365.933 - 2.980.007
CCD1703023 18954 IMPLANTE FILTROS VENOSOS 1703025 - 1.958.001 - 1.958.001 - 1.745.967
CCD1703024 18934 LIGADURA CAYADO SAFENA INTERNA. UNILATERAL 1703026 - 939.247 - 939.247 - 831.553
CCD1703025 18952 LIGADURA OTROS TRONCOS VENOSOS 1703027 - 939.247 - 939.247 - 831.553
CCD1703026 18950 LIGADURA VENA CAVA INFERIOR 1703028 - 1.975.311 - 1.975.311 - 1.748.829
CCD1703027 18940 RESECCION CUTANEO-APONEUROTICA UNILATERAL (INCLUYE FAS-1703029 - 1.202.785 - 1.202.785 - 1.104.704
CCD1703028 18936 SAFENECTOMIA INTERNA Y/O EXTERNA. UNILATERAL 1703030 - 1.090.095 - 1.090.095 - 1.017.526
CCD1703029 18942 TROMBECTOMIA DE VENAS PROFUNDAS 1703031 - 1.211.416 - 1.211.416 - 1.104.704
CCD1703030 18980 ANASTOMOSIS LINFOVENOSAS 1703032 - 1.645.357 - 1.645.357 - 1.456.706
CCD1703071 18545 LINFEDEMA TRATAMIENTO QUIRURGICO DE UNAEXTREMIDAD 1703033 - 1.670.036 - 1.670.036 - 1.827.209
CCD1703031 18956 ADENITIS. TRAT. QUIR. 1703034 - 451.998 - 451.998 - 400.173
CCD1703032 18958 BIOPSIA QUIR. GANGLIONAR (CUALQ.REGION PERIFERICA) 1703035 - 432.379 - 432.379 - 396.903
CCD1703033 18960 BIOPSIA QUIR. GANGLIONAR VIA LAPAROSCOPICA 1703035 - 1.130.670 - 1.130.670 - 1.001.029
CCD1703034 18966 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: AXILO-SUPRACLAVICULAR
1703036 - 2.195.398 - 2.195.398 - 1.943.679
CCD1703035 18964 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: CERVICO-TORACICA
1703037 - 2.208.126 - 2.208.126 - 1.954.952
CCD1703036 18974 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: ILEOINGUINAL1703038 - 2.188.805 - 2.188.805 - 1.937.845
CCD1703037 18975 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: ILEOINGUINAL(VIA LAP.)
1703038 - 2.373.365 - 2.373.365 - 2.215.366
CCD1703038 18972 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: INGUINOESCROTALES
1703039 - 2.215.446 - 2.215.446 - 1.961.427
CCD1703039 18847 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: LUMBO-AORTICOS VIA LAPAROSCOPICA
1703040 - 3.356.714 - 3.356.714 - 2.971.843
CCD1703040 18970 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: LUMBO-AORTICOS
1703040 - 2.402.704 - 2.402.704 - 2.127.218
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CCD1703042 19037 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: MEDIASTINICOS 1703041 - 3.365.933 - 3.365.933 - 2.980.007
CCD1703043 18968 DISECCION Y EXTIRPACION GANGLIONAR MEDIASTINICOS (PROC. AUT 1703041 - 2.411.781 - 2.411.781 - 2.135.252
CCD1703044 18962 VACIAMIENTO (DISECCION) RADICAL CUELLO (V.R.C) CLASICO IPSILATERAL
1703043 - 1.972.081 - 1.972.081 - 1.745.967
CNE1103083 17343 VACIAMIENTO (DISECCION) RADICAL CUELLO (V.R.C.) C/NEURONAVEGADOR
1703043 - 2.436.073 - 2.436.073 - 2.275.467
CCD1703045 18496 DISECCION Y EXTIRPACION GANGLIONAR REGIONAL: YUGULAR SIMPLE 1703044 - 939.247 - 939.247 - 831.553
CCD1703046 19991 SIMPATECTOMIA CERVICO-TORACICA 1703045 - 1.461.822 - 1.461.822 - 1.364.507
CCD1703048 18984 SIMPATECTOMIA LUMBAR 1703046 - 2.223.642 - 2.223.642 - 1.968.686
CCD1703074 ANASTOMOSIS VASCULARES SISTEMICOPULMONARES (BLALOCK-POTT- 1703047 - 2.887.730 - 2.887.730 - 2.695.490
CCD1703049 19010 CAMBIO DE GENERADOR DE MARCAP.S/CAMBIO ELECTRODO 1703048 - 983.142 - 983.142 - 1.017.204
CCD1703050 19020 COARTACION AORTICA INFANTIL (PREDUCTAL)TR.QUIR. 1703049 - 3.344.863 - 3.344.863 - 2.961.347
CCD1703051 19004 CONDUCTO ARTERIOSO PERSISTENTE. TR. QUIR. 1703051 - 2.396.700 - 2.396.700 - 2.121.898
CCD1703052 19008 IMPLANTAC.MARCAPASO C/ELECTROD. INTRAVEN. O EPICARDICO 1703053 - 1.461.713 - 1.461.713 - 1.364.404
CCD1703067 19012 OPERACION SOBRE ANILLOS VALVULARES O VASCULARES 1703054 - 2.766.595 - 2.766.595 - 2.552.556
CCD1703066 19006 OPERACIONES SOBRE ARTERIA PULMONAR. CONSTRICCION POR CINTA 1703055 - 2.188.445 - 2.188.445 - 2.012.621
CCD1703053 19000 PERICARDIECTOMIA Y/O EXTIRP. DE QUISTESY/O TUMORES 1703056 - 2.379.580 - 2.379.580 - 2.106.744
CCD1703054 18986 PERICARDIORRAFIA O MIOPERICARDIORRAFIA EN HERIDAS PENETRANTE1703057 - 2.396.700 - 2.396.700 - 2.121.898
CCD1703055 18988 PERICARDIOTOMIA 1703058 - 2.454.950 - 2.454.950 - 2.173.470
CCD1703058 19028 OPERACIONES CARDIACAS DE COMPLEJIDAD MAYOR 1703061 - 4.760.571 - 4.760.571 - 4.214.736
CCD1703059 19026 OPERACIONES CARDIACAS DE COMPLEJIDAD MEDIANA 1703062 - 4.174.150 - 4.174.150 - 3.896.271
CCD1703060 19024 OPERACIONES CARDIACAS DE COMPLEJIDAD MENOR 1703063 - 4.100.238 - 4.100.238 - 3.827.279
CTX1704001 19052 CIRUGIA DEL OPERCULO TORACICO 1704001 - 2.464.031 - 2.464.031 - 2.181.512
CTX1704002 18471 CIRUGIA TORAX ABIERTO TRAUMATICO Y/O FIJACION TORAX VOLANTE 1704002 - 2.422.609 - 2.422.609 - 2.144.838
CTX1704003 19058 FENESTRACION O TORACOPLASTIA 1704003 - 2.227.584 - 2.227.584 - 1.972.177
CTX1704004 19060 REPARACION PECTUM EXCAVATUM O CARINATUM(P.AUT.) 1704004 - 2.231.105 - 2.231.105 - 1.975.289
CTX1704005 19893 TRAT. QUIR PECTUM VIA TORACOSCOPICA 1704004 - 3.210.255 - 3.210.255 - 2.842.175
CTX1704006 19056 RESECCION DE COSTILLAS Y/O PARED COSTALY/O CARTILAGO 1704005 - 2.012.191 - 2.012.191 - 1.781.476
CTX1704007 19051 RESECCION DE PARED COSTAL C/PLASTIA (TORACOPLASTIA OSTEOP.) 1704006 - 1.991.409 - 1.991.409 - 1.763.079
CTX1704008 19064 TORACOFRENOLAPARATOMIA EXPLORADORA C/SREP.VISERAS-TORAC 1704007 - 2.437.243 - 2.437.243 - 2.157.790
CTX1704009 18855 HEMOTORAX-NEUMOTORAX VIA TORACOSCOPICA 1704008 - 3.408.960 - 3.408.960 - 3.018.097
CTX1704010 19062 TORACOFRENOTOMIA EXPLORADORA 1704008 - 2.454.950 - 2.454.950 - 2.173.470
CTX1704011 19159 TORACOSCOPIA EXPLORADORA C/S BIOPSIA, C/S DEBRIDACIÓN - VIA VIDEOTORACOSCOPIA
1704009 - 3.216.992 - 3.216.992 - 2.848.141
CTX1704012 19038 TORACOTOMIA EXPLORADORA. C/S BIOPSIA. C/S DEBRIDACION 1704009 - 2.237.976 - 2.237.976 - 1.981.374
CTX1704013 19036 TORACOTOMIA MINIMA C/S RESECCION COSTAL. C/S BIOPSIA 1704010 - 1.211.709 - 1.211.709 - 1.104.704
CTX1704014 19120 MEDIASTINOTOMIA EXPLORADORA ANT.O POST.C/S BIOPSIA P.AUT1704011 - 2.014.671 - 2.014.671 - 1.783.671
CTX1704015 19170 MEDIASTINOTOMIA VIA VIDEOTORACOTOMIA 1704011 - 2.482.320 - 2.482.320 - 2.197.699
CTX1704016 19122 DRENAJE QUIR. DE MEDIASTINO, VIA CERVICAL 1704012 - 1.664.974 - 1.664.974 - 1.474.070
CTX1704017 19124 DRENAJE QUIR. DE MEDIASTINO, VIA TORACICA 1704013 - 1.997.555 - 1.997.555 - 1.768.520
CTX1704018 19126 TIMECTOMIA VIA CERVICAL 1704014 - 1.645.951 - 1.645.951 - 1.457.233
CTX1704019 19128 TIMECTOMIA VIA TORACICA MEDIOESTERNAL 1704015 - 1.982.473 - 1.982.473 - 1.755.167
CCD1704016 19134 CONDUCTO TORACICO, LIGADURA QUIRURGICA 1704016 - 2.227.584 - 2.227.584 - 2.080.723
CTX1704020 19132 TUMORES O QUISTES DE MEDIASTINO (ANTERIOR O POST.) TRAT. 1704017 - 2.405.041 - 2.405.041 - 2.129.285
CTX1704021 19115 TUMORES O QUISTES DE MEDIASTINO POR VIDEO TORACOSCOPIA1704017 - 3.359.049 - 3.359.049 - 2.973.911
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTX1704022 19049 CIRUGIA DEL DIAFRAGMA C/CIRUGIA VISCERAS ABD.O.TORAC. 1704018 - 2.434.898 - 2.434.898 - 2.155.723
CTX1704023 19066 HERIDAS TRAUMATICAS DEL DIAFRAGMA, TRAT. QUIR. 1704019 - 2.233.010 - 2.233.010 - 1.976.976
CTX1704024 19068 HERNIOPLASTIA DIAFRAGMATICA VIA TORACICA C/PROTESIS 1704020 - 2.454.950 - 2.454.950 - 2.173.470
CTX1704025 19070 HERNIOPLASTIA DIAFRAGMATICA VIA TORACICA S/PROTESIS 1704021 - 2.228.179 - 2.228.179 - 1.972.700
CTX1704026 19117 TUMORES MALFORMAC O QUISTES DEL DIAF POR VIDEO TORACOSCOPIA
1704022 - 3.408.960 - 3.408.960 - 3.018.097
CTX1704027 19072 TUMORES. MALFORMACIONES O QUISTES DEL DIAFRAGMA 1704022 - 2.454.950 - 2.454.950 - 2.173.470
CTX1704028 19050 DECORTICACION PLEUROPULMONAR (PLEURECTOMIA PARC.O TOT.) 1704024 - 3.214.637 - 3.214.637 - 2.846.058
CTX1704029 19121 DECORTICACION PLEUROPULMONAR POR VIDEO TORACOSCOPIA 1704024 - 4.009.773 - 4.009.773 - 3.550.024
CTX1704030 19044 PLEURODESIS POR PLEUROTOMIA 1704025 - 1.231.179 - 1.231.179 - 1.104.704
CTX1704031 19046 PLEURODESIS POR TORACOTOMIA 1704026 - 2.469.586 - 2.469.586 - 2.186.430
CTX1704032 19123 PLEURODESIS POR VIDEO TORACOSCOPIA 1704026 - 3.423.597 - 3.423.597 - 3.031.053
CTX1704033 19030 PLEUROTOMIA UNICA O DOBLE 1704027 652.165 652.165 652.165 652.165 577.389 577.389
CTX1704035 18569 TUMORES PLEURALES POR VIDEO TORACOSCOPIA 1704028 - 3.421.254 - 3.421.254 - 3.028.980
CTX1704036 18469 TUMORES PLEURALES. TRAT. QUIR. 1704028 - 2.467.104 - 2.467.104 - 2.184.232
CTX1704081 17481 BRONCOTOMIA O TRAQUEOBRONCOTOMIA EXPL.OTERAPEUTICA 1704029 - 2.381.916 - 2.381.916 - 2.224.881
CTX1704037 19111 CIRUGIA RUPTURA TRAQUEOBRONQUIAL O TRAT. QUIR. 1704030 - 3.004.786 - 3.004.786 - 2.660.264
CTX1704038 18473 PLASTIA DE TRAQUEA Y/O BRONQUIOS C/S RESECCION 1704031 - 2.381.919 - 2.381.919 - 2.108.813
CTX1704039 18477 PLASTIA DE TRAQUEA Y/O BRONQUIOS C/S RESEC.ENDOSC - VIA VIDEOTORACOSCOPIA
1704031 - 3.336.075 - 3.336.075 - 2.953.570
CTX1704040 19118 TRAT.QUIR. FISTULA BRONQUIAL POR TORACOTOMIA 1704032 - 3.179.383 - 3.179.383 - 2.814.844
CTX1704041 19114 TUMORES TRAQUEALES. EXTIRPACION 1704033 - 2.150.311 - 2.150.311 - 1.903.758
CTX1704042 20378 TUMORES TRAQUEALES. EXTIRPACION ENDOSC. 1704033 - 3.129.469 - 3.129.469 - 2.770.653
CCD1704034 17942 ABSCESO PULMONAR, DRENAJE POR TORACOTOMIA 1704034 - 2.800.986 - 2.800.986 - 2.190.149
CTX1704043 18737 BIOPSIA PULMONAR POR TORACOTOMIA 1704035 - 2.237.976 - 2.237.976 - 1.981.374
CTX1704044 19125 BIOPSIA PULMONAR POR VIDEO TORACOSCOPIA 1704035 - 3.216.992 - 3.216.992 - 2.848.141
CTX1704045 18843 BULAS TRAT. QUIRURGICO (VIA TORACOSCOPICA) 1704036 - 3.216.992 - 3.216.992 - 2.848.141
CTX1704046 19084 BULAS. TRAT. QUIR. 1704036 - 2.233.875 - 2.233.875 - 1.977.746
CTX1704047 19112 CIRUGIA DE QUISTE HIDATIDICO SIN RESECCION PULMONAR 1704037 - 3.159.321 - 3.159.321 - 2.797.080
CTX1704073 19078 HERIDAS DE PULMON, TRAT. QUIR. (PROC. AUT.) 1704039 - 1.856.218 - 1.856.218 - 1.733.842
CTX1704048 19100 LOBECTOMIA O BILOBECTOMIA 1704040 - 3.159.321 - 3.159.321 - 2.797.080
CTX1704049 19200 LOBECTOMIA O BILOBECTOMIA POR VIDEO TORACOSCOPIA 1704040 - 3.954.456 - 3.954.456 - 3.502.382
CTX1704050 19108 METASTASIS BILATERAL PULMON, TRAT. QUIR. POR ESTERNOTOMIA 1704041 - 3.159.321 - 3.159.321 - 2.797.080
CTX1704051 19106 METASTASIS UNILATERAL PULMON 1704042 - 2.452.022 - 2.452.022 - 2.170.877
CTX1704052 19127 METASTASISPULMONAR UNILATERAL POR VIDEOTORACOSCOPIA 1704042 - 3.406.031 - 3.406.031 - 3.015.503
CTX1704053 19104 NEUMONECTOMIA C/S RESECCION DE PARED COSTAL 1704043 - 3.129.469 - 3.129.469 - 2.770.653
CTX1704054 19129 QUISTECTOMIA SIMPLE DE PULMON 1704045 - 3.406.031 - 3.406.031 - 3.015.503
CTX1704055 19102 QUISTECTOMIA SIMPLE 1704045 - 2.451.139 - 2.451.139 - 2.170.099
CTX1704056 19088 RESECCIONES SEGMENTARIAS DE PULMON 1704046 - 2.426.997 - 2.426.997 - 2.148.721
CTX1704057 19131 RESECCIONES SEGMENTARIAS DE PULMON POR VIDEO TORACOSCOPIA 1704046 - 2.578.962 - 2.578.962 - 2.407.277
CTX1704058 19140 ESOFAGOSTOMIA CERVICAL (PROC. AUT.) 1704049 - 1.210.248 - 1.210.248 - 1.104.704
CCD1704050 17455 TUM.BENIGNOS Y/O QUISTES ESOFAGICOS (VIA ENDOSCOPICA) 1704050 - 666.317 - 666.317 - 622.388
CTX1704082 18479 TUMORES BENIGNOS Y/O QUISTES ESOFAGICOS, TRAT. QUIR., VIA 1704050
CERVICAL - 2.219.135 - 2.219.135 - 2.072.829
CCD1704051 17451 TUMORES BENIGNOS Y/O QUISTES ESOFAGICOSVIA ENDOSCOPICA1704051 - 926.279 - 926.279 - 865.211
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTX1704075 18937 TUMORES BENIGNOS Y/O QUISTES ESOFAGICOS, TRAT. QUIR., VIA 1704051
TORACICA - 2.219.132 - 2.219.132 - 2.072.829
CTX1704059 18481 DIVERTICULOS ESOFAGICOS, TRAT. QUIR., VIA CERVICAL 1704052 - 2.016.142 - 2.016.142 - 1.784.977
CTX1704078 17452 DIVERTICULOS ESOFAGICOS, TRAT. QUIR. VIA ENDOSCOPICA 1704052 - 2.141.268 - 2.141.268 - 2.000.098
CTX1704060 19133 DIVERTICULOS ESOFAGICOS, TRAT. QUIR., VIA TORACICA 1704053 - 2.141.268 - 2.141.268 - 2.012.621
CTX1704077 19148 ACHALASIA. TRAT.QUIR. 1704054 - 2.141.268 - 2.141.268 - 2.012.621
CTX1704079 17454 ACHALASIA, TRAT. QUIR. VIA ENDOSCOPICA 1704054 - 2.141.268 - 2.141.268 - 2.000.098
CTX1704062 18475 ATRESIA ESOFAGICA. TRAT.QUIR. 1704055 - 3.423.597 - 3.423.597 - 3.031.053
CTX1704063 18489 ATRESIA ESOFAGICA. TRAT.QUIR. VIDEOASISTIDA 1704055 - 4.789.538 - 4.789.538 - 4.240.382
CTX1704064 19158 ESOFAGECTOMIA C/REST. TRANSITO MEDIANTEESTOMAGO PAR O 1704056
TOT - 3.321.292 - 3.321.292 - 2.940.478
CTX1704065 19160 ESOFAGECTOMIA TOT. C/ESOFAGOSTOMIA. GASTROSTOMIA 1704057 - 3.356.571 - 3.356.571 - 2.971.716
CTX1704066 20388 PROTESIS O TUBO ENDOESOFAGICO VIA ENDOSCOPICA 1704059 - 2.464.031 - 2.464.031 - 2.181.511
CTX1704067 19137 PROTESIS O TUBO ENDOESOFAGICO. COLOCACION DE (P.AUT.) 1704059 - 1.996.383 - 1.996.383 - 1.767.485
CTX1704068 19163 RECONSTITUCION DE TRANSITO EN SDO TPO (ESTOMAGO O INTEST) 1704060 - 3.183.768 - 3.183.768 - 2.818.724
CTX1704072 19139 SUT.HERIDA O PERFORACION ESOFAGO CERVICAL 1704061 - 2.243.834 - 2.243.834 - 1.986.564
CTX1704080 17461 SUT.HERIDA O PERFOR.ESOFAGO CERVICAL (VIA ENDOS.) 1704061 - 2.141.268 - 2.141.268 - 2.000.098
CCD1704053 17462 SUTURA HERIDA O PERFOR.ESOFAGO TORACICO(VIA ENDOS.) 1704062 - 2.227.584 - 2.227.584 - 2.080.723
CTX1704069 19150 SUT.HERIDA O PERFORACION ESOFAGO TORACICO 1704062 - 3.159.321 - 3.159.321 - 2.797.080
CTX1704300 19843 VARICES ESOFAGICOS, LIGADURA DIRECTA 1704063 - 1.932.803 - 1.932.803 - 1.897.101
CTX1704071 18828 FRENOPARALISIS TRAT. QUIR. 1704064 - 2.449.539 - 2.449.539 - 2.168.678
PRE1707015 14001 LARINGOTRAQUEOBRONCOSCOPIA CON FIBROSCOPIO 1707021 511.671 511.671 511.671 511.671 400.087 448.591
PRE1707016 18241 LARIGOTRAQUEOSCOPIA CON TUBO RIGIDO 1707022 356.843 356.843 356.843 356.843 370.559 370.559
PRE1707017 18247 MEDIATISNOSCOPIA C/S BIOPSIA 1707023 432.251 456.041 432.251 456.041 403.753 468.832
COF1202076 18263 PLEUROSCOPIA (TORACOSCOPIA) C/S BIOPSIA 1707024 286.910 286.910 286.910 286.910 267.810 267.810
PRE1707018 18271 BRONCOASPIRACION C/S LAVADO Y/O COLOC.MEDIC. 1707027 440.484 464.730 440.484 464.730 411.446 411.446
PRE1707022 18804 CUERPO EXTRANO DE BRONQUIO. EXTRAC.P/VIA ENDOSCOPICA 1707034 845.242 450.974 845.242 450.974 788.738 463.603
PRE1707023 10717 INTUBACION TRAQUEAL (PROC. AUT.) 1707037 383.479 404.581 383.479 404.581 358.196 380.174
PGA1801008 37190 PANENDOSCOPIA C/USO DE ARGON 1801001 218.355 218.355 218.355 218.355 203.819 203.819
PGA1801002 37071 ENTEROSCOPIA DOBLE BALON 1801003 980.132 1.034.078 980.132 1.034.078 915.512 1.065.301
PGA1801010 37040 ANO-RECTO-SIGMOIDOSCOPIA EN ADULTOS 1801004 86.641 101.505 86.641 101.505 80.873 94.747
PGA1801011 37053 ANO-RECTO-SIGMOIDOSCOPIA EN NIÑOS 1801005 51.218 54.033 51.218 54.033 47.842 54.005
PGA1801012 37188 COLONOSCOPIA LARGA C/ USO DE ARGON 1801006 324.021 324.021 324.021 324.021 302.450 302.450
PGA1801013 37054 COLONOSCOPIA LARGA (INCLUYE SIGMOIDOSCOPIA Y COLONOSCOPIA)1801006 235.040 253.761 235.040 253.761 219.393 236.868
PGA1801014 37050 SIGMOIDOSCOPIA Y COLONOSCOPIA IZQUIERDAC/TUBO FLEXIBLE (INCL. ANO-RECTO-SIGMOID
1801007 131.860 131.860 131.860 131.860 123.082 123.082
PGA1801015 18835 PERITONEOSCOPIA INTRAOPERATORIA 1801009 626.279 650.982 626.279 650.982 584.989 680.068
PGA1801021 37023 COLANGIOPANCREATOGRAFIA RETROGRADA C/S PAPILOTOMIA 1801018 377.581 417.124 377.581 417.124 352.445 396.902
PGA1801073 38118 COLANGIOPANCREATOGRAFIA RETR. C/S PAPILO.VIA ENDOSCOPICA 1801018 778.387 778.387 778.387 778.387 727.068 727.068
PGA1801023 18795 DILAT.ESOFAGICA POR BALON NEUMATICO(PORSESION) 1801025 418.509 418.509 418.509 418.509 380.174 430.102
PGA1801024 18824 DILAT.ESOFAGICA POR BUJIA DE HG(POR SESION) 1801026 421.585 421.585 421.585 421.585 380.174 433.279
PGA1801025 18798 COLOCACION ENDOSCOPICA TUBO TRANSTUMORAL 1801027 656.619 656.619 656.619 656.619 590.052 590.052
PGA1801027 18409 CUERPO EXTRAÑO EXTRACCION ENDOSCOPICA 1801028 225.083 416.444 225.083 416.444 368.697 380.174
PGA1801029 18826 DEVOLVULACION DEL SIGMOIDES POR ENDOSCOPIA 1801029 473.726 473.726 473.726 473.726 419.407 487.078
PGA1801030 18806 DILATACION ANO-RECTAL POR SESION 1801030 422.377 428.717 422.377 428.717 379.560 440.635
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PGA1801032 37057 ESCLEROTERAPIA DE HEMORROIDES, CUALQUIER NUMERO 1801032 76.392 76.392 76.392 76.392 71.306 71.306
PGA1801033 18809 ESCLEROTERAPIA DE HEMORROIDES. CUALQ NUM. 1801032 416.801 416.801 416.801 416.801 380.174 428.346
PGA1801034 18836 ESCLEROTERAPIA O HEMOSTASIA DE VARICES 1801033 669.771 679.816 669.771 679.816 601.869 699.742
PGA1801035 37031 INYECTOTERAPIA HEMOSTATICA, HEMOSTASIA MECANICA, HEMOSTASIA
1801033 223.336 284.030 223.336 284.030 208.468 265.122
PGA1801036 18811 LIGADURA HEMORROIDES 1801035 412.586 428.863 412.586 428.863 385.385 447.423
PGA1801037 37027 EXTRACCION ENDOSCOPICA DE CALCULOS BILIARES O PANCREATICOS1801036 390.759 390.759 390.759 390.759 364.745 364.745
PGA1801038 18812 EXTRACCION ENDOSCOPICA DE CALCULOS BILIARES O PANCREATICOS1801036 640.396 665.662 640.396 665.662 598.178 695.439
PGA1801041 18813 VACIAMIENTO MANUAL DE FECALOMA 1801042 609.863 633.921 609.863 633.921 569.659 662.199
PGA1801045 37052 POLIPECTOMIA O MUCOSECTOMIA ENDOSCOPICABAJA 1801045 252.606 297.324 252.606 297.324 235.790 277.531
PGA1801046 18829 POLIPOS RECTALES. RECTOSIGMOIDEOS O COLON 1801045 616.706 641.032 616.706 641.032 576.048 669.647
CAB1802000 19218 HERNIA DIAFRAGMATICA VIA ABDOM O CUALQ OTRA HERNIA 1802001 - 1.422.165 - 1.422.165 - 1.327.490
CAB1802001 19557 HERNIA DIAFRAGMATICA VIA LAPAROSCOPICA 1802001 - 1.847.414 - 1.847.414 - 1.724.430
CAB1802144 18938 HERNIA DIAFRAGMATICA POR VIA ENDOSCOPICA 1802001 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802002 19214 HERNIA INCISIONAL O EVISCERACION POST-OP. SIN RESEC. 1802002 - 1.196.496 - 1.196.496 - 1.104.704
CAB1802003 19559 HERNIA INCISIONAL O EVISCERACION VIA LAPAROSCOPICA 1802002 - 2.001.062 - 2.001.062 - 1.771.623
CAB1802004 18185 HERNIA INGUINAL. CRURAL. UMBILICAL. L.BLANCA O SIM 1802003 - 1.202.785 - 1.202.785 - 1.104.704
CAB1802005 19205 HERNIOPLASTIA INGUINAL (VIA LAPAROSCOPICA) 1802003 - 1.562.977 - 1.562.977 - 1.458.928
CAB1802006 19618 LAPAROSCOPIA EXPLORADORA. C/S LIB. DE ADHERENCIAS - VIA ENDOSCOPICA
1802004 - 1.735.445 - 1.735.445 - 1.619.914
CAB1802007 19222 LAPAROTOMIA EXPLORADORA. C/S LIB. DE ADHERENCIAS 1802004 - 1.666.881 - 1.666.881 - 1.475.759
CAB1802008 19220 ONFALOCELE (HASTA 5 CMS.)TRAT. QUIR. 1802005 - 1.662.925 - 1.662.925 - 1.472.261
CAB1802009 19223 ONFALOCELE (MAS DE 5 CMS.)TRAT. QUIR. 1802006 - 1.650.769 - 1.650.769 - 1.461.498
CAB1802010 19499 PERITONITIS AGUDA VIA LAPAROSCOPICA 1802007 - 2.464.031 - 2.464.031 - 2.181.511
CAB1802125 19224 PERITONITIS DIFUSA AGUDA. TRAT. QUIR. (P.AUT.) 1802007 - 1.996.383 - 1.996.383 - 1.767.485
CAB1802011 18846 TUMOR Y/O QUISTE PERIT VIA LAPAROSCOPICA 1802008 - 2.248.222 - 2.248.222 - 1.990.446
CAB1802012 19226 TUMOR Y/O QUISTE PERITONEAL 1802008 - 1.661.020 - 1.661.020 - 1.470.573
CAB1802013 19229 TUMOR Y/O QUISTE RETROPERIT. VIA LAPAROSCÓPICA 1802009 - 2.453.782 - 2.453.782 - 2.172.436
CAB1802014 19228 TUMOR Y/O QUISTE RETROPERITONEAL 1802009 - 1.986.140 - 1.986.140 - 1.758.412
CAB1802015 19240 ANTRECTOMIA Y VAGOTOMIA TRONCULAR O SELEC.(P.AUT) 1802010 - 2.200.220 - 2.200.220 - 1.947.946
CAB1802016 20358 ANTRECTOMIA Y VAGOTOMIA TRONCULAR O SELEC.(P.AUT) LAPAROSC1802010 - 3.179.383 - 3.179.383 - 2.814.844
CAB1802017 19242 DESGASTRECTOMIA Y NEOANASTOMOSIS. C/S VAGUECTOMIA 1802011 - 2.419.682 - 2.419.682 - 2.142.245
CAB1802018 19247 DESGASTRECTOMIA Y NEOANASTOMOSIS. C/S VAGUECTOMIA VIA LAPARO
1802011 - 3.373.689 - 3.373.689 - 2.986.868
CAB1802020 19238 GASTROENTEROANASTOMOSIS. CUALQ. TEC.(P.AUT.) 1802012 - 1.638.043 - 1.638.043 - 1.450.228
CAB1802021 20333 GASTROENTEROANASTOMOSIS. LAPAROSC 1802012 - 2.145.674 - 2.145.674 - 1.899.655
CAB1802138 18903 GASTROENTEROANASTOMOSIS (VIA ENDOSCOPICA) 1802012 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802022 19245 GASTROSQUISIS 1802013 - 2.214.118 - 2.214.118 - 1.960.253
CAB1802023 19799 GASTROSTOMIA PERCUTANEA 1802014 - 1.272.008 - 1.272.008 - 1.126.163
CAB1802024 19251 GASTROTOMIA Y/O GASTROSTOMIA CAMBIO DESET (PROC. AUT.) 1802014 - 689.998 - 689.998 - 644.507
CAB1802025 19239 GASTROTOMIA Y/O GASTROSTOMIA LAPAROSC. 1802014 - 2.016.147 - 2.016.147 - 1.784.978
CAB1802026 19236 GASTROTOMIA Y/O GASTROSTOMIA (P.AUT.) 1802014 - 1.132.096 - 1.132.096 - 1.056.731
CAB1802027 19234 PERFORACION GASTRICA AGUDA. T.QUIR. (P.AUT.) 1802015 - 1.647.121 - 1.647.121 - 1.458.266
CAB1802028 19235 PERFORACION GASTRICA AGUDA, TRAT. QUIR.(PROC. AUT.)(VIA LAPAROS)
1802015 - 2.232.271 - 2.232.271 - 1.976.324
CAB1802139 18913 PERFORACION GAST.AGUDA, TRAT. QUIR. (PROC. AUT.) VIA ENDOSCOPICA
1802015 - 2.240.025 - 2.240.025 - 2.092.344
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CAB1802029 20368 PILOROPLASTIA (PROC. AUT.) (VIA LAPAROSC) 1802016 - 1.767.633 - 1.767.633 - 1.649.959
CAB1802140 18929 PILOROPLASTIA (PROC. AUT.) VIA ENDOSCOPICA 1802016 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802030 19246 GASTRECTOMIA SUBTOTAL CON DISECCION GANGLIONAR 1802017 - 2.185.590 - 2.185.590 - 1.934.992
CAB1802031 19244 GASTRECTOMIA SUBTOTAL SIN DISECCION GANGLIONAR 1802018 - 2.205.341 - 2.205.341 - 1.952.483
CAB1802032 19495 GASTRECTOMIA (VIA LAP.) SUBT. S/DISECCION GANGLO. 1802018 - 3.184.489 - 3.184.489 - 2.819.363
CAB1802149 19435 GASTRECTOMIA SUB.SIN DISECCION GANGLIONAR (VIA ENDOSCOPICA)
1802018 - 2.240.025 - 2.240.025 - 2.092.345
CAB1802253 20819 DUMPING Y/O SINDROME ASA AFERENTE, TRAT.QUIR. 1802019 - 1.447.129 - 1.447.129 - 2.111.938
CAB1802034 19248 GASTRECTOMIA SUB-TOTAL PROXIMAL C/ESO-GAS-ANAS 1802021 - 3.144.107 - 3.144.107 - 2.783.612
CAB1802035 19252 GASTRECTOMIA TOTAL 1802022 - 3.144.107 - 3.144.107 - 2.783.612
CAB1802036 19253 GASTRECTOMIA TOTAL LAPAROSCOPICA 1802022 - 3.937.482 - 3.937.482 - 3.502.382
CAB1802037 19254 GASTRECTOMIA TOT. O SUBTOT. AMPLIADA 1802023 - 3.912.455 - 3.912.455 - 3.502.382
CAB1802038 19575 GASTROPEXIA Y/U OTRA CIR. VIA LAPAROSCOPICA 1802024 - 1.847.414 - 1.847.414 - 2.165.433
CAB1802039 19258 GASTROPEXIA Y/U OTRA CIR.ANTIRREFLUJO. C/S VAGOTOMIA 1802024 - 1.978.226 - 1.978.226 - 1.751.409
CAB1802145 18939 GASTROPX Y/U OTRA CIR. ANTIRREFLUJO, C/S VAGMIA VIA ENDOSCOPICA
1802024 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802040 19135 VAGOTOMIA SELECTIVA Y SUPERSELECTIVA C/S DREN. GASTRICO,1802025 - 1.935.348 - 1.935.348 - 1.713.444
CAB1802041 19262 DRENAJE DE COLECCIONES LIQUIDAS HEPATICAS 1802026 - 1.987.312 - 1.987.312 - 1.759.451
CAB1802042 18911 DRENAJE DE COLECCIONES LIQUIDAS HEPATICAS (VIA LAP.) 1802026 - 2.454.950 - 2.454.950 - 2.173.471
CAB1802043 19282 COLANGIOENTEROANASTOMOSIS INTRAHEPATICA 1802027 - 2.376.653 - 2.376.653 - 2.104.154
CAB1802044 19274 COLECISTECTOMIA C/S COLANGIOGRAFIA OPERATORIA 1802028 - 1.979.555 - 1.979.555 - 1.752.585
CAB1802045 18865 COLECISTECTOMIA Y COLEDO VIA LAPAROSCOPICA 1802029 - 2.437.243 - 2.437.243 - 2.157.790
CAB1802046 18738 COLECISTECTOMIA Y COLEDOCOSTOMIA (SONDAT Y COLANG.) 1802029 - 1.969.740 - 1.969.740 - 1.743.897
CAB1802127 19276 COLECISTOGASTROANAST.O COLECISTOENTEROAN 1802030 - 2.141.265 - 2.141.265 - 1.895.754
CAB1802047 19272 COLECISTOSTOMIA (PROC. AUT.) 1802031 - 1.662.925 - 1.662.925 - 1.472.261
CAB1802048 19561 COLEDOCO O HEPATOENT. VIA LAPAROSCOPICA 1802032 - 3.159.321 - 3.159.321 - 2.797.080
CAB1802049 19280 COLEDOCO O HEPATOENTEROANASTOMOSIS 1802032 - 2.176.071 - 2.176.071 - 1.926.570
CAB1802050 19278 COLEDOCOSTOMIA SUPRADUODENAL O HEPATICOSTOMIA (PROC. 1802033
AUT.) - 1.986.140 - 1.986.140 - 1.758.412
CAB1802019 19290 DESCONEXION ACIGOPORTAL C/TRANSECCION ESOFAGICA 1802035 - 2.649.205 - 2.649.205 - 2.474.547
CAB1802051 19286 DRENAJE VIA BILIAR TRANSHEPATICO 1802037 - 1.987.312 - 1.987.312 - 1.759.451
CAB1802052 19284 ESFINTEROPLASTIA TRANSDUODENAL. (P.AUT.) 1802038 - 2.199.485 - 2.199.485 - 1.947.297
CAB1802148 19433 ESFINTEROPLASTIA TRANSDUO., (PROC. AUT.) VIA ENDOSCOPICA 1802038 - 2.240.025 - 2.240.025 - 2.092.345
CAB1802053 19501 HEPATECTOMIA SEGMENT. VIA LAPAROSCOPICA 1802039 - 3.365.933 - 3.365.933 - 2.980.007
CAB1802054 19266 HEPATECTOMIA SEGMENTARIA (PROC. AUT.) 1802039 - 2.411.781 - 2.411.781 - 2.135.252
CAB1802055 19270 HERIDA TRAUMATICA DE HIGADO Y/O VIA BILIAR. T.QUIR. 1802040 - 1.972.081 - 1.972.081 - 1.745.967
CAB1802056 19268 LOBECTOMIA HEPATICA (PROC. AUT.) 1802041 - 3.330.660 - 3.330.660 - 2.948.775
CAB1802057 19269 LOBECTOMIA HEPATICA LAPAROSC. 1802041 - 4.761.148 - 4.761.148 - 4.215.249
CAB1802058 19509 QUISTE HIDATIDICO VIA LAPAROSCOPICA 1802042 - 3.194.448 - 3.194.448 - 2.828.180
CAB1802059 19264 QUISTE HIDATIDICO. UN. O MULT. Y/O CISTOYEYUN. 1802042 - 2.215.298 - 2.215.298 - 1.961.301
CAB1802060 19297 ABS. QUIST. PSEUDOQUIS.O SIMIL DE PANCREAS (VIA LAP.) 1802043 - 2.442.943 - 2.442.943 - 2.162.842
CAB1802061 19296 ABSCESOS. QUISTES. PSEUDOQU.O SIMIL. PANCREAS TRAT.QUIR. 1802043 - 1.975.311 - 1.975.311 - 1.748.829
CAB1802146 18943 ABSCESOS,QTES, PSEUDOQTES O SIMIL DE PANCREAS (VIA ENDOS,)
1802043 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802062 19300 PANCREATECTOMIA PARCIAL 1802045 - 2.411.781 - 2.411.781 - 2.135.252
CAB1802063 20332 PANCREATECTOMIA PARCIAL LAPAROSC. 1802045 - 3.365.933 - 3.365.933 - 2.980.007
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CAB1802064 19303 PANCREATECTOMIA TOTAL C/S ESPLENECTOMIA 1802046 - 3.306.227 - 3.306.227 - 2.927.144
CAB1802065 19304 PANCREATODUODENECTOMIA 1802047 - 3.316.028 - 3.316.028 - 2.935.820
CAB1802066 18856 PANCREATODUODENECTOMIA (VIA LAPAROSCOPICA) 1802047 - 4.746.369 - 4.746.369 - 4.202.162
CAB1802126 19302 SECUESTRECTOMIA EN PANCREATITIS AGUDA 1802048 - 1.450.595 - 1.450.595 - 1.354.026
CAB1802141 18931 SECUESTRECTOMIA EN PANCR. AGUDA (VIA ENDOSCOPICA) 1802048 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802153 17984 AUTOIMPLANTE DE BAZO (INCLUYE ESPLENECTO 1802049 - 1.231.323 - 1.231.323 - 1.476.471
CAB1802067 19688 ESPLENECTOMIA TOTAL O PARCIAL VIA LAPAROSCOPICA (PROC. AUT.)
1802050 - 2.454.950 - 2.454.950 - 2.173.471
CAB1802068 19306 ESPLENECTOMIA TOTAL O PARCIAL (P.AUT.) 1802050 - 1.987.312 - 1.987.312 - 1.759.451
CAB1802154 19859 OPERACION DE ETAPIFICACION (INCLUYE ESPLENECTOMIA, BIOPSIASH
1802051 - 2.169.118 - 2.169.118 - 2.026.112
CAB1802069 19308 SUTURA ESPLENICA (PROC. AUT.) 1802052 - 1.996.383 - 1.996.383 - 1.767.485
CAB1802070 19314 APENDICECTOMIA Y/O DREN. ABSCESO APENDICULAR (PROC. AUT.)1802053 - 1.658.825 - 1.658.825 - 1.468.628
CAB1802071 18802 APEND.Y/O DREN. ABSC.APENDICULAR (PROC.AUT.) (VIA.LAP) 1802053 - 2.240.025 - 2.240.025 - 1.983.188
CAB1802072 19332 CIERRE DE COLOSTOMIA (PROC. AUT.) 1802054 - 1.662.925 - 1.662.925 - 1.942.396
CAB1802073 19333 CIERRE DE COLOSTOMIA (VIA.LAPAROSCOPICA) 1802054 - 2.248.222 - 2.248.222 - 1.990.446
CAB1802074 19330 COLOSTOMIA (PROC. AUT.) 1802055 - 1.658.088 - 1.658.088 - 1.467.976
CAB1802075 19331 COLOSTOMIA VIA LAPAROSCOPICA 1802055 - 2.243.244 - 2.243.244 - 1.986.038
CAB1802076 19334 COLOSTOMIA.COMPLICACIONES TARDIAS T.QUIR. 1802056 - 2.004.424 - 2.004.424 - 1.774.602
CAB1802077 19325 DIVERTICULO DE MECKEL VIA LAPAROSCÓPICA 1802057 - 3.231.182 - 3.231.182 - 2.860.703
CAB1802078 19324 DIVERTICULO DE MECKEL. T.QUIR. 1802057 - 1.666.881 - 1.666.881 - 1.475.759
CAB1802079 19322 ENTERO-ENTEROANASTOMOSIS O ENTEROCOLOANA 1802058 - 1.647.699 - 1.647.699 - 1.458.776
CAB1802080 19507 ENTERO-ENTEROANASTOMOSIS VIA LAPAROSCOPICA 1802058 - 2.232.848 - 2.232.848 - 1.976.839
CAB1802081 19318 ENTEROTOMIA O ENTEROSTOMIA (YEYUNOSTOMIA) 1802059 - 1.211.563 - 1.211.563 - 1.104.704
CAB1802082 19320 ILEOSTOMIA TERMINAL O EN ASA (PROC. AUT.) 1802060 - 2.007.354 - 2.007.354 - 1.777.197
CAB1802083 19321 ILEOSTOMIA TERMINAL O EN ASA (PROC. AUT.) LAPAROSC 1802060 - 2.474.993 - 2.474.993 - 2.191.218
CAB1802084 20394 INVAGINACION INTESTINAL(VIA LAPAROSCOPICA) 1802061 - 1.767.633 - 1.767.633 - 1.649.959
CAB1802129 20396 INVAGINACION INTESTINAL. TRAT. QUIR. 1802061 - 1.665.503 - 1.665.503 - 1.475.636
CAB1802085 18832 QUISTE URACO, TTO QX POR VIA LAPAR 1802063 - 2.252.175 - 2.252.175 - 1.993.948
CAB1802086 19326 QUISTE URACO. TRAT. QUIR. 1802063 - 1.666.881 - 1.666.881 - 1.475.759
CAB1802087 19657 OCLUSION INTESTINAL CON RESEC.VIA LAPAROSCOPICA 1802065 - 2.453.042 - 2.453.042 - 2.171.786
CAB1802088 19340 OCLUSION INTESTINAL CON RESECCION 1802065 - 1.985.404 - 1.985.404 - 1.757.764
CAB1802089 19579 OCLUSION INTESTINAL SIN RESEC. VIA LAPAROSCOPICA 1802066 - 2.232.271 - 2.232.271 - 1.976.324
CAB1802090 19338 OCLUSION INTESTINAL SIN RESECCION 1802066 - 1.647.121 - 1.647.121 - 1.458.266
CAB1802142 18933 OCLUSION INTESTINAL SIN RESECCION VIA ENDOSCOPICA 1802066 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802091 19350 COLECTOMIA PARCIAL O HEMICOLECTOMIA 1802067 - 2.180.173 - 2.180.173 - 1.930.199
CAB1802093 19513 COLECTOMIA PARCIAL O HEMICOLECTOMIA VIALAPAROSCOPICA 1802067 - 3.159.321 - 3.159.321 - 2.797.080
CAB1802094 19352 COLECTOMIA TOTAL ABDOMINAL 1802068 - 2.381.919 - 2.381.919 - 2.108.813
CAB1802095 19353 COLECTOMIA TOTAL ABDOMINAL POR VIA LAPAROSCÓPICA 1802068 - 3.336.075 - 3.336.075 - 2.953.570
CAB1802096 19358 DESCENSO DE COLON C/CONSERVACION DEL ESFINTER 1802069 - 2.386.159 - 2.386.159 - 2.112.569
CAB1802097 19359 DESCENSO DE COLON C/CONSERVACION DEL ESF+CURATAJE ALVEOLAR+ALVEOLOPLASTIAS+DRENA
1802069 - 3.340.910 - 3.340.910 - 2.957.847
CAB1802098 19354 HARTMANN. OPERACION DE (O SIMILAR) 1802070 - 2.180.173 - 2.180.173 - 1.930.199
CAB1802099 19355 HARTMANN. OPERACION DE VIA LAPAROSCOPICA 1802070 - 3.159.321 - 3.159.321 - 2.797.080
CAB1802100 19343 PERFORACION Y/O HERIDA DE INTESTINO. UN.O MULT. VIA LAPAROSC
1802071 - 2.240.329 - 2.240.329 - 1.983.460
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CAB1802101 19342 PERFORACION Y/O HERIDA DE INTESTINO. UN.O MULT.TQ. 1802071 - 1.655.173 - 1.655.173 - 1.465.396
CAB1802143 18935 PERFORACION Y/O HER.INTESTINO,UNICA O MULTIPLE VIA ENDOSCOPICA
1802071 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802102 19348 QUISTE Y/O TUMOR DEL MESENTERIO Y/O EPIPLONES 1802072 - 1.655.173 - 1.655.173 - 1.465.396
CAB1802103 19659 QUISTE Y/O TUMOR MESENTERIO VIA LAPAROSCOPICA 1802072 - 2.240.329 - 2.240.329 - 1.983.460
CAB1802104 19356 RECONSTITUCION TRANSITO POST OPER.DE HARTMANN 1802073 - 2.180.173 - 2.180.173 - 1.930.199
CAB1802105 19357 RECONSTITUCION TRANSITO POST OPER.DE HARTMANN VIA LAPAROSCOP
1802073 - 3.159.321 - 3.159.321 - 2.797.080
CAB1802106 19563 RESEC. INTESTINO Y ENTEROANAST. VIA LAPAROSCOPICA 1802074 - 2.444.416 - 2.444.416 - 2.164.145
CAB1802107 19344 RESECCION DE INTESTINO Y ENTEROANASTOMOSIS (PROC. AUT.) 1802074 - 1.976.918 - 1.976.918 - 1.750.251
CAB1802147 18985 RES. DE INTINO Y ENTEROANASTOMOSIS (PROC. AUT.) VIA ENDOSCOPICA
1802074 - 2.240.025 - 2.240.025 - 2.092.344
CAB1802108 19346 RESEC.INTESTINAL MASIVA P/TROMBOSIS MESENTERICA 1802075 - 2.156.901 - 2.156.901 - 1.909.599
CAB1802109 19365 DUPLICACION INTESTINAL. LAPAROSC 1802076 - 2.454.950 - 2.454.950 - 2.173.471
CAB1802110 19362 DUPLICACION INTESTINAL. TRAT. QUIR. 1802076 - 1.987.312 - 1.987.312 - 1.759.451
CAB1802111 20338 MAL ROTACION INTESTINAL (VIA LAPAROSC) 1802077 - 2.454.950 - 2.454.950 - 2.173.471
CAB1802112 19360 MAL ROTACION INTESTINAL. TRAT. QUIR. 1802077 - 1.987.312 - 1.987.312 - 1.759.451
CAB1802113 19241 RECONSTITUCION DE TRANSITO EN 2° TIEMPO DE OPERACION CODIGO 18-02-079
1802080 - 3.192.830 - 3.192.830 - 2.826.747
CAB1802114 18800 COLECISTECTOMIA POR VIDEOLAPAROSCOPIA, PROC. COMPLETO 1802081 - 2.377.965 - 2.377.965 - 2.105.313
CAB1802116 19337 RESECCION INTESTINAL CON OSTOMIAS PROXIMAL Y DISTAL 1802082 - 1.989.360 - 1.989.360 - 1.761.263
CAB1802117 19339 RESECCION INTESTINAL CON OSTOMIAS PROXIMAL Y DISTAL, LAPAROS
1802082 - 2.456.855 - 2.456.855 - 2.175.158
CAB1802118 18919 TRASPLANTE HEPATICO 1802100 - 4.647.735 - 4.647.735 - 4.114.835
CAB1802119 18739 YEYUNOPANCREATOSTOMIA 1802148 - 2.023.284 - 2.023.284 - 1.878.160
CPR1803000 18814 ABSCESO ANORRECTAL COMPLEJO (IMPLICA HOSPITALIZACION Y 1803001 - 939.247 - 939.247 - 831.553
CPR1803001 19364 ABSCESO ANORRECTAL SIMPLE . TRAT. QUIR. 1803002 652.165 652.165 652.165 652.165 577.389 577.389
CPR1803002 19366 ABSCESO SACROCOXIGEO. DRENAJE 1803003 659.481 659.481 659.481 659.481 583.866 583.867
CPR1803003 19368 BIOPSIA QUIRURGICA RECTAL (PROC. AUT.) 1803004 - 973.496 - 973.496 - 861.876
CPR1803005 19376 CUERPO EXTRANO RECTAL. EXTRACCION POR VIA ABDOMINAL 1803006 - 2.001.509 - 2.001.509 - 1.772.021
CPR1803037 19374 CUERPO EXTRANO RECTAL. EXTRACCION POR VIA ANAL 1803007 559.945 590.783 559.945 590.783 523.043 523.043
CPR1803042 18901 CUERPO EXTRAÑO RECTAL, EXTRACCION POR VIA ENDOSCOPICA 1803007 666.317 666.317 666.317 666.317 622.387 622.387
CPR1803006 19380 DESGARROS Y HERIDAS ANORRECTALES C/COMP. ESFINTER 1803008 - 1.205.858 - 1.205.858 - 1.104.704
CPR1803007 19378 DESGARROS Y HERIDAS ANORRECTALES S/COMP. ESFINTER 1803009 - 943.342 - 943.342 - 835.181
CPR1803008 19382 ESFINTEROTOMIA (PROC. AUT.) 1803010 - 962.510 - 962.510 - 852.154
CPR1803009 19384 ESTENOSIS ANAL. PLASTIA 1803011 - 1.211.709 - 1.211.709 - 1.104.704
CPR1803010 19386 ESTENOSIS RECTAL. PLASTIA 1803012 - 1.666.881 - 1.666.881 - 1.475.759
CPR1803011 19388 FECALOMA. TRAT. QUIR. 1803013 - 1.642.876 - 1.642.876 - 1.454.509
CPR1803038 19394 FISTULA: RECTO-VESICAL 1803014 - 1.959.873 - 1.959.873 - 1.830.661
CPR1803012 19392 FISTULA RECTOVAGINAL. RECTOURETRAL O URETROVAGINAL 1803015 - 1.998.293 - 1.998.293 - 1.769.172
CPR1803013 19390 FISTULA ANORRECTAL. TRAT.QUIR.DE CUALQ.TIPO 1803016 - 1.211.563 - 1.211.563 - 1.104.704
CPR1803014 19396 FISURA ANAL. REPAR. QUIR. 1803017 - 958.858 - 958.858 - 848.921
CPR1803015 19400 HEMORROIDECTOMIA (INCLUYE OTRAS OP. COMPLEMENT.) 1803018 - 1.205.270 - 1.205.270 - 1.104.704
CPR1803016 19398 HEMORROIDES. TROMBECTOMIA (PROC. AUT.) 1803019 457.836 457.836 457.836 457.836 405.345 405.345
CPR1803029 19404 IMPERFORACION ANAL, RECONST.TRANSITO POR VIA ABDO-PERINEAL
1803020 - 1.939.699 - 1.939.699 - 1.811.818
CAB1803027 19415 IMPERFORACION ANAL, RECONSTI.TRANSITO POR VIA PERINEAL 1803021 - 1.655.173 - 1.655.173 - 1.388.292
CPR1803044 19323 INCONTINENCIA ANAL, TRAT.QUIR. CON CERCLAJE 1803023 - 1.194.835 - 1.194.835 - 1.116.062
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CPR1803018 19408 INCONTINENCIA ANAL. T.QUIR. CON PLASTIAMUSCULAR 1803024 - 1.652.679 - 1.652.679 - 1.463.187
CPR1803021 19410 POLIPO RECTAL. TRAT.QUIR. POR VIA ANAL 1803026 - 939.247 - 939.247 - 831.553
CPR1803022 19416 PROLAPSO RECTAL. T.QUIR. POR VIA ABDOMINAL 1803027 - 1.989.792 - 1.989.792 - 1.761.646
CPR1803023 20357 PROLAPSO RECTAL. T.QUIR. POR VIA LAPAROSCOPICA 1803027 - 2.457.286 - 2.457.286 - 2.175.541
CPR1803024 19414 PROLAPSO RECTAL. T.QUIR. POR VIA ANAL 1803028 - 1.211.563 - 1.211.563 - 1.104.704
CPR1803025 19430 PANPROCTOCOLECTOMIA (2 EQUIPOS) 1803029 - 3.310.613 - 3.310.613 - 2.931.026
CPR1803026 19431 PANPROCTOCOLECTOMIA (2 EQUIPOS) VIA LAPAROSCOPICA 1803029 - 4.740.955 - 4.740.955 - 4.197.370
CPR1803027 19420 QUISTE SACROCOXIGEO. TRAT. QUIR. 1803031 - 1.211.563 - 1.211.563 - 1.104.704
CPR1803028 19422 RESECCION ABDOMINO-PERINEAL DE ANO Y RECTO (2 EQS) 1803032 - 3.159.321 - 3.159.321 - 2.797.080
CPR1803030 19423 RESECCION ABDOM-PERINEAL DE ANO Y RECTO(2 EQS)( VIA LAPAROSC.)
1803032 - 3.942.012 - 3.942.012 - 3.502.382
CPR1803031 19428 RESECCION ABDOMINO-PERINEAL DE ANO Y RECTO AMP. 1803033 - 3.350.710 - 3.350.710 - 2.966.527
CPR1803032 19424 RESECCION ANTERIOR DE RECTO 1803034 - 2.195.398 - 2.195.398 - 1.943.679
CPR1803033 20350 RESECCION ANTERIOR DE RECTO LAPAROSC 1803034 - 3.174.549 - 3.174.549 - 2.810.561
CPR1803035 19426 RESECCION PERINEAL DE ANO Y RECTO 1803035 - 2.457.286 - 2.457.286 - 2.175.540
CPR1803036 20003 CONDILOMAS ANALES, TRAT. QUIR. (PARA ELECTROFULGURACIÓN 1803038
VER - 950.228 - 950.228 - 841.277
PUR1901011 18837 CISTOSCOPIA CON SONDEO DE URETER 1901002 - 970.107 - 970.107 - 858.874
PUR1901012 40301 CISTOSCOPIA CON SONDEO 1901002 306.103 - 306.103 - 285.726 -
PUR1901013 19077 CISTOSCOPIA Y/O URETROCISTOSCOPIA 1901003 - 657.287 - 657.287 - 581.925
PUR1901014 40008 CISTOSCOPIA Y/O URETROSCOPIA (SALA) 1901003 144.013 - 144.013 - 134.426 -
PUR1901015 18838 URETERONEFROSCOPIA 1901004 - 962.858 - 962.858 - 852.460
PUR1901016 19533 PROSTATICA TRANSPARIETAL O TRANSRECTAL 1901005 402.627 418.509 402.627 418.509 380.174 380.174
PUR1901017 40002 BIOPSIA PROSTATICA TRANSRECTAL O TRANSPERINEAL CON APOYO 1901005 168.896 199.386 168.896 199.386 157.652 186.112
PUR1901018 18815 BIOPSIA RENAL TRANSPARIETAL 1901006 431.181 448.192 431.181 448.192 402.756 402.756
PUR1901036 18816 CISTOMETRIA (PROC.AUT.) 1901007 404.111 404.111 404.111 404.111 377.469 377.469
PUR1901030 18818 ELECTROMIOGRAFIA PERINEAL Y ESFINTER NINOS 1901009 354.440 354.440 354.440 354.440 330.845 330.845
PUR1901020 18822 URETEROPIELOGRAFIA ASCENDENTE (DIRECTA) 1901015 - 969.370 - 969.370 - 969.370
PUR1901022 10759 VAC. VESICAL P/PUNCION HIPOGASTRICA O CISTOSTOMIA P/PUNCION 1901021 97.555 403.136 97.555 403.136 92.678 380.174
PUR1901023 40020 ESTUDIO URODINAMICO (INCLUYE CISTOMETRIA, EMG PERINEAL Y 1901030 321.094 321.094 321.094 321.094 253.275 299.719
CUR1902004 19457 ART.RENALES. OPERACIONES SOBRE (P.AUT.)(VIA LAP.) 1902002 - 4.006.845 - 4.006.845 - 3.547.430
CUR1902120 19456 ART.RENALES. OPERACIONES SOBRE (P.AUT.) 1902002 - 3.144.107 - 3.144.107 - 2.765.075
CUR1902000 19452 AUTO O HETEROTRASPLANTE RIÑON 1902003 - 3.871.482 - 3.871.482 - 3.502.382
CUR1902001 18483 LITIASIS RENAL. T.QUIR. PERCUTANEO C/S ULTRASONIDO 1902005 - 1.940.919 - 1.940.919 - 1.718.378
CUR1902002 19440 LITIASIS RENAL O URET. POR CIR. ABIERTAO LAP., POR PIELOTOMIA1902006
O NEFROTOMIA MINI - 1.959.943 - 1.959.943 - 1.735.222
CUR1902003 19432 LUMBOTOMIA EXPLORADORA C/S DREN.. C/S BIOPSIA (P.AUT) 1902008 - 1.647.121 - 1.647.121 - 1.458.266
CUR1902005 19553 NEFRECTOMIA PARCIAL VIA LAPAROSCOPICA 1902009 - 3.167.660 - 3.167.660 - 2.804.466
CUR1902006 19446 NEFRECTOMIA PARCIAL Y/O CIRUGIA DE TRAUMAT.RENAL 1902009 - 2.188.516 - 2.188.516 - 1.937.584
CUR1902008 19451 NEFRECTOMIA RADICAL AMPLIADA VIA LAPAROSCOPICA 1902010 - 3.923.134 - 3.923.134 - 3.473.319
CUR1902009 19448 NEFRECT.POR PATOLOGIA BENIG.O MALFORM.OTRASPLANTE 1902011 - 1.987.312 - 1.987.312 - 1.759.451
CUR1902010 19497 NEFRECT. POR PAT.BEN.O MALF. O TRASP. (VIA LAPAROSCOPICA) 1902011 - 2.454.950 - 2.454.950 - 2.173.471
CUR1902011 19434 DRENAJE PERCUTANEO O ENDOSCOPICO DE HIDRONEFROSIS(PROC.AUTO) 1902012 - 1.994.633 - 1.994.633 - 1.765.929
CUR1902012 19453 PIELOTOMIA EXPLORADORA Y/O TERAPEUTICA (INCLUYE LA PIE- 1902013 - 1.954.963 - 1.954.963 - 1.730.810
CUR1902013 19455 PIELOTOMIA EXPLORADORA Y/O TERAPEUTICA LAPAROSCOPICA 1902013 - 2.422.606 - 2.422.606 - 2.144.834
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CUR1902017 19505 SUPRARRENALECTOMIA UNILAT.VIA LAPAROSCOPICA 1902015 - 2.427.443 - 2.427.443 - 2.149.118
CUR1902018 19460 SUPRARRENALECTOMIA UNILATERAL 1902015 - 1.959.943 - 1.959.943 - 1.735.222
CUR1902020 19471 ANASTOMOSIS DE LOS URETERES (VIA LAP.) 1902016 - 2.195.398 - 2.195.398 - 1.943.679
CUR1902021 19482 NEFROURETERECTOMIA 1902018 - 2.164.368 - 2.164.368 - 1.916.209
CUR1902022 19483 NEFROURETERECTOMIA VIA LAPAROSCOPICA 1902018 - 3.143.516 - 3.143.516 - 2.783.088
CUR1902023 19478 URETERECTOMIA 1902019 - 1.967.258 - 1.967.258 - 1.741.697
CUR1902024 19470 URETERO-LITOTOMIA ABIERTA 1902020 - 1.640.539 - 1.640.539 - 1.452.439
CUR1902025 19469 URET O NEFRO-LITOTOM ENDOS C/URETEROSC RIGID/FLEX, C/N FRAGM 1902021 - 918.463 - 918.463 - 824.257
CUR1902026 19472 URETEROPLASTIAS. PROC. COMPLETO 1902022 - 2.195.398 - 2.195.398 - 1.943.679
CUR1902027 19480 URETERORRAFIA Y/O URETEROLISIS C/U 1902023 - 1.987.312 - 1.987.312 - 1.759.451
CUR1902028 19468 URETEROSTOMIA BILATERAL:VESICAL.CUTANEAO INTESTINAL 1902024 - 2.158.215 - 2.158.215 - 1.910.761
CUR1902029 19464 URETEROSTOMIA UNILAT.: VESICAL. CUTANEAO INTESTINAL 1902025 - 1.954.963 - 1.954.963 - 1.730.810
CUR1902030 19486 CISTECTOMIA PARCIAL Y/O TQ. DE DIVERTICULO VESICAL 1902027 - 1.988.477 - 1.988.477 - 1.760.483
CUR1902032 19490 CISTECTOMIA RADICAL. PROC COMPLETO. 1902028 - 3.066.976 - 3.066.976 - 2.715.327
CUR1902033 19496 CISTOPLASTIA. PROC. COMPLETO 1902029 - 2.158.215 - 2.158.215 - 1.910.761
CUR1902034 19500 CISTORRAFIA. PROC. COMPLETO 1902030 - 1.666.881 - 1.666.881 - 1.475.759
CUR1902035 19493 CISTOSTOMIA C/S EXT. DE CUERPO EXT. C/S INST.DE CATETER SUPRAPUBICO 1902031 - 2.252.175 - 2.252.175 - 1.993.948
CUR1902039 19494 FISTULA VESICO-CUTANEA. Y/O VAG/INTEST.T.QUIR. 1902033 - 1.989.792 - 1.989.792 - 1.761.646
CUR1902101 20336 FISTULA VESICO-CUTANEA Y/O VAG.Y/O INTESTINAL(VIA LAPAROSCO.) 1902033 - 3.033.372 - 3.033.372 - 2.685.570
CUR1902040 19485 LESIONES DEL CUELLO VESICAL VIA ENDOSCOPICA 1902034 - 2.474.993 - 2.474.993 - 2.191.218
CUR1902041 19484 LESIONES DEL CUELLO VESICAL TRAT. QUIR. 1902034 - 2.007.354 - 2.007.354 - 1.777.197
CUR1902042 19506 LIGADURA DE ARTERIAS HIPOGASTRICAS (P.AUT.) 1902035 - 1.653.265 - 1.653.265 - 1.463.707
CUR1902043 19498 OPERACION DE BRICKER 1902036 - 2.382.511 - 2.382.511 - 2.109.337
CUR1902044 19488 RESECCION ENDOSCOPICA DE CANCER VESICAL 1902037 - 2.232.570 - 2.232.570 - 1.976.586
CUR1902045 19491 RESERVORIO CONTINENTE INTESTINAL EXTERNO O INT. 1902038 - 2.158.215 - 2.158.215 - 1.910.761
CUR1902046 19522 EXTIRPACION DIVERTICULO O QUISTE PARA-URETRAL, CUAL.VIA 1902040 - 1.987.312 - 1.987.312 - 1.759.451
CUR1902047 19514 FLEGMON URINOSO. DRENAJE Y CISTOSTOMIA 1902041 - 1.658.536 - 1.658.536 - 1.468.374
CUR1902048 19518 URETROPLASTIA SIN SUBSTITUCION - URETRORRAFIA 1902043 - 1.655.173 - 1.655.173 - 1.465.396
CUR1902049 19515 URETROPLASTIA DE SUBSTITUCION, CADA TIEMPO 1902044 - 1.989.792 - 1.989.792 - 1.761.646
CUR1902050 19520 INCON.URINARIA DE ESFUERZO O D.I.E (disfuncion intrinseca del esfinter)
1902045 - 1.993.890 - 1.993.890 - 1.765.272
CUR1902052 18491 MEATOTOMIA QUIRURGICA C/S RESECCION DE POLIPO 1902047 - 948.037 - 948.037 - 839.339
CUR1902054 19516 URETRECTOMIA C/S CISTOSTOMIA 1902049 - 1.996.674 - 1.996.674 - 1.767.742
CUR1902055 19528 FISTULECTOMIA URETRAL 1902050 - 939.247 - 939.247 - 831.553
CUR1902111 19532 PLASTIA DE URETRA O TRAT. DE FISTULAS RES. (VIA LAPAROS.) 1902050 - 926.519 - 926.519 - 864.838
CUR1902056 19530 URETROSTOMIA 1902051 - 926.519 - 926.519 - 1.451.556
CUR1902057 19510 URETROTOMIA EXTERNA (PROC. AUT.) 1902052 - 939.247 - 939.247 - 831.553
CUR1902058 19512 URETROTOMIA INTERNA Y/O URETROLITOTOMIA(P.AUT.) 1902053 - 932.954 - 932.954 - 825.984
CUR1902059 19534 TRAT. QUIR.DE ABSC.PROSTATA Y/O VES.SEMIN.C/VIA O TEC 1902054 - 939.247 - 939.247 - 831.553
CUR1902060 19413 ADENOMA O CA. PROSTATICO RES. ENDOSCOPICA O C/LASER VERDE 1902055 - 1.989.360 - 1.989.360 - 1.761.263
CUR1902113 19213 ADENOMA CA.PROSTA., TEC.REZUM RES.ENDOS.- ORTODONCIA 1902055 - 885.428 - 885.428 - 827.053
CUR1902062 19538 ADENOMA PROSTATICO. T.QUIR. CUALQ.VIA OTEC. ABIERTA 1902056 - 1.977.061 - 1.977.061 - 1.750.376
CUR1902065 19560 PROSTATECTOMIA RADICAL CA.PROST. VIA LAPAROSCOPICA (INC. 1902057 LINFADECTOMIA) - 3.365.933 - 3.365.933 - 2.980.007
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CUR1902066 19548 BIOPSIA QUIR.DE TESTICULO Y/O ASPIRACION EPIDIDIMARIA. 1902059 - 939.247 - 939.247 - 831.553
CUR1902067 19565 DESCENSO TESTICULAR CON O SIN HERNIA, CUALQUIER TIEMPO,CUALQUIER
1902060 TECNICA - 1.195.468 - 1.195.468 - 1.104.704
CUR1902068 19665 DESCENSO TESTICULAR CON O SIN HERNIA, CUALQUIER TIEMPO,VIA LAP
1902060 - 1.949.265 - 1.949.265 - 1.725.766
CUR1902069 19569 DESCENSO TESTICULO INGUINAL C/S HERNIOPLASTIA 1902061 - 930.471 - 930.471 - 824.257
CUR1902070 19571 DESCENSO TESTICULO INGUINAL VIA LAPAROSCOPICA 1902061 - 1.658.088 - 1.658.088 - 1.467.976
CUR1902071 19572 ESCROTO. PLASTIA DE. PROC. COMPLETO 1902062 - 1.211.563 - 1.211.563 - 1.104.704
CUR1902072 19552 HIDATIDECTOMIA UNILAT.C/S EVERSION VAGINAL (P.AUT.) 1902063 - 939.247 - 939.247 - 831.553
CUR1902104 19543 HIDATIDECTOMIA UNILAT. (VIA LAPAROSCOPICA) 1902063 - 1.302.202 - 1.302.202 - 1.216.348
CUR1902073 19570 HIDROCELE Y/O HEMATOCELE. TRAT. QUIR. 1902064 - 939.247 - 939.247 - 831.553
CUR1902074 19554 ORQUIDECTOMIA UN LADO 1902065 - 939.247 - 939.247 - 831.553
CUR1902075 19544 ORQUIDECTOMIA UN LADO VIA LAPAROSCOPICA 1902065 - 1.666.881 - 1.666.881 - 1.475.759
CUR1902076 19558 ORQUIDOPEXIA UN LADO 1902066 - 939.247 - 939.247 - 831.553
CUR1902077 19545 ORQUIDOPEXIA UN LADO VIA LAPAROSCOPICA 1902066 - 1.666.881 - 1.666.881 - 1.475.759
CUR1902078 19562 PROTESIS TESTICULAR. (PROC. AUT.) 1902067 - 939.247 - 939.247 - 831.553
CUR1902079 19564 TUM. MALIG.TESTICULO. ORQUIDECTOMIA AMP. S/VAC. 1902068 - 1.202.785 - 1.202.785 - 1.104.704
CUR1902080 19568 TUM. MALIG.TESTICULO. ORQUIDECTOMIA AMP. C/VAC. 1902069 - 3.144.107 - 3.144.107 - 2.783.612
CUR1902081 19586 ANASTOMOSIS DE LOS DEFERENTES 1902070 - 1.645.357 - 1.645.357 - 1.456.706
CUR1902082 19576 EPIDIDIMECTOMIA PARCIAL O TOTAL. UN LADO 1902071 - 935.294 - 935.294 - 828.055
CUR1902083 19578 PLASTIA EPIDIDIMO-DEFERENTE (OPER.DE MARTIN O SIM.) 1902072 - 1.645.357 - 1.645.357 - 1.456.706
CUR1902084 19588 QUISTES DEL CORDON. Y/O EPIDIDIMO. EXTIRPACION 1902073 - 939.247 - 939.247 - 831.553
CUR1902085 19582 EXPL. ESCROTO AGUDO INCL. HEMATOCELE POR TRAUMA, DESTORSION Y FIJACION TESTICULO
1902074 - 939.247 - 939.247 - 831.553
CUR1902086 19549 VARICOCELE UNILATERAL VIA LAPAROSCOPICA 1902075 - 1.666.881 - 1.666.881 - 1.475.759
CUR1902087 19584 VARICOCELE UNILATERAL Y/O DENERVACION CORDON ESPERMATICO (INCLUYE QUISTES,
1902075 - HIDAT
939.247 - 939.247 - 831.553
CUR1902088 19580 VASECTOMIA BILATERAL. (PROC. AUT.) 1902076 - 939.247 - 939.247 - 831.553
CUR1902103 19594 AMPUTACION PARCIAL DEL PENE (PROC.AUT.) 1902078 - 1.034.485 - 1.034.485 - 965.618
CUR1902089 19596 AMPUTACION TOTAL DEL PENE. PROC. COMPLETO 1902079 - 1.852.519 - 1.852.519 - 1.640.115
CUR1902090 19602 BIOPSIA DE PENE (PROC. AUT.) 1902080 - 658.315 - 658.315 - 582.834
CUR1902091 19604 CIRUGIA DEL PRIAPISMO CUALQUIER VIA O TECNICA 1902081 - 1.202.785 - 1.202.785 - 1.104.704
CUR1902092 19590 CIRCUNCISION (INCLUYE SECCION DE FRENILLO, Y/O DE SINEQUIAS1902082 - 939.247 - 939.247 - 831.553
CUR1902093 19592 CIRUGIA TRAUM. PENEANO O CURVA.ADQ.DE LA ALBUGINEA 1902083 - 935.294 - 935.294 - 828.055
CUR1902094 19600 MEATOTOMIA HOMBRE Y/O SECCION FRENILLO 1902084 - 662.699 - 662.699 - 586.720
CUR1902095 19606 IMPLANTACION DE PROTESIS PENEANA (NO INCLUYE PROTESIS ) 1902085 - 1.620.478 - 1.620.478 - 1.434.678
CUR1902096 19155 TRAT.INTEGRAL LITIASIS URIN. POR VIA LITOTRIPSIA EXTRACORPOREA
1902090 - 2.163.856 - 2.163.856 - 2.259.434
CUR1902097 19161 RETRATAMIENTO LITIASIS RENAL TRAT. POR O- ORTODONCIA 1902090 - 1.590.574 - 1.590.574 - 1.650.425
PGO2001002 20197 HISTEROSCOPIA DIAGNOSTICA (PROC. AUT.) 2001005 628.097 652.871 628.097 652.871 586.687 682.048
PGO2001008 20017 BIOPSIA ENDOMETRIO. VULVA. VAGINA. CUELLO. C/U (P.AUT.) 2001014 - 418.236 - 418.236 - 436.298
PGO2001010 42016 ELECTRODIATERMO O CRIOCOAGULACION DE LESIONES DEL CUELLO - EN SALA 70.538
2001016 - 70.538 - 65.842 -
PGO2001031 20023 ELECTRODIATERMO O CRIOCOAGULACION DE LESIONES DEL CUELLO - EN PABELLON
2001016 429.828 511.493 429.828 511.493 477.773 566.783
CMA2002000 19610 ABSCESO Y/O HEMATOMA DE MAMA. TRAT.QUIR. 2002001 - 456.834 - 456.834 - 404.451
CMA2002001 19614 MASTECTOMIA PARCIAL (CUADRANTEC.O SIMILAR ) O TOT. S/VAC. 2002002 - 1.276.984 - 1.276.984 - 1.130.570
CMA2002002 19616 MASTECTOMIA RADICAL O TUMORECTOMIA C/VACIAM.GANGLIONAR2002003 - 1.634.246 - 1.634.246 - 1.446.867
CMA2002003 19612 TUMOR BENIGNO Y/O QUISTE Y/O MAMA SUPERNUMERARIA 2002005 - 939.247 - 939.247 - 831.553
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CGO2003000 20145 OOFERECTOMIA PARCIAL O TOT.VIA LAPAROSCOPICA 2003001 - 2.252.037 - 2.252.037 - 1.993.822
CGO2003001 20195 OOFORECTOMIA PARCIAL O TOTAL. UNI O BILATERAL (P.AUT.) 2003001 - 1.664.974 - 1.664.974 - 1.474.070
CGO2003002 20144 ANEXECTOMIA POR VIA LAPAROSCOPICA 2003002 - 2.240.329 - 2.240.329 - 1.983.460
CGO2003003 20045 ANEXECTOMIA Y/O VAC. DE ABSCESO TUBO-OVARICO. UNI O 2003002 - 1.655.173 - 1.655.173 - 1.465.396
CGO2003004 20088 EMBARAZO TUBARIO. TRAT. LAPAROSC 2003003 - 2.235.929 - 2.235.929 - 1.979.562
CGO2003005 20008 EMBARAZO TUBARIO. TRAT. QUIR. 2003003 - 1.650.769 - 1.650.769 - 1.461.498
CGO2003006 20334 LIGADURA DE TROMPA(S) VIA LAPAROSCÓPICA 2003004 - 2.252.037 - 2.252.037 - 1.993.822
CGO2003007 20123 LIGADURA O SECCION UNI O BILATERAL DE LAS TROMPAS (P.AUT) 2003004 - 1.666.881 - 1.666.881 - 1.475.759
CGO2003009 20143 SALPINGECTOMIA UNI O BILAT.VIA LAPAROSCOPICA 2003005 - 2.252.037 - 2.252.037 - 1.993.822
CGO2003010 20006 SALPINGECTOMIA UNI O BILATERAL 2003005 - 1.666.881 - 1.666.881 - 1.475.759
CGO2003011 20032 ESTERILIDAD TUBARIA, OP.PLASTICA UNI O BIL.CON MICRO(VIA LAP.)2003006 - 3.179.383 - 3.179.383 - 2.814.844
CGO2003012 20012 ESTERILIDAD TUBARIA. OP.PLASTICA UNI O BILAT.C/MICROCIRUGIA2003006 - 2.200.220 - 2.200.220 - 1.947.946
CGO2003013 20041 ESTERILIDAD TUBARIA, OP.PLASTICA UNI O BIL.SIN MICRO(VIA LAP.)2003007 - 2.464.745 - 2.464.745 - 2.182.143
CGO2003014 20014 ESTERILIDAD TUBARIA. OP.PLASTICA UNI O BILAT.S/MICROCIRUGIA2003007 - 1.997.107 - 1.997.107 - 1.768.124
CGO2003015 20105 MIOMECTOMIA 2003008 - 1.660.587 - 1.660.587 - 1.550.039
CGO2003016 20016 MIOMECTOMIA POR LAPAROTOMIA 2003008 - 2.009.854 - 2.009.854 - 1.779.409
CGO2003017 20147 MIOMECTOMIA POR VIA LAPAROSCOPICA 2003008 - 2.477.494 - 2.477.494 - 2.193.430
CGO2003019 20018 HISTERECTOMIA SUBTOTAL POR VIA ABDOMINAL 2003009 - 1.996.383 - 1.996.383 - 1.767.485
CGO2003020 20142 HISTERECTOMIA SUBTOTAL POR VIA LAPAROSCOPICA 2003009 - 2.464.031 - 2.464.031 - 2.181.511
CGO2003021 20020 HISTERECTOMIA TOTAL O AMPL.POR VIA ABDOMINAL 2003010 - 1.949.102 - 1.949.102 - 1.725.626
CGO2003023 20140 HISTERECTOMIA TOTAL O AMP.VIA LAPAROSCOPICA 2003010 - 2.387.188 - 2.387.188 - 2.113.482
CGO2003024 20192 LIGAMENTO ANCHO: ABSCESOS Y/O HEMATOMASY/O FLEGMONES 2003011 - 1.999.603 - 1.999.603 - 1.770.335
CGO2003025 20194 LIGAMENTO ANCHO: ABSCESOS Y/O HEMATOMASY/O FLEGMONES,2003011 VIA L - 2.467.104 - 2.467.104 - 2.184.232
CGO2003026 20036 CONIZACION Y/O AMPUTACION DEL CUELLO UTERINO, DIAGNOSTICA Y/O TERAPEUTICA
2003012 C/S
- B 939.247 - 939.247 - 831.553
CGO2003027 20028 EXANTERACION PELVIANA ANTERIOR Y/O POSTERIOR 2003013 - 3.853.464 - 3.853.464 - 3.502.382
CGO2003028 20022 HISTERECTOMIA POR VIA VAGINAL 2003014 - 1.948.955 - 1.948.955 - 1.725.494
CGO2003029 20026 HISTERECTOMIA RADICAL CON DISECCION PELVIANA COMPLETA 2003015 - 2.345.770 - 2.345.770 - 2.076.807
CGO2003030 20374 HISTERECTOMIA TOTAL C/ INCONTINENCIA URINARIA LAPAROSC. 2003016 - 2.375.195 - 2.375.195 - 2.102.862
CGO2003031 20078 HISTERECTOMIA TOTAL C/INTERVENCION INCONTINENCIA URINARIA 2003016 - 1.907.551 - 1.907.551 - 1.688.835
CGO2003032 20030 HISTEROPEXIA 2003017 - 2.016.142 - 2.016.142 - 1.784.977
CGO2003033 20335 HISTOPEXIA VIA LAPAROSCÓPICA 2003017 - 2.483.786 - 2.483.786 - 2.199.001
CGO2003034 20024 PLASTIA UTERINA (OPERACION DE STRASSMANN O SIMILARES) 2003018 - 2.001.942 - 2.001.942 - 1.772.406
CGO2003035 20038 POLIPECTOMIA (UNO O MAS) (PROC. AUT.) 2003019 - 655.830 - 655.830 - 580.635
CGO2003036 20034 SINEQUIA Y/O ESTENOSIS CERVICAL . TRAT.QUIR. 2003020 - 958.858 - 958.858 - 848.921
PGO2001036 20042 COLPOCELIOTOMIA 2003021 - 1.087.691 - 1.087.691 - 1.015.282
CGO2003037 20047 INCONTINENCIA URINARIA DE ESFUERZO. T.QUIR. POR VIA VAGINAL2003022 - 1.202.785 - 1.202.785 - 1.104.704
CGO2003038 20040 PROLAPSO ANT.Y/O POST.C/ REPAR.. INCONT.URIN. VIA EXTRAVAG.2003023 - 1.979.555 - 1.979.555 - 1.752.585
CGO2003039 20021 PROLAPSO ANT.Y/O POST.C/S REPAR.. INCONT.URIN. VIA VAGINAL 2003024 - 1.658.088 - 1.658.088 - 1.467.976
CGO2003040 20044 QUISTE Y/O DESGARRO Y/O TABIQUE VAGINAL. TRAT.QUIR. 2003025 - 958.858 - 958.858 - 848.921
CGO2003041 20050 BARTOLINITIS. VACIAMIENTO Y DRENAJE (PROC. AUT.) 2003026 - 659.481 - 659.481 - 583.867
CGO2003042 20052 BARTOLINOCISTONEOSTOMIA O EXTIRP. DE LAGLANDULA 2003027 - 940.127 - 940.127 - 832.333
CGO2003044 20056 VULVECTOMIA RADICAL 2003028 - 1.922.189 - 1.922.189 - 1.701.795
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CGO2003045 20054 VULVECTOMIA SIMPLE 2003029 - 1.179.806 - 1.179.806 - 1.104.704
CGO2003046 20037 DESGARRO CERVICAL TRAT. QUIR. 2003030 - 939.247 - 939.247 - 831.553
CGO2003050 20027 VIDEOLAPAROSCOPIA GINECOLOGICA EXPLORADORA (INCLUYE TOMA DE
2003031 - 1.710.335 - 1.710.335 - 1.514.231
CGO2003051 20019 INCOMPETENCIA CERVICAL TRAT. QUIR. 2003040 - 937.502 - 937.502 - 830.009
CGO2003052 20117 EXTRACCION DE DIU INCRUSTADO.VIA ABDOMINAL 2003041 - 2.009.405 - 2.009.405 - 1.779.009
COB2004000 20062 ABORTO RETENIDO, VACIAMIENTO DE (INCLUYE LA INDUCCION EN 2004001 - 634.022 - 634.022 - 561.326
COB2004002 20060 RASPADO UTERINO DIAGNOSTICO O TERAPEUTICO POR METRORRAGIA 2004002 - 636.070 - 636.070 - 563.140
COB2004003 20064 PARTO.PRESENTACION CEFALICA O PODALICA.C 2004003 - 1.076.197 - 1.076.197 - 1.004.553
COB2004005 20048 CESAREA CON HISTERECTOMIA 2004005 - 1.965.631 - 1.965.631 - 1.836.040
COB2004006 20066 CESAREA C/S SALPINGOLIGADURA O SALPINGECTOMIA 2004006 - 1.544.532 - 1.544.532 - 1.388.292
PTR2101003 20337 MOVILIZACION ARTICULAR BAJO ANESTESIA GENERAL 2101003 - 970.420 - 970.420 - 993.488
CTR2104000 19901 ARTROSCOPIA DIAG. C/S BIOPSIA.C/S SEC.BRIDAS. EXT. CUERP.EX.2104001 404.298 404.298 404.298 404.298 377.383 377.383
CTR2104001 18085 EXOSTOSIS U OSTEOCONDROMA. TRAT. QUIR. 2104002 424.924 424.924 424.924 424.924 396.903 396.903
CTR2104002 18103 QUISTES SINOVIALES DE VAINAS FLEXORAS. BURSAS 2104003 426.398 426.398 426.398 426.398 396.903 396.903
CTR2104004 19821 TRACCION HALOCRANEANA O ESTRIBO-CRANEANA (PROC. AUT.) 2104004 457.836 457.836 457.836 457.836 396.903 405.345
CTR2104005 18089 ARTRODESIS DE CODO O MUNECA. C/U 2104007 625.246 625.246 625.246 625.246 553.555 553.555
CTR2104006 18265 ARTRODESIS DE HOMBRO. CADERA.RODILLA. TOBILLO O SACROILIACA 2104008 - 919.486 - 919.486 - 824.257
CTR2104210 20329 ARTRODESIS DE HOMB,CAD,ROD,TOB (VIA ARTOSCOP.) 2104008 - 1.613.162 - 1.613.162 - 1.428.203
CTR2104007 18109 ARTRODESIS DE MANO O PIE C/U 2104009 625.246 625.246 625.246 625.246 553.555 553.555
CTR2104008 18279 TRAT.COMP.DE FRAC.EXP.DE BRAZO.ANTEBRAZO.MUSLO.PIERNA(C/U) 2104010 - 1.192.542 - 1.192.542 - 1.104.704
CTR2104009 18255 TRAT. COMP. DE FRAC. EXP.DE MANO O PIE (C/U) 2104011 - 936.472 - 936.472 - 829.101
CTR2104010 18083 INFECCION OSEA OSTEITIS RASPADO C/S SECUESTRECTOMIA 2104012 - 945.252 - 945.252 - 836.871
CTR2104011 19977 OSTEOMIELITIS AG.HEMATOGENA.DREN.QUIR.C/S DISP.OSTEOCLISIS 2104013 - 1.208.779 - 1.208.779 - 1.104.704
CTR2104012 19715 OSTEOMIELITIS CR.HUESOS LARG.LEGRADO OSEO C/S OSTEOSINTESIS 2104014 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104013 18193 ARTROTOMIA HOMBRO O CADERA C/U 2104015 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104014 18091 ARTROTOMIA DE CODO, MUÑECA, TOBILLO O TEMPOROMANDIBULAR, C/U
2104016 - 939.247 - 939.247 - 831.553
CTR2104916 20007 ARTROTOMIA CODO, MUÑ, TOB O TEMPOROMANDIBULAR, C/U (ARTROSCOPICA)
2104016 - 1.658.087 - 1.658.087 - 1.401.327
CTR2104219 18081 PSEUDOARTROSIS INFECTADA HUESOS LARGOS. TRAT. QUIR. 2104017 - 1.217.864 - 1.217.864 - 1.136.789
CTR2104015 17276 AUTOTRANSPLANTE OSEO MICROQUIRURGICO 2104018 - 3.134.885 - 3.134.885 - 2.775.445
CTR2104016 18277 INJERTO ESPONJOSO METAFISIARIO 2104019 625.246 625.246 625.246 625.246 553.555 553.555
CTR2104017 18797 INJERTOS ESPONJOSOS O CORTICO-ESPONJOSOS DE CRESTA ILIACA 2104020 625.246 625.246 625.246 625.246 553.555 553.555
CTR2104018 18155 TRANSPLANTE OSEO (AUTO U HOMOTRANSPLANTE) 2104021 - 1.615.509 - 1.615.509 - 1.430.283
CTR2104019 18278 LESIONES QUISTICAS CON FRACTURA PATOLOGICA : LEGRADO OSEO 2104022 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104020 18281 LESIONES QUISTICAS : LEGRADO OSEO 2104023 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104207 20367 LESIONES QUISTICAS : LEGRADO OSEO ARTROSC. 2104023 - 2.127.244 - 2.127.244 - 1.883.341
CTR2104021 18282 METASTASIS OSEA C/S FRACTURA PATOLOGICA.LEGRADO TUMORAL 2104024 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104022 18267 TUMOR OSEO. RESECCION EN BLOQUE. C/S OSTEOSINTESIS Y/O 2104025 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104023 20347 TUMORES O QUISTES O LESIONES PSEUD VIA ARTROSCOPIA 2104026 - 2.252.175 - 2.252.175 - 1.993.948
CTR2104024 18223 TUMORES O QUISTES O LESIONES PSEUDOQUISTICAS O MUSCULARES 2104026 - 1.211.881 - 1.211.881 - 1.131.203
CTR2104025 18191 TUMORES OSEOS: RESECCION EN BLOQUE.EPIFISIARIA C/ARTRODESIS 2104027 - 1.642.876 - 1.642.876 - 1.454.509
CTR2104026 18286 TUMORES PRIMARIOS O METASTASICOS VERTEBRALES : CORPORECTOMIA2104028 - 3.114.688 - 3.114.688 - 2.757.566
CTR2104027 17706 SINOVECTOMIAS POR VIA ARTROSCOP 2104029 - 1.668.337 - 1.668.337 - 1.477.049
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTR2104028 19703 SINOVECTOMIAS QUIRURGICAS DE CODO O MUNECA O 2104029 - 940.716 - 940.716 - 832.859
CTR2104029 18094 SINOVECTOMIA QUIR. RODILLA. CADERA U HOMBRO 2104030 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104030 18294 SINOVECTOMIA VIA ARTOSCÓPICA 2104030 - 2.016.147 - 2.016.147 - 1.784.978
CTR2104031 18740 EPINEURORRAFIA MICROQUIR. C/MAGNIFICACION CUALQ.TRONCO NERV
2104031 - 2.235.495 - 2.235.495 - 1.979.176
CTR2104032 18159 BIOPSIA OSEA POR PUNCION 2104033 433.955 457.836 433.955 457.836 405.345 405.345
CTR2104033 18181 BIOPSIA OSEA QUIRURGICA 2104034 - 940.716 - 940.716 - 832.859
CTR2104034 18741 BIOPSIA SINOVIAL O MUSCULAR POR PUNCION 2104035 99.444 419.143 99.444 419.143 380.174 380.174
CTR2104035 18043 BIOPSIA SINOVIAL O MUSCULAR QUIRURGICA 2104036 658.315 658.315 658.315 658.315 582.834 582.834
CTR2104036 18742 BIOPSIA VERTEBRAL POR PUNCION 2104037 617.729 651.730 617.729 651.730 577.004 577.006
CTR2104037 18693 MUNON DE AMPUTACION. REGULARIZACION DE 2104038 631.239 631.239 631.239 631.239 558.862 558.860
CTR2104038 20373 OSTEOCONDROSIS O EPIFISITIS. ARTROSC 2104039 - 1.673.676 - 1.673.676 - 1.481.777
CTR2104039 18427 OSTEOCONDROSIS O EPIFISITIS. TRAT. QUIR. 2104039 - 946.045 - 946.045 - 837.573
CTR2104224 17465 AMPUTACION INTERESCAPULOTORACICA 2104040 - 2.647.292 - 2.647.292 - 2.471.057
CTR2104040 19704 ENDOPROTESIS TOTAL DE HOMBRO.(CUALQUIERTECNICA) 2104042 - 2.464.748 - 2.464.748 - 2.182.146
CTR2104041 20392 FRACTURA CUELLO HUMERAL. TRAT. QUIR VIAARTROSCOP. 2104044 - 2.232.271 - 2.232.271 - 1.976.324
CTR2104042 19698 FRACTURA CUELLO HUMERAL. TRAT. QUIR. 2104044 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104043 18015 FRACTURA DE CLAVICULA. OSTEOSINTESIS 2104045 - 939.247 - 939.247 - 831.553
CTR2104044 18017 FRACTURA ESCAPULA. OSTEOSINTESIS 2104046 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104045 19696 LUXACION ACROMIO-CLAVICULAR O ESTERNO CLAVICULAR 2104047 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104046 19699 LUXACION ACROMIO-CLAVICULAR VIA ATROSCOPICA 2104047 - 1.767.633 - 1.767.633 - 1.649.959
CTR2104047 19693 LUXACION RECIDIVANTE DE HOMBRO, TRAT. QUIR. 2104048 - 1.996.383 - 1.996.383 - 1.767.485
CTR2104205 19692 LUXACION RECIDIVANTE. TRAT. QUIR. 2104048 - 1.191.804 - 1.191.804 - 1.104.704
CTR2104218 19690 LUXACION TRAUMATICA DE HOMBRO, REDUCCION CRUENTA 2104049 - 939.246 - 939.246 - 876.718
CTR2104048 19694 LUXOFRACTURA, REDUCCION Y OSTEOSINTESISHOMBRO 2104050 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104049 19777 RUPTURA MANGUITO ROTADORES VIA ARTROSCOP 2104051 - 2.232.271 - 2.232.271 - 1.976.324
CTR2104204 19700 RUPTURA MANGUITO ROTADORES. TRAT. QUIR.C/S ACROMIECTOMIA 2104051 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104050 19742 TRANSPOSICIONES MUSC. VIA ARTROSC. 2104052 - 2.016.147 - 2.016.147 - 1.784.978
CTR2104051 19702 TRANSPOSICIONES MUSCULARES 2104052 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104202 19720 AMPUTACION BRAZO 2104053 - 1.661.294 - 1.661.294 - 1.470.812
CTR2104052 19718 FRACTURA SUPRACONDILEA NINO TRACCION ESQUELETICA 2104054 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104053 19712 OSTEOSINTESIS DIAFISIARIA DE HUMERO (CUALQUIER TECNICA) 2104055 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104054 19716 OSTEOSINTESIS SUPRA O INTERCONDILEA (CUALQ.TECNICA) 2104056 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104055 18069 OSTEOTOMIA HUMERO (CUALQUIER TECNICA) 2104057 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104056 19714 PSEUDOARTROSIS C/S OSTEOSINTESIS C/S YESO HUMERO 2104058 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104225 19734 ARTROPLASTIA CON FASCIA CODO 2104059 - 1.428.728 - 1.428.728 - 1.333.616
CTR2104057 18047 CUPULA RADIAL. RESECCION 2104060 - 1.217.713 - 1.217.713 - 1.104.704
CTR2104058 18063 CUPULA RADIAL. RESECCION CON IMPLANTE DE SILASTIC O SIMILAR
2104061 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104209 19736 ENDOPROTESIS TOTAL DE CODO. (CUALQUIER TECNICA) 2104062 - 2.311.025 - 2.311.025 - 2.157.177
CTR2104059 18743 EPICONDOLITIS TRAT.QUIR.(CUALQUIER TECNICA) 2104063 - 1.213.466 - 1.213.466 - 1.104.704
CTR2104060 19724 LUXACION DE CODO, REDUCCION CRUENTA 2104064 - 936.472 - 936.472 - 829.101
CTR2104061 19726 LUXOFRACTURA DE CODO, REDUCCION CRUENTAC/S RESECCION CUPULA
2104065 RADIAL - 1.210.971 - 1.210.971 - 1.104.704
CTR2104062 19722 OSTEOSINTESIS EPITROCLEA-EPICONDILO (CUALQ.TECNICA) 2104066 - 1.211.563 - 1.211.563 - 1.104.704
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTR2104063 18045 OSTEOSINTESIS OLECRANON U OSTEOSINTESISDE CUPULA RADIAL 2104067 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104064 19738 TRASLOCACION NERVIO CUBITAL (PROC. AUT.) 2104068 - 1.658.088 - 1.658.088 - 1.467.976
CTR2104065 19754 OPERACION DE SALVATAJE RADIO-PROCUBITO 2104069 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104066 19756 AMPUTACION ANTEBRAZO 2104070 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104067 18495 EXTIRP.METAFISIS DISTAL DEL CUBITO Y ARTROD.RADIOCUBITAL 2104071 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104068 18065 LUXOFRACTURAS (MONTEGGIA-GALEAZZI). REDUCC. Y OSTEOSINTESIS
2104072 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104069 18059 OSTEOSINTESIS.FRAC.CERR.CUBIT Y/O RADIO(CLQ.TCN) 2104073 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104070 18077 OSTEOTOMIA UNO O AMBOS HUESOS. C/S OSTESINTESIS 2104074 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104071 18090 PSEUDOARTROSIS CUBITO Y/O RADIO C/S OSTEOSINTESIS C/S YESO
2104075 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104072 18189 TRASPLANTES MUSCULO-TENDINOSOS ANTEBRAZO 2104077 - 1.191.804 - 1.191.804 - 1.104.704
CTR2104223 18051 CONTRACTURA ISQUEM. DE VOLKMANN: DESCENSO MUSCULAR, 2104078 - 1.027.521 - 1.027.521 - 1.127.117
CTR2104073 18744 ESTILOIDES CUBITAL. RESECCION DE 2104080 - 945.252 - 945.252 - 836.871
CTR2104074 18093 FRACTURA O PSEUDOARTROSIS ESCAFOIDES.TRAT.QUIR.CUALQ.TEC.2104081 - 936.472 - 936.472 - 829.101
CTR2104206 19764 LUXACION RADIOCARPIANA.TRAT. QUIR. 2104083 - 939.247 - 939.247 - 831.553
CTR2104076 19762 LUXACION SEMILUNAR.REDUCCION Y OSTEOSINTESIS SEMICRUENTA 2104084 - 938.670 - 938.670 - 831.046
CTR2104077 18498 OSTEOSINTESIS RADIO. (CUALQUIER TECNICA) 2104085 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104078 19770 TENDOVAGINOSIS DE DE QUERVAIN.TRAT. QUIR. 2104086 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104079 19814 AMPUTACION DEDOS (TRES O MAS) 2104087 - 934.860 - 934.860 - 827.672
CTR2104080 19812 AMPUTACION DEDOS (UNO O DOS) 2104088 634.022 634.022 634.022 634.022 561.326 561.326
CTR2104081 19816 AMPUTACION MANO O DEL PULGAR 2104089 - 1.202.785 - 1.202.785 - 1.104.704
CTR2104082 18439 AMPUTACION PULPEJOS (PLASTIA KUTLER O SIMILARES) 2104090 631.239 631.239 631.239 631.239 558.862 558.860
CTR2104083 19784 CONTRACTURA DUPUYTREN.TRAT. QUIR..CADA TIEMPO 2104091 - 945.252 - 945.252 - 836.871
CTR2104084 19780 CONTUSION-COMPRESION GRAVE MANO, TRAT. QUIR. INCLUYE INCISIONES
2104092 LIBERADORAS - Y/O 938.670 - 938.670 - 831.046
CTR2104085 18115 DEDOS EN GATILLO.TRAT. QUIR..CUALQUIER NUMERO 2104093 631.239 631.239 631.239 631.239 558.862 558.860
CTR2104086 19778 FLEGMON MANO. TRAT. QUIR. 2104094 424.924 424.924 424.924 424.924 396.903 396.903
CTR2104087 18139 LUXOFRACTURA METACARPOFALANGICA O INTERFALANGICA.TRAT.QUIR.
2104095 625.246 625.246 625.246 625.246 553.555 553.555
CTR2104088 19792 MANO REUMATICA EN RAFAGA: TRASLOC.TENDINOSAS. TENOTOMIAS 2104096 - 1.209.509 - 1.209.509 - 1.104.704
CTR2104089 19794 MANO REUMATICA: IMPLANT. SILASTIC. CUALQ. NUMERO (PROC.AUT.)
2104097 - 1.665.404 - 1.665.404 - 1.474.454
CTR2104090 19818 MUTILACION GRAVE MANO, ASEO. QUIR. COMPLETO C/S OSTEOSINTESIS,
2104098C/S INJERTOS - 1.212.298 - 1.212.298 - 1.104.704
CTR2104091 18503 OSTEOSINTESIS METACARPIANAS O DE FALANGES.CUALQUIER TECNICA
2104099 625.246 625.246 625.246 625.246 553.555 553.555
CTR2104092 19776 PANADIZO. TRAT. QUIR. 2104100 419.143 419.143 419.143 419.143 380.174 380.174
CTR2104093 19820 PULGARIZACION DEDO (INDICE O ANULAR) 2104101 - 1.647.858 - 1.647.858 - 1.458.915
CTR2104094 19824 REIMPLANTE MANO O DEDO(S) 2104102 - 3.122.154 - 3.122.154 - 2.764.175
CTR2104095 19802 REPARACION FLEXORES: PRIMER TIEMPO ESPACIADOR SILASTIC 2104103 - 1.217.713 - 1.217.713 - 1.104.704
CTR2104096 19806 REPAR.NERVIO DIGITAL CON INJERTO INTERFASCICULAR:CUALQ NUM.
2104104 - 1.997.107 - 1.997.107 - 1.768.124
CTR2104097 19782 RUPTURAS CERRADAS CAPSULO-LIGAMENT. O TENDINOSAS, TRAT.2104105
QUIR. MANO - 939.247 - 939.247 - 831.553
CTR2104098 18141 SUTURA NERVIO(S) DIGITAL(ES) MICROCIRUGIA 2104106 - 2.013.360 - 2.013.360 - 1.782.513
CTR2104099 19798 TENORRAFIA EXTENSORES MANO 2104107 - 945.252 - 945.252 - 836.871
CTR2104100 19800 TENORRAFIA O INJERTOS FLEXORES MANO 2104108 - 939.247 - 939.247 - 831.553
CTR2104101 18745 TENOSINOVITIS SEPTICA, TRAT. QUIR. MANO 2104109 451.998 451.998 451.998 451.998 400.173 400.173
CTR2104215 19822 TRANSPLANTE MICROQUIRURGICO PARA PULGAR 2104110 4.406.865 4.406.865 4.406.865 4.406.865 3.084.806 3.445.820
CTR2104102 19790 TRANSPOSICIONES TENDINOSAS FLEXORAS O EXTENSORAS MANO2104111 - 939.247 - 939.247 - 831.553
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTR2104103 19836 ESCOLIOSIS.TRAT.QUIR.CUALQUIER VIA DE ABORDAJE 2104113 - 4.233.963 - 4.233.963 - 3.748.504
CTR2104106 18163 LUXACIONES.LUXOFRACTURAS VERTEBRALES (CERVICAL.DORSAL.2104116 - 2.445.150 - 2.445.150 - 2.164.795
CTR2104107 19846 OSTEOTOMIAS VERTEBRALES CORRECTORAS 2104117 - 3.142.795 - 3.142.795 - 2.782.446
CTR2104211 19832 PLASTIAS COSTALES. CUALQUIER NUMERO 2104118 - 1.004.301 - 1.004.301 - 889.810
CTR2104108 19848 REEMPLAZO CUERPO VERTEBRAL CON ARTRODESIS 2104119 - 3.087.905 - 3.087.905 - 2.733.853
CTR2104109 19830 RESECCION DEL COXIS 2104121 - 939.247 - 939.247 - 831.553
CTR2104110 19854 DIASTASIS PUBIANA. TRAT. QUIR. 2104122 - 1.643.455 - 1.643.455 - 1.455.019
CTR2104111 19856 FRACTURA DE PELVIS, OSTEOSINTESIS QUIR. 2104123 - 1.997.107 - 1.997.107 - 1.768.124
CTR2104112 18199 OSTEOTOMIA PELVIANA (SALTER.CHIARI O SIMILARES) 2104124 - 1.994.633 - 1.994.633 - 1.765.929
CTR2104113 18507 TRIPLE OSTEOTOMIA DE PELVIS 2104125 - 1.987.312 - 1.987.312 - 1.759.451
CTR2104114 19882 DESARTICULACION CADERA 2104127 - 3.408.960 - 3.408.960 - 3.018.097
CTR2104115 19878 ENDOPROTESIS PARCIAL DE CADERA C/S CEMENTACION (CUALQUIER TECNICA) (NO INCLUYE
2104128 - 2.454.214
P - 2.454.214 - 2.172.820
CTR2104116 19880 ENDOPROTESIS TOTAL DE CADERA 2104129 - 3.147.617 - 3.147.617 - 2.786.718
CTR2104213 18998 ENDOPROTESIS TOTAL DE CADERA (HIBRIDA) 2104129 - 3.147.617 - 3.147.617 - 2.940.097
CTR2104214 18994 ENDOPROTESIS TOTAL DE CADERA (NO CEMENTADA) 2104129 - 3.147.617 - 3.147.617 - 2.940.097
CTR2104117 18201 EPIFISIOLISIS LENTA O AGUDA.TRAT. QUIR. 2104130 - 1.996.383 - 1.996.383 - 1.767.485
CTR2104118 19876 FRACTURA DE CUELLO DE FEMUR.OSTEOSINTESIS.CUALQ.TECNICA 2104131 - 2.469.586 - 2.469.586 - 2.186.430
CTR2104119 18511 FRACTURA DE CUELLO DE FEMUR.RESECCION EPIFISIS FEMORAL 2104132 - 1.996.383 - 1.996.383 - 1.767.485
CTR2104120 19872 LUXACION TRAUMATICA DE CADERA, REDUCCION CRUENTA 2104133 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104121 19874 LUXOFRACTURA ACETABULAR.TRAT.QUIR. 2104134 - 1.994.633 - 1.994.633 - 1.765.929
CTR2104122 18509 OPERACION DE SALVATAJE CADERA COLUMNA OSIMILARES 2104135 - 2.434.898 - 2.434.898 - 2.155.723
CTR2104123 18709 OPERACION DE SALVATAJE CADERA (VIA ARTROSC.) 2104135 - 3.059.341 - 3.059.341 - 2.838.334
CTR2104124 19870 OSTEOTOMIAS FEMORALES 2104136 - 1.996.383 - 1.996.383 - 1.767.485
CTR2104125 19860 REDUCCION CRU.EN LUXACION CONGENITA O TRAUM.DE CADERA 2104137 - 1.647.121 - 1.647.121 - 1.458.266
CTR2104126 19864 REDUCCION CRUENTA Y ACETABULOPLASTIA FEMORAL 2104138 - 2.223.195 - 2.223.195 - 1.968.289
CTR2104127 19862 REDUCCION CRUENTA Y OSTEOTOMIA FEMORAL 2104139 - 1.996.383 - 1.996.383 - 1.767.485
CTR2104128 19867 TENOTOMIA ADUCTORES C/S BOTAS. CON YUGO(PROC. AUT.) 2104140 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104129 19868 TROCANTEROPLASTIAS 2104141 - 1.996.383 - 1.996.383 - 1.767.485
CTR2104130 20375 TROCANTEROPLASTIAS ARTROSC 2104141 - 2.464.031 - 2.464.031 - 2.181.511
CTR2104131 19898 AMPUTACION MUSLO 2104142 - 1.657.655 - 1.657.655 - 1.467.594
CTR2104132 19896 EPIFISIODESIS (FEMUR Y/O TIBIA) 2104143 - 2.016.142 - 2.016.142 - 1.784.977
CTR2104133 18211 OSTEOSINTESIS DIAFISIARIA O METAFISIARIA MUSLO (CUALQUIER TECNICA)
2104144 - 2.015.989 - 2.015.989 - 1.784.837
CTR2104134 19890 OSTEOTOMIA CORRECTORA MUSLO 2104145 - 2.013.360 - 2.013.360 - 1.782.513
CTR2104135 19894 OSTEOTOMIA DE ALARGAMIENTO O ACORTAMIENTO CON OSTEOSINTESIS
2104146 INMEDIATA O DISTRACC
- 2.233.875 - 2.233.875 - 1.977.746
CTR2104136 18513 OSTEOTOMIA EN ROSARIO CON ENCLAVIJAMIENTO CLAVO TELESCOPICO
2104147 - 2.463.146 - 2.463.146 - 2.180.729
CTR2104137 19892 PSEUDOARTROSIS, TRAT. QUIR. (CUALQUIER TECNICA) MUSLO 2104148 - 1.992.718 - 1.992.718 - 1.764.236
CTR2104138 19886 RUPTURA Y/O HERNIA MUSCULAR, TRAT. QUIR. MUSLO 2104149 - 939.247 - 939.247 - 831.553
CTR2104139 18227 ARTRO.POR CUERPOS LIBRES, OSTEOCONDRITIS RODILLA (PROC. 2104150
AUT) - 1.211.563 - 1.211.563 - 1.104.704
CTR2104140 20351 ARTROTOMIA POR CUERPOS LIBRES.OSTEOCONDRITIS (ARTROSC.)2104150 - 2.016.147 - 2.016.147 - 1.784.978
CTR2104141 19922 DESARTICULACION RODILLA 2104151 - 2.480.123 - 2.480.123 - 2.195.756
CTR2104142 18099 DISFUNCION PATELO-FEMORAL. VIA ARTROSC. 2104152 - 2.007.354 - 2.007.354 - 1.777.197
CTR2104143 18096 DISFUNCION PATELO-FEMORAL.REALINEAM.(CUALQ.TECNICA) 2104152 - 1.202.785 - 1.202.785 - 1.104.704
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTR2104144 19920 ENDOPROTESIS TOTAL DE RODILLA. (CUALQUIER TECNICA) 2104153 - 2.407.381 - 2.407.381 - 2.131.354
CTR2104145 19904 FRACTURA ROTULA: OSTEOSINTESIS O PATELECTOMIA PARC.O TOT.
2104154 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104146 20389 OSTEOSINTESIS O PATELECTOMIA PARC.O TOT(VIA ARTROSCOP.) 2104154 - 2.016.147 - 2.016.147 - 1.784.978
CTR2104147 19918 FRACTURAS CONDILEAS O PLAT.TIBIALES(CUALQ.TECNICA) 2104155 - 1.662.925 - 1.662.925 - 1.472.261
CTR2104148 19986 INESTAB.CRONICA RODILLA (VIA ARTROSC.) 2104156 - 2.228.179 - 2.228.179 - 1.972.700
CTR2104149 19916 INESTAB.CRONICA RODILLA. RECONS LIG(CUALQ.TECNICA) 2104156 - 1.642.876 - 1.642.876 - 1.454.509
CTR2104150 19906 LUXACION O ROTURA LIGAMENTOS. TRAT.QUIR. CAPSULO-LIGAMENTOSO
2104157 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104151 19206 LUXACION O ROTURA LIGAMENTOS. VIA ARTROSCOP. 2104157 - 2.015.554 - 2.015.554 - 1.784.456
CTR2104152 19908 MENISCECTOMIA QUIRURGICA. INTERNA Y/O EXTERNA 2104158 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104153 18092 MENISCECTOMIA U OTRAS INTERVENCIONES POR VIA ARTROSCOPICA
2104159 - 1.758.611 - 1.758.611 - 1.556.974
CTR2104154 18746 QUISTE POPLITO TRAT.QUIR. 2104160 625.246 625.246 625.246 625.246 553.555 553.555
CTR2104155 19910 RECONSTRUCCION APARATO EXTENSOR DE RODILLA 2104161 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104156 19930 RECONSTRUCCION APARATO EXTENSOR VIA ARTROSCOP. 2104161 - 1.970.764 - 1.970.764 - 1.744.805
CTR2104157 19804 REPARACION QUIRURGICA LIGAMENTOS COLATERALES Y/O CRUZADOS DE RODILLA
2104162 - 1.996.383 - 1.996.383 - 1.767.485
CTR2104158 19914 REPARACION QUIRURGICA LIGAMENTOS COLATERALES Y/O CRUZADOS
2104162 - 1.191.804 - 1.191.804 - 1.104.704
CTR2104159 19912 TRASLOCACIONES MUSCULO-TENDINOSAS EN RODILLA PARALITICA 2104163 - 1.191.804 - 1.191.804 - 1.104.704
CTR2104160 19940 AMPUTACION PIERNA 2104164 - 2.014.671 - 2.014.671 - 1.783.671
CTR2104161 19924 FASCIOTOMIA POR SINDROME COMPARTAMENTAL 2104166 - 939.247 - 939.247 - 831.553
CTR2104162 19928 OSTEOSINTESIS TIBIO-PERONE (CUALQUIER TECNICA) 2104167 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104163 18799 OSTEOTOMIA CORRECTORA DE EJES (CUALQUIER TECNICA) PIERNA2104168 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104164 19934 OSTEOTOMIA DE ALARGAMIENTO O ACORTAMIENTO CON OSTEOSINTESIS
2104169 INMEDIATA O DISTRACC
- 2.237.976 - 2.237.976 - 1.981.374
CTR2104165 19926 OSTEOTOMIA DEL PERONE 2104170 - 944.820 - 944.820 - 836.488
CTR2104166 19938 PERONE PROTIBIA 2104171 - 1.665.404 - 1.665.404 - 1.474.454
CTR2104167 19932 PSEUDOARTROSIS, C/S OSTEOSINTESIS (CUALQUIER TECNICA) PIERNA
2104172 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104168 19964 ENDOPROTESIS TOTAL TOBILLO.(CUALQUIER TECNICA) 2104174 - 2.458.759 - 2.458.759 - 2.176.841
CTR2104169 19946 ESGUINCE GRAVE DE TOBILLO, TRAT. QUIR. CAPSULO-LIGAMENTOSO
2104175 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104170 19947 ESGUINCE GRAVE.TRAT.QUIR. CAP.LIGAMEN.ARTROSCOPICO 2104175 - 2.016.147 - 2.016.147 - 1.784.978
CTR2104171 19950 FRACTURA ASTRAGALO Y/O CALCANEO.OSTEOS.(CLQ.TECN) 2104176 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104172 19958 HUESOS SUPERNUMERARIOS.EXTIRPACION. UNOO MAS DEL MISMO LADO
2104177 - 939.247 - 939.247 - 831.553
CTR2104173 18541 LUXACION TIBIO-ASTRAG.-CALCAN.. REDUCC.CRUENTA Y OSTEOSINT.
2104178 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104174 19952 LUXOFRACTURA TOBILLO. CUALQUIER TIPO 2104179 - 1.658.088 - 1.658.088 - 1.467.976
CTR2104175 19960 OSTEOPLASTIA TIBIO-CALCANEA 2104180 - 1.629.699 - 1.629.699 - 1.442.845
CTR2104176 19954 RUPTURA TENDON DE AQUILES O TIBIAL POSTERIOR.TENORRAFIA 2104181 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104177 19054 RUPTURA TENDON DE AQUILES VIA ARTOSCOP. 2104181 - 2.016.147 - 2.016.147 - 1.784.978
CTR2104178 19556 RUPTURA TIBIAL ANTERIOR U OTROS. VIA ASTROSCOP. 2104182 - 2.016.147 - 2.016.147 - 1.784.978
CTR2104179 19956 RUPTURA TIBIAL ANTERIOR U OTROS.TENORRAFIA 2104182 - 1.211.563 - 1.211.563 - 1.104.704
CTR2104180 18951 TENORRAFIA EXTENSORES O TENOT. VIA ARTROSCOP. 2104183 - 1.666.286 - 1.666.286 - 1.475.235
CTR2104181 18251 TENORRAFIA EXTENSORES O TENOTOMIA DE ALARG. TEND.AQUILES2104183 - 938.670 - 938.670 - 831.046
CTR2104182 19944 TRASLOCACION TENDINOSA TOBILLO 2104184 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104183 19744 TRASLOCACION TENDINOSA VIA ARTROSCOP. 2104184 - 2.015.554 - 2.015.554 - 1.784.456
CTR2104184 19998 AMPUTACION TRANSMETATARSIANA PIE 2104185 - 1.666.881 - 1.666.881 - 1.475.759
CTR2104185 19990 ASTRAGALO VERTICAL. TRAT. QUIR. 2104186 - 1.208.779 - 1.208.779 - 1.104.704
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTR2104186 19975 ESPOLON CALCANEO.ARTROSC 2104187 - 1.672.883 - 1.672.883 - 1.481.073
CTR2104187 19974 ESPOLON CALCANEO.TRAT.QUIR. 2104187 - 945.252 - 945.252 - 836.871
CTR2104188 19976 EXOSTOSIS 5 METATARSIANO.(JUANETILLO) TRAT.QUIR. 2104188 - 945.252 - 945.252 - 836.871
CTR2104189 19972 FASCIOTOMIA PLANTAR (PROC.AUT.) 2104189 - 939.247 - 939.247 - 831.553
CTR2104190 19980 HALLUX VALGUS O RIGIDUS.TR.QUI.COMPLETO(CLQ.TEC.) 2104190 - 938.670 - 938.670 - 831.046
CTR2104191 19992 LUXACIONES, LUXOFRACTURAS, FRACTURAS, REDUCCION CRUENTA PIE
2104191 - 1.210.971 - 1.210.971 - 1.104.704
CTR2104203 19994 MAL PERFORANTE PLANTAR.TRAT.QUIR. 2104192 - 1.219.527 - 1.219.527 - 1.104.704
CTR2104192 19968 NEUROMA DE MORTON.TRAT.QUIR. 2104193 - 945.252 - 945.252 - 836.871
CTR2104193 19978 ORTEJOS EN GARRA.TRAT.QUIR.CUALQ.NUM.(CLQ.TECNICA) 2104194 - 945.252 - 945.252 - 836.871
CTR2104194 19996 ORTEJOS.AMPUTACION.UNO O MAS DEL MISMO PIE 2104195 - 945.252 - 945.252 - 836.871
CTR2104195 19988 PIE BOT U OTR.MALFORM.CONGEN.TR.QUIR.(CUALQ.TEC.) 2104196 - 1.208.779 - 1.208.779 - 1.104.704
CTR2104196 19982 PIE CAVO. TRAT.QUIR. (CUALQUIER TECNICA) 2104197 - 938.670 - 938.670 - 831.046
CTR2104197 19984 PIE PLANO. TRAT.QUIR. (CUALQUIER TECNICA) 2104198 - 938.670 - 938.670 - 831.046
CTR2104198 18547 PIE REUMATOIDEO.TRAT.QUIR.COMPLETO(CUALQ.TECNICA) 2104199 - 1.223.138 - 1.223.138 - 1.104.704
CTR2104199 19970 SESAMOIDEOS.EXTIRPACION DE UNO O MAS DEL MISMO PIE 2104200 - 879.986 - 879.986 - 824.257
CTR2104200 19966 TENORRAFIA EXTENSORES PIE 2104201 - 939.247 - 939.247 - 831.553
CTR2104201 18747 TRASPLANTES TENDINOSOS PIE (CUALQUIER TECNICA) 2104202 - 1.210.971 - 1.210.971 - 1.104.704
POT2107000 38026 PIE BOT UN PIE LACTANTE MENOR ( c/s ) 2105009 27.224 71.361 27.224 71.361 25.412 66.611
POT2107001 38028 PIE BOT UN PIE LACTANTE MAYOR ( c/s ) 2105009 41.711 71.361 41.711 71.361 38.934 66.611
OTS2106000 19895 RETIRO DE ENDOPROTESIS U OSTEOSINTESIS INTERNAS ARTICULARES
2106001 2.252.175 2.252.175 2.252.175 2.252.175 1.993.949 1.993.949
OTS2106001 19941 RETIRO DE PLACAS RECTAS O ANGULADAS 2106002 - 939.247 - 939.247 - 831.553
OTS2106002 19999 RETIRO DE TORNILLOS. CLAVOS. AGUJAS DE OSTEOSINTESIS O 2106003 - 966.608 - 966.608 - 855.780
OTS2106003 20005 RETIRO DE TORNILLOS, CLAV. DE OSTEOSINTESIS VIA ARTROSCOPICA
2106003 - 1.694.243 - 1.694.243 - 1.499.985
POT2107005 18748 LUX.ART.MEDIANAS(HOMBRO.CODO.RODILLA.TOBILLO.MUNECA.TARSO)2107001 448.347 448.347 448.347 448.347 396.942 396.942
POT2107006 18749 LUX.ART.MAYORES(COLUMNA.CADERA.PELVIS) 2107002 643.665 643.665 643.665 643.665 569.866 662.440
POT2107007 18750 LUX.ART.MENORES(EL RESTO) 2107003 460.471 460.471 460.471 460.471 401.824 473.404
POT2107008 18757 FRACTURAS MAYORES (COLUMNA. PELVIS. SUPRACONDILEA. CODO. 2107004 633.444 633.444 633.444 633.444 560.814 651.891
POT2107009 18759 FRAC.MED.(DIAFISIS HUMERAL-FEMORAL.RADIAL.CUBITAL.TIBIAL) 2107005 417.393 433.860 417.393 433.860 396.903 452.655
POT2107010 18761 FRACTURAS MENORES (EL RESTO) 2107006 454.712 454.712 454.712 454.712 396.903 467.463
POT2107011 18755 LUXACION CONGENITA DE CADERA TRAT.ORTOPEDICO 2107009 609.946 634.003 609.946 634.003 569.730 662.285
POT2107002 38021 PIE BOT UN PIE. YESO PLASTICO 2107010 77.420 77.420 77.420 77.420 72.316 72.316
CAB1802120 18858 BIOPSIA HEPATICA - 220.145 - 220.145 - 205.490
CAB1802122 18923 RETIRO O REPOSICIONAMIENTO BANDAS GASTRICAS 1.206.683 1.273.099 1.206.683 1.273.099 1.103.944 1.103.943
CAB1802123 20371 TRASPLANTE DE INTESTINO - 4.859.727 - 4.859.727 - 4.214.027
CAB1802124 40400 PROCURAMIENTO EXTRACCION DE HIGADO 3.860.268 3.860.268 3.860.268 3.860.268 3.347.364 3.347.362
CAB1802130 19092 RETIRO DE CATETER DE PERITONEO DIALISIS - 1.146.704 - 1.146.704 - 1.070.366
CAB1802131 19093 INSTALACION DE CATETER DE PERITONEO DIALISIS - 1.528.942 - 1.528.942 - 1.388.292
CAB1802133 19345 GASTROPLASTIA POR VIA ENDOSCOPICA - 1.323.498 - 1.323.498 - 1.235.390
CAB1802150 19889 GASTROPLASTIA LAP. CON BARI CLIP - 1.978.226 - 1.978.226 - 1.614.582
CAB1802152 17653 ABLACION POR RADIOFRECUENCIA DE UNO O VARIOS TUMORES HEPATICOS - 1.236.207 - 1.236.207 - 1.153.911
CCD1703003 18910 FISTULA ARTERIOVENOSA DERIVACION EXTERNA - 1.666.881 - 1.666.881 - 1.445.405
CCD1703056 19002 SINEQUIAS PERICARDICAS. TRAT.QUIR. ( PROC. AUT.) - 2.388.946 - 2.388.946 - 2.071.534
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CCD1703057 19022 OPERACIONES CARDIACAS SIN CIRCULACION EXTRACORPOREA - 3.356.134 - 3.356.134 - 2.910.214
CCD1703061 20342 INST. DE DISP. DE ASIST. CIRCUL. - ABIOMET 2.182.804 2.182.804 2.182.804 2.182.804 1.892.782 1.892.782
CCD1703062 20343 INST. DE SIST. DE OXIG. EXTRACORP. ECMO 1.314.074 1.314.074 1.314.074 1.314.074 1.139.476 1.139.475
CCD1703063 8116 INSTALACION DE OCLUSOR SEPTAL 1.604.935 1.909.875 1.604.935 1.909.875 1.380.593 1.493.373
CCD1703072 18539 INSTALACION CATETER TUNELIZADO - 964.775 - 964.775 - 847.463
CCD1703075 20306 RETIRO CATETER TUNELIZADO - 1.131.990 - 1.131.990 - 848.992
CNE1103086 19881 REC.BOMBA O RET.DE BOMBA DE BACLOFENO OCUAL.DISP.SIMIL INF.DE MEDICAMENTOS- 2.403.627 - 2.403.627 - 2.243.614
COF1202083 18373 ENDOCICLO FOTOCOAGULACION DE CUERPOS CILIARES. 741.906 741.906 741.906 741.906 644.802 644.803
COF1202084 18415 IMPLANTE FILTRANTE 741.906 741.906 741.906 741.906 644.802 644.803
COF1202085 18879 PROBING DE GLANDULAS DE MEIBOMIO - 358.946 - 358.946 - 335.049
COF1202087 18597 CICLODIODOLASER - 1.478.731 - 1.478.731 - 1.380.289
COF1202090 18883 CROSSLINKING - 823.081 - 823.081 - 674.675
COR1302028 18808 UVULOPALATOPLASTIA 419.588 419.588 419.588 419.588 371.480 371.480
COT9999001 22013 IMPLANTACION CATETER PERIDURAL 150.234 158.503 150.234 158.503 137.444 137.444
COT9999003 18617 EXTRACCION MEDULA OSEA - 982.593 - 982.593 852.038 852.038
CPL1502067 19634 FLANCOPLASTIA 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245
CPL1502068 13618 IMPLANTE PROTESIS MENTON 1.018.014 1.018.014 1.018.014 1.018.014 1.018.014 1.018.014
CPL1502070 13617 LIFTING CERVICOFACIAL 1.668.099 1.668.099 1.668.099 1.668.099 1.668.099 1.668.099
CPL1502072 19631 IMPLANTE DE PANTORRILLA BILATERAL 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245
CPL1502073 13614 LIFTING FRONTAL 1.131.138 1.131.138 1.131.138 1.131.138 1.131.138 1.131.138
CPL1502074 13615 LIFTING FRONTAL ENDOSCOPICO - 1.087.637 - 1.087.637 1.087.637 1.087.637
CPL1502076 19652 RECAMBIO DE PROTESIS UNILATERAL 982.593 982.593 982.593 982.593 982.593 982.593
CPL1502077 13648 LIPOASPIRACION 2,5 HORAS - 1.177.682 - 1.177.682 1.177.682 1.177.682
CPL1502078 19667 GENIOPLASTIA CON IMPLANTE 465.098 465.098 465.098 465.098 465.098 465.098
CPL1502079 13649 LIPOASPIRACION 3,5 HORAS - 1.556.140 - 1.556.140 1.556.140 1.556.140
CPL1502080 19669 GENIOPLASTIA DE AVENCE 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245
CPL1502081 18921 MINI LIPECTOMIA 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245
CPL1502082 13620 OTOPLASTIA DOS LADOS 904.883 904.883 904.883 904.883 904.883 904.883
CPL1502083 19648 RECAMBIO DE PROTESIS BILATERAL 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245
CPL1502084 13641 RECAMBIO PROTESIS BILATERALES (PAB.AMB) 904.883 904.883 904.883 904.883 904.883 904.883
CPL1502086 13640 ABDOMINOPLASTIA 1.696.487 1.696.487 1.696.487 1.696.487 1.696.487 1.696.487
CPL1502087 13630 IMPLANTE PROTESIS GLUTEO DOS LADOS (PAB.AMB.) 1.215.869 1.215.869 1.215.869 1.215.869 1.215.869 1.215.869
CPL1502088 13632 IMPLANTE PANTORRILLA DOS LADOS 1.131.138 1.131.138 1.131.138 1.131.138 1.131.138 1.131.138
CPL1502089 13639 LIFTING DE BRAZOS 1.328.997 1.328.997 1.328.997 1.328.997 1.328.997 1.328.997
CPL1502090 13638 LIFTING FACIAL 1.215.869 1.215.869 1.215.869 1.215.869 1.215.869 1.215.869
CPL1502091 13631 LIFTING MUSLOS (PAB.AMB) 1.272.505 1.272.505 1.272.505 1.272.505 1.272.505 1.272.505
CPL1502092 13633 LIPOASPIRACION 1/2 HORA - 480.904 - 480.904 480.904 480.904
CPL1502093 13621 LIPOASPIRACION PAPADA - 565.783 - 565.783 565.783 565.783
CPL1502094 13637 LIPOASPIRACION 4 HORAS - 1.766.153 - 1.766.153 1.766.153 1.766.153
CPL1502095 13635 LIPOASPIRACION 2 HORAS - 1.131.138 - 1.131.138 1.131.138 1.131.138
CPL1502096 13636 LIPOASPIRACION 3 HORAS - 1.366.750 - 1.366.750 1.366.750 1.366.750
CPL1502097 13624 MAMOPLASTIA REDUCTIVA DOS LADOS(ESTETICO) - 1.554.969 - 1.554.969 1.554.969 1.554.969
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CPL1502098 13629 MINIABDOMINOPLAST (PAB.AMB) 792.289 791.749 792.289 791.749 791.749 791.749
CPL1502099 13626 PEXIA MAMARIA DOS LADOS (PAB.AMB) 1.668.099 1.668.099 1.668.099 1.668.099 1.668.099 1.668.099
CPL1502100 20377 LIFTING DE LABIOS MAYORES 982.593 982.593 982.593 982.593 982.593 982.593
CPL1502101 20376 LABIOPLASTIA DE LABIOS MENORES 982.593 982.593 982.593 982.593 982.593 982.593
CPL1502102 13616 LIFTING FRONTAL + BLEFAROPLASTIA INFERIOR - 1.272.504 - 1.272.504 1.272.504 1.272.504
CPL1502103 13619 MENTOPLASTIA CON AVANCE OSEO (PAB.AMB) 1.300.458 1.300.458 1.300.458 1.300.458 1.300.458 1.300.458
CPL1502104 18700 PEELING 669.110 669.110 669.110 669.110 669.110 669.110
CPL1502105 13646 PROGRAMA MAMOPLASTIA AUMENTO BILATERAL 904.883 904.883 904.883 904.883 904.883 904.883
CPL1502107 13625 MAMOPLASTIA AUMENTO DOS LADOS (PAB.AMB) 1.102.600 1.102.600 1.102.600 1.102.600 1.102.600 1.102.600
CPL1502108 13634 LIPOASPIRACION 1 HORA - 735.255 - 735.255 735.255 735.255
CPL1502109 13628 LIPECTOMIA ABDOMINAL (PAB.AMB) 1.272.505 1.272.505 1.272.505 1.272.505 1.272.505 1.272.505
CPL1502110 13611 BLEFAROPLASTIA INFERIOR BILATERAL 479.735 479.735 479.735 479.735 479.735 479.735
CPL1502112 13647 LIPOASPIRACION 1,5 HORAS - 932.984 - 932.984 932.984 932.984
CPL1502113 13613 RINOPLASTIA ESTETICA - 840.909 - 840.909 840.909 840.909
CPL1502114 13612 BLEFAROPLASTIA 4 PARPADOS - 794.380 - 794.380 794.380 794.380
CPL1502115 13627 PEXIA MAMAR CON IMPLANT. DOS LADOS 1.187.338 1.187.338 1.187.338 1.187.338 1.187.338 1.187.338
CPL1502118 13656 RETOQUE LIFTING ROSTRO (CPA) - 273.770 - 273.770 273.770 273.770
CPL1502119 13657 RETOQUE MAMOPLASTIA (CPA) - 273.770 - 273.770 273.770 273.770
CPL1502120 13658 RETOQUE LIPOASPIRACION - 273.770 - 273.770 273.770 273.770
CPL1502121 13659 RETOQUE BLEFAROPLASTIA 273.770 273.770 273.770 273.770 273.770 273.770
CPL1502122 13660 RETOQUE PEXIA DE CEJAS (CPS) 273.770 273.770 273.770 273.770 273.770 273.770
CPL1502123 13661 RETOQUE ABDOMINOPLASTIA 273.770 273.770 273.770 273.770 273.770 273.770
CPL1502124 13662 RETOQUE FRANCOPLASTIA (CPA) - 273.770 - 273.770 273.770 273.770
CPL1502125 13663 RETOQUE LIFTING MUSLOS (CPA) - 273.770 - 273.770 273.770 273.770
CPL1502126 13664 RETOQUE LIFTING BRAZOS (CPA) - 273.770 - 273.770 273.770 273.770
CPL1502127 13665 CORRECCION DE LABIOS (CPA) - 273.770 - 273.770 273.770 273.770
CPL1502128 13666 PEXIA DE CEJAS 273.770 273.770 273.770 273.770 273.770 273.770
CPL1502130 13610 BLEFAROPLASTIA SUPERIOR (CPA) - 373.675 - 373.675 373.675 373.675
CPL1502132 13670 LIPOASPIRACION 1/2 HORA - 230.060 - 230.060 230.060 230.060
CPL1502135 13673 EXTIRPACION BOLAS DE BICHAT 273.770 273.770 273.770 273.770 273.770 273.770
CPL1502137 13675 INFILTRACION DE BOTOX 13 A 18 PTOS (CPA) - 230.060 - 230.060 230.060 230.060
CPL1502138 13676 INFILTRACION DE BOTOX 19 A 24 PTOS (CPA) - 230.060 - 230.060 230.060 230.060
CPL1502139 13677 INFILTRACION DE BOTOX MAS DE 24 PTOS (CPA) - 230.060 - 230.060 230.060 230.060
CPL1502140 13678 LIPOINYECCION 230.060 230.060 230.060 230.060 230.060 230.060
CPL1502141 13679 IMPLANTE DE PELO MEDIANO 603.241 603.241 603.241 603.241 603.241 603.241
CPL1502142 13680 IMPLANTE DE PELO MAYOR 654.517 654.517 654.517 654.517 654.517 654.517
CPL1502153 13609 LIPOTRANSFERENCIA MAMARIA (INCLUYE LIPOINYECCION) 735.255 735.255 735.255 735.255 735.255 735.255
CPR1803004 19372 CRIPTECTOMIA Y/O PAPILECTOMIA (CUALQ.NUM. P.AUT.) - 659.481 - 659.481 - 571.859
CPR1803019 19417 POLIPO RECTAL. TRAT.QUIR. POR VIA LAPAROSCOPICA - 2.141.268 - 2.141.268 - 2.012.620
CPR1803020 18175 POLIPO RECTAL, TRAT. QUIR POR VIA LAPAROSCOPICA - 1.630.001 - 1.630.001 - 1.443.111
CPR1803043 18991 POLIPO RECTAL, TRAT.QUIR. POR VIA ENDOSCOPICA - 590.783 - 590.783 - 551.453
CTR2104075 19768 IMPLANTE SILASTIC O SIMILARES (ESCAFOIDES.SEMILUNAR) - 1.208.779 - 1.208.779 - 1.104.704
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
CTR2104104 19850 ESPONDILODISCITIS VERTEBRAL (TBC U OTRA). TRAT. QUIR. - 1.987.312 - 1.987.312 - 1.723.262
CTR2104105 19826 FRACTURA APOFISIS ESPINOSA. TRAT. QUIR. - 1.672.883 - 1.672.883 - 1.450.614
CTR2104208 18993 PABELLON MIELOGRAMA 99.921 99.921 99.921 99.921 93.270 93.270
CTR2104220 18013 FIJACION DE ESCAPULA - 1.645.359 - 1.645.359 - 1.388.292
CTR2104221 19249 VERTEBROPLASTIA - 1.990.730 - 1.990.730 - 1.556.595
CTR2104222 19828 RESECCION ARCO NEURAL (OPERACION DE GILL O SIMILARES) - 1.997.107 - 1.997.107 - 1.614.582
CTX1704070 18543 TRANSPLANTE DE PULMON SIN C.E.C - 4.859.729 - 4.859.729 - 4.214.027
CTX1704076 20366 TRASPLANTE DE PULMON CON C.E.C - 5.901.147 - 5.901.147 - 4.614.232
CUR1902015 19503 SUPRARRENALECTOMIA BILAT.VIA LAPAROSCOPICA - 2.945.062 - 2.945.062 - 2.553.759
CUR1902016 19462 SUPRARRENALECTOMIA BILATERAL - 2.167.872 - 2.167.872 - 1.879.837
CUR1902053 19524 POLIPO MEATO ELECTROCOAGULACION - 975.975 - 975.975 - 846.301
CUR1902098 20301 URETROLISIS VIA VAGINAL - 1.247.759 - 1.247.759 - 1.104.704
CUR1902100 18485 ABSCESO PERINEFRITICO, VACIAMIENTO - 1.912.148 - 1.912.148 - 1.658.088
DPH2999001 21479 PABELLON URGENCIA. 1/2 HORA ADICIONAL 114.296 136.012 114.296 136.012 114.296 136.012
DPH2999002 18563 PABELLON DENTAL (1/2 HORA ADICIONAL) 179.285 179.285 179.285 179.285 179.285 179.285
DPH2999003 18561 PABELLON DENTAL (HASTA 1 HORA) 455.144 455.144 455.144 455.144 455.144 455.144
DPH2999004 18841 PABELLON DENTAL 1 1/2 HORA 580.721 580.721 580.721 580.721 580.721 580.721
DPH2999005 18839 PABELLON DENTAL 1/2 HORA 390.613 390.613 390.613 390.613 390.613 390.613
DPH2999006 18595 PABELLON DENTAL 2 1/2 HORAS 925.808 925.808 925.808 925.808 925.808 925.808
DPH2999007 18583 PABELLON DENTAL 2 HORAS 778.873 778.873 778.873 778.873 778.873 778.873
DPH2999008 18599 PABELLON DENTAL 3 HORAS 855.780 1.031.618 855.780 1.031.618 855.780 1.031.618
DPH2999009 13450 PROCEDIMIENTO MAXILO-FACIAL 1 HORA 161.276 161.276 161.276 161.276 161.276 161.276
DPH2999010 13451 PROCEDIMIENTO MAXILO-FACIAL 1/2 HORA 95.272 113.373 95.272 113.373 95.272 113.373
DPH2999013 18565 PABELLON DENTAL (1 HORA ADICIONAL) 288.455 288.455 288.455 288.455 288.455 288.455
DPH2999014 19081 DERECHO DE PABELLON POR HORA (5 HRS O MAS) 4.908.124 4.908.124 4.908.124 4.908.124 4.908.124 4.908.124
DPH2999015 19075 DERECHO DE PABELLON POR HORA ( HASTA 5 HRS.) 4.067.206 4.067.206 4.067.206 4.067.206 4.067.206 4.067.206
DPH2999016 19053 DERECHO DE PABELLON POR HORA (HASTA 1 1/2 HRS.) 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245 1.255.245
DPH2999017 19103 DERECHO DE PABELLON POR HORA (HASTA 1 HR.) 982.593 982.593 982.593 982.593 982.593 982.593
DPH2999018 19101 DERECHO DE PABELLON POR HORA (HASTA 1/2 HR.) 429.829 429.829 429.829 429.829 429.829 429.829
DPH2999019 19055 DERECHO DE PABELLON POR HORA (HASTA 2 1/2 HRS.) 2.059.143 2.059.143 2.059.143 2.059.143 2.059.143 2.059.143
DPH2999020 19105 DERECHO DE PABELLON POR HORA (HASTA 2HRS.) 1.346.832 1.346.832 1.346.832 1.346.832 1.346.832 1.346.832
DPH2999022 19065 DERECHO DE PABELLON POR HORA ( HASTA 3HRS.) 2.294.464 2.294.464 2.294.464 2.294.464 2.294.464 2.294.464
DPH2999023 19071 DERECHO DE PABELLON POR HORA (HASTA 4 HRS.) 3.273.110 3.273.110 3.273.110 3.273.110 3.273.110 3.273.110
DPH2999027 7046 SALA DE CIRUGIA MENOR HASTA 1/2 HORA 101.421 - 101.421 - 101.421 -
DPH2999030 18601 PABELLON DENTAL 3 1/2 HORAS 1.263.137 1.263.137 1.263.137 1.263.137 1.263.137 1.263.137
DPH2999031 18805 ASEO QUIRURGICO GENERAL 669.113 669.113 669.113 669.113 523.193 523.193
DPH2999033 7042 DERECHO DE PABELLON POR HORA (HASTA 2 HORAS) 691.621 691.621 691.621 691.621 691.621 691.621
DPH2999034 18781 VACIAMIENTO Y/O DRENAJE DE HEMATOMA EN PARTES BLANDAS 429.829 429.829 429.829 429.829 300.881 322.372
DPH2999036 18852 HEMATOMA MAMA PROTESIS (UN LADO) 468.910 468.910 468.910 468.910 366.651 366.651
DPH2999037 18851 HEMATOMA MAMA REDUCCION (UN LADO) 468.910 468.910 468.910 468.910 366.651 366.651
DPH2999038 18625 REVISION MAYOR HEMOSTASIA POST CIRUGIA 1.710.097 1.710.097 1.710.097 1.710.097 1.337.161 1.337.161
DPH2999039 18997 HEMOSTASIA SEGUNDARIA, REVISION POST CIRUGIA 627.687 627.687 627.687 627.687 490.801 490.801
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
DPH2999040 18995 HEMOSTASIA PRIMARIA, REVISION POST CIRUGIA 468.910 468.910 468.910 468.910 366.651 366.651
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00 HRS.
EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
SAL2901004 7059 INTRADERMORREACIONES 305041 38.121 - 38.121 - 39.336 -
RXC0402000 29146 COLANGIO TRANSPARIETOHEPATICA 402008 182.055 201.492 182.055 201.492 161.182 177.342
RXC0402050 29193 MIELOGRAFIA POR PUNCION LUMBAR C/CONTRASTE HIDROSOLUBLE (A.C. 11-01-025)189.951
402050 189.951 189.951 189.951 160.537 160.537
PNE1101049 10755 PUNCION SUBDURAL 1101002 196.677 196.677 196.677 196.677 182.967 182.967
PNE1101002 10735 PUNCION LUMBAR C/S MANOMETRIA C/S QUECKENSTED 1101003 233.250 233.250 233.250 233.250 201.253 202.778
PNE1101003 34126 ELECTROCORTICOGRAFIA 1101005 512.815 512.815 512.815 512.815 454.018 454.018
PNE1101004 34043 E.E.G.HASTA 24 CANALES 1101006 121.465 121.465 121.465 121.465 107.539 107.539
PNE1101044 34034 ELECTROMIOGRAFIA DE FIBRA UNICA 1101009 263.429 263.429 263.429 263.429 233.225 233.225
PNE1101005 34044 ELECTROMIOGRAFIA 1101010 128.736 128.736 128.736 128.736 118.172 118.172
PNE1101007 34021 POTENCIALES EVOCADOS INTRA. HOSP. (C/HORA ADICIONAL) 1101011 99.803 99.803 99.803 99.803 88.361 88.361
PNE1101008 34110 POTENCIALES EVOCADOS VISUALES 1101011 113.716 113.716 113.716 113.716 100.678 100.678
PNE1101009 34042 POTENCIALES EVOCADOS SOMATOS SENSITIVOS 1101011 98.936 117.737 98.936 117.737 87.950 88.302
PNE1101010 34014 POTENCIALES EVOCADOS INTRAHOSP. (1 HORA) 1101011 314.891 314.891 314.891 314.891 247.808 247.808
PNE1101011 35021 POT.EVOC.AUD.POR E.E. 1101011 129.398 129.398 129.398 129.398 101.832 101.832
PNE1101012 34012 VELOCIDAD DE CONDUCCION NERVIOSA (INCLUYE REFLEJO H, ONDA F Y OTROS)
1101012 99.227 99.227 99.227 99.227 87.849 92.923
PNE1101014 20349 DE NERVIOS PERIF INTRAMUSC (DE PUNTO MOTOR) 1101026 401.809 401.809 401.809 401.809 357.915 357.915
PNE1101022 22010 BLOQUEO NERVIO PERIFERICO EN PUNTO MOTOR 1101026 158.503 158.503 158.503 158.503 163.372 172.471
PNE1101015 18589 INFILTRACIONES (BLOQUEOS) DE NERVIOS Y/O RAICES NERVIOSAS1101027 410.320 410.320 410.320 410.320 361.928 361.928
PNE1101016 18573 INFILTRACION O BLOQUEO DEL GANGLIO ESTRELLADO 1101029 412.775 412.775 412.775 412.775 364.172 364.172
PNE1101017 18568 INFILTRACION O BLOQUEO EPIDURAL, CERVICAL, LUMBAR O SIMIL. 1101030 411.459 411.459 411.459 411.459 362.976 362.976
PNE1101018 19021 INFILTRACION O BLOQUEO INTERCOSTALES (CUALQUIER NUMERO)1101031 419.498 419.498 419.498 419.498 376.968 376.968
PNE1101051 18875 INFILT. NERVIOS SUBOCCIPITAL U OTROS NER 1101033 379.923 386.988 379.923 386.988 405.314 427.477
PNE1101019 34090 E.E.G. EN VIGILIA, SUEÑO Y POST-PRIV. DE SUEÑO (INCLUYE 11-01-006). EQUIPO DE 8170.944
1101040 203.422 170.944 203.422 151.344 160.087
PNE1101026 34097 E.E.G. VIDEO REGISTRO CONT. ( 3 HR) 1101041 388.852 388.852 388.852 388.852 363.215 363.215
PNE1101032 34096 E.E.G. VIDEO REGISTRO CONT. (1 HR) 1101041 216.595 216.595 216.595 216.595 202.315 202.315
PNE1101033 34102 E.E.G. VIDEO REGISTRO CONT. (2 HR) 1101041 311.289 370.431 311.289 370.431 269.928 313.069
PNE1101050 34078 E.E.G.(C/ACTIVACIONES) 32 CANALES 1101043 246.536 246.536 246.536 246.536 249.163 249.163
PNE1101001 34060 MONITOREO E.E.G CONTINUO DE 24 HRS. 1101044 296.511 352.848 296.511 352.848 262.513 264.636
PNE1101021 34037 POLISOMNOGRAFIA (8 HORAS) 1101045 784.283 784.283 784.283 784.283 694.360 694.360
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
POF1201001 36006 CUANTIFICACION DE LAGRIMACION (TEST DE SCHIRMER), UNO O AMBOS
1201003OJOS 12.363 12.363 12.363 12.363 10.746 10.746
POF1201002 36019 CURVA DE TENSION APLANATICA (POR CADA DIA), C/OJO 1201004 34.607 34.607 34.607 34.607 30.708 30.708
POF1201003 36018 DIPLOSCOPIA CUANTITATIVA, AMBOS OJOS 1201005 19.086 19.086 19.086 19.086 17.246 17.246
POF1201004 36083 EXPLORACION SENSORIOMOTORA: ESTRABISMO,EST.COMPLETO, AMBOS 1201009OJOS 35.118 35.118 35.118 35.118 31.735 31.735
POF1201006 36016 PERIMETRIA DE GOLDMAN O PERIMETRIA CINETICA, C/OJO 1201010 43.474 43.474 43.474 43.474 39.286 39.286
POF1201008 36022 RETINOGRAFIA, AMBOS OJOS 1201012 28.220 28.220 28.220 28.220 25.501 25.501
POF1201009 36024 TONOMETRIA APLANATICA C/OJO 1201014 14.505 14.505 14.505 14.505 13.107 13.107
POF1201010 36026 TRATAMIENTO ORTOPTICO Y/ O PLEOPTICO (POR SESION), AMBOS 1201015
OJOS 16.031 16.031 16.031 16.031 14.487 14.487
POF1201038 32674 ANGIOGRAFIA DE RETINA O DE IRIS, (CON FLUORESCEINA O SIM.), C/OJO
1201016 101.333 101.333 101.333 101.333 91.571 91.571
POF1201012 15713 EXPLORACION VITREORRETINAL, AMBOS OJOS 1201019 12.707 12.707 12.707 12.707 11.484 11.484
POF1201013 36109 ECOBIOMETRIA CON CALCULO DE LENTE INTRAOCULAR, AMBOS OJOS. 1201020 72.912 72.912 72.912 72.912 65.888 65.888
POF1201078 13653 INYECCION RETROBULBAR 1201038 400.954 400.954 400.954 400.954 355.795 355.795
POF1201015 18587 PESTANAS. EXTIRP. POR ELECTROCOAGULACION (CUALQUIER NUMERO) 1201039 453.678 453.678 453.678 453.678 321.582 321.582
POF1201027 18345 PUNTOS LAGRIMALES ELECTROTERMOCOAGULACION 1201040 127.782 127.782 127.782 127.782 191.460 191.460
POF1201017 36020 CAMPIMETRIA COMPUTARIZADA, C/OJO 1201042 45.744 45.744 45.744 45.744 40.873 40.873
POF1201018 36101 TOPOGRAFIA CORNEAL COMPUTARIZADA, C/OJO 1201043 64.576 64.576 64.576 64.576 58.355 58.355
POF1201019 36104 TOPOGRAFIA ABERROMETRIA UNO O AMBOS OJOS 1201043 99.921 99.921 99.921 99.921 90.293 90.293
POF1201090 23007 TOPOGRAFIA CORNEAL KERATOGRAPH C/OJO 1201043 54.266 - 54.266 - 51.480 -
POF1201040 36120 TOMOGRAFIA COHERENCIA OPTICA C/OJO 1201044 71.213 71.213 71.213 71.213 61.893 61.893
POF1201014 36025 PAQUIMETRIA UNO O AMBOS OJOS 1201045 46.118 46.118 46.118 46.118 40.924 40.924
POR1301042 35077 ELECTROGUSTOMETRIA 1301001 36.674 36.674 36.674 36.674 32.470 32.470
POR1301003 35007 RINOMANOMETRIA 1301002 72.295 86.030 72.295 86.030 64.005 67.703
POR1301004 21273 NASOFARINGOLARINGOFIBROSCOPIA 1301003 119.276 119.276 119.276 119.276 174.197 174.197
SAL1301000 35200 NASOFIBROSCOPIA 1301003 54.584 54.586 54.584 54.586 50.950 51.120
POR1301005 18280 SINUSOSCOPIA DE C/SENO MAXILAR P/PUNCION 1301005 421.149 421.149 421.149 421.149 372.861 372.861
POR1301036 14014 LARINGOSCOPIA Y/O TRAQ.DIR.C/S TOMA DE MUESTRA, C/S BIOP.C/MICR.
1301006 142.195 142.195 142.195 142.195 125.892 125.892
POR1301006 18284 LARINGOSCOPIA SIN MICROSCOPIO 1301007 418.725 418.725 418.725 418.725 370.715 370.715
POR1301008 35017 AUDIOMETRIA EN NIÑOS 1301008 53.126 53.126 53.126 53.126 47.035 47.035
PGA1301001 37182 PH CON IMPED 24 HRS (NIÑO) 1301009 413.287 413.287 413.287 413.287 365.900 365.900
POR1301011 35002 IMPEDANCIOMETRIA 1301009 41.119 41.119 41.119 41.119 36.402 36.402
POR1301050 35987 CALIBRACION DE IMPLANTES O AUDIFONOS 1301010 49.518 - 49.518 - 46.222 -
POR1301111 35015 POTENCIALES EVOCADOS AUDITIVOS DE TRONCO CEREBRAL 1301011 73.553 73.553 73.553 73.553 65.040 65.040
POR1301013 35024 PERMEABILIDAD TUBARIA.ESTUDIO INSTRUMENT 1301016 23.857 23.857 23.857 23.857 21.123 21.123
POR1301014 35066 PRUEBA CALORICA C/ELECRONISTAGMOGRAFIA 1301017 75.512 75.512 75.512 75.512 66.855 66.855
POR1301015 93707 PRUEBA CALORICA O PRUEBA CALORICA MINIMA (PROC.AUT.) 1301017 75.659 75.659 75.659 75.659 66.919 66.919
POR1301016 35012 TEST DE GLICEROL (CON 2 AUDIOMETRIAS) 1301019 78.585 78.585 78.585 78.585 69.577 69.577
POR1301017 35011 EX.FUNC.VIII PAR C/ELECTRONISTAG. 1301020 216.304 216.304 216.304 216.304 191.504 191.504
POR1301019 35009 EXAMEN VESTIBULAR 1301020 154.978 154.978 154.978 154.978 137.212 137.212
POR1301020 35058 AUDIOMETRIA (AUDIOGRAMA) EN ADULTOS. 1301021 49.607 59.031 49.607 59.031 43.917 46.456
POR1301023 35036 SENOS PERINAS.PUNC.AVEC/C/S.T.MUEST.C/S. 1301024 416.798 416.798 416.798 416.798 389.050 389.050
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
POR1301000 21404 TAPONAMIENTO POSTERIOR ( H.M.)(URGENCIAS) 1301026 257.165 367.378 257.165 367.378 210.240 275.534
POR1301001 21229 CUERPO EXTRAÑO EN FOSAS NASALES, EXTRACCION DE (ADULTOS) 1301029 93.202 133.145 93.202 133.145 86.998 99.859
POR1301026 18331 EXTRACCION CUERPO EXTRANO NASAL 1301029 459.217 459.217 459.217 459.217 406.565 406.565
POR1301046 18941 CUERPO EXTRAÑO EN FOSAS NASALES, EXTRACCION(NIÑOS) 1301030 538.394 538.394 538.394 538.394 563.586 594.423
POR1301038 13654 EXTRACCION DE CUERPO EXTRAÑO EN OIDO ENADULTO (INC. CERUMEN 1301042 374.711 374.711 374.711 374.711 331.748 331.748
POR1301039 13655 EXTRACCION DE CUERPO EXTRAÑO EN OIDO ENNIÑO 1301043 397.886 413.580 397.886 413.580 371.654 371.654
POR1301034 34048 # EMISIONES OTOACUSTICAS 1301045 62.784 74.713 62.784 74.713 69.787 69.787
FON1303001 30067 EVALUACION DE LA VOZ 1303001 48.139 48.139 48.139 48.139 45.364 45.364
FON1303002 30263 EVALUACIÓN DEL HABLA 1303002 49.352 49.352 49.352 49.352 47.563 47.563
FON1303003 30026 EVALUACION DEL LENGUAJE (INCL.VOZ, HABLA Y ASP.SEMAN.SINTAC.Y FONOLOGICO,
1303003 61.259
ETC. E 61.259 61.259 61.259 54.495 54.495
FON1303004 30265 REHABILITACION DE LA VOZ 1303004 50.546 50.546 50.546 50.546 45.364 45.364
FON1303005 30266 REHABILITACION DEL HABLA Y DEL LENGUAJE(CADA SESION MIN.30') 1303005 49.582 49.582 49.582 49.582 45.364 45.364
FON1303006 30267 REHABILITACION DE LA DEGLUCION 1303006 42.660 42.660 42.660 42.660 37.950 37.950
FON1303007 30268 EVALUACION CLINICA DE LA DEGLUCION 1303007 46.965 46.965 46.965 46.965 40.818 40.818
PDE1601112 18058 FOTOTERAPIA UVB, UVA LOCALIZADA, POR SESION 1601112 29.353 29.353 29.353 29.353 29.003 373.078
PDE1601113 16042 FOTOTERAPIA UVB, BANDA ANGOSTA Y UVA POR SESION EN CABINA 1601113 42.302 42.302 42.302 42.302 39.152 39.152
PDE1601003 18053 IMPLANTES SUBCUTANEOS 1601115 408.185 430.656 408.185 430.656 381.275 381.275
PDE1601004 18024 CRIOTERAPIA HASTA 5 LESIONES POR SESIÓN 1601116 108.470 - 108.470 - 101.319 -
PDE1601117 16044 CRIOTERAPIA 6 A 10 LESIONES POR SESION 1601117 117.412 - 117.412 - 140.560 -
PDE1601005 18032 TRATAMIENTO ABRASIVO CUTANEO MECANICO 1601120 611.138 644.774 611.138 644.774 570.847 570.847
PDE1601121 16045 TRATAMIENTO ABRASIVO CUTANEO QUIMICO P/SESION 1601121 118.215 - 118.215 - 99.909 -
EDE1699005 39092 LASER CANDELA - MAYOR 1601124 255.680 - 255.680 - 255.680 -
EDE1699006 39091 LASER CANDELA - MEDIO 1601124 206.940 - 206.940 - 206.940 -
EDE1699007 39090 LASER CANDELA - MENOR 1601124 132.306 - 132.306 - 132.306 -
EDE1699085 39039 TRATAMIENTO POR LASER IPL O SIMILAR - HARMONY MENOR 1601124 50.690 - 50.690 - 50.690 -
EDE1699086 39041 TRATAMIENTO POR LASER IPL O SIMILAR - HARMONY MEDIO 1601124 59.141 - 59.141 - 59.141 -
EDE1699087 39043 TRATAMIENTO POR LASER IPL O SIMILAR - HARMONY MAYOR 1601124 76.036 - 76.036 - 76.036 -
PDE1601826 16039 DERMATOSCOPIA DIG.C/REGISTRO GRAFICO 10O MAS LESIONES 1601126 94.500 - 94.500 - 66.150 -
PDE1601726 16038 DERMATOSCOPIA DIG.C/REGISTRO GRAFICO DE6 A 10 LESIONES 1601126 63.000 - 63.000 - 44.100 -
PDE1601126 18075 DERMATOSCOPIA DIG.C/REGISTRO GRAFICO HASTA 5 LESIONES 1601126 42.000 - 42.000 - 29.400 -
PCA1701002 10022 E.C.G. DE REPOSO (INCLUYE MINIMO 12 DERIVACIONES Y 4 COMPLEJOS) 1701001 35.997 35.997 35.997 35.997 31.870 31.870
PCA1701003 31002 ERGOMETRIA (INC.ECG REPOSO)(TEST DE ESFU 1701003 126.881 126.881 126.881 126.881 112.332 112.332
PCA1701062 31098 TEST DE ESFUERZO CON DIPIRIDAMOL 1701003 197.861 197.861 197.861 197.861 184.816 184.816
PCA1701005 31104 E.C.G. CONTINUO (test Holter o similares)20 a 24 horas de registro 1701006 117.958 117.958 117.958 117.958 104.436 104.436
PCA1701006 31077 HOLTER LOOP POR SEMANA 1701006 162.299 162.299 162.299 162.299 143.689 143.689
CAR1701007 31007 ECOCARDIOGRAMA DOPPLER, CON REGISTRO (INCLUYE CÓD. 17-01-008) 1701007 170.850 170.850 170.850 170.850 144.393 144.393
PCA1701008 31144 HOLTER DE PRESION ARTERIAL 1701009 109.027 109.027 109.027 109.027 96.528 96.528
PCA1701009 8056 SONDEO CARDIAC DERECHO C/S TERMODILUSION 1701010 944.547 944.547 944.547 944.547 836.247 836.247
PCA1701010 8006 SONDEO CARDIACO IZQUIERDO Y DERECHO, ENADULTOS O NIÑOS1701011 939.568 939.568 939.568 939.568 831.838 831.838
PCA1701011 8010 SONDEO CARDIACO IZQUIERDO: EN ADULTOS ONINOS 1701012 939.568 939.568 939.568 939.568 831.838 831.838
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PCA1701012 10777 COLOCACION CATETER DE SWAN-GANZ O SIMILAR 1701014 150.176 158.441 150.176 158.441 198.643 198.643
PCA1701013 31161 DOPPLER CON ERGOMETRIA (POR SESION) 1701015 54.011 54.011 54.011 54.011 47.818 47.818
PCA1701014 31102 DOPPLER SIMPLE DE VASOS PERIFERICOS (POR SESION) 1701016 59.277 59.277 59.277 59.277 52.481 52.481
PCA1701015 31142 PLETISMOGRAFIA EN REPOSO Y/O ESFUERZO 1701017 47.123 47.123 47.123 47.123 41.719 41.719
PCA1701019 8014 AORTOGRAFIA EN ADULTOS O NIÑOS(A.C. 04-02-024) 1701022 237.523 237.523 237.523 237.523 210.288 210.288
PCA1701020 8061 ARTERIOG. DE C/EXTREMIDADES (AC 0402025) 1701023 102.445 102.445 102.445 102.445 90.700 90.700
PCA1701022 8062 CAVOGRAFIA (AC 0402035) 1701025 102.446 102.446 102.446 102.446 90.700 90.700
PCA1701063 18437 PUNCION EVACUADORA DE PERICARDIO 1701030 418.641 418.641 418.641 418.641 370.640 370.640
PCA1701028 15002 CARDIOVERSION 1701034 279.963 295.370 279.963 295.370 362.640 365.229
PCA1701030 8009 COLOCACION MARCAPASO TRANSITORIO,SONDA (PROC. COMPLETO) 1701035 511.200 511.200 511.200 511.200 447.789 447.789
PCA1701031 8063 DESFIBRILACION 1701036 529.343 529.343 529.343 529.343 468.649 468.649
PCA1701032 10769 PUNCION SUBCLAVIA O YUGULAR CON COLOCACION DE CATETER 1701037 220.200 232.318 220.200 232.318 205.682 206.320
PCA1701038 31028 ECOCARDIOGRAMA BIDIMENSIONAL DOPPLER COLOR ADULTO 1701045 197.570 197.570 197.570 197.570 174.917 185.024
PCA1701039 31038 ECOCARDIOGRAMA BIDIMENSIONAL DOPPLER COLOR PEDIATRICO1701045 197.716 197.716 197.716 197.716 175.047 175.047
PCA1701156 31005 ECOCARDIOGRAMA FETAL 1701056 298.407 298.407 298.407 298.407 255.226 255.226
PRE1707000 32000 ESPIROMETRIA BASAL 1707001 57.228 57.228 57.228 57.228 50.666 50.666
PRE1707001 32002 ESPIROMETRIA BASAL Y BRONCODILATADOR 1707002 71.268 71.268 71.268 71.268 66.523 66.523
PRE1707002 32010 ESPIROMETRIA - IOS BASAL C/BRONCO 1707002 104.348 105.014 104.348 105.014 92.385 92.385
PRE1707003 32011 OSCILOMETRIA 1707002 64.402 64.874 64.402 64.874 58.197 58.623
PRE1707004 32006 PROVOCACION CON EJERCICIO. TEST DE 1707004 116.488 116.488 116.488 116.488 103.133 103.133
PRE1707005 32475 TEST DE METACOLINA 1707005 105.089 105.089 105.089 105.089 93.037 93.037
PRE1707006 32015 ANALISIS DE GAS ESPIRADO 1707007 79.467 79.467 79.467 79.467 70.354 70.354
PRE1707007 32014 CAPACIDAD DE DIFUSION 1707008 140.792 140.792 140.792 140.792 124.651 124.651
PRE1707008 32005 CAPACIDAD FISICA DEL TRABAJO 1707009 69.668 69.668 69.668 69.668 61.681 61.681
PRE1707009 32022 CURVA DE RELACION FLUJO-VOLUMEN BASAL 1707011 71.268 71.268 71.268 71.268 63.098 63.098
PRE1707033 3212 MEDICION DE PRESION DE OCLUSION 1707013 105.373 105.373 105.373 105.373 93.360 93.360
PRE1707010 32037 MED. PRESION INSPIRATORIA MAXIMA 1707014 35.130 41.805 35.130 41.805 31.101 32.899
PRE1707011 32038 PRESION ESPIRATORIA MAXIMA 1707014 35.274 41.976 35.274 41.976 31.230 33.033
PRE1707012 32016 REGISTRO FLUJOMETRICO, POR SEMANA 1707016 51.221 60.954 51.221 60.954 45.350 47.968
PRE1707029 22500 RESPUESTA RESPIRATORIA AL CO2 1707017 204.890 204.890 204.890 204.890 181.397 181.397
PRE1707013 31089 VENTILACION ALVEOLAR, ESTUDIO DE 1707019 130.542 155.346 130.542 155.346 115.576 122.253
PRE1707014 32087 VOLUMENES PULMONARES COMPLETO 1707020 125.565 125.565 125.565 125.565 111.169 111.169
PRE1707019 30483 NEBULIZACIONES 1707030 17.117 17.117 17.117 17.117 15.155 15.155
PRE1707020 21418 NEBULIZACIONES (POR SESION) 1707030 50.631 50.631 50.631 50.631 44.780 44.826
PRE1707021 10725 PUNCION PLEURAL 1707032 220.710 232.862 220.710 232.862 206.161 206.161
SAL2901007 7056 USO DE SALA INMUNOTERAPIA (POR SESION) 1707036 93.075 93.728 93.075 93.728 86.939 87.549
PRE1707030 22502 POLIGRAFIA CARDIORRESPIRATORIA DEL SUEÑO 1707038 109.763 109.763 109.763 109.763 97.178 97.178
PRE1707024 32024 CURVA FLUJO VOLUMEN + CURVA FLUJO CON BR 1707051 77.852 77.852 77.852 77.852 68.927 68.927
PRE1707025 32008 SATUROMETRIA CONTINUA (8 HRS) 1707052 228.299 228.299 228.299 228.299 202.123 202.123
PRE1707031 22503 MONIT. SAT. DE O2 DURANTE EL SUEÑO CON PRESION POSITIVA CONT
1707053 234.158 234.158 234.158 234.158 207.311 207.311
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PRE1707026 32035 SATUROMETRIA 1707054 14.925 17.760 14.925 17.760 13.214 13.976
PCA1701057 14053 ENDOSONOGRAFIA (EBUS) 1707056 2.062.225 2.062.225 2.062.225 2.062.225 2.440.701 2.571.990
PRE1707063 34039 POLIGRAFIA CARDIORRESPIRATORIA DEL SUEÑO AMBULATORIA 1707063 346.734 - 346.734 - 323.874 -
PGA1801007 37029 GASTRODUODENOSCOPIA (INCLUYE ESOFAGOSCOPIA) 1801001 151.618 151.618 151.618 151.618 141.524 141.524
PGA1801009 18793 ESOFAGOSCOPIA 1801002 129.963 137.114 129.963 137.114 121.393 139.738
PGA1801052 37139 ENTEROSCOPIA 1801003 508.268 508.268 508.268 508.268 449.991 449.991
PGA1801993 37008 ENTEROSCOPIA CON USO DE ARGON PLASMA 1801003 - 581.768 - 581.768 - 438.044
PGA1801903 37007 ENTEROSCOPIA DOBLE BALON CON USO DE ARGON PLASMA 1801003 - 1.053.632 - 1.053.632 - 791.941
PGA1801904 37005 RECTOSCOPIA ADULTO CON USO DE ARGON PLASMA 1801004 160.141 160.141 160.141 160.141 112.099 120.106
PGA1801905 37006 RECTOSCOPIA NIÑOS CON USO DE ARGON PLASMA 1801005 124.717 124.717 124.717 124.717 89.019 95.256
PGA1801907 37049 SIGMOIDOSCOPIA Y COLONOSCOPIA IZQUIERDAC/USO DE ARGON 1801007 210.610 210.610 210.610 210.610 147.427 157.958
PGA1801017 37111 MANOMETRIA DE ESOFAGO ALTA RESOLUCION 1801011 287.723 287.723 287.723 287.723 254.733 254.733
PGA1801123 INSTALACION ENDOSCOPICA DE SONDA NASOGASTRICA 1801023 79.840 79.840 79.840 79.840 68.287 68.287
PGA1801071 10785 INSTALACION ENDOSCOPICA DE SONDA ENTERAL 1801024 360.922 360.922 360.922 360.922 337.125 400.284
PGA1801054 18205 INSTALACION PROTESIS PLASTICA (S) EN VIA BILIAR O PANCREATICA1801027 367.042 436.780 367.042 436.780 485.502 407.984
PGA1801056 18140 POLIPECTOMIA O MUCOSECTOMIA ENDOSCOPICAALTA 1801031 281.876 426.896 281.876 426.896 370.178 370.178
PGA1801039 37123 UREASA, TEST DE (PARA HELICOBACTER PYLORI) O SIMILAR 1801037 26.194 26.194 26.194 26.194 23.190 23.190
PGA1801072 10773 PUNCION EVACUADORA DE ABSCESO INTRAABDOMINALES (HEPATICO U OTROS). 236.259
1801038 236.259 236.259 236.259 220.683 220.683
PGA1801040 19107 PUNCION EVACUADORA DE LIQ. ASCITICO 1801041 510.623 530.769 510.623 530.769 476.960 476.960
PGA1801042 37115 MANOMETRIA RECTAL ADULTO 1801043 305.878 305.878 305.878 305.878 270.804 270.804
PGA1801043 37185 MANOMETRIA RECTAL NINO 1801043 287.723 342.388 287.723 342.388 262.930 269.448
PUR1901019 40025 UROFLUJOMETRIA 1901011 67.172 79.934 67.172 79.934 59.470 62.905
PUR1901039 48764 CISTOGRAFIA POR SONDA(DE RELLENO) O PORPUN.HIPOGASTRICA1901012(A.C. 04-01-027) 111.812 113.378 111.812 113.378 105.902 105.902
PGA1601022 38080 VAC. VESICAL POR SONDA URETRAL, (PROC. AUT.) 1901022 37.195 39.244 37.195 39.244 34.744 34.744
PUR1901001 49001 HEMODIALISIS AGUDA HOSPIT. (S/INSUMOS) 1901024 621.426 621.426 621.426 621.426 1.575.671 1.575.671
PUR1901002 49025 HEMODIALISIS SIN INSUMO POR SESION 1901024 129.840 129.840 129.840 129.840 114.954 114.954
PUR1901003 14017 PERITONEODIALISIS POR SESION (INCLUYE INSUMOS) 1901025 98.221 98.221 98.221 98.221 266.711 266.711
PUR1901004 49015 PERITONEODIALISIS CONT.PACIENTE CRONICO(AD.O NI) TRAT.MENS. 1901026 2.960.879 2.960.879 2.960.879 2.960.879 2.621.392 2.621.392
PUR1901005 49044 HEMODIALISIS C BICABORNATO C/INSUMOS POR SESION 1901028 172.053 194.391 172.053 194.391 152.322 158.602
PUR1901006 49045 HEMODIALISIS C/BICABORNATO C/INSUMOS POR MES 1901029 2.714.616 2.714.616 2.714.616 2.714.616 2.403.366 2.403.366
PGO2001003 20077 CULDOCENTESIS (PUNCION DEL DOUGLAS) 2001007 - 483.477 - 483.477 - 497.142
PGO2001006 10210 REGISTRO BASAL NO ESTRESANTE 2001009 39.073 46.700 39.073 46.700 34.592 36.751
PGO2001007 10222 MONITOREO FETAL ESTRESANTE, CON CONTROLPERMANENTE DEL 2001010 38.161 45.815 38.161 45.815 35.647 36.057
PGO2001014 42110 BIOPSIA ENDOMETRIO, VULVA, VAGINA, CUELLO, C/U (PROC. AUT.) -2001014
EN SALA 175.338 - 175.338 - 166.571 -
PGO2001009 20049 COLOCACIÓN O EXTRACCIÓN DE DISPOSITIVO INTRAUTERINO 2001015 398.605 419.928 398.605 419.928 372.323 372.323
PGO2001000 56009 TEST POST COITAL 2001020 71.614 90.024 71.614 90.024 63.405 70.845
PGO2001011 42111 CORDOCENTESIS 2001021 294.893 350.923 294.893 350.923 297.976 298.936
PGI2001024 42014 BIOPSIA CORIAL 2001024 149.858 178.328 149.858 178.328 126.652 150.713
PRA2001025 29196 TOMA DE BIOPSIA CON AGUJA BAJO VISION ECOGRAFICA DE LA MAMA (BIOPSIA CORE)
2001025 428.492 428.492 428.492 428.492 396.006 396.006
PGO2004009 10306 FOTOTERAPIA A RECIEN NACIDOS 2004009 - 52.816 - 52.816 - 46.680
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
URG2101001 21422 INFILTRACION LOCAL MEDICAMENTOS Y/O PUNCION EVACUADORA 2101001
C/S TOMA DE MUESTRA
65.750 - 65.750 - 102.668 -
POT2105001 21123 BOTA CORTA DE YESO CORRIENTE NINO 2105004 86.193 86.193 86.193 86.193 76.236 76.236
POT2105004 21152 RODILLERA YESO CORRIENTE ADULTO 2105004 103.903 103.903 103.903 103.903 91.898 91.898
POT2105021 21515 VELPEAUX YESO PLASTICO NINO 2105005 182.796 182.796 182.796 182.796 164.195 164.195
POT2105011 21141 YESO ANTE BRAQUIO PALMAR CORRIENTE ADULTOS 2105006 63.519 63.519 63.519 63.519 56.181 56.181
POT2105013 21146 YESO BRAQUIO PALMAR CORRIENTE ADULTO 2105007 87.074 87.074 87.074 87.074 77.014 77.014
POT2105014 38158 PELVIPEDIO SIMPLE CORRIENTE NINO 2105008 80.926 80.926 80.926 80.926 71.576 71.646
POT2105015 21143 YESO TORACO BRAQUIAL CORRIENTE NINO 2105010 180.455 180.455 180.455 180.455 159.608 159.608
CPL1502117 16305 TRATAM. CON BOTOX (20-30 PUNTOS) EN VEJIGA 440.569 440.569 440.569 440.569 382.035 382.035
CPL1502136 13674 INFILTRACION DE BOTOX 12 PTOS (CPA) - 230.060 - 230.060 - 181.050
DEN0401002 21446 RADIOGRAFIA RETRO ALVEOLAR TOTAL 99.658 99.658 99.658 99.658 99.658 99.658
DEN0401003 41012 RADIOGRAFIA RETROALVEAR CORRIENTE 13.466 13.466 13.466 13.466 13.466 13.466
DEN0401004 21448 RADIOGRAFIA BITTE-WING 98.187 98.187 98.187 98.187 98.187 98.187
DEN0403000 21066 TOMOGRAFIA COMPUTADA CONE BEAM (X GRUPODENTARIO) 62.928 62.928 62.928 62.928 62.928 62.928
DEN4001000 21854 CEMENTACION DIENTE PROVISORIO 121.465 121.465 121.465 121.465 121.465 121.465
DEN4001001 21856 PASTAS PROVISORIAS 92.647 92.647 92.647 92.647 92.647 92.647
DEN4001002 21858 PULPOTOMIA EN DTES. TEMPORALES 116.343 116.343 116.343 116.343 116.343 116.343
DEN4001003 21860 EXTRACCION DE DTES. TEMPORALES 118.734 118.734 118.734 118.734 118.734 118.734
DEN4001004 21862 HON. MEDICOS POR DRENAJE DE ABSCESOS (DENTAL) 100.019 100.019 100.019 100.019 100.019 100.019
DEN4001005 21864 ORTODONCIA SIMPLE 115.913 115.913 115.913 115.913 115.913 115.913
DEN4001006 21866 LIMPIEZA ALVEOLO-CAUTERIZACION 116.199 116.199 116.199 116.199 116.199 116.199
DEN4001007 21868 FRACT.DENTAL S/ESPOS.PULPAR 120.441 120.441 120.441 120.441 120.441 120.441
DEN4001008 21870 FRACT.ESMALTE REPOSIC.FRAGMANTO 120.010 120.010 120.010 120.010 120.010 120.010
DEN4001009 21872 PULPECTOMIA - FERULIZACION 125.278 125.278 125.278 125.278 125.278 125.278
DEN4001010 21874 POSICIONAMIENTO - FERULIZACION 125.854 125.854 125.854 125.854 125.854 125.854
DEN4001011 21875 FRACT.DENTAL CON ESPOSICION PULPAR 114.309 114.309 114.309 114.309 114.309 114.309
DEN4001012 21876 EXTRACCION DE TERCEROS MOLARES 132.005 157.085 132.005 157.085 132.005 157.085
DEN4001013 21878 PULPECTOMIA 125.854 149.768 125.854 149.768 125.854 149.768
DEN4001014 21880 CONFECCION DE DTES.PROVISORIO 131.716 156.739 131.716 156.739 131.716 156.739
DEN4001015 21882 SUTURAS SIMPLES DENTAL 125.565 149.423 125.565 149.423 125.565 149.423
DEN4001016 21884 REIMPLANTE -FERULIZACION 210.014 249.916 210.014 249.916 210.014 249.916
DEN4001017 21045 RADIOGRAFIA PANORAMICA 55.179 55.179 55.179 55.179 47.847 47.847
DEN4001018 21046 RADIOGRAFIA RETRO ALVEOLAR DIGITAL 25.314 25.314 25.314 25.314 21.952 21.952
DEN4001019 21068 TOMOGRAFIA COMPUTADA CONE BEAM (MAXILARINFERIOR) 115.765 115.765 115.765 115.765 115.765 115.765
DEN4001020 13493 EXTRACCIÓN PIEZA DENTARIA INCLUIDA (HASTA 2) 109.451 109.451 109.451 109.451 109.451 109.451
DEN4001021 13494 EXTRACCIÓN PIEZA DENTARIA INCLUIDA (HASTA 4) 164.175 137.964 164.175 137.964 164.175 137.964
DEN4001022 13495 BIOPSIA EN CAVIDAD BUCAL 91.976 91.976 91.976 91.976 91.976 91.976
DEN4001023 13496 IMPLANTE OSEO Y/O INJERTO EN CAVIDAD BUCAL. 91.976 91.976 91.976 91.976 91.976 91.976
DEN4001024 13498 FENESTRACION PIEZA DENTARIA 77.291 91.976 77.291 91.976 77.291 91.976
DEN4001025 13499 ARTROCENTESIS TEMPOROMANDIBULAR. 84.364 84.364 84.364 84.364 84.364 84.364
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
ECT0404040 8361 ULTRASONIDO CORONARIO 556.502 563.737 556.502 563.737 488.832 488.832
ECT0404046 42070 ANALISIS DE TEXTURA 73.852 73.852 73.852 73.852 73.852 73.852
EDE1601058 39089 USO EQ. LASER KTP - MAYOR 199.013 - 199.013 - 199.013 -
EDE1699000 39060 TRATAMIENTO LASER CO2 96.008 - 96.008 - 96.008 -
EDE1699001 39070 IPL LUZ PULSADA MENOR 37.178 - 37.178 - 37.178 -
EDE1699002 39107 DEPILACION -TEST PRUEBA 51.907 - 51.907 - 51.907 -
EDE1699003 39108 IPL -FRENTE COMPLETA (S1) 68.409 - 68.409 - 68.409 -
EDE1699004 39110 IPL - LABIO SUPERIOR O MENTON (S/I) 6 SESIONES 97.556 - 97.556 - 97.556 -
EDE1699008 39088 USO EQ. LASER KTP - MEDIO 158.055 - 158.055 - 158.055 -
EDE1699009 39087 USO EQ. LASER KTP - MENOR 106.977 - 106.977 - 106.977 -
EDE1699010 39002 TRATAMIENTO DERMATOLOGICO CON THERMAGE 743.287 - 743.287 - 743.287 -
EDE1699011 39111 IPL - CEJA (S1) 47.885 - 47.885 - 47.885 -
EDE1699012 39112 IPL - LABIO SUPERIOR O MENTON (S/I) 1 SESION 29.841 - 29.841 - 29.841 -
EDE1699013 39113 IPL - LABIO SUPERIOR O MENTON (S/I) MANTENCION 17.790 - 17.790 - 17.790 -
EDE1699014 39114 IPL - PATILLA 1 SESION 32.876 - 32.876 - 32.876 -
EDE1699015 39115 IPL - ENTRECEJO 6 SESIONES 86.079 - 86.079 - 86.079 -
EDE1699016 IPL - ENTRECEJO 1 SESION 26.397 - 26.397 - 26.397 -
EDE1699017 39117 IPL - ROSTRO INFERIOR 1 SESION 43.443 - 43.443 - 43.443 -
EDE1699018 39242 IPL - MEJILLA 6 SESIONES 31.865 - 31.865 - 31.865 -
EDE1699019 39120 IPL - SUPRALABIAL Y MENTON 1 SESION 34.637 - 34.637 - 34.637 -
EDE1699020 IPL - ENTRECEJO MANTENCION 15.495 - 15.495 - 15.495 -
EDE1699021 IPL - INTERMAMARIO 6 SESIONES 103.295 - 103.295 - 103.295 -
EDE1699022 39123 IPL - MENTON SUPERIOR (S1) 54.176 - 54.176 - 54.176 -
EDE1699023 IPL - INTERMAMARIO 1 SESION 32.136 - 32.136 - 32.136 -
EDE1699024 IPL - INTERMAMARIO MANTENCIÓN 18.938 - 18.938 - 18.938 -
EDE1699025 39126 IPL - MENTON SUPERIOR E INFERIOR (S1) 61.568 - 61.568 - 61.568 -
EDE1699026 IPL - BIKINI CORTO 6 SESIONES 109.033 - 109.033 - 109.033 -
EDE1699027 IPL - BIKINI CORTO 1 SESION 33.284 - 33.284 - 33.284 -
EDE1699028 IPL - BIKINI CORTO MANTENCIÓN 20.085 - 20.085 - 20.085 -
EDE1699029 IPL - NARIZ 6 SESIONES 97.556 - 97.556 - 97.556 -
EDE1699030 39135 IPL - CUELLO COMPLETO HOMBRE (S1) 110.818 - 110.818 - 110.818 -
EDE1699032 IPL - NARIZ MANTENCIÓN 17.790 - 17.790 - 17.790 -
EDE1699033 IPL - PIES 6 SESIONES 131.987 - 131.987 - 131.987 -
EDE1699034 39144 IPL - AREOLAS 1 SESION 29.353 - 29.353 - 29.353 -
EDE1699035 IPL - PIES 1 SESION 41.318 - 41.318 - 41.318 -
EDE1699036 IPL - PIES MANTENCIÓN 24.676 - 24.676 - 24.676 -
EDE1699037 39150 IPL - BRAZOS 1 SESION 58.706 - 58.706 - 58.706 -
EDE1699038 IPL - CUELLO ANTERIOR MASCULINO 6 SESIONES 154.942 - 154.942 - 154.942 -
EDE1699039 39153 IPL - ANTEBRAZOS 1 SESION 46.965 - 46.965 - 46.965 -
EDE1699040 IPL - CUELLO ANTERIOR MASCULINO 1 SESION 48.204 - 48.204 - 48.204 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
EDE1699041 IPL - CUELLO ANTERIOR MASCULINO MANTENCIÓN 28.120 - 28.120 - 28.120 -
EDE1699042 39132 IPL - CUELLO COMPLETO MUJER (S1) 88.928 - 88.928 - 88.928 -
EDE1699043 IPL - NUCA MASCULINA 6 SESIONES 154.942 - 154.942 - 154.942 -
EDE1699044 IPL - NUCA MASCULINA 1 SESION 48.204 - 48.204 - 48.204 -
EDE1699045 IPL - NUCA MASCULINA MANTENCIÓN 28.120 - 28.120 - 28.120 -
EDE1699046 39147 IPL - INTERMAMARIA ( 1 SESION) 32.876 - 32.876 - 32.876 -
EDE1699047 39138 IPL - LOBULO OREJA (S1) 34.203 - 34.203 - 34.203 -
EDE1699048 IPL - ESPALDA COMPLETA MASCULINA 6 SESIONES 367.269 - 367.269 - 367.269 -
EDE1699049 39118 IPL - MEJILLA 1 SESION 28.613 - 28.613 - 28.613 -
EDE1699050 39129 IPL - NUCA 1 SESION 36.398 - 36.398 - 36.398 -
EDE1699051 39141 IPL - OREJA COMPLETA (S1) 65.124 - 65.124 - 65.124 -
EDE1699052 IPL - ESPALDA COMPLETA MASCULINA 1 SESION 113.624 - 113.624 - 113.624 -
EDE1699053 IPL - ESPALDA COMPLETA MASCULINA MANTENCION 67.142 - 67.142 - 67.142 -
EDE1699054 39078 IPL LUZ PULSADA MEDIO 55.320 - 55.320 - 55.320 -
EDE1699055 39010 VELA SMOOTH (PA) 64.241 - 64.241 - 64.241 -
EDE1699056 39159 IPL - AXILAS 1 SESION 29.353 - 29.353 - 29.353 -
EDE1699057 IPL - MEDIA ESPALDA MASCULINA 6 SESIONES 218.066 - 218.066 - 218.066 -
EDE1699058 39161 IPL - AXILAS (S3) 48.815 - 48.815 - 48.815 -
EDE1699059 39162 IPL - LINEA ABD COMPLETA (S1) 108.357 - 108.357 - 108.357 -
EDE1699060 IPL - MEDIA ESPALDA MASCULINA 1 SESION 67.716 - 67.716 - 67.716 -
EDE1699061 IPL - MEDIA ESPALDA MASCULINA MANTENCION 39.597 - 39.597 - 39.597 -
EDE1699062 39165 IPL - LINEA ABD MITAD (S1) 74.153 - 74.153 - 74.153 -
EDE1699065 39168 IPL - LINEA BIKINI (S1) 82.088 - 82.088 - 82.088 -
EDE1699066 IPL - HOMBROS MASCULINO 6 SESIONES 183.635 - 183.635 - 183.635 -
EDE1699067 IPL - HOMBROS MASCULINO 1 SESION 57.386 - 57.386 - 57.386 -
EDE1699068 IPL - HOMBROS MASCULINO MANTENCION 33.858 - 33.858 - 33.858 -
EDE1699070 39174 IPL - MUSLOS 1 SESION 85.710 - 85.710 - 85.710 -
EDE1699073 39177 IPL - MEDIA PIERNA 1 SESION 85.710 - 85.710 - 85.710 -
EDE1699076 39180 IPL - ESPALDA COMPLETA 1 SESION 233.680 - 233.680 - 233.680 -
EDE1699081 39186 IPL - QUISTE PILONIDAL (S1) 199.475 - 199.475 - 199.475 -
EDE1699083 39201 CONCENTRADO PLAQUETARIO 6 ML PRP 517.188 - 517.188 - 517.188 -
EDE1699084 39212 USO EQ. LASER REV-LITE MEDIO 158.055 - 158.055 - 158.055 -
EDE1699088 39208 IPL - MANOS 1 SESION 32.876 - 32.876 - 32.876 -
EDE1699089 39203 IPL - PIERNA COMPLETA 1 SESION 152.635 - 152.635 - 152.635 -
EDE1699090 39204 IPL - INTERGLUTEO 1 SESION 35.223 - 35.223 - 35.223 -
EDE1699091 39205 IPL - BIKINI COMPLETO 1 SESION 70.447 - 70.447 - 70.447 -
EDE1699092 39206 IPL - BRAZOS COMPLETOS 1 SESION 88.058 - 88.058 - 88.058 -
EDE1699093 39207 IPL - PECHO O PECTORALES 1 SESION 188.120 - 188.120 - 188.120 -
EDE1699094 39225 IPL - ROSTRO COMPLETO 1 SESION 79.840 - 79.840 - 79.840 -
EDE1699095 39226 IPL - ANTEBRAZOS 6 SESIONES 258.305 - 258.305 - 258.305 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
EDE1699096 39227 IPL - AXILAS 6 SESIONES 105.670 - 105.670 - 105.670 -
EDE1699097 39228 IPL - AREOLAS 6 SESIONES 93.929 - 93.929 - 93.929 -
EDE1699098 39229 IPL - BRAZOS 6 SESIONES 187.858 - 187.858 - 187.858 -
EDE1699099 39230 IPL - CEJA 6 SESIONES 229.847 - 229.847 - 229.847 -
EDE1699100 39231 IPL - CUELLO COMPLETO MUJER 6 SESIONES 426.859 - 426.859 - 426.859 -
EDE1699102 39233 IPL - ESPALDA COMPLETA 6 SESIONES 1.121.870 - 1.121.870 - 1.121.870 -
EDE1699103 IPL - MEDIA ESPALDA SUPERIOR O INFERIOR 6 SESIONES 187.858 - 187.858 - 187.858 -
EDE1699104 39235 IPL - FRENTE COMPLETA 6 SESIONES 99.799 - 99.799 - 99.799 -
EDE1699105 39236 IPL - INTERMAMARIA (6 SESIONES) 105.670 - 105.670 - 105.670 -
EDE1699106 39237 IPL - LOBULO OREJA 6 SESIONES 164.175 - 164.175 - 164.175 -
EDE1699107 39238 IPL - LINEA ABD COMPLETA 6 SESIONES 164.175 - 164.175 - 164.175 -
EDE1699108 39239 IPL - LINEA ABD MITAD 6 SESIONES 355.714 - 355.714 - 355.714 -
EDE1699109 39240 IPL - LINEA BIKINI 6 SESIONES 394.024 - 394.024 - 394.024 -
EDE1699110 39241 IPL - LINEA BIKINI 6 SESIONES 459.693 - 459.693 - 459.693 -
EDE1699111 IPL - ROSTRO INFERIOR 6 SESIONES 140.894 - 140.894 - 140.894 -
EDE1699112 39243 IPL - MENTON SUPERIOR 6 SESIONES 259.945 - 259.945 - 259.945 -
EDE1699113 39244 IPL - MENTON SUPERIOR E INFERIOR (6 SESIONES) 328.352 - 328.352 - 328.352 -
EDE1699114 39245 IPL - MANOS 6 SESIONES 105.670 - 105.670 - 105.670 -
EDE1699115 39246 IPL - MUSLOS 6 SESIONES 275.917 - 275.917 - 275.917 -
EDE1699116 39247 IPL - NUCA 6 SESIONES 117.412 - 117.412 - 117.412 -
EDE1699117 39248 IPL - OREJA COMPLETA 6 SESIONES 1.067.143 - 1.067.143 - 1.067.143 -
EDE1699118 39249 IPL - PATILLA 6 SESIONES 105.670 - 105.670 - 105.670 -
EDE1699119 39250 IPL - MEDIA PIERNAS 6 SESIONES 275.917 - 275.917 - 275.917 -
EDE1699120 39251 IPL - QUISTE PILONIDAL 6 SESIONES 930.332 - 930.332 - 930.332 -
EDE1699121 39252 IPL - SUPRALABIAL Y MENTON 6 SESIONES 111.540 - 111.540 - 111.540 -
EDE1699122 39253 IPL - PIERNA COMPLETA 6 SESIONES 493.127 - 493.127 - 493.127 -
EDE1699123 39254 IPL - INTERGLUTEO 6 SESIONES 111.540 - 111.540 - 111.540 -
EDE1699124 39255 IPL - BIKINI COMPLETO 6 SESIONES 228.953 - 228.953 - 228.953 -
EDE1699125 39256 IPL - BRAZOS COMPLETOS 6 SESIONES 281.787 - 281.787 - 281.787 -
EDE1699126 39257 IPL - PECHO O PECTORALES 6 SESIONES 752.473 - 752.473 - 752.473 -
EDE1699127 39258 IPL - ROSTRO COMPLETO 6 SESIONES 258.305 - 258.305 - 258.305 -
EDE1699128 39259 IPL - ANTEBRAZOS MANTENCION 28.767 - 28.767 - 28.767 -
EDE1699129 39260 IPL - AXILAS MANTENCION 17.026 - 17.026 - 17.026 -
EDE1699130 39261 IPL - AREOLAS MANTENCION 17.026 - 17.026 - 17.026 -
EDE1699131 39262 IPL - BRAZOS MANTENCION 21.722 - 21.722 - 21.722 -
EDE1699132 39263 IPL - CEJA MANTENCION 34.203 - 34.203 - 34.203 -
EDE1699133 39264 IPL - CUELLO COMPLETO MUJER MANTENCION 54.723 - 54.723 - 54.723 -
EDE1699134 39265 IPL - CUELLO COMPLETO HOMBRE MANTENCION 68.409 - 68.409 - 68.409 -
EDE1699135 39266 IPL - ESPALDA COMPLETA MANTENCION 95.768 - 95.768 - 95.768 -
EDE1699136 IPL - MEDIA ESPALDA SUPERIOR O INFERIOR MANTENCION 33.464 - 33.464 - 33.464 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
EDE1699137 39268 IPL - FRENTE COMPLETA MANTENCION 18.200 - 18.200 - 18.200 -
EDE1699138 39269 IPL - INTERMAMARIA (MANTENCION) 19.374 - 19.374 - 19.374 -
EDE1699139 39270 IPL - LOBULO OREJA MANTENCION 24.626 - 24.626 - 24.626 -
EDE1699140 39271 IPL - LINEA ABD COMPLETA MANTENCION 63.688 - 63.688 - 63.688 -
EDE1699141 39272 IPL - LINEA ABD MITAD MANTENCION 41.043 - 41.043 - 41.043 -
EDE1699142 39273 IPL - LINEA BIKINI CORTO MANTENCION 54.723 - 54.723 - 54.723 -
EDE1699143 39274 IPL - LINEA BIKINI LARGO MANTENCION 33.464 - 33.464 - 33.464 -
EDE1699144 IPL - ROSTRO INFERIOR MANTENCION 25.244 - 25.244 - 25.244 -
EDE1699145 39276 IPL - MENTON SUPERIOR MANTENCION 34.203 - 34.203 - 34.203 -
EDE1699146 39277 IPL - MENTON SUPERIOR E INFERIOR (MANTENCION) 34.203 - 34.203 - 34.203 -
EDE1699147 39278 IPL - MANOS MANTENCION 19.374 - 19.374 - 19.374 -
EDE1699148 39279 IPL - MUSLOS MANTENCION 49.901 - 49.901 - 49.901 -
EDE1699149 39280 IPL - NUCA MANTENCION 21.722 - 21.722 - 21.722 -
EDE1699150 39281 IPL - OREJA COMPLETA MANTENCION 27.363 - 27.363 - 27.363 -
EDE1699151 39282 IPL - PATILLA MANTENCION 19.374 - 19.374 - 19.374 -
EDE1699152 39283 IPL - MEDIA PIERNAS MANTENCION 49.901 - 49.901 - 49.901 -
EDE1699153 39284 IPL - QUISTE PILONIDAL MANTENCION 88.235 - 88.235 - 88.235 -
EDE1699154 39285 IPL - SUPRALABIAL Y MENTON MANTENCION 20.077 - 20.077 - 20.077 -
EDE1699155 39286 IPL - PIERNA COMPLETA MANTENCION 89.820 - 89.820 - 89.820 -
EDE1699156 39287 IPL - INTERGLUTEO MANTENCION 20.547 - 20.547 - 20.547 -
EDE1699157 39288 IPL - BIKINI COMPLETO MANTENCION 41.682 - 41.682 - 41.682 -
EDE1699158 39289 IPL - BRAZOS COMPLETOS MANTENCION 51.075 - 51.075 - 51.075 -
EDE1699159 39290 IPL - PECHO O PECTORALES MANTENCION 95.768 - 95.768 - 95.768 -
EDE1699160 39291 IPL - ROSTRO COMPLETO MANTENCION 47.552 - 47.552 - 47.552 -
EDE1699161 LASER ALEXANDRITA PIGMENTARIO O VASCULAR - MENOR 43.443 - 43.443 - 43.443 -
EDE1699162 LASER ALEXANDRITA PIGMENTARIO O VASCULAR - MEDIO 64.576 - 64.576 - 64.576 -
EDE1699163 LASER ALEXANDRITA PIGMENTARIO O VASCULAR - MAYOR 85.710 - 85.710 - 85.710 -
EDE1699199 SALA RESURFACING 91.817 - 91.817 - 91.817 -
EDE1699215 IPL - ABDOMEN COMPLETO 6 SESIONES 176.117 - 176.117 - 176.117 -
EDE1699216 IPL - ABDOMEN COMPLETO 1 SESION 55.183 - 55.183 - 55.183 -
EDE1699217 IPL - ROSTRO INFERIOR MASCULINO 1 SESION 65.516 - 65.516 - 65.516 -
EDE1699218 IPL - ROSTRO INFERIOR MASCULINO 6 SESIONES 211.341 - 211.341 - 211.341 -
EDE1699219 IPL - ROSTRO INFERIOR MASCULINO MANTENCION 38.160 - 38.160 - 38.160 -
EDE1699220 IPL - FRENTE 1 SESION 30.528 - 30.528 - 30.528 -
EDE1699243 IPL - LINEA BIKINI LARGO 6 SESIONES 181.987 - 181.987 - 181.987 -
EDE1699285 IPL - LINEA ABDOMEN MITAD 6 SESIONES 105.670 - 105.670 - 105.670 -
EDE1699286 IPL - LINEA ABDOMEN MITAD 1 SESION 32.876 - 32.876 - 32.876 -
EDE1699287 IPL - LINEA ABDOMEN MITAD MANTENCION 19.374 - 19.374 - 19.374 -
EDE1699300 TRATAMIENTO LASER CO2 (VERRUGAS) 140.894 - 140.894 - 140.894 -
EDE1699303 IPL - MEDIA ESPALDA SUPERIOR O INFERIOR 1 SESION 58.236 - 58.236 - 58.236 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
EDE1699305 IPL - OREJAS 6 SESIONES 99.799 - 99.799 - 99.799 -
EDE1699306 IPL - OREJAS 1 SESION 30.528 - 30.528 - 30.528 -
EDE1699307 IPL - OREJAS MANTENCION 18.200 - 18.200 - 18.200 -
EDE1699315 IPL - ABDOMEN COMPLETO MANTENCION 32.289 - 32.289 - 32.289 -
EDE1699318 39275 IPL - MEJILLA MANTENCION 20.547 - 20.547 - 20.547 -
EDE1699320 IPL - CUELLO ANTERIOR MUJER 6 SESIONES 129.153 - 129.153 - 129.153 -
EDE1699321 IPL - CUELLO ANTERIOR MUJER 1 SESION 39.920 - 39.920 - 39.920 -
EDE1699322 IPL - CUELLO ANTERIOR MUJER MANTENCION 15.851 - 15.851 - 15.851 -
EDE1699343 IPL - LINEA BIKINI LARGO 1 SESION 56.357 - 56.357 - 56.357 -
ENF2601001 96523 AT. ENFEREM. CONTROL ENFERMERIA 15.668 15.668 15.668 15.668 13.617 13.617
ENF2601004 21026 AT. ENFERMERIA PARA COLOCACION DE VACUNAS 9.366 9.366 9.366 9.366 7.371 7.371
ENF2601005 21434 AT. ENFERM.CONTROL DE PRESION ARTERIAL 8.199 8.199 8.199 8.199 7.109 7.109
ENF2601006 47100 ATEN. ENFERM. CURACION BASICA 23.572 28.050 23.572 28.050 17.175 21.038
ENF2601007 6003 AT. ENFERM. CURACION COMPLEJA 28.981 29.111 28.981 29.111 24.758 22.910
ENF2601008 7151 AT. ENFERM. CURACION MAYOR 87.377 87.377 87.377 87.377 74.647 68.762
ENF2601009 19175 AT. ENFERM. ESPEC. CURACIÓN MAYOR (CIMAH) 94.984 - 94.984 - 82.362 -
ENF2601011 7153 AT. ENFERM. CURACION MEDIANA 61.613 61.613 61.613 61.613 53.427 53.427
ENF2601012 19174 AT. ENFERM. ESPEC. CURACIÓN MEDIANA (CIMAH) 46.101 - 46.101 - 39.976 -
ENF2601015 19177 AT. ENFERM. ESPEC. CURACIÓN OSTOMIA MAYOR (CIMAH) 94.984 - 94.984 - 82.362 -
ENF2601016 19176 AT. ENFERM.CURACIÓN OSTOMIA MENOR CIMAH 33.948 - 33.948 - 29.437 -
ENF2601018 7150 AT.ENFERMERA CURACION SIMPLE 30.072 30.072 30.072 30.072 27.511 27.511
ENF2601021 19172 AT.ENFERM. ESPEC. CURACION SIMPLE (CIMAH) 22.241 - 22.241 - 19.285 -
ENF2601025 14112 AT. ENFERM. HEPARINIZACION 18.445 18.445 18.445 18.445 15.997 15.997
ENF2601026 21408 AT. ENFERM. INYECCION INTRAMUSCULAR 17.117 17.117 17.117 17.117 14.843 14.843
ENF2601029 21410 AT. ENFERM. INYECCION SUBCUTANEA 17.117 17.117 17.117 17.117 14.843 14.843
ENF2601031 21406 AT. ENFERM. INYECCIONES ENDOVENOSAS 35.997 35.997 35.997 35.997 31.213 31.213
ENF2601032 21424 AT. ENFERM. LAVADO GASTRICO 62.784 62.784 62.784 62.784 54.441 54.441
ENF2601033 21430 AT. ENFERM. LAVADO INTESTINAL 26.933 26.933 26.933 26.933 23.352 23.352
ENF2601038 19173 AT. ENFERM. ESPEC. CURACION MENOR 44.760 - 44.760 - 31.332 -
FON1303901 96650 REHABILITACION AUDITIVA VERBAL 48.139 - 48.139 - 33.698 -
FON1308001 99757 TELEMEDICINA: ATENCION INTEGRAL FONOAUDIOLOGIA (C/VEZ) 47.171 - 47.171 - 47.171 -
FON1308005 30805 TELEMEDICINA: REHABILITACION DEL HABLA Y/O DEL LENGUAJE (MAX. 30 MIN) 47.171 - 47.171 - 47.171 -
MNU0501031 17525 DOSIS CERETEC 564.443 652.093 564.443 652.093 411.300 489.070
MNU0501032 17557 DOSIS GALIO 485.200 485.200 485.200 485.200 353.555 363.900
MNU0501033 17553 DOSIS ISONITRILO 175.379 175.379 175.379 175.379 127.794 131.534
MNU0501034 17526 DOSIS MIBG 465.690 532.139 465.690 532.139 339.339 399.105
MNU0501035 17584 RADIOFARMACO CEREBRO 314.274 314.274 314.274 314.274 231.985 235.706
MNU0501038 26167 ALO CROSS MATCH POR CITOMETRIA DE FLUJO 441.145 441.145 441.145 441.145 321.454 330.858
NUT2602003 13471 CALORIMETRIA EN REPOSO O INDIRECTA 83.421 84.145 83.421 84.145 72.339 72.963
NUT2602004 13472 CALORIMETRIA EN EJERCICIO 86.465 87.314 86.465 87.314 74.975 75.712
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
NUT2602006 13459 VENTILACIÓN ALVEOLAR 82.265 97.896 82.265 97.896 71.499 85.083
PCA1701000 19525 COLOCACION CATETER VENOSO CENTRAL 361.201 429.826 361.201 429.826 338.260 402.527
PCA1701001 10531 TEST DE TILT 214.994 255.840 214.994 255.840 186.428 201.337
PCA1701004 31022 TEST DE MIBI 151.618 151.618 151.618 151.618 134.232 134.232
PCA1701048 31100 ECOCARDIOGRAMA DE STRESS 358.843 358.843 358.843 358.843 282.398 282.398
PCA1701050 21182 REANIMACION 442.715 526.832 442.715 526.832 383.893 414.599
PCA1701051 14111 TRATAMIENTO INMUNOTERAPIA MELANOMA 3.136.542 3.136.542 3.136.542 3.136.542 2.468.351 2.468.351
PCA1701054 18566 INSTALACION CATETER CON RESERVORIO - 977.315 - 977.315 - 847.463
PCA1701055 20365 CAMBIO DE MEMBRANA DE ECMO 661.215 661.215 661.215 661.215 573.362 573.362
PCA1701058 14005 DETERMINACION DEBITO CARDIACO 104.497 104.497 104.497 104.497 90.613 90.613
PCA1701059 15017 INSTALACION BALON CONTRAPULSION 239.427 239.427 239.427 239.427 207.616 207.617
PCA1701060 8228 PRUEBA OCLUSION CAROTIDA/VERTEBRAL TRANSITORIA - 1.001.659 - 1.001.659 - 934.977
PCA1701064 10070 TEST FUNCION AUTONOMICA 103.843 138.452 103.843 138.452 81.720 108.958
PCA1701065 17443 RETIRO CATETER CON RESERVORIO - 732.988 - 732.988 - 684.192
PCA1701067 31222 TRATAMIENTO APLICA DE POLIDOCANOL 0,5% 10.528 10.528 10.528 10.528 8.286 8.286
PDE1601009 39101 USO EQ.LASER RUBI - MAYOR 206.940 206.940 206.940 206.940 162.855 162.855
PDE1601010 82416 SALA PROCED. RELLENO FACIAL C/ RESTYLANE 263.286 - 263.286 - 207.197 -
PDE1601921 16040 VIDEOMICROSCOPIA CONFOCAL 1-2 LESIONES 42.000 - 42.000 - 29.400 -
PDE1601923 16048 TRICOSCOPIA (HASTA 3 TOMAS) 93.929 - 93.929 - 65.750 -
PDE1601924 16049 TRICOSCOPIA (MAS DE 3 TOMAS ) 117.412 - 117.412 - 82.188 -
PDE1699000 13477 INFILTRACIÓN BOTOX 34.248 34.248 34.248 34.248 34.248 34.248
PDE1699001 LASER FRAXEL - CARA 134.052 - 134.052 - 134.052 -
PDE1699002 LASER FRAXEL - CARA Y CUELLO 182.717 - 182.717 - 182.717 -
PDE1699003 LASER FRAXEL - LOCALIZADO MEDIO 104.672 - 104.672 - 104.672 -
PDE1699004 LASER FRAXEL - LOCALIZADO MAYOR 130.381 - 130.381 - 130.381 -
PDE1699005 LASER FRAXEL - CARA, DORSO Y MANOS 196.490 - 196.490 - 196.490 -
PDE1699011 LASER FRAXEL - LOCALIZADO MENOR 80.340 - 80.340 - 80.340 -
PGA1801001 37001 ENDOSONOGRAFIA ALTA SIN PUNCION 386.372 386.372 386.372 386.372 335.035 335.035
PGA1801003 37010 TAE DIXYLOSA 151.618 - 151.618 - 151.618 -
PGA1801004 37124 TEST AIRE ESPIRADO LACTOSA 158.794 - 158.794 - 137.693 -
PGA1801005 37126 TEST AIRE ESPIRADO LACTULOSA 158.794 - 158.794 - 137.693 -
PGA1801006 37193 TEST RAPIDO INTOLERANCIA LACTOSA 57.228 68.101 57.228 68.101 49.624 53.593
PGA1801019 37086 PH + IMPEDANCIOMETRIA 24 HRS 413.287 491.811 413.287 491.811 365.900 387.038
PGA1801047 55041 BIOIMPEDANCIOMETRIA 40.000 40.000 40.000 40.000 35.155 35.155
PGA1801050 37084 ENDOSONOGRAFIA ALTA CON PUNCIÓN 777.109 777.109 777.109 777.109 673.857 673.857
PGA1801051 37069 ESTUDIO ENDOSCOPICO DE INTESTINO DELGADO 1.031.909 1.031.909 1.031.909 1.031.909 894.802 894.801
PGA1801055 13650 INSTALACION BALON GASTRICO 748.782 748.782 748.782 748.782 589.266 589.266
PGA1801057 13651 RETIRO BALON GASTRICO 401.924 401.924 401.924 401.924 367.705 367.705
PGA1801063 30189 DISECCION ENDOSCOPICA SUBMUCOSA 279.698 279.698 279.698 279.698 261.078 261.078
PGA1801064 30190 CIERRE FISTULAS ENDOSCOPICA 279.698 279.698 279.698 279.698 261.078 261.078
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PGA1801065 30191 POEM (Miotomia endoscopica por via oral) 180.425 180.425 180.425 180.425 168.414 168.414
PGA1801066 30192 INSTALACION DE PROTESIS GASTRICA Y/O INTESTINO 279.698 279.698 279.698 279.698 261.078 261.078
PGA1801067 30193 DRENAJE DE PSEUDO QUISTE PANCREATICO 180.425 180.425 180.425 180.425 168.414 168.414
PGA1801068 30194 APLICACIÓN RADIOFRECUENCIA EN ESOFAGO DE BARRET 180.425 180.425 180.425 180.425 168.414 168.414
PGA1801069 30195 TRATAMIENTO ENDOSCOPICO DIVERTICULO 180.425 180.425 180.425 180.425 168.414 168.414
PGA1801070 37021 TEST DE ALIENTO HELICOBACTER PYLORI 192.989 229.657 192.989 229.657 167.345 180.732
PGA1801074 13897 INSTALACION DE BALON GASTRICO ELIPSE 223.000 223.000 223.000 223.000 749.756 749.757
PGA1801075 37896 INVAGINACION INTESTINAL VIA RECTAL - 390.945 - 390.945 - 364.920
PGA1801077 37181 PH 24 HRS 299.968 320.062 299.968 320.062 283.086 283.367
PGA1801901 37002 TEST AIRE ESPIRADO FRUCTOSA 158.794 - 158.794 - 111.156 -
PGA1801999 ENDOSONOGRAFIA BAJA 142.843 142.843 142.843 142.843 99.990 107.132
PGO2001004 9031 HIDROTUBACION Y/O INSUFLACION DE TROMPAS 68.643 81.684 68.643 81.684 60.164 61.263
PGO2001013 16029 CRIOPRESERVA. DE EMBRIONES (ET.CRIO PRES.EMB. 2502016) 288.173 288.173 288.173 288.173 268.988 271.322
PGO2001015 42037 PROM TEST 55.897 66.518 55.897 66.518 48.471 52.347
PGO2001016 16005 PROC. BIOLOGICO II (LABO.FIV /ICSI O FECUND.) 841.363 841.363 841.363 841.363 785.352 871.462
PGO2001017 56024 RECUENTO DE OVOCITOS (ET: ASP.FOLICULAR) 168.160 168.160 168.160 168.160 255.908 255.908
PGO2001018 16002 CO-CULTIVO CON CELULAS ENDOMETRIALES 110.133 114.479 110.133 114.479 100.758 100.760
PGO2001019 18031 CRIOPRESERVACION TEJIDO OSEO (POR UNIDAD 832.461 832.461 832.461 832.461 927.714 927.714
PGO2001020 16011 DESCONGELACION EMBRIONES 330.745 330.745 330.745 330.745 308.726 308.726
PGO2001022 16007 MICROINYECCION ICSI (LABO. FIV /ICSI O FECUN.) 390.897 390.897 390.897 390.897 455.844 521.210
PGO2001023 16009 TRANSFERENCIA EMBRIONARIA (2502014) 289.769 301.202 289.769 301.202 270.479 281.151
PGO2001024 56113 PRUEBA DE CONGELAMIENTO 51.113 73.322 51.113 73.322 40.224 57.702
PGO2001027 16030 DESCONGELACIÓN DE OVOCITOS (ET.DES.DE EMBRIONES 2502018) 288.173 288.173 288.173 288.173 268.988 268.988
PGO2001032 20121 TRANSFERENCIA DE GAMETOS O EMBRIONES A LA TROMPA 849.418 1.010.811 849.418 1.010.811 736.559 795.473
PGO2001033 20201 DILATACION CERVICAL 356.563 429.828 356.563 429.828 280.603 338.259
PGO2001034 20055 RETIRO CERCLAJE - 737.303 - 737.303 - 639.341
PGO2001035 56022 PROC. BIOLOGICO I (ET: ASP. FOLICULAR) 168.160 168.160 168.160 168.160 228.203 228.204
PGO2001037 16035 BIOPSIA DE BLASTOCITOS 454.724 454.724 454.724 454.724 357.854 357.854
PGO2001038 16036 DIAGNOSTICO GENETICO PGD/ NGS (Hasta 5 c/u) 585.197 585.197 585.197 585.197 493.129 493.129
PGO2001047 16037 DIAGNOSTICO GENETICO PGT-SR 1.024.338 1.024.338 1.024.338 1.024.338 748.124 768.253
PGO2001901 42015 INSEMINACION INTRAUTERINA 79.229 - 79.229 - 55.460 -
PLM0601001 30139 LABORATORIO DE LA MARCHA 58.706 - 58.706 - 301.468 -
PLM0601002 30140 ANALISIS SIMPLIFICADO DE LA MARCHA (ASM) 82.088 - 82.088 - 64.601 -
PLM0601003 30141 ANALISIS POSTURAL ESTABILOMETRICO (APE) 82.088 - 82.088 - 64.601 -
PLM0601004 30142 TEST TIME UP AND GO (TUG) 97.686 - 97.686 - 76.875 -
PLM0601005 30143 TEST CAMINATA 6 MINUTOS TURNED TEST (TC) 97.686 - 97.686 - 76.875 -
PLM0601006 30144 TURNED TEST 97.686 - 97.686 - 76.875 -
PLM0601007 25000 TEST INVITAE 1 550.368 550.368 550.368 550.368 417.690 -
PLM0601008 25001 TEST DE VARIANTES FAMILIARES INVITAE (DENTRO E PLAZOS 2) 169.828 - 169.828 - 125.307 -
PLM0601009 25002 TEST DE VARIANTES FAMILIARES INVITAE (DENTRO E PLAZOS 3) 534.955 - 534.955 - 375.921 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
PNE1101000 34030 TEST DE ESTIMULACION REPETITIVA 106.687 106.687 106.687 106.687 83.959 83.959
PNE1101023 22012 BLOQUEO PLEXO NERVIOSO 150.234 156.163 150.234 156.163 137.444 137.444
PNE1101024 8223 ANGIOPLASTIA INTRACRANIAL (AC 0402023) - 1.170.503 - 1.170.503 - 1.092.581
PNE1101025 14047 MONITOREO PRESION INTRACRANEANA/DIA 77.701 92.285 77.701 92.285 61.149 72.626
PNE1101027 34124 EEG CONTINUO HASTA 12 HORAS 546.615 550.267 546.615 550.267 473.989 477.155
PNE1101028 22015 PARCHE DE SANGRE 150.234 156.163 150.234 156.163 137.444 137.444
PNE1101030 34025 E.E.G.C/ELECTRODOS NASOFARINGEOS 171.521 171.521 171.521 171.521 580.595 580.595
PNE1101031 34100 E.E.G. PORTATIL 216.595 216.595 216.595 216.595 257.114 170.453
PNE1101034 34128 ESTIMULACION CORTICAL 485.369 485.369 485.369 485.369 381.968 381.968
PNE1101036 34127 TEST DE INDUCCIÓN DE CRISIS 173.285 206.207 173.285 206.207 150.258 162.278
PNE1101037 34137 TEST DE LATENCIA DEL SUENO 281.571 335.070 281.571 335.070 244.160 263.688
PNE1101039 20086 BLOQUEO RADICULAR SELECTIVO 669.112 796.244 669.112 796.244 580.208 626.616
PNE1101040 20352 BLOQUEO DE NERVIO PER.EN PUNTO MOTOR (CON BOTOX 12 PTOS) 723.839 861.366 723.839 861.366 675.652 804.025
PNE1101041 20353 BLOQUEO NERVIO PERI. EN PUNTO MOTOR (CON BOTOX 13 A 18 PTOS) 1.086.653 1.086.653 1.086.653 1.086.653 1.014.313 1.014.313
PNE1101042 20354 BLOQUE NERVIO PERF.EN PUNTO MOTOR (CON BOTOX 19 A 24 PTOS) 1.443.594 1.443.594 1.443.594 1.443.594 1.347.492 1.347.492
PNE1101043 20355 BLOQUEO NERVIO PERF.EN PUNTO MOTOR (BOTOX MAS DE 24 PTOS) 1.804.202 1.804.202 1.804.202 1.804.202 1.684.094 1.684.094
PNE1101045 35010 VEMP ( POTENCIAL EVOCADO MIOGENICO VESTIBULAR ) 113.716 113.716 113.716 113.716 100.678 100.678
PNE1101046 37194 ANALISIS DE SENSIBILIDAD TERMICA 108.775 108.775 108.775 108.775 94.323 94.323
PNE1101047 37195 ESTIM.MAGNETICA TRANSCRANEAL (ESTUDIO) 99.227 99.227 99.227 99.227 78.088 78.088
PNE1101048 37196 ESTIM.MAGNETICA TRANSCRANEAL (TRAT.) 277.394 277.394 277.394 277.394 218.300 218.300
PNE1101052 35432 TALLER DE MINDFULLNESS 62.461 - 62.461 - 58.494 -
POF1201000 36121 PUPILOMETRIA 24.595 24.595 24.595 24.595 21.377 21.377
POF1201022 36012 AUTOFLUORESCENCIA 27.671 27.671 27.671 27.671 24.049 24.049
POF1201023 36015 TEST DE TELLER 58.405 58.405 58.405 58.405 50.761 50.761
POF1201024 36081 MICROSCOPIA ESPECULAR/ RECUENTO DE CELULAS ENDOTELIALES 52.266 52.266 52.266 52.266 45.426 45.426
POF1201026 13478 INYECCION INTRAVITREA 94.711 94.711 94.711 94.711 84.015 84.015
POF1201059 23201 TEAR FEARNING TEST 43.412 - 43.412 - 41.184 -
POF1201070 23072 OSMOLARIDAD LAGRIMAL 51.662 51.662 51.662 51.662 44.899 44.899
POF1201071 23073 TEST INFLAMMA DRY 64.576 64.576 64.576 64.576 56.125 56.125
POF1201073 23075 TEST DE SCHIRMER II 16.748 16.748 16.748 16.748 14.556 14.556
POF1201074 23076 TINCIONES DE SUPERFICIE OCULAR 32.289 32.289 32.289 32.289 28.062 28.062
POF1201075 23077 EVALUACION MORFOLOGIA PALPEBRAL Y GLANDULAS DE MEIBOMIO 6.459 6.459 6.459 6.459 5.612 5.612
POF1201076 23079 TRATAMIENTO E-EYE (IPL) 77.491 - 77.491 - 67.349 -
POF1201080 23202 CITOLOGIA DE IMPRESION CONJUNTIVAL 77.491 77.491 77.491 77.491 67.349 67.349
POF1201081 59303 DETECCION DE DEMODEX SPP. 45.205 45.205 45.205 45.205 39.287 39.287
POF1201084 23450 TEST ADENO PLUS C/OJO 45.205 45.205 45.205 45.205 36.036 36.036
POF1201086 23071 ESTESEOMETRIA CORNEAL 6.459 6.459 6.459 6.459 5.612 5.612
POF1201087 23207 TRATAMIENTO LIDPRO C/SESION 45.205 45.205 45.205 45.205 39.287 39.287
POF1201088 23206 TRATAMIENTO MEIBOTHERMOFLO C/SESION UNOO AMBOS OJOS 51.662 51.662 51.662 51.662 48.223 48.223
POF1201089 23004 ABERROMETRIA HD Analyzer 38.746 38.746 38.746 38.746 33.675 33.675
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
POF1201129 23056 SUERO AUTOLOGO 89.203 89.203 89.203 89.203 77.528 77.528
POF1201130 23057 PLASMA RICO EN PLAQUETAS 101.097 101.097 101.097 101.097 87.865 87.865
POF1201131 23058 PLASMA RICO EN FACTORES DE CRECIMIENTO 101.097 101.097 101.097 101.097 87.865 87.865
POF1201155 17483 TRATAMIENTO I - LUX 258.305 258.305 258.305 258.305 224.497 224.497
POF1201900 36017 TEST DE SENSIBILIDAD DE CONTRASTE Y AVF 14.305 14.305 14.305 14.305 10.014 -
POR1301040 35016 ECOCH (ELECTROCOCLEOGRAFIA) 113.716 113.716 113.716 113.716 98.608 98.608
POR1301041 35025 VHIT (TEST DE IMPULSO CEFALICO) 75.512 75.512 75.512 75.512 66.855 66.855
POR1301043 30260 REHABILITACION VESTIBULAR AVANZADA 23.844 23.844 23.844 23.844 20.676 20.677
POR1301044 30261 MANIOBRAS DE REPOSICION VESTIBULAR 84.301 84.301 84.301 84.301 73.102 73.102
POR1301047 14895 LARINGOFARINGOSCOPIA TERAPEUTICA Y DIAGNOSTICA 187.094 187.094 187.094 187.094 147.237 147.237
POR1301048 41722 PUNCION TIMPANICA C/MEDICAMENTO 65.773 65.773 65.773 65.773 51.430 51.430
POR1301049 41723 PUNCION TIMPANICA S/MEDICAMENTO 22.299 22.299 22.299 22.299 17.436 17.436
POR1301051 35989 TEST DE FISTULA 75.512 75.512 75.512 75.512 59.426 56.634
POR1301052 35988 TEST DE OSCILOPSIA 23.844 23.844 23.844 23.844 18.765 17.883
POR1301914 35027 PRUEBA POSICIONAL 28.610 28.610 28.610 28.610 20.027 21.458
POT2107003 38148 VALVA YESO CORRIENTE ADULTO 34.106 34.106 34.106 34.106 29.573 29.573
POT2107004 38144 VALVA YESO CORRIENTE NINO 51.658 51.658 51.658 51.658 44.792 44.792
PRA2099000 29189 INSTALACION DE CLIP MARCADOR 201.948 201.948 201.948 201.948 141.363 151.461
PRE1707027 10616 VENTILACION MECANICA/DIA 174.696 210.587 174.696 210.587 137.478 165.727
PRE1707032 3211 TEST ESPIROMETRICO DE POSICION LATERAL 160.986 160.986 160.986 160.986 139.596 139.596
PTR2101012 38096 VALVA YESO PLAST. NINO 90.597 90.597 90.597 90.597 78.559 78.559
PTR2101021 38095 VALVA YESO PLAST. ADULTO 65.896 66.885 65.896 66.885 51.858 52.636
PTR2101022 EXAMEN DE MEDICION SINDROME COMPARTAMENTAL 84.000 - 84.000 - 58.800 -
PTR2121073 21073 REDUCCION FRACTURA (EXTREMIDADES) 180.503 - 180.503 - 126.352 -
PTR2121074 21074 REDUCCION FRACTURA (FALANGE Y ORTEJO) 118.501 - 118.501 - 82.951 -
PTR2121075 21075 REDUCCION LUXACION (COLUMNA, CADERA, PELVIS) 241.406 - 241.406 - 168.984 -
PTR2121076 21076 REDUCCION LUXACION (EXTREMIDADES) 180.503 - 180.503 - 126.352 -
PTR2121077 21077 REDUCCION LUXACION (FALANGE Y ORTEJO) 118.257 - 118.257 - 82.780 -
PUR1901007 49017 DIALISIS CONTINUA (12-24 HRS) - 1.212.797 - 1.212.797 - 954.430
PUR1901010 49014 DIALISIS CONTINUA (6 -12 HRS) - 823.460 - 823.460 - 648.034
PUR1901029 49026 HEMODIAFILTRACION EN LINEA - 1.149.514 - 1.149.514 - 1.011.730
PUR1901031 47015 HEMODIAFILTRACION CRONICO (MENSUAL) - 3.876.738 - 3.876.738 - 3.361.648
PUR1901033 47016 HEMODIAFILTRACION POR SESION - 300.570 - 300.570 - 260.634
PUR1901402 40246 INSTALACION DE FIDUCIALES PARA RADIOTERAPIA 199.386 - 199.386 - 139.570 -
RXS0401077 29141 COLOCACION SONDA DE ALIMENTACION ENTERAL 131.620 148.701 131.620 148.701 118.044 128.945
SAL0307002 7001 TEST DE SUTURA 45.365 - 45.365 - 31.756 -
SAL0307003 7002 DESENSIBILIZACIÓN 114.689 - 114.689 - 80.283 -
SAL1301001 35201 ESTROBOSCOPIA 54.728 65.128 54.728 65.128 38.310 48.846
SAL1599001 82413 SALA PROC. APLICACIÓN BOTOX (T.BOTULINICA) 25 U.I. 48.240 - 48.240 - 48.240 -
SAL1599002 82414 SALA PROC. APLICACIÓN BOTOX (T.BOTULINICA) 50 U.I. 100.632 - 100.632 - 100.632 -
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
SAL1599003 82415 SALA PROC. APLICACIÓN BOTOX (T.BOTULINICA)100 U.I. 201.262 - 201.262 - 201.262 -
SAL1599004 82423 SALA PROC. RELL.FACIAL C/JUV.ULTRA PLUSC/LIDO 106.920 - 106.920 - 106.920 -
SAL1599006 39202 CONCENTRADO PLAQUETARIO 12 ML PRP 1.257.097 - 1.257.097 - 1.257.097 -
SAL1599008 39216 VELA SMOOTH (PAQUETE) 46.388 - 46.388 - 46.388 -
SAL1599009 39215 VELA SMOOTH MATERNIDAD EN CLC (10 SESIONES) 309.779 - 309.779 - 309.779 -
SAL1599010 39223 USO EQ. LASER PIXEL CO2 MAYOR 464.075 - 464.075 - 464.075 -
SAL1599011 39221 USO EQ. LASER PIXEL CO2 MEDIANO 309.381 - 309.381 - 309.381 -
SAL1599012 39219 USO EQ. LASER PIXEL CO2 MENOR 229.544 - 229.544 - 229.544 -
SAL1599014 39214 VELA SMOOTH POR SESIÓN 80.296 - 80.296 - 80.296 -
SAL1599025 82438 ADM.INTRACAVERNOSA DE PROSTAGLANDINA E 1 80.200 - 80.200 - 70.587 -
SAL1599028 82445 SALA PROC. SCULPTRA 327.851 - 327.851 - 327.851 -
SAL1599029 82501 SALA PROC. RADIESSE CON LIDO JERINGA 1.5 ML 402.609 - 402.609 - 402.609 -
SAL1599030 82502 SALA PROC. RADIESSE CON LIDO JERINGA 0,8 ML 244.921 - 244.921 - 244.921 -
SAL1699002 39213 USO EQ. LASER REV-LITE MENOR 106.834 - 106.834 - 106.834 -
SAL1699003 39211 USO EQ. LASER REV-LITE MAYOR 206.940 - 206.940 - 206.940 -
SAL1699006 82405 SALA PROCED. EXT. VERRUGA OTRAS LOCALIDADES 32.935 - 32.935 - 28.560 -
SAL1699007 82418 SALA PROC. APLICACIÓN BOTOX (T.BOTULINICA) 75 UN. 160.250 - 160.250 - 160.250 -
SAL1699012 82428 SALA PROCED. RELL.FACIAL C/ JUV.VOLBELLA 132.077 - 132.077 - 132.077 -
SAL1699013 82429 SALA PROCED. RELL. FACIAL C/ JUV.VOLIFT 125.161 - 125.161 - 125.161 -
SAL1699014 82430 SALA PROCED. RELL.FACIAL C/ JUV.VOLUMA 141.513 - 141.513 - 141.513 -
SAL1700000 7047 USO DE SALA ADICIONAL (1/2 HRS) 45.952 - 45.952 - 45.952 -
SAL1700001 7048 USO DE SALA BETA-LACTAMICOS (1 HORA) 74.633 - 74.633 - 74.633 -
SAL1700002 7051 USO DE SALA MEDIOS DE CONTRASTES (1 HORA) 61.056 - 61.056 - 61.056 -
SAL1700003 7057 USO DE SALA PROVOCACION ALIMENTOS 205.220 - 205.220 - 205.220 -
SAL2901000 4010 SALA PROCEDIM.( PROC. MENORES) 39.950 39.950 39.950 39.950 39.950 31.438
SAL2901001 21442 USO SALA RES.CARDIOPULM.(PREV.) 119.131 119.131 119.131 119.131 119.131 93.752
SAL2901002 15020 RESUCITACION O REANIMACION 258.566 268.767 258.566 268.767 236.553 236.552
SAL2901003 21412 CAMBIO SONDA FOLEY (NO INCL.SONDA) 63.806 63.806 63.806 63.806 55.330 55.330
SAL2901008 7058 USO DE SALA PROVOCACION MEDICAMENTOS 78.300 - 78.300 - 78.300 -
SAL2901009 7049 USO DE SALA ANESTESICOS LOCALES (1 HORA) 74.344 - 74.344 - 74.344 -
SAL2901011 82409 CURACIÓN COMPLEJA 90.741 90.741 90.741 90.741 77.523 71.409
STX1902000 40403 PROCURAMIENTO EXTRACCION DE RIÑON - 3.377.063 - 3.377.063 - 2.657.633
STX6001001 40405 MANTENCION DONANTE CADAVER (PULMON, CORAZON O HIGADO) - 1.111.403 - 1.111.403 - 833.552
STX6001003 40401 PROCURAMIENTO EXTRACCION DE CORAZON - 3.586.780 - 3.586.780 - 3.110.213
STX6002000 40402 PROCURAMIENTO EXTRACCION DE PULMON - 3.900.908 - 3.900.908 - 3.382.602
STX6002001 18917 TRANSPLANTE RINON-PANCREAS - 4.908.124 - 4.908.124 - 4.908.124
SUR9999002 21067 TOMOGRAFIA COMPUTADA CONE BEAM (MAXILARSUPERIOR) 115.765 115.765 115.765 115.765 115.765 115.765
SUR9999004 21248 EXTRACCION PUNTOS 26.340 26.340 26.340 26.340 22.841 22.840
TOC0602004 30075 ORTESIS TIPO 4/FERULA PIERNA ADULTO 239.427 239.427 239.427 239.427 207.615 209.444
TOC0602005 30076 ORTESIS TIPO 3/FERULA PIERNA NINO 168.965 168.965 168.965 168.965 146.515 146.515
Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
TOC0602007 30171 ORTESIS DIGITAL 36.588 36.588 36.588 36.588 31.727 31.727
TOC0602008 30172 ORTESIS CORTA DE POSICION 51.221 51.221 51.221 51.221 44.418 44.417
TOC0602009 30173 ORTESIS PALMAR ACTIVA CORTA 65.859 65.859 65.859 65.859 57.107 57.107
TOC0602010 30174 ORTESIS MUÑECA MANO PASIVA 73.175 73.175 73.175 73.175 63.452 63.452
TOC0602011 30175 ORTESIS MUÑECA MANO PASIVA DE NIÑO 58.541 58.541 58.541 58.541 50.760 50.760
TOC0602012 30177 ORTESIS PALMAR ACTIVA COMPLEJA 117.082 117.082 117.082 117.082 101.526 101.526
TOC0602013 30178 ORTESIS LARGA DE POSICION DE EXTREMIDADSUPERIOR 131.716 131.716 131.716 131.716 114.215 114.216
TOC0602014 30179 ORTESIS LARGA DE POSICION EXTREMIDAD SUPERIOR DE NIÑO 58.541 58.541 58.541 58.541 50.760 50.760
TOC0602015 30181 ORTESIS DE PIE 51.221 51.221 51.221 51.221 44.418 44.417
TOC0602016 30182 ORTESIS TOBILLO PIE DE ADULTO 146.350 146.350 146.350 146.350 126.904 126.904
TOC0602017 30183 ORTESIS TOBILLO PIE DE NIÑO 124.400 124.400 124.400 124.400 107.870 107.869
TOC0602018 30184 ORTESIS TOBILLO PIE DE LACTANTE 65.859 65.859 65.859 65.859 57.107 57.107
TOC0602019 30186 ORTESIS LARGA UNILATERAL DE EXTREMIDAD INFERIOR DE NIÑOS 131.716 131.716 131.716 131.716 114.215 114.216
TOC0602020 30187 ORTESIS LARGA BILATERAL CON CINTURON PELVICO 102.445 102.445 102.445 102.445 88.833 88.833
TOC0602021 30188 ORTESIS COJIN DE ABDUCCION 102.445 102.445 102.445 102.445 88.833 88.833
URG2101002 21056 VACIAMIENTO ABCESO, HEMATOMA 110.765 - 110.765 - 77.535 -
PUR1901901 19035 IRRIGACION VESICAL 50.370 - 50.370 - 35.259 -
LOS PRECIOS DEL PRESENTE ARANCEL SON LOS QUE RIGEN EN HORARIO HABIL DE 8:00 A 20:00 HRS DE LUNES A VIERNES Y SABADO DE 8.00 A 14.00 HRS.
EN HORARIO INHABIL,TIENEN UN RECARGO DEL 50%.

Valor Particular Valor Fonasa Valor Isapre

Cod. Interno Cod.


Descripción Prestación Cod. Fonasa Amb Hosp Amb Hosp Amb Hosp
SAP Interno TYC
VAC0399013 3017 VACUNA ADACEL 55.150 55.150 55.150 55.150 55.150 55.150
VAC0399059 3107 VACUNA AVAXIM 160 46.400 46.400 46.400 46.400 46.400 46.400
VAC0399038 3106 VACUNA AVAXIM 80 44.600 44.600 44.600 44.600 44.600 44.600
VAC0398700 3987 VACUNA BEXSERO 98.200 98.200 98.200 98.200 98.200 98.200
VAC0399014 3019 VACUNA BOOSTRIX 41.770 41.770 41.770 41.770 41.770 41.770
VAC0399008 3001 VACUNA ENGERIX B ADULTO 32.800 32.800 32.800 32.800 32.800 32.800
VAC0399005 3004 VACUNA FIEBRE AMARILLA 65.000 65.000 65.000 65.000 65.000 65.000
VAC0399089 3072 VACUNA FLUARIX TETRAVALENTE 8.900 8.900 8.900 8.900 8.900 8.900
VAC0399033 3048 VACUNA GARDASIL 4 125.420 125.420 125.420 125.420 125.420 125.420
VAC0399068 3039 VACUNA GARDASIL 9 136.300 136.300 136.300 136.300 136.300 136.300
VAC0399006 3006 VACUNA HAVRIX NIÑO 45.850 45.850 45.850 45.850 45.850 45.850
VAC0399015 3021 VACUNA HEBERBIOVAC HB 19.000 19.000 19.000 19.000 19.000 19.000
VAC0399031 3044 VACUNA IPV POLIO 68.250 68.250 68.250 68.250 68.250 68.250
VAC0399000 3037 VACUNA MENACTRA 88.520 88.520 88.520 88.520 88.520 88.520
VAC0399035 3065 VACUNA MENVEO 88.520 88.520 88.520 88.520 88.520 88.520
VAC0399060 3013 VACUNA NIMENRIX 88.520 88.520 88.520 88.520 88.520 88.520
VAC0399054 3311 VACUNA PREVENAR 13 100.500 100.500 100.500 100.500 100.500 100.500
VAC0399001 3112 VACUNA ROTARIX 84.880 84.880 84.880 84.880 84.880 84.880
VAC0399012 3014 VACUNA ROTATEQ 64.580 64.580 64.580 64.580 64.580 64.580
VAC0399010 3010 VACUNA TWINRIX 55.150 55.150 55.150 55.150 55.150 55.150
VAC0399022 3031 VACUNA TYPHIM VI 22.580 22.580 22.580 22.580 22.580 22.580
VAC0399065 3312 VACUNA VAQTA ADULTO 29.500 29.500 29.500 29.500 29.500 29.500
VAC0399066 3314 VACUNA VAQTA PEDIATRICO 26.560 26.560 26.560 26.560 26.560 26.560
VAC0399037 3068 VACUNA VARIVAX 46.530 46.530 46.530 46.530 46.530 46.530
VAC0399104 3088 VACUNA VAXIGRIP TETRAVALENTE 8.900 8.900 8.900 8.900 8.900 8.900
VAC0399034 3055 VACUNA VERORAB 44.800 44.800 44.800 44.800 44.800 44.800

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