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S U M A R I O
Responsable:
SECRETARIA GENERAL DE GOBIERNO
Director:
C.P. OSCAR IVAN LEON CALVO
DEL
ESTADO
LIBRE
SOBERANO
DE
Peridico Oficial
San Luis Potos
EXPOSICIN DE MOTIVOS
DECRETO 398
Poder Legislativo
del Estado
comparacin con el ejercicio inmediato anterior en el que se obtuvieron 13,776 millones de pesos.
Derivado de la propuesta de modificaciones a la Ley de Hacienda para el Estado de San Luis Potos, en la que se incrementa
en un 0.5 por ciento la tasa del Impuesto sobre Erogaciones por Remuneraciones al Trabajo Personal, se estima un ingreso
adicional por 173 millones de pesos los cuales sern destinado al eje nmero dos del Plan Estatal de Desarrollo 20092015,
denominado Economa Competitiva y Generadora de Empleos.
En este proyecto de Ley de Ingresos, se ha considerado una inflacin estimada del 3.6 por ciento y en esta misma proporcin
se prev que ser el crecimiento del salario mnimo para 2014, estas premisas sirvieron de base para calcular algunos
conceptos de contribuciones estatales.
Para el Ejercicio Fiscal 2014, no se tienen previstos ingresos por concepto de financiamiento, sin embargo, en el caso de que
se presentaran circunstancias que favorezcan al desarrollo del Estado o que pongan en peligro la estabilidad social y
econmica del Estado, se considerara esta fuente de ingreso.
POLTICA DE RECAUDACIN
Dentro de los aspectos relevantes que considera el Ejecutivo del Estado para mantener un equilibrio entre la hacienda pblica
y los compromisos y obligaciones que tiene para cumplir con una adecuada funcin pblica, sin afectar a la ciudadana con
la incorporacin de nuevos tributos, es la conduccin eficiente de los mecanismos de captacin de recursos y la contencin
permanente del gasto pblico, buscando mayormente su aplicacin en obras de infraestructura y acciones que beneficien a
los sectores mayoritarios de la poblacin potosina.
Considerando lo aqu indicado, se dar continuidad a las estrategias aplicadas en el ejercicio inmediato anterior para cumplir
con las metas establecidas en este proyecto de Ley; con la incorporacin de centros de recaudacin a travs de tiendas
comerciales y otros medios electrnicos.
4,266,330
4,266,330
166,839,012
166,839,012
42,356,519
34,132,444
5,954,241
2,269,835
0
871,855,630
871,855,630
0
24,358,745
11,786,871
11,105,872
1,466,002
16,125,110
16,125,110
1
0
0
0
0
0
0
0
1,125,801,347
ARTCULO 1o. El Estado de San Luis Potos, durante el Ejercicio Fiscal del ao 2014, percibir los ingresos provenientes de
los conceptos previstos en la Ley de Hacienda y Cdigo Fiscal del Estado, as como los que emanen de las diversas
disposiciones federales, por un total de $34,039,039,878 (TREINTA Y CUATRO MIL, TREINTA Y NUEVE MILLONES TREINTA Y
NUEVE MIL OCHOCIENTOS SETENTA Y OCHO PESOS 00/100 M. N.); en los montos estimados que se citan a continuacin:
CONCEPTO
1. Impuestos
11. Impuestos Sobre los Ingresos
11.1 Sobre Loteras, Rifas, Sorteos, Concursos, Apuestas y Juegos Permitidos
12. Impuestos Sobre el Patrimonio
12.1 Estatal sobre Tenencia o Uso de Vehculos
13. Impuestos Sobre la Produccin, el Consumo y las Transacciones
13.1 Sobre Adquisicin de Vehculos Automotores Usados
13.2 Sobre Negocios o Instrumentos Jurdicos
13.3 Impuesto sobre Adquisiciones por Desincorporacin de Bienes Ejidales
14. Impuestos al Comercio Exterior
15. Impuestos Sobre Nminas y Asimilables
15.1 Sobre Erogaciones por Remuneraciones al Trabajo Personal
16. Impuestos Ecolgicos
17. Accesorios
17.1 Recargos
17.2 Multas
17.3 Gastos y Honorarios de Ejecucin
18. Otros Impuestos
18.1 Sobre Servicios de Hospedaje
19. Impuestos no comprendidos en las fracciones de la Ley de Ingresos causados en ejercicios
fiscales anteriores pendientes de liquidacin o pago
2. Cuotas y Aportaciones de Seguridad Social
21. Aportaciones para Fondos de Vivienda
22. Cuotas para el Seguro Social
23. Cuotas de Ahorro para el Retiro
24. Otras Cuotas y Aportaciones para la Seguridad Social
25. Accesorios
3. Contribuciones de Mejoras
31. Contribuciones de Mejoras por Obras Pblicas
39. Contribuciones de Mejoras
4
JUEVES DE 19 DICIEMBRE DE 2013
4. Derechos
41. Derechos por el Uso, Goce, Aprovechamientos o Explotacin de Bienes del Dominio Pblico.
41.1 Archivo Histrico del Estado
41.2 Casa Hogar para Ancianos "Dr. Nicols Aguilar"
41.3 Centro de las Artes San Luis Potos Centenario
41.4 Cineteca Alameda
41.5 Clnica Everardo Neumann
41.6 Colegio de Bachilleres
41.7 Colegio de Estudios Cientficos y Tecnolgicos del Estado
41.8 Colegio Nacional de Educacin Profesional Tcnica
41.9 Comisin Estatal del Agua
41.10 Comisin para la Proteccin Contra los Riesgos Sanitarios del Estado de San Luis Potos
41.11 Hospital Central Dr. Ignacio Morones Prieto
41.12 Instituto de Capacitacin para el Trabajo
41.13 Instituto Potosino de Bellas Artes
41.14 Instituto Potosino del Deporte
41.15 Instituto Tecnolgico Superior de bano
41.16 Instituto Tecnolgico Superior de Tamazunchale
41.17 Instituto Temazcalli
41.18 Museo de Arte Contemporneo
41.19 Museo del Ferrocarril
41.20 Museo del Virreinato
41.21 Museo Federico Silva
41.22 Museo Francisco Cossio
41.23 Museo Laberinto de las Ciencias y las Artes
41.24 Promotora del Estado
41.25 Secretara de Comunicaciones y Transportes
41.26 Secretara de Cultura
41.27 Secretaria de Ecologa y Gestin Ambiental
41.28 Oficina Estatal de Enlace de la Secretara de Relaciones Exteriores
41.29 Secretara de Seguridad Pblica del Estado
41.30 Servicios de Salud de San Luis Potos
41.31 Sistema Educativo Estatal Regular
41.32 Universidad Intercultural de San Luis Potos
41.33 Universidad Politcnica de San Luis Potos
41.34 Universidad Tecnolgica de San Luis Potos
42. Derechos a los Hidrocarburos
43. Derechos por Prestacin de Servicios
43.1 Servicios Prestados por la Secretara General de Gobierno
43.1.1 Direccin de Notariado
43.1.2 Registro Pblico de la Propiedad
43.1.3 Registro Civil
43.1.4 Expedicin de Licencias de Bebidas Alcohlicas y su Refrendo Anual
43.2 Servicios prestados por la Secretara de Finanzas.
43.2.1 Control Vehicular
43.2.2 Expedicin de Licencias de Manejo
43.2.3 Catastro
43.2.4 Por la Certificacin de Facturas Electrnicas
43.3 15% de Asistencia Social
44. Otros Derechos
44.1 Otros Derechos
44.2 Por la Supervisin de Obra Pblica
45. Accesorios
45.1 Recargos
45.2 Multas
45.3 Gastos y Honorarios de Ejecucin
49. Derechos no comprendidos en las fracciones de la Ley de Ingresos causados en ejercicios
fiscales anteriores, pendientes de liquidacin o pago.
5. Productos.
51. Productos de Tipo Corriente
51.1 Enajenacin de Bienes Muebles e Inmuebles Propiedad del Estado
51.2 Arrendamiento o Explotacin de Bienes Muebles e Inmuebles
51.3 Venta de Peridico Oficial
51.4 Venta de Otras Publicaciones
51.5 Venta de Formas Valoradas
51.6 5% Por Administracin de Contribuciones Inmobiliarias y de Prestacin de Servicios Catastrales, en
su caso
51.7 Centro de Produccin Santa Rita, S.A. de C.V. Empresa de Participacin Estatal
51.8 Otros productos
51.8.1 Otros Productos
52. Productos de Capital
52.1 Rendimiento de Capitales
53. Productos no comprendidos en las fracciones de la Ley de Ingresos causados en ejercicios
fiscales anteriores, pendientes de liquidacin o pago
275,370,058
1,068,092,134
502,944,145
170,000
960,000
2,121,000
995,000
8,000,000
46,670,931
9,500,000
18,857,253
208,229,561
2,027,531
67,388,846
2,500,000
2,904,985
20,094,587
923,100
4,363,655
3,372,000
54,000
420,000
249,685
68,170
1,453,769
3,413,072
619,884
9,156,091
2,250,000
1,186,416
2,696,600
578,073
12,712,127
280,500
9,828,000
31,755,000
27,144,308
0
393,413,734
102,919,282
1,140,205
73,063,684
6,195,745
22,519,647
290,494,452
229,410,942
62,797,831
2,502,033
1,910,973
115,150,964
20,637,961
20,637,961
0
29,818,002
12,938,303
15,813,689
1,066,011
1
245,658,201
0
1,137,456
185,315
21,322
23,521,406
1,342,077
0
219,450,625
219,450,625
29,711,857
29,711,857
1
6. Aprovechamientos
61. Aprovechamientos de Tipo Corriente
61.1 Aplicacin de Fianzas y Depsitos
61.2 Indemnizaciones
61.3 Multas impuestas por Secretara General de Gobierno del Estado
61.4 Multas impuestas por la Secretaria de Comunicaciones y Transportes del Estado
61.5 Multas impuestas por la Secretara de Ecologa y Gestin Ambiental del Estado
61.6 Otras Multas Estatales No Fiscales
61.7 Otros Aprovechamientos
61.7.1 Otros Aprovechamientos
61.8 Accesorios
61.8.1 Gastos y Honorarios de Ejecucin
62. Aprovechamientos de Capital
63. Aprovechamientos no comprendidos en las fracciones de la Ley de Ingresos causados en
ejercicios fiscales anteriores pendientes, de liquidacin o pago
7. Ingresos por Venta de Bienes y Servicios
71. Ingresos por Venta de Bienes y Servicios de Organismos Descentralizados
71.1 Organismos Descentralizados
72. Ingresos de Operaciones de Entidades Paraestatales Empresariales
73. Ingresos por Venta de Bienes y Servicios Producidos en Establecimientos del Gobierno
Central
Subtotal de Ingresos Estatales
8. Participaciones y Aportaciones
81. Participaciones
81.1 Fondo General
81.2 Fondo de Fomento Municipal
81.3 Fondo de Fiscalizacin
81.4 Impuesto Especial Sobre Produccin y Servicios (Otros)
82. Aportaciones
82.1 Para la Educacin Bsica y Normal
82.2 Para los Servicios de Salud
82.3 Para la Infraestructura Social Estatal
82.4 Para la Infraestructura Social Municipal
82.5 Para el Fortalecimiento de los Municipios y Demarcaciones Territoriales del D.F.
82.6 Aportaciones Mltiples
82.7 Para Educacin Tecnolgica y de Adultos
82.8 Para Seguridad Pblica
82.9 Para el Fortalecimiento de las Entidades Federativas
83. Convenios
83.1 Impuesto Federal Sobre Tenencia o Uso de Vehculos
83.2 Impuesto Sobre Automviles Nuevos
83.3 I.S.R. Rgimen Pequeos Contribuyentes
83.4 I.S.R. Rgimen Intermedios
83.5 Actos de Fiscalizacin
83.6 Por Actos de Fiscalizacin
83.7 Por Actos de Vigilancia de Cumplimiento de Obligaciones Fiscales
83.8 Multas Federales no Fiscales
83.9 Recaudacin Derechos Federales
83.10 I.S.R. Enajenacin de Bienes
83.11 I.E.S.P.S. por Venta Final de Gasolina y Diesel
9. Transferencias, Asignaciones, Subsidios y Otras Ayudas.
91. Transferencias Internas y Asignaciones al Sector Pblico
91.1 Universidades
91.2 Servicios de Salud
92. Transferencias al Resto del Sector Pblico
93. Subsidios y Subvenciones
93.1 Subsidios y Convenios Federales
93.2 Apoyos Extraordinarios de la Federacin
93.3 Otros Subsidios
94. Ayudas Sociales
95. Pensiones y Jubilaciones
96. Transferencias a Fideicomisos, mandatos y Anlogos
96.1 Fondo de Infraestructura (FIES)
96.2 Apoyo Financiamiento (AFITRI)
96.3 Fondo de Estabilizacin de los Ingresos para las Entidades Federativas (FEIEF)
96.4 Fondo de Inversiones Entidades Federativas (FIEF)
10. Ingresos derivados de Financiamientos
101. Endeudamiento Interno
101.1 Ingresos por Financiamiento
102. Endeudamiento Externo
102.1 Ingresos por Financiamiento
Subtotal de Ingresos Federales.
11. Total Ley de Ingresos:
15,697,364
0
3,475
1,675,052
3,314,587
0
314,305
10,389,945
10,389,945
0
0
0
1
0
0
0
0
10,960,000,000
9,454,000,000
614,000,000
723,000,000
169,000,000
14,692,408,265
8,363,565,995
1,561,482,111
233,416,324
1,692,460,934
1,355,278,990
462,565,061
133,379,693
216,705,108
673,554,049
692,692,387
25,000,000
139,000,000
70,578,248
6,204,462
4,736,364
5,677,884
5,333,753
909,217
4,633,637
21,710,975
408,907,847
2,968,502,866
1,668,502,866
1,300,000,000
0
2,240,475,455
2,240,475,455
0
0
0
0
0
0
0
0
0
0
0
0
0
15,697,365
2,494,960,906
26,345,100,651
5,208,978,321
31,554,078,972
34,039,039,878
6
JUEVES DE 19 DICIEMBRE DE 2013
ARTCULO 2. El Ejecutivo del Estado, por conducto de la Secretara de Finanzas, queda facultado para:
I.Dictar las medidas relacionadas con la administracin, control, forma de pago y procedimientos sealados en las leyes y
ordenamientos, tendientes a facilitar el cumplimiento de las obligaciones fiscales, y
II.Controlar y supervisar la operacin de los organismos descentralizados y empresas de participacin estatal, y fijar la
proporcin que stos deben cubrir al Estado con relacin a las utilidades que pudieran obtener. Esta proporcin que percibir
el Estado, estar en funcin de los bienes que ste asigne a los organismos descentralizados y empresas de participacin
estatal, o bien, en relacin con el monto del producto o de los ingresos brutos que perciban.
ARTCULO 3. En el perodo que abarca esta Ley, la actualizacin de las contribuciones fiscales y los aprovechamientos no
cubiertos oportunamente, as como los intereses por pagos en parcialidades o diferidos, los recargos por pagos de adeudos
vencidos y los gastos de ejecucin, se cobrarn en los mismos trminos y montos que establezca para estos casos la
legislacin fiscal federal.
ARTCULO 4. Los ingresos propios establecidos en esta Ley, que sean recaudados por parte de las dependencias y entidades
que conforman la administracin pblica estatal, debern ser informados mensualmente para su registro en la Secretaria de
Finanzas y debern reflejarse, cualquiera que sea su naturaleza, en la Cuenta de la Hacienda Pblica Estatal.
El rubro de asistencia social que sea cobrado por parte de las dependencias y entidades que conforman la administracin
pblica estatal, deber ser depositados en las cuentas concentradoras de la Secretara de Finanzas para que se destinen a
los fines establecidos en las disposiciones aplicables.
ARTCULO 5. Con el propsito de cumplir con las disposiciones federales establecidas en materia de presupuesto, las
dependencias de la administracin pblica estatal y paraestatal, as como los de sus rganos administrativos desconcentrados
debern solicitar a la Secretara de Finanzas la apertura de la cuenta nica productiva para la recepcin y registro de los
recursos provenientes de la Federacin, independientemente de su ejercicio.
ARTCULO 6. En el Artculo 1 de esta Ley, se encuentran incluidos los ingresos que son captados por la Administracin
Pblica del Estado. El anexo nico a la presente muestra los costos por cada uno de estos conceptos, mismos que se
actualizarn a la fecha de entrada en vigor de esta ley, tomando como base el resultado de dividir el ndice Nacional de Precios
al Consumidor del mes de Noviembre del ao en curso, entre el ndice Nacional de Precios al Consumidor del mes de
Noviembre del ao inmediato anterior, mismo que se deber publicar en el Peridico Oficial del Estado a ms tardar en el mes
de diciembre de cada ao, para entrar en vigor a partir del da uno del siguiente ao.
TRANSITORIOS
PRIMERO. La presente Ley entrar en vigor el da 1o. de enero del 2014.
SEGUNDO. Los montos de los ingresos federales, sealados en los puntos 8, 9 y 10 del artculo 1o. de esta Ley, sern
aquellos que las autoridades competentes sealen conforme a la legislacin de la materia.
TERCERO. En caso de que el Estado llegara a convenir la administracin de otras contribuciones federales, su ingreso
formar parte de los incentivos por convenio y su aplicacin se realizar en los trminos de la Ley del Presupuesto de Egresos
del Estado de San Luis Potos, para el ejercicio fiscal 2014.
CUARTO. En el supuesto de que la Legislatura Estatal autorizara modificaciones en materia de ingresos estatales, el monto
de los numerales 1, 2, 3, 4, 5, 6 y 7 del artculo 1o. de esta Ley, tendrn la variacin que correspondan.
QUINTO. Para dar cumplimiento a lo establecido en artculo 38 fraccin II, de Ley General de Contabilidad Gubernamental en
su ltima reforma, al cierre del ejercicio se reclasificarn los ingresos por concepto de impuestos para identificar lo que sean
del presente ejercicio y los de ejercicios anteriores.
Subsidio Propuesto
100%
100%
100%
40%
30%
SEXTO. Por el ejercicio fiscal 2014 se conceder un subsidio al Impuesto Estatal sobre Tenencia o uso de Vehculos para
todas las personas fsicas que sean propietarios de unidades de la siguiente forma:
Rango
0.00 100,000.00
100,000.01 150,000.00
150,000.01 200,000.00
200,000.01 250,000.00
250,000.01 300,000.00
350,000.00
400,000.00
450,000.00
500,000.00
En adelante
300,000.01
350,000.01
400,000.01
450,000.01
500,000.01
25%
20%
15%
10%
5%
SPTIMO. Por el ejercicio fiscal 2014, las instituciones de Educacin Pblica del Estado no cobraran el concepto de asistencia
social por los servicios prestados.
Lo tendr entendido el Ejecutivo del Estado, lo har publicar, circular y obedecer.
D A D O en el saln Ponciano Arriaga Leija del Honorable Congreso del Estado, el quince de diciembre de dos mil trece.
Diputado Presidente, Fernando Prez Espinosa; Diputada Segunda Prosecretaria, Delia Guerrero Coronado; Diputado Segundo
Secretario, Crisgono Snchez Lara. (Rbricas).
Por tanto mando se cumpla y ejecute el presente Decreto y que todas las autoridades lo hagan cumplir y guardar y al efecto se
imprima, publique y circule a quienes corresponda.
D A D O en el Palacio de Gobierno, sede del Poder Ejecutivo del Estado Libre y Soberano de San Luis Potos, a los dieciocho
das del mes de diciembre del ao dos mil trece.
Inscripciones escolares
Recorridos guiados al pblico en general
4.
De $300.00
a $800.00
$10.00
Entrada general
Descuento del 50% a personas con capacidades diferentes, menores de edad, mayores de 60 aos, estudiantes y maestros
5.
$300.00
$3,450.00
$20.00
COLEGIO DE ESTUDIOS CIENTIFICOS Y TECNOLOGICOS DEL ESTADO DE SAN LUIS POTOSI (CECYTE)
De $20.00 a $35.00
$250.00
De $35.00 a $100.00
$25.00 y $35.00
De $104.00 a $416.00
De $650.00 a $1200.00
De $50.00 a $60.00
De $50.00 a $60.00
De $100.00 a $200.00
$641.00
$250.00
Constancia de estudios
Certificado de terminacin de estudios
Duplicado de certificado de estudios
Reposicin de historial acadmico de ingresos
Ficha de preinscripcin
Inscripcin primer semestre y subsecuentes
Credencial nica por la carrera
Reposicin de credencial
Recursamiento por materia
Pago por registro de titulo
Constancia de competencias
3.
$200.00
Entrada General
7.
$15.00
$10.00
$20.00
$30.00
$50.00
$2,500.00
$1,000.00
$3,000.00
$6,000.00
$8,000.00
Entrada general
Entrada general para nios, adultos mayores y personas con capacidades diferentes
Curso de literatura
Curso de teatro infantil y canto
Curso de Francs
Curso de Italiano
Cursos para la Tercera Edad
Visitas guiadas
$20.00
$10.00
$600.00
$125.00
$400.00
$750.00
$300.00
$50.00
Colegiaturas
Inscripciones
Reinscripciones
Preinscripciones
Tramites para titulacin
Examen Extraordinario
9.
$30.00
6.
$1,500.00
$2,500.00
10
Expedicin de convenios
Revisin de planos y proyectos
11. MUSEO DEL FERROCARRIL
Entrada General
Entrada adultos mayores, personas con capacidades diferentes y menores de 4 aos y grupos mayores de 25 personas
$15.00
$10.00
Oferta Acadmica
Talleres de Danza
Nuevo Ingreso
Reingreso de alumnos
que actualmente cursan
algn taller
Reingreso y nuevo
Ingreso
$1,500.00
$1,350.00
$900.00
$750.00
$650.00
$350.00
$350.00
$350.00
Talleres de Msica
$1,850.00
$1,500.00
$1,350.00
$2,450.00
$2,100.00
$1,750.00
$2,150.00
$1,800.00
$1,550.00
$1,850.00
$1,500.00
$1,350.00
Talleres de Fotografa
$1,850.00
$1,800.00
$1,550.00
$1,850.00
$1,500.00
$1,350.00
$1,500.00
$1,500.00
$1,500.00
$1,850.00
CUOTA
$ 2,000.00
$ 1,600.00
$ 1,200.00
$ 100.00
$ 120.00
$ 4,000.00
$ 100.00
$ 180.00
$ 360.00
$ 400.00
$ 600.00
$ 500.00
$ 500.00
ESPACIO
AUDITORIO CULTURAL
AUDITORIO CULTURAL
AUDITORIO CULTURAL
AUDITORIO DE BSQUETBOL
AUDITORIO DE BSQUETBOL
AUDITORIO DE BSQUETBOL
CAMPO DE FTBOL
CAMPO DE FTBOL
CAMPO DE FTBOL
CAMPO DE FTBOL
CAMPO DE FTBOL
SALON DE USOS MULTIPLES
GIMNASIO DE BOX
CUOTA UNICA
CLASES 2 DAS A LA SEMANA
CLASES 3 DAS A LA SEMANA
CLASES LUNES A VIERNES
POR PERSONA EN EVENTO ESPECIAL
CLASES 3 VECES A LA SEMANA
CLASES 3 VECES A LA SEMANA
CLASES 3 VECES A LA SEMANA
LUNES A VIERNES
4 HORAS A LA SEMANA
MIERCOLES Y VIERNES
MIERCOLES Y VIERNES
LUNES A VIERNES
LUNES A VIERNES
LUNES A VIERNES
LUNES A VIERNES
LUNES, MIRCOLES Y VIRNES
CLASES 2 DAS A LA SEMANA
CLASES 3 DAS A LA SEMANA
CLASES 4 DAS A LA SEMANA
CLASES 5 DAS A LA SEMANA
2 DAS A LA SEMANA
3 DAS A LA SEMANA
SABATINO
$ 100.00
$ 200.00
$ 300.00
$ 400.00
$
20.00
$ 200.00
$ 200.00
$ 200.00
$ 2,500.00
$ 200.00
GRATIS
GRATIS
$ 200.00
$ 200.00
$ 200.00
$ 200.00
$ 300.00
$ 400.00
$ 450.00
$ 350.00
$ 350.00
$ 350.00
$ 100.00
$ 200.00
$ 100.00
$ 200.00
$ 100.00
$ 200.00
GRATIS
$ 200.00
$ 100.00
$ 200.00
ALBERCA
ALBERCA
ALBERCA
ALBERCA
ALBERCA
KARATE
KUNG FU
ESCUELA DE BSQUETBOL
FTBOL AMRICANO
FTBOL SOCCER
DANZA RABE
DANZA FOLCLRICA
ZUMBA
AERBICS
SALSA
POLE DANCE
POLE DANCE
POLE DANCE
POLE DANCE
CLASES DE MANEJO
CLASES DE MANEJO
CLASES DE MANEJO
CURSO DE INGLS
CURSO DE INGLS
CURSO DE FRANCS
CURSO DE FRANCS
CURSO DE COMPUTACIN
CURSO DE COMPUTACIN
RONDALLA
MSICA
GIMNASIO
GIMNASIO
14. MUSEO REGIONAL POTOSINO
Entrada general
Permiso de acceso a videocmaras
$37.00
$45.00
Se excepta el cobro en da domingo y en general, a profesores, estudiantes, investigadores, mayores de 60 aos y menores de 13 aos de edad.
15. INSTITUTO TECNOLGICO SUPERIOR DE SAN LUIS POTOS
$630.00
$1,700.00
$1,500.00
$2,750.00
$630.00
11
$1.00
Inscripciones y Reinscripciones
Curso propedutico
Examen extraordinarios
Protocolos de titulacin
Constancia de estudios sin calificaciones
Constancia de estudios con calificaciones
Duplicado credencial biblioteca
Duplicado credencial Oficial
Cuota biblioteca (semestral)
Cargo bibliotecario
Certificado
Carta pasante
Anlisis de revalidacin de materias
Exmenes especiales
Curso de ingles
Constancias de cursos de ingles
Preinscripcin
Examen Global de Ingles
Cursos externos
Cuotas extemporneas
$1,000.00
$800.00
$630.00
$110.00
$30.00
$55.00
$30.00
$300.00
$150.00
$1,100.00
$100.00
$50.00
240 USD
$250.00
$250.00
$300.00
$30.00
12
Convalidacin o equivalencias
Curso de verano (por materia)
Examen especial (por materia)
Examen extraordinario (por materia)
Constancia de estudio
Constancia de estudios con calificaciones y horarios
Carta de buena conducta
Baja definitiva
Semestre en baja temporal
Certificado parcial
Reposicin de credencial por extravo
Reposicin de credencial por deterioro
Examen TOEFL
Carta de pasante
Duplicado de certificado de materias
Copia notariada de ttulo profesional
Constancia de cdula profesional en trmite
$36.50
$9.50
$30.00
$36.50
$36.50
$36.50
$115.00
$115.00
$150.00
$25.00
$30.00
$155.00
$250.00
$9.50
$780.00
$60.00
$35.00
$50.00
$50.00
$15.00
$89.00
$67.00
$45.00
$50.00
Segn la exposicin
$250.00
$70.00
$50.00
$200.00
$60.00
$40.00
$150.00
$50.00
$35.00
$55.00
$32.00
$40.00
$12.00
$55.00
$72.00
$35.00
$55.00
13
Museo- Adultos
Museo- Nios
Sala 3D- Adultos
Sala 3D- Nios
Observatorio Astronmico
Paquete Museo + 3D- Adulto
Paquete Museo + 3D- Nio
Precio especial puentes y das festivos (todo incluido)
Noches astronmicas- General
Exposicin temporal
Paquete familiar Fin de semana 1: 4 personas incluye: Museo, Sala 3D, Expo Bicentenario: Mxico en la ciencia y la tcnica.
Extra- Adulto
Extra- Menor
Paquete familiar Fin de semana 2: 4 personas incluye: Museo y Expo Bicentenario: Mxico en la ciencia y la tcnica.
Extra- Adulto
Extra- Menor
Paquete familiar Fin de semana 3: Acceso para 4 personas, slo Museo.
Extra- Adulto
Extra- Menor
Grupos Familiares y Empresariales Museo- Adultos
Grupos Familiares y Empresariales Museo- Menores de 12 aos
Grupos Familiares y Empresariales Sala 3D- Entrada General
Grupos Familiares y Empresariales Observatorio- Entrada General
Grupos Familiares y Empresariales Museo + 3D- Menores 12 aos
Grupos Familiares y Empresariales Museo + 3D- Adultos
Grupos Escolares Nios y Adultos Museo
Grupos Escolares Nios y Adultos Museo + Sala 3D+ exposiciones temporales
$40.00
$12.00
$45.00
$45.00
14
SMG
2.84
2.84
5.42
7.05
7.31
9.63
11.79
11.92
18.97
23.03
14.90
15.58
16.26
18.98
19.65
20.99
23.65
24.62
$9,801.30
$2.00
$11.00
Aplicacin del Art. 11 de la ley de cuotas y tarifas publicado en el diario oficial el 30 de diciembre de 2008. Porcentaje de actualizacin 5.23%, entr en vigor el 1 de octubre
de 2010 y no incluyen IVA.
21. COLEGIO DE EDUCACION PROFESIONAL TECNICA DE SAN LUIS POTOSI (CONALEP)
$1,300.00
$50.00
$1,063.00
$187.00
$1,180.00
$960.00
$170.00
$160.00
$138.00
$20.00
$320.00
$280.00
$40.00
$100.00
$100.00
$100.00
$50.00
$60.00
$30.00
$120.00
$50.00
$100.00
Colegiatura
Fondo de titulacin
Titulacin
Expedicin de certificados
Expedicin de constancia de competencia profesional CONALEP
Reposicin de credencial
Constancia con calificaciones
Constancia sin calificaciones
Copias certificadas de certificado o ttulo
Nivelacin extraordinario suficiencia
Examen de admisin
22. UNIVERSIDAD TECNOLOGICA DE SAN LUIS POTOSI (UT)
$450.00
$1,300.00
$580.00
$3,100.00
$200.00
$300.00
$400.00
$300.00
$3,500.00
$6,700.00
$400.00
$20.00
$120.00
$80.00
$50.00
$1,500.00
$1,000.00
$100.00
$100.00
$150.00
$300.00
$400.00
$50.00
$1,500.00
$150.00
$200.00
Preinscripciones
Inscripciones y reinscripciones
Colegiatura mensual
Trmite de titulacin
15
$0.00
$50.00
$70.00
$90.00
$150.00
$200.00
$0.00
$6,000.00
$12,000.00
$18,000.00
$24,000.00
$36,000.00
$0.00
$150.00
$360.00
$500.00
$800.00
$240.00
$250.00
$300.00
$280.00
$275.00
$100.00
$150.00
CONSULTA 0
CONSULTA A
CONSULTA B
CONSULTA C
CONSULTA D
CONSULTA E
COMUNIDAD TERAPUTICA 0
COMUNIDAD TERAPUTICA A
COMUNIDAD TERAPUTICA B
COMUNIDAD TERAPUTICA C
COMUNIDAD TERAPUTICA D
COMUNIDAD TERAPUTICA E
LABORATORIO 1
LABORATORIO 2
LABORATORIO 3
LABORATORIO 4
LABORATORIO 5
LABORATORIO 6
LABORATORIO 7
LABORATORIO 8
LABORATORIO 9
LABORATORIO 10
LABORATORIO 11
LABORATORIO 12
16
17
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$250.00
$150.00
$200.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$1,100.00
$1,100.00
$1,100.00
$1,100.00
$1,100.00
$1,100.00
$500.00
$650.00
$450.00
$650.00
$800.00
$500.00
$450.00
$450.00
$500.00
$450.00
$450.00
$500.00
$450.00
$450.00
$400.00
$450.00
$500.00
$450.00
$450.00
$500.00
$800.00
$450.00
$550.00
$450.00
$450.00
$500.00
$450.00
$450.00
$450.00
$450.00
$400.00
$400.00
$400.00
$400.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$110.00
$110.00
$110.00
$110.00
$110.00
$110.00
$50.00
$65.00
$45.00
$65.00
$80.00
$50.00
18
$45.00
$45.00
$50.00
$45.00
$45.00
$50.00
$45.00
$45.00
$40.00
$45.00
$50.00
$45.00
$45.00
$50.00
$80.00
$45.00
$55.00
$45.00
$45.00
$50.00
$45.00
$45.00
$45.00
$45.00
$40.00
$40.00
$40.00
$40.00
$30.00
$30.00
$30.00
$30.00
$30.00
$30.00
$30.00
$30.00
$30.00
$30.00
$150.00
$30.00
$150.00
$30.00
$25.00
$50.00
$75.00
$150.00
25 % sobre salario mnimo vigente en
el estado de S.L.P. por asignatura de
acuerdo al reglamento.
19
20
$250.00
CECURT II
$0.00
$0.00
$10.00
$50.00
$10.00
$10.00
$50.00
$10.00
$250.00
$400.00
$500.00
$900.00
$0.00
$250.00
$300.00
$370.00
$500.00
$950.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
El monto del cobro se realizar en funcin de los tabuladores establecidos, los cuales se determinarn en funcin del estudio socioeconmico que se le realice al paciente
o familiar por parte del Departamento de Trabajo Social del Hospital y podrn ser del A al D. El Tabulador E nicamente aplicar a los pacientes con seguro popular y los
derechos correspondientes se les cobrarn a Servicios de Salud de conformidad con los convenios al respecto.
Concepto
Castillo encantado-boleto
Tren escnico-boleto por persona
Gimnasio de box-cuota inscripcin
Gimnasio de box-cuota mensual
Gimnasio de box-cuota por visita
Gimnasio de pesas-cuota inscripcin
Gimnasio de pesas-cuota mensual
Gimnasio de pesas-cuota por visita
Permisos de venta estanquillos tipo a -mensual
Permisos de venta estanquillos tipo b -mensual
Permisos de venta estanquillos tipo c -mensual
Permisos de venta estanquillos tipo d -mensual
Permisos de venta estanquillos tipo e -mensual
Permisos de venta kiosco tipo a -mensual
Permisos de venta kiosco tipo b -mensual
Permisos de venta kiosco tipo c -mensual
Permisos de venta kiosco tipo d -mensual
Permisos de venta kiosco tipo e -mensual
Permisos de venta para uso de espacio inflables-mensual
Permisos de venta a embotelladora de refrescos anual
Permisos de venta a fabricantes helados y paletas-mensual
Acutico Tangamanga-boleto por adulto
Acutico Tangamanga-boleto por estudiantes
Acutico Tangamanga-boleto por nio
TABULADOR
A
130.00
45.00
351.00
16.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
250.00
84.00
84.00
84.00
84.00
210.00
104.00
520.00
1.00
195.00
1.00
130.00
45.00
351.00
16.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
250.00
84.00
84.00
84.00
84.00
210.00
104.00
520.00
TABULADOR
B
150.00
60.00
524.00
21.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
1.00
214.00
1.00
150.00
60.00
524.00
21.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
TABULADOR
C
202.00
84.00
674.00
34.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
1.00
232.00
1.00
202.00
84.00
674.00
34.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
TABULADOR
D
243.00
101.00
811.00
40.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
303.00
283.00
2,028.00
1.00
256.00
1.00
243.00
101.00
811.00
40.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
303.00
283.00
2,028.00
TABULADOR
E
276.00
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
1,075.00
849.00
1.00
283.00
1.00
276.00
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
21
DESCRIPCION
TIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO MATERIAL QUIRURGICO
CURACIONES
OXIGENO
DEBRIDACION DE ABSCESOS
DILATACIONES ESOFAGO URETRA
PUNCION ABDOMINAL
PUNCION PLEURAL
PUNCION ARTICULAR
PUNCION LUMBAR
PUNCION MEDULA OSEA
PUNCIONES ( OTRAS )
REDUCCIONES CERRADAS
TRACCION CUTANEA
SELLO DE AGUA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.C.ESPECIALIDADES
TIEMPO ANEST.C.ESPECIALIDADES
CONSUMO MAT.CIRUGIA ESPECIALIDADES
ENDOSCOPIA CON BIOPSIA
ENDOSCOPIA SIN BIOPSIA
ABONO A CIRUGIA CARDIOLOGIA
DIAS CAMA
MATERIAL ESPECIAL DE CARDIOLOGIA
USO DE QUIROFANO PRIMERA HORA
USO DE QUIROFANO HORAS SUBSECUENTES
TIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO DE MATERIAL DE QUIROFANO
CURACIONES
OXIGENO
DEBRIDACION DE ABSCESOS
DILATACIONES ESOFAGO-URETRA
PUNCION ABDOMINAL
PUNCION PLEURAL
PUNCION ARTICULAR
PUNCION LUMBAR
PUNCION MEDULA OSEA
PUNCIONES (OTRAS)
REDUCCIONES CERRADAS
TRACCION CUTANEA
SELLO DE AGUA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
CLAVE DE
DETALLE
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
29
30
30
35
36
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
CLAVE
MAESTRA
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
195.00
1.00
1.00
1.00
130.00
45.00
351.00
16.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
250.00
84.00
84.00
83.00
84.00
210.00
104.00
520.00
195.00
1.00
1.00
1.00
130.00
214.00
1.00
1.00
1.00
150.00
60.00
524.00
21.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
214.00
1.00
1.00
1.00
150.00
232.00
1.00
1.00
1.00
202.00
84.00
674.00
34.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
232.00
1.00
1.00
1.00
202.00
256.00
1.00
1.00
1.00
243.00
101.00
811.00
40.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
303.00
283.00
2,028.00
256.00
1.00
1.00
1.00
243.00
1,075.00
849.00
283.00
1.00
1.00
1.00
276.00
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
1,075.00
849.00
283.00
1,075.00
849.00
1,075.00
920.00
849.00
1,237.00
1,075.00
849.00
1,075.00
849.00
1,237.00
1,237.00
1,075.00
1.00
1.00
1.00
276.00
25
26
30
35
36
38
39
40
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
30
31
32
33
34
35
36
37
37
39
40
41
42
43
48
49
50
51
52
2
22
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
5
45.00
351.00
16.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
250.00
84.00
84.00
84.00
84.00
210.00
104.00
520.00
195.00
1.00
1.00
1.00
130.00
45.00
351.00
16.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
250.00
84.00
84.00
84.00
84.00
210.00
104.00
520.00
-
60.00
524.00
21.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
214.00
1.00
1.00
1.00
150.00
60.00
524.00
21.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
-
84.00
674.00
34.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
232.00
1.00
1.00
1.00
202.00
84.00
674.00
34.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
-
101.00
811.00
40.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
303.00
283.00
2,028.00
256.00
1.00
1.00
1.00
243.00
100.00
811.00
40.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
303.00
283.00
2,028.00
-
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
1,075.00
849.00
283.00
1.00
1.00
1.00
276.00
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
1,075.00
849.00
23
TIEMPO ANESTESICO
CONSUMO DE MATERIAL DE QUIROFANO
CURACIONES
OXIGENO
DEBRIDACION DE ABSCESOS
DILATACIONES ESOFAGO-URETRA
PUNCION ABDOMINAL
PUNCION PLEURAL
PUNCION ARTICULAR
PUNCION LUMBAR
PUNCION MEDULA OSEA
PUNCIONES OTRAS
REDUCCIONES CERRADAS
TRACCION CUTANEA
SELLO DE AGUA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
ENDOSCOPIA CON BIOPSIA
ENDOSCOPIA SIN BIOPSIA
DIAS CAMA
MEDICINA HOMBRES
ABONO A CIRUGIA DE CARDIOLOGIA
MATERIAL ESPECIAL DE CARDIOLOGIA
USO DE QUIROFANO PRIMERA HORA
USO DE QUROFANO HORAS SUBSECUENTES)
TIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO DE MATERIAL DE QUIROFANO
CURACIONES
OXIGENO
DEBRIDACION DE ABSCESOS
DILATACIONES ESOFAGO-URETRA
PUNCION ABDOMINAL
PUNCION PLEURAL
PUNCION ARTICULAR
PUNCION LUMBAR
PUNCION MEDULA OSEA
PUNCIONES OTRAS
REDUCCIONES CERRADAS
TRACCION CUTANEA
SELLO DE AGUA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
ENDOSCOPIA CON BIOPSIA
ENDOSCOPIA SIN BIOPSIA
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
30
31
38
39
40
41
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
1,250.00
1,052.00
260.00
104.00
282.00
50.00
270.00
1.00
130.00
45.00
350.00
16.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
250.00
84.00
84.00
84.00
84.00
210.00
104.00
520.00
282.00
1.00
130.00
45.00
351.00
16.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
1,438.00
1,123.00
312.00
125.00
310.00
55.00
297.00
1.00
150.00
60.00
524.00
21.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
310.00
1.00
150.00
60.00
524.00
21.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
1,654.00
1,263.00
416.00
168.00
335.00
60.00
326.00
1.00
202.00
84.00
674.00
34.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
335.00
1.00
202.00
84.00
674.00
34.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
1,902.00
1,519.00
520.00
202.00
370.00
66.00
358.00
1.00
243.00
101.00
811.00
40.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
304.00
283.00
2,028.00
370.00
1.00
243.00
101.00
811.00
40.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
1,722.00
573.00
229.00
413.00
1,075.00
849.00
75.00
406.00
1.00
276.00
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
1,075.00
849.00
413.00
1.00
276.00
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
28
29
30
31
32
33
35
36
37
38
45
46
50
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
30
31
32
50
2
3
4
6
7
9
10
11
12
13
14
24
6
6
6
6
6
6
6
6
6
6
6
6
6
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
9
9
9
9
9
9
9
9
9
9
9
84.00
84.00
250.00
84.00
84.00
84.00
84.00
210.00
104.00
520.00
374.00
1.00
1.00
520.00
1.00
1.00
2,000.00
120.00
130.00
45.00
351.00
25.00
125.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
84.00
250.00
84.00
84.00
84.00
84.00
210.00
104.00
520.00
195.00
220.00
130.00
1,060.00
65.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
412.00
1.00
1.00
598.00
1.00
1.00
2,153.00
138.00
150.00
60.00
524.00
25.00
145.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
120.00
287.00
120.00
120.00
120.00
120.00
225.00
135.00
1,048.00
214.00
250.00
150.00
1,220.00
75.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
453.00
1.00
1.00
686.00
1.00
1.00
2,484.00
160.00
202.00
84.00
674.00
25.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
252.00
236.00
1,685.00
232.00
285.00
170.00
1,400.00
85.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
303.00
283.00
2,028.00
499.00
1.00
1.00
790.00
1.00
1.00
2,558.00
184.00
243.00
101.00
811.00
27.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
303.00
283.00
2,028.00
256.00
330.00
195.00
1,610.00
100.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
1,075.00
849.00
566.00
1.00
1.00
874.00
1.00
1.00
2,000.00
115.00
276.00
115.00
920.00
45.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
344.00
321.00
2,298.00
1,075.00
849.00
283.00
380.00
225.00
1,850.00
115.00
25
15
16
17
18
19
20
21
22
23
24
25
26
27
30
31
32
33
45
46
50
70
90
1
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
30
35
36
37
38
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
12.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
45.00
65.00
65.00
65.00
65.00
110.00
65.00
65.00
65.00
65.00
35.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
65.00
45.00
65.00
65.00
65.00
65.00
15.00
65.00
14.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
60.00
80.00
80.00
80.00
80.00
125.00
80.00
80.00
80.00
80.00
35.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
60.00
80.00
80.00
80.00
80.00
20.00
80.00
17.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
75.00
100.00
100.00
100.00
100.00
150.00
100.00
100.00
100.00
100.00
35.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
75.00
100.00
100.00
100.00
100.00
25.00
100.00
19.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
90.00
115.00
115.00
115.00
115.00
165.00
115.00
115.00
115.00
115.00
35.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
115.00
90.00
115.00
115.00
115.00
115.00
30.00
115.00
22.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
150.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
54.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
190.00
30.00
190.00
APLICACION DE INYECCION
USO DE QUIROFANO PRIMERA HORA
USO DE QUROFANO HORAS SUBSECUENTES)
OTORRINOLARINGOLOGIA,CONSULTA EXTERNA
GASTROENTEROLOGIA, CONSULTA EXTERNA
ENDOCRINOLOGIA, CONSULTA EXTERNA
UROLOGIA CONSULTA EXTERNA
DERMATOLOGIA, CONSULTA EXTERNA
ORTOPEDIA, CONSULTA EXTERNA
OFTALMOLOGIA, CONSULTA EXTERNA
SALUD MENTAL, CONSULTA EXTERNA
NEFROLOGIA, CONSULTA EXTERNA
NEUROLOGIA, CONSULTA EXTERNA
ODONTOLOGIA,CONSULTA EXTERNA
MAXILOFACIAL, CONSULTA EXTERNA
CONSULTA EXTERNA FAMILIAR
GINECOLOGIA, CONSULTA EXTERNA
HEMATOLOGIA CONSULTA EXTERNA
PEDIATRIA GENERAL ESPECIALIDAD,C.E.
CARDIOLOGIA, CONSULTA EXTERNA
REUMATOLOGIA, CONSULTA EXTERNA
NEUMOLOGIA, CONSULTA EXTERNA
ALERGOLOGIA,CONSULTA EXTERNA
MEDICINA INTERNA, CONSULTA EXTERNA
CIRUGIA, CONSULTA EXTERNA
PLANIFICACION FAM.CONSULTA EXTERNA
CURACIONES,CONSULTA EXTERNA
GENETICA, CONSULTA EXTERNA
ONCOLOGIA, CONSULTA EXTERNA ONCOLOGIA
ONCOLOGIA PEDIATRICA, CONSULTA EXTERNA
NEUROLOGIA PEDIATRICA, CONSULTA EXTERNA
NEFROLOGIA PEDIATRICA, CONSULTA EXTERNA
CLINICA DE EPILEPSIA,CONSULTA EXTERNA
MEDICINA INTERNA(RESIDENTES)C.E.
NEONATOLOGIA, CONSULTA EXTERNA
OBSTETRICIA, CONSULTA EXTERNA
CIRUGIA RECONSTRUCTIVA, CONSULTA EXTERNA
ENDOCRINOLOGIA PEDIATRICA, CONSULTA EXTE
NEUROCIRUGIA, CONSULTA EXTERNA
CIRUGIA VASCULAR, CONSULTA EXTERNA
INFECTOLOGIA, CONSULTA EXTERNA
CIRUGIA PEDIATRICA, CONSULTA EXTERNA
GERIATRIA, CONSULTA EXTERNA
CONSULTA GENERAL ADULTOS
PEDIATRIA GENERAL, CONSULTA EXTERNA
CLINICA DE INFERTILIDAD
PSICOLOGIA, CONSULTA EXTERNA
CLINICA DE MAMA
MEDICINA FISICA Y REHABILITAC.
GLUCEMIA
ESTIMULACION TEMPRANA,CONSULTA EXTERNA
41
42
43
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
26
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
65.00
65.00
75.00
65.00
1.00
500.00
170.00
220.00
65.00
65.00
220.00
65.00
65.00
65.00
1.00
218.00
362.00
104.00
542.00
620.00
932.00
1,140.00
926.00
218.00
229.00
182.00
260.00
289.00
832.00
312.00
89.00
108.00
375.00
104.00
370.00
1.00
83.00
104.00
62.00
94.00
94.00
380.00
14,560.00
354.00
1.00
1.00
187.00
62.00
62.00
104.00
80.00
80.00
85.00
80.00
1.00
1,000.00
170.00
250.00
80.00
80.00
220.00
80.00
80.00
80.00
1.00
252.00
402.00
125.00
609.00
698.00
1,057.00
1,296.00
1,065.00
252.00
263.00
209.00
300.00
333.00
1,040.00
520.00
104.00
156.00
415.00
156.00
412.00
1.00
96.00
120.00
72.00
108.00
108.00
447.00
14,560.00
406.00
1.00
1.00
250.00
83.00
83.00
135.00
100.00
100.00
105.00
100.00
1.00
1,500.00
170.00
290.00
100.00
100.00
220.00
100.00
100.00
100.00
1.00
359.00
459.00
156.00
684.00
787.00
1,200.00
1,476.00
1,224.00
289.00
303.00
240.00
344.00
383.00
1,248.00
832.00
156.00
180.00
463.00
180.00
458.00
1.00
110.00
137.00
82.00
125.00
125.00
525.00
14,560.00
468.00
1.00
1.00
343.00
114.00
114.00
187.00
115.00
115.00
125.00
115.00
1.00
1,500.00
170.00
330.00
115.00
115.00
220.00
115.00
115.00
115.00
1.00
413.00
513.00
180.00
772.00
890.00
1,366.00
1,682.00
1,408.00
332.00
348.00
277.00
396.00
440.00
1,560.00
957.00
180.00
206.00
517.00
206.00
511.00
1.00
127.00
158.00
95.00
144.00
144.00
603.00
15,600.00
541.00
1.00
1.00
478.00
161.00
161.00
265.00
190.00
190.00
54.00
190.00
190.00
1.00
1,500.00
190.00
190.00
190.00
190.00
220.00
190.00
190.00
190.00
1.00
488.00
488.00
212.00
812.00
935.00
1,501.00
1,870.00
1,666.00
393.00
325.00
325.00
407.00
407.00
1,846.00
1,132.00
212.00
244.00
407.00
244.00
486.00
1.00
180.00
118.00
154.00
154.00
187.00
603.00
14,766.00
1.00
1.00
652.00
219.00
219.00
357.00
27
49
50
52
53
54
55
56
59
60
61
62
63
64
65
69
70
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
3
4
5
6
10
11
12
14
40
1
2
3
4
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
15
15
15
15
15
15
15
15
15
16
16
16
16
260.00
468.00
244.00
447.00
660.00
83.00
42.00
109.00
208.00
208.00
208.00
21.00
52.00
73.00
468.00
16.00
21.00
21.00
1.00
470.00
118.00
832.00
120.00
203.00
317.00
1,150.00
1,175.00
822.00
470.00
1.00
104.00
728.00
600.00
850.00
850.00
1,150.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
338.00
624.00
317.00
551.00
858.00
109.00
52.00
109.00
270.00
270.00
270.00
26.00
68.00
94.00
624.00
21.00
26.00
26.00
1.00
541.00
135.00
957.00
135.00
233.00
365.00
1,300.00
1,352.00
945.00
541.00
1.00
120.00
837.00
690.00
980.00
980.00
1,300.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
473.00
1,040.00
442.00
770.00
1,196.00
156.00
73.00
156.00
380.00
380.00
380.00
36.00
94.00
130.00
1,040.00
31.00
36.00
36.00
1.00
622.00
155.00
1,102.00
155.00
268.00
419.00
1,500.00
1,554.00
1,087.00
622.00
1.00
137.00
963.00
795.00
1,125.00
1,125.00
1,500.00
130.00
130.00
130.00
13.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
666.00
1,560.00
624.00
1,040.00
1,664.00
213.00
104.00
213.00
530.00
530.00
530.00
52.00
135.00
182.00
1,560.00
42.00
52.00
52.00
1.00
714.00
179.00
1,248.00
179.00
309.00
483.00
1,750.00
1,788.00
1,249.00
714.00
1.00
158.00
1,110.00
915.00
1,295.00
1,295.00
1,750.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
898.00
2,123.00
849.00
1,415.00
2,264.00
290.00
142.00
290.00
726.00
726.00
726.00
71.00
185.00
246.00
2,123.00
49.00
74.00
74.00
1.00
749.00
187.00
823.00
187.00
328.00
505.00
1,300.00
2,762.00
1,385.00
702.00
1.00
187.00
1,225.00
1,200.00
1,500.00
1,500.00
1,300.00
210.00
210.00
210.00
155.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
25
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
28
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
90.00
90.00
90.00
90.00
90.00
90.00
90.00
35.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
90.00
15.00
302.00
114.00
1.00
385.00
244.00
2,080.00
114.00
166.00
146.00
156.00
289.00
289.00
156.00
156.00
957.00
1.00
156.00
174.00
319.00
319.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
35.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
105.00
20.00
333.00
137.00
1.00
385.00
264.00
2,600.00
131.00
189.00
166.00
177.00
333.00
333.00
181.00
181.00
1,144.00
1.00
181.00
200.00
367.00
367.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
35.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
130.00
25.00
364.00
164.00
1.00
478.00
322.00
3,120.00
150.00
229.00
189.00
204.00
385.00
385.00
208.00
208.00
1,352.00
1.00
208.00
230.00
422.00
422.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
35.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
155.00
30.00
406.00
198.00
1.00
478.00
359.00
4,160.00
174.00
437.00
229.00
234.00
437.00
437.00
239.00
239.00
1,768.00
1.00
239.00
264.00
486.00
486.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
54.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
210.00
30.00
450.00
224.00
1.00
541.00
402.00
4,000.00
207.00
263.00
236.00
700.00
282.00
524.00
480.00
282.00
360.00
2,092.00
1.00
282.00
317.00
580.00
580.00
29
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
70
1
2
3
4
5
6
1
2
3
4
6
7
8
9
10
11
12
13
14
15
16
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
19
19
19
19
19
19
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
319.00
319.00
144.00
352.00
50.00
120.00
109.00
162.00
166.00
47.00
248.00
233.00
150.00
220.00
239.00
239.00
145.00
204.00
204.00
239.00
239.00
48.00
47.00
144.00
144.00
55.00
55.00
144.00
30.00
55.00
187.00
163.00
128.00
94.00
110.00
36.00
17.00
68.00
72.00
60.00
47.00
73.00
144.00
60.00
-
367.00
367.00
165.00
406.00
75.00
138.00
126.00
186.00
191.00
54.00
285.00
268.00
173.00
250.00
276.00
276.00
166.00
234.00
234.00
276.00
276.00
54.00
54.00
165.00
165.00
63.00
63.00
165.00
34.00
63.00
215.00
188.00
147.00
108.00
127.00
42.00
19.00
78.00
83.00
69.00
54.00
84.00
165.00
69.00
-
422.00
422.00
189.00
468.00
100.00
158.00
144.00
215.00
220.00
62.00
328.00
308.00
198.00
290.00
316.00
316.00
191.00
269.00
269.00
316.00
316.00
62.00
62.00
190.00
190.00
73.00
73.00
190.00
40.00
73.00
248.00
216.00
170.00
125.00
146.00
48.00
23.00
89.00
95.00
80.00
62.00
96.00
190.00
80.00
-
486.00
486.00
218.00
530.00
125.00
182.00
166.00
247.00
253.00
71.00
376.00
355.00
228.00
380.00
364.00
364.00
219.00
310.00
310.00
364.00
364.00
71.00
71.00
218.00
218.00
84.00
84.00
218.00
46.00
84.00
285.00
249.00
194.00
144.00
168.00
55.00
27.00
103.00
109.00
92.00
71.00
111.00
218.00
92.00
-
580.00
580.00
263.00
636.00
150.00
141.00
128.00
460.00
155.00
71.00
293.00
366.00
262.00
440.00
375.00
310.00
278.00
310.00
310.00
310.00
369.00
71.00
71.00
259.00
321.00
155.00
71.00
259.00
71.00
214.00
388.00
388.00
265.00
180.00
220.00
65.00
78.00
124.00
96.00
161.00
83.00
133.00
259.00
107.00
-
TUMOR GINECOLOGICO
TUMOR SISTEMA NERVIOSO CENTRAL
PIEL
PIEZA QX. MAYOR CON TUMOR
TINCION HISTOQUIMICA (1-3)
OSMOLARIDAD SERICA
ANTIESTREPTOLISISNAS
ACIDO FOLICO
Ac.al AgS VHB
ACIDO URICO ORINA MATINAL
AC ANTI HAV IgG
AC ANTI HAV IgM
AC ANTI HIV I HIV II
ANTI-CCP
AC IgG ANTI TOXOPLASMA
AC IgG RUBEOLA
Ag S VHB
AC IgG CITOMEGALOVIRUS
AC IgM CITOMEGALOVIRUS
AC IgM RUBEOLA
AC IgM ANTI TOXOPLASMA
ACIDO URICO EN ORINA
ACIDO URICO EN SUERO
ACIDO VALPROICO
Ag. CARCIONOEMBRIONARIO
ALCOHOL EN SANGRE
Ag CHLAMYDIA T
Ag. NEISSERIA GONORRAE
AMILASA EN SUERO
ALBUMINA/GLOBULINA
ALFA FETO PROTEINA
AMIBA EN FRESCO
AMILASA EN ORINA
ANTI VHC (AC. P/HEPATITIS C)
AC ANTI CORE VHB
AC ANTI CORE IGM VHB
ANFETAMINAS
AMILASA PANCREATICA 1 MICCION
AMILASA PANCREATICA ORINA 24 HS.
AZUCARES REDUCTORES EN HECES
BAAR C/U (ZIEHL NELSEN)
BARBITURICOS
BENZODIACEPINAS
BILIRRUBINAS
BIOMETRIA HEMATICA C/PLAQUETAS
BUSQUEDA DE PLASMODIUM
CALCIO EN SUERO
CAPTACION DE HIERRO SERICO
CARBAMACEPINA
CELULA L.E.
MONOTEST
17
18
19
20
22
1
2
3
4
5
8
9
10
11
12
13
14
15
16
17
18
19
20
21
23
24
25
26
27
28
29
30
31
33
34
35
36
37
38
40
42
43
44
48
49
50
51
52
53
54
55
30
20
20
20
20
20
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
42.00
63.00
36.00
47.00
532.00
47.00
260.00
36.00
36.00
144.00
47.00
62.00
62.00
47.00
72.00
31.00
260.00
260.00
260.00
223.00
85.00
60.00
144.00
83.00
83.00
83.00
83.00
60.00
144.00
48.00
260.00
260.00
260.00
144.00
144.00
161.00
78.00
125.00
55.00
54.00
47.00
47.00
128.00
47.00
88.00
104.00
48.00
74.00
42.00
54.00
612.00
54.00
300.00
42.00
42.00
165.00
54.00
72.00
72.00
54.00
83.00
36.00
300.00
300.00
300.00
256.00
98.00
70.00
165.00
96.00
96.00
96.00
96.00
69.00
165.00
55.00
300.00
300.00
300.00
165.00
165.00
185.00
90.00
137.00
63.00
62.00
54.00
54.00
147.00
54.00
102.00
120.00
55.00
84.00
48.00
62.00
704.00
62.00
345.00
48.00
48.00
190.00
62.00
83.00
83.00
62.00
95.00
41.00
345.00
345.00
345.00
294.00
113.00
80.00
190.00
110.00
110.00
110.00
110.00
80.00
190.00
63.00
345.00
345.00
345.00
190.00
190.00
213.00
103.00
151.00
74.00
72.00
62.00
62.00
170.00
62.00
116.00
137.00
63.00
97.00
55.00
71.00
810.00
71.00
397.00
55.00
55.00
218.00
72.00
95.00
95.00
71.00
109.00
47.00
397.00
397.00
397.00
338.00
130.00
92.00
218.00
127.00
127.00
127.00
127.00
92.00
218.00
73.00
397.00
397.00
397.00
218.00
218.00
245.00
119.00
166.00
84.00
82.00
72.00
71.00
195.00
72.00
134.00
158.00
71.00
150.00
65.00
86.00
958.00
83.00
289.00
75.00
81.00
259.00
64.00
167.00
190.00
64.00
289.00
54.00
278.00
323.00
323.00
449.00
193.00
150.00
259.00
150.00
150.00
150.00
150.00
75.00
259.00
60.00
263.00
295.00
323.00
295.00
295.00
265.00
81.00
188.00
60.00
88.00
60.00
60.00
408.00
60.00
214.00
158.00
31
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
78
79
80
81
82
83
85
86
87
88
89
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
55.00
37.00
54.00
77.00
420.00
66.00
77.00
191.00
77.00
77.00
54.00
54.00
144.00
144.00
144.00
78.00
144.00
144.00
47.00
44.00
55.00
21.00
220.00
302.00
73.00
144.00
36.00
73.00
54.00
144.00
48.00
54.00
64.00
59.00
208.00
54.00
339.00
149.00
73.00
68.00
36.00
104.00
42.00
67.00
69.00
21.00
406.00
37.00
63.00
43.00
62.00
88.00
483.00
75.00
88.00
220.00
89.00
89.00
62.00
62.00
165.00
165.00
165.00
89.00
165.00
165.00
54.00
50.00
63.00
24.00
254.00
347.00
84.00
165.00
42.00
84.00
62.00
165.00
55.00
62.00
74.00
69.00
239.00
62.00
390.00
171.00
84.00
78.00
42.00
120.00
48.00
77.00
79.00
24.00
467.00
43.00
74.00
50.00
72.00
102.00
555.00
87.00
102.00
253.00
102.00
102.00
72.00
72.00
190.00
190.00
190.00
103.00
190.00
190.00
62.00
57.00
74.00
27.00
291.00
399.00
97.00
190.00
48.00
97.00
72.00
190.00
63.00
72.00
85.00
78.00
276.00
72.00
448.00
197.00
97.00
89.00
48.00
137.00
55.00
88.00
90.00
27.00
537.00
50.00
84.00
57.00
82.00
117.00
639.00
100.00
117.00
291.00
117.00
117.00
82.00
82.00
218.00
218.00
218.00
119.00
218.00
218.00
72.00
67.00
84.00
31.00
335.00
459.00
110.00
218.00
55.00
110.00
82.00
218.00
73.00
82.00
98.00
90.00
316.00
82.00
516.00
226.00
110.00
103.00
55.00
158.00
63.00
101.00
104.00
31.00
617.00
57.00
107.00
71.00
107.00
230.00
342.00
117.00
188.00
335.00
230.00
230.00
64.00
278.00
268.00
268.00
268.00
268.00
268.00
268.00
60.00
60.00
60.00
71.00
262.00
847.00
86.00
259.00
65.00
85.00
124.00
230.00
91.00
75.00
124.00
158.00
375.00
124.00
702.00
310.00
107.00
98.00
65.00
158.00
88.00
310.00
123.00
38.00
770.00
70.00
112
113
114
115
116
117
118
119
121
122
124
125
126
127
128
129
130
131
132
133
134
136
138
139
140
141
142
143
144
145
146
147
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
166
167
168
32
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
159.00
77.00
54.00
54.00
144.00
77.00
77.00
73.00
73.00
55.00
62.00
260.00
17.00
24.00
60.00
47.00
47.00
47.00
73.00
36.00
144.00
144.00
373.00
156.00
129.00
114.00
144.00
25.00
47.00
77.00
77.00
73.00
144.00
47.00
42.00
83.00
49.00
125.00
69.00
59.00
24.00
1,582.00
77.00
144.00
144.00
60.00
183.00
88.00
62.00
62.00
165.00
88.00
88.00
84.00
84.00
63.00
72.00
300.00
20.00
27.00
70.00
54.00
54.00
54.00
84.00
42.00
165.00
165.00
430.00
180.00
149.00
132.00
165.00
29.00
54.00
88.00
88.00
84.00
165.00
54.00
48.00
96.00
56.00
144.00
79.00
69.00
27.00
1,819.00
88.00
165.00
165.00
70.00
210.00
102.00
72.00
72.00
190.00
102.00
102.00
97.00
97.00
74.00
82.00
345.00
22.00
31.00
80.00
62.00
62.00
62.00
97.00
48.00
190.00
190.00
494.00
206.00
171.00
151.00
190.00
33.00
62.00
102.00
102.00
97.00
190.00
62.00
55.00
110.00
64.00
165.00
90.00
78.00
31.00
2,092.00
102.00
190.00
190.00
80.00
242.00
118.00
82.00
82.00
218.00
118.00
118.00
110.00
110.00
84.00
95.00
397.00
27.00
36.00
92.00
71.00
72.00
71.00
110.00
55.00
218.00
218.00
568.00
237.00
197.00
174.00
218.00
38.00
71.00
118.00
118.00
110.00
218.00
71.00
63.00
127.00
74.00
190.00
104.00
90.00
36.00
2,406.00
118.00
218.00
218.00
92.00
262.00
137.00
81.00
81.00
230.00
268.00
268.00
73.00
73.00
115.00
95.00
112.00
325.00
37.00
42.00
71.00
73.00
60.00
60.00
60.00
54.00
259.00
259.00
469.00
152.00
203.00
400.00
70.00
73.00
268.00
268.00
129.00
471.00
60.00
71.00
150.00
89.00
156.00
64.00
50.00
1,753.00
268.00
268.00
259.00
108.00
33
b-CROSSIAP
N-M OSTEOCAICINA
SUBUNIDAD B-HGC CUANTIFICADA
CAPTACION DE TIROXINA T.
T.G.O./AST
T.G.P/ALT
TESTOSTERONA
T3 TOTAL (TRIYODOTIRONINA)
T4 TOTAL (TIROXINA)
TIEMPO DE PROTROMBINA
TIEMPO PARCIAL DE TROMBOPLASTINA
UREA EN ORINA DE 24 HORAS
TINCION DE P.A.S.
CRIPTOSPORIDIUM
EXPECTORACION GRAM Y BACTERIOLOGICO
TINCION DE ZIEL NELSEN C/U
TINCION SIMPLE DE AZUL DE MET.
TIPO SANGUINEO Y FACTOR RH
TRIGLICERIDOS
UREA
UREA ORINA MATINAL
V.D.R.L.
V.S.G.
TP C/CORRECION DE PLASMA FCO.
TTP C/CORRECION DE PLASMA FCO.
TEOFILINA
VITAMINA B-12
HB.GLUCOSILADA
DIMERO D
Ag.PROSTATICO Y ESPECIFICO
PRUEBAS DE GRAHAM
UREA/POST-HD
T3 LIBRE REAL
T4 LIBRE REAL
TIEMPO DE TROMBINA
CA 125
GLUCOSA EN ORINA
K O H (HONGOS)
SODIO,POTASIO Y CLORO EN SUERO
ACCION TRIPICA EN HECES
NIVELES DE LACTATO
PRUEBA DE EMBARAZO EN SANGRE
CREATININA EN ORINA
CITOQUIMICO DE L.C.R.
PERFIL TORCH COMPLETO
LIQUIDO PERITONEAL
LIQUIDO PERICARDICO
INDICE DE T4 LIBRE
CULTIVO PARA ANAEROBIOS
BETALACTAMASA
INDICE DE DREPANOCITOS
169
170
171
172
173
174
175
176
177
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
209
210
213
215
218
219
220
221
222
223
224
225
226
227
228
230
231
232
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
318.00
77.00
77.00
135.00
36.00
339.00
73.00
94.00
78.00
420.00
260.00
260.00
50.00
1.00
137.00
137.00
137.00
206.00
137.00
286.00
206.00
286.00
206.00
206.00
286.00
206.00
458.00
286.00
172.00
286.00
343.00
206.00
343.00
343.00
286.00
343.00
137.00
206.00
229.00
206.00
137.00
275.00
400.00
458.00
275.00
206.00
366.00
88.00
88.00
156.00
42.00
390.00
84.00
108.00
89.00
483.00
300.00
300.00
50.00
1.00
160.00
160.00
160.00
240.00
160.00
332.00
240.00
332.00
240.00
240.00
332.00
240.00
526.00
332.00
206.00
332.00
395.00
240.00
395.00
395.00
332.00
395.00
160.00
240.00
275.00
240.00
160.00
320.00
458.00
526.00
320.00
240.00
421.00
102.00
102.00
179.00
48.00
448.00
97.00
125.00
104.00
555.00
345.00
345.00
50.00
1.00
183.00
183.00
183.00
275.00
183.00
378.00
275.00
378.00
275.00
275.00
378.00
275.00
606.00
378.00
229.00
378.00
458.00
275.00
458.00
458.00
378.00
458.00
183.00
275.00
320.00
275.00
183.00
366.00
515.00
606.00
366.00
275.00
484.00
118.00
118.00
206.00
55.00
516.00
110.00
144.00
120.00
639.00
397.00
397.00
50.00
1.00
206.00
206.00
206.00
320.00
206.00
435.00
320.00
435.00
320.00
320.00
435.00
320.00
697.00
435.00
263.00
435.00
526.00
320.00
526.00
526.00
435.00
526.00
206.00
320.00
366.00
320.00
206.00
423.00
572.00
697.00
423.00
320.00
573.00
75.00
75.00
241.00
65.00
482.00
146.00
180.00
150.00
735.00
456.00
456.00
1.00
246.00
246.00
246.00
379.00
246.00
535.00
449.00
535.00
449.00
449.00
749.00
535.00
826.00
514.00
428.00
535.00
642.00
428.00
623.00
623.00
514.00
623.00
246.00
379.00
433.00
428.00
246.00
501.00
677.00
812.00
501.00
428.00
233
234
235
236
239
240
241
242
243
244
245
246
248
249
250
251
252
299
300
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
27
28
29
30
31
32
33
34
34
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
206.00
137.00
275.00
343.00
137.00
343.00
172.00
286.00
137.00
286.00
137.00
172.00
229.00
458.00
275.00
172.00
286.00
343.00
137.00
229.00
286.00
172.00
275.00
515.00
172.00
286.00
400.00
515.00
1,373.00
801.00
286.00
172.00
172.00
137.00
172.00
286.00
343.00
229.00
400.00
137.00
206.00
172.00
172.00
172.00
343.00
137.00
260.00
140.00
1,610.00
297.00
240.00
160.00
320.00
395.00
160.00
395.00
206.00
332.00
160.00
332.00
160.00
206.00
275.00
526.00
320.00
206.00
332.00
395.00
160.00
275.00
332.00
206.00
320.00
572.00
206.00
332.00
458.00
572.00
1,579.00
921.00
332.00
206.00
206.00
160.00
206.00
332.00
395.00
275.00
458.00
160.00
240.00
206.00
206.00
206.00
395.00
160.00
260.00
140.00
1,668.00
343.00
275.00
183.00
366.00
458.00
183.00
458.00
229.00
378.00
183.00
378.00
183.00
229.00
320.00
606.00
366.00
229.00
378.00
458.00
183.00
320.00
378.00
229.00
366.00
606.00
229.00
378.00
515.00
629.00
1,808.00
1,064.00
378.00
229.00
229.00
183.00
229.00
378.00
458.00
320.00
515.00
183.00
275.00
229.00
229.00
229.00
458.00
183.00
260.00
140.00
1,736.00
400.00
320.00
206.00
423.00
526.00
206.00
526.00
263.00
435.00
206.00
435.00
206.00
263.00
366.00
697.00
423.00
263.00
435.00
526.00
206.00
366.00
435.00
263.00
423.00
686.00
263.00
435.00
572.00
686.00
2,082.00
1,213.00
435.00
263.00
263.00
206.00
263.00
435.00
526.00
366.00
572.00
206.00
320.00
263.00
263.00
263.00
526.00
206.00
260.00
140.00
1,810.00
458.00
379.00
246.00
501.00
623.00
246.00
744.00
298.00
541.00
246.00
474.00
246.00
311.00
428.00
826.00
501.00
321.00
514.00
623.00
246.00
406.00
514.00
311.00
487.00
812.00
321.00
524.00
717.00
963.00
2,463.00
1,435.00
514.00
321.00
310.00
246.00
310.00
514.00
609.00
420.00
717.00
246.00
379.00
310.00
310.00
310.00
609.00
246.00
338.00
210.00
717.00
541.00
35
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
100
101
102
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
343.00
1,760.00
297.00
572.00
915.00
137.00
1,150.00
1,144.00
915.00
412.00
800.00
1,440.00
1,440.00
458.00
572.00
896.00
1,159.00
1,072.00
1,898.00
2,127.00
1,898.00
2,104.00
2,330.00
1,620.00
7,290.00
6,720.00
5,320.00
4,975.00
5,205.00
5,205.00
5,205.00
4,975.00
5,776.00
5,205.00
4,975.00
4,975.00
5,805.00
5,776.00
5,776.00
4,975.00
4,975.00
5,805.00
4,860.00
7,860.00
5,805.00
4,860.00
4,004.00
4,746.00
4,746.00
5,320.00
400.00
1,885.00
652.00
652.00
1,052.00
160.00
1,205.00
1,316.00
1,075.00
458.00
915.00
1,520.00
1,521.00
526.00
652.00
953.00
1,250.00
1,129.00
1,955.00
2,241.00
1,965.00
2,362.00
2,500.00
1,854.00
8,092.00
7,406.00
5,890.00
5,433.00
5,776.00
5,776.00
5,776.00
5,433.00
6,462.00
5,776.00
5,433.00
5,433.00
6,376.00
6,462.00
6,462.00
5,433.00
5,433.00
6,376.00
5,433.00
5,433.00
6,376.00
5,433.00
4,576.00
5,204.00
5,204.00
5,890.00
458.00
2,026.00
755.00
755.00
1,201.00
183.00
1,262.00
1,510.00
1,236.00
549.00
1,064.00
1,600.00
1,600.00
595.00
755.00
1,010.00
1,353.00
1,187.00
2,035.00
2,378.00
2,058.00
2,658.00
2,700.00
2,133.00
9,007.00
8,320.00
6,690.00
6,234.00
6,462.00
6,462.00
6,462.00
6,234.00
7,263.00
6,462.00
6,234.00
6,234.00
7,062.00
7,263.00
7,263.00
6,234.00
6,234.00
7,062.00
6,005.00
6,005.00
7,062.00
6,005.00
5,262.00
5,890.00
5,890.00
6,691.00
526.00
2,200.00
869.00
869.00
1,373.00
206.00
1,331.00
1,716.00
1,419.00
629.00
1,201.00
1,716.00
1,716.00
698.00
869.00
1,079.00
1,468.00
1,255.00
2,138.00
2,527.00
2,423.00
2,997.00
2,924.00
2,452.00
10,150.00
9,236.00
7,378.00
6,920.00
7,263.00
7,263.00
7,263.00
6,920.00
8,178.00
7,263.00
6,920.00
6,920.00
7,863.00
8,178.00
8,178.00
6,920.00
6,920.00
7,863.00
6,691.00
6,691.00
7,863.00
6,691.00
6,063.00
6,577.00
6,577.00
7,492.00
623.00
1,354.00
541.00
1,029.00
1,624.00
244.00
623.00
2,030.00
1,678.00
744.00
1,421.00
934.00
744.00
826.00
1,029.00
582.00
1,083.00
623.00
893.00
1,354.00
1,232.00
1,733.00
2,057.00
2,820.00
9,881.00
8,798.00
7,309.00
6,768.00
7,174.00
7,174.00
7,174.00
6,768.00
8,257.00
7,174.00
6,768.00
6,768.00
6,768.00
8,257.00
8,257.00
6,768.00
6,768.00
7,174.00
6,497.00
6,497.00
7,174.00
6,632.00
7,174.00
6,362.00
6,362.00
7,445.00
COLOGRAMA DISTAL
COLON POR ENEMA DOBLE CONTRASTE
ESOFAGOGRAMA
FISTULOGRAFIA
FLUOROSCOPIA BIOPSIA
FLUOROSCOPIA POR MINUTO
HISTEROSALPINGOGRAFIA
LARINGOGRAFIA
LINFANGIOGRAFIA BILATERAL
PIELOGRAFIA ASCENDENTE (1)
PIELOGRAFIA ASCENDENTE (2)
SERIE GASTRODUODENAL CONTRASTADA
SERIE GASTRODUODENAL NINO
SIALOGRAFIA 1
SIALOGRAFIA 2
TRANSITO ESOFAGICO
TRANSITO INTESTINAL
URETROGRAFIA RETROGRADA
UROGRAFIA EXCRETORA
UROGRAFIA MINUTADA MAXWELL
UROGRAFIA POR INFUSION
COLANGIOGRAFIA POR SONDA EN T
FLEBOGRAFIA ASCENDENTE (1)
USO DE ARCO EN C EN QUIROFANO
ANGIOGRAFIAS
ANGIOGRAFIA CEREBRAL 4 VASOS
ANGIOGRAfIA CEREBRAL 3 VASOS
ANGIOGRAFIA CEREBRAL 2 VASOS
ANGIOGRAFIA CEREBRAL 1 VASO
ANGIOGRAFIA AORTA PARARENALES
ANGIOGRAFIA AORTA TORACICA
ANGIOGRAFIA AORTA FEMORALES
ANGIOGRAFIA CAROTIDEA
ANGIOGRAFIA CAYADO AORTICO
ANGIOGRAFIA MESENTERICA
ANGIOGRAFIA PULMONAR
ANGIOGRAFIA TRONCOCELIACO
ANGIOGRAFIA AORTA ABDOMINAL
ANGIOGRAFIA ANGIOPLASTIA-1 VASOANGIOGRAFIA EMBOLIZACION
ANGIOGRAFIA PELVICA
ANGIOGRAFIA YUGULAGRAFIA
ARTERIOGRAFIA MIEMBRO SUP.(2)
ARTERIOGRAFIA MIEMBRO INF.(1)
ARTERIOGRAFIA MIEMBRO SUP.(1)
ARTERIOGRAFIA MIEMBRO INF.(2)
ARTERIOGRAFIA RENAL UNILATERAL
ARTERIOGRAFIA RENAL BILATERAL
BRONCOGRAFIA
CAVOGRAFIA
COLANGIOGRAFIA PERCUTANEA
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
128
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
36
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
343.00
1,760.00
297.00
572.00
915.00
137.00
1,150.00
1,144.00
915.00
412.00
800.00
1,440.00
1,440.00
458.00
572.00
896.00
1,159.00
1,072.00
1,898.00
2,127.00
1,898.00
2,104.00
2,330.00
1,620.00
7,290.00
6,720.00
5,320.00
4,975.00
5,205.00
5,205.00
5,205.00
4,975.00
5,776.00
5,205.00
4,975.00
4,975.00
5,805.00
5,776.00
5,776.00
4,975.00
4,975.00
5,805.00
4,860.00
7,860.00
5,805.00
4,860.00
4,004.00
4,746.00
4,746.00
5,320.00
400.00
1,885.00
652.00
652.00
1,052.00
160.00
1,205.00
1,316.00
1,075.00
458.00
915.00
1,520.00
1,521.00
526.00
652.00
953.00
1,250.00
1,129.00
1,955.00
2,241.00
1,965.00
2,362.00
2,500.00
1,854.00
8,092.00
7,406.00
5,890.00
5,433.00
5,776.00
5,776.00
5,776.00
5,433.00
6,462.00
5,776.00
5,433.00
5,433.00
6,376.00
6,462.00
6,462.00
5,433.00
5,433.00
6,376.00
5,433.00
5,433.00
6,376.00
5,433.00
4,576.00
5,204.00
5,204.00
5,890.00
458.00
2,026.00
755.00
755.00
1,201.00
183.00
1,262.00
1,510.00
1,236.00
549.00
1,064.00
1,600.00
1,600.00
595.00
755.00
1,010.00
1,353.00
1,187.00
2,035.00
2,378.00
2,058.00
2,658.00
2,700.00
2,133.00
9,007.00
8,320.00
6,690.00
6,234.00
6,462.00
6,462.00
6,462.00
6,234.00
7,263.00
6,462.00
6,234.00
6,234.00
7,062.00
7,263.00
7,263.00
6,234.00
6,234.00
7,062.00
6,005.00
6,005.00
7,062.00
6,005.00
5,262.00
5,890.00
5,890.00
6,691.00
526.00
2,200.00
869.00
869.00
1,373.00
206.00
1,331.00
1,716.00
1,419.00
629.00
1,201.00
1,716.00
1,716.00
698.00
869.00
1,079.00
1,468.00
1,255.00
2,138.00
2,527.00
2,423.00
2,997.00
2,924.00
2,452.00
10,150.00
9,236.00
7,378.00
6,920.00
7,263.00
7,263.00
7,263.00
6,920.00
8,178.00
7,263.00
6,920.00
6,920.00
7,863.00
8,178.00
8,178.00
6,920.00
6,920.00
7,863.00
6,691.00
6,691.00
7,863.00
6,691.00
6,063.00
6,577.00
6,577.00
7,492.00
623.00
1,354.00
541.00
1,029.00
1,624.00
244.00
623.00
2,030.00
1,678.00
744.00
1,421.00
934.00
744.00
826.00
1,029.00
582.00
1,083.00
623.00
893.00
1,354.00
1,232.00
1,733.00
2,057.00
2,820.00
9,881.00
8,798.00
7,309.00
6,768.00
7,174.00
7,174.00
7,174.00
6,768.00
8,257.00
7,174.00
6,768.00
6,768.00
6,768.00
8,257.00
8,257.00
6,768.00
6,768.00
7,174.00
6,497.00
6,497.00
7,174.00
6,632.00
7,174.00
6,362.00
6,362.00
7,445.00
37
COLOGRAMA DISTAL
COLON POR ENEMA DOBLE CONTRASTE
ESOFAGOGRAMA
FISTULOGRAFIA
FLUOROSCOPIA BIOPSIA
FLUOROSCOPIA POR MINUTO
HISTEROSALPINGOGRAFIA
LARINGOGRAFIA
LINFANGIOGRAFIA BILATERAL
PIELOGRAFIA ASCENDENTE (1)
PIELOGRAFIA ASCENDENTE (2)
SERIE GASTRODUODENAL CONTRASTADA
SERIE GASTRODUODENAL NINO
SIALOGRAFIA 1
SIALOGRAFIA 2
TRANSITO ESOFAGICO
TRANSITO INTESTINAL
URETROGRAFIA RETROGRADA
UROGRAFIA EXCRETORA
UROGRAFIA MINUTADA MAXWELL
UROGRAFIA POR INFUSION
COLANGIOGRAFIA POR SONDA EN T
FLEBOGRAFIA ASCENDENTE (1)
USO DE ARCO EN C EN QUIROFANO
ANGIOGRAFIAS
ANGIOGRAFIA CEREBRAL 4 VASOS
ANGIOGRAfIA CEREBRAL 3 VASOS
ANGIOGRAFIA CEREBRAL 2 VASOS
ANGIOGRAFIA CEREBRAL 1 VASO
ANGIOGRAFIA AORTA PARARENALES
ANGIOGRAFIA AORTA TORACICA
ANGIOGRAFIA AORTA FEMORALES
ANGIOGRAFIA CAROTIDEA
ANGIOGRAFIA CAYADO AORTICO
ANGIOGRAFIA MESENTERICA
ANGIOGRAFIA PULMONAR
ANGIOGRAFIA TRONCOCELIACO
ANGIOGRAFIA AORTA ABDOMINAL
ANGIOGRAFIA ANGIOPLASTIA-1 VASOANGIOGRAFIA EMBOLIZACION
ANGIOGRAFIA PELVICA
ANGIOGRAFIA YUGULAGRAFIA
ARTERIOGRAFIA MIEMBRO SUP.(2)
ARTERIOGRAFIA MIEMBRO INF.(1)
ARTERIOGRAFIA MIEMBRO SUP.(1)
ARTERIOGRAFIA MIEMBRO INF.(2)
ARTERIOGRAFIA RENAL UNILATERAL
ARTERIOGRAFIA RENAL BILATERAL
BRONCOGRAFIA
CAVOGRAFIA
COLANGIOGRAFIA PERCUTANEA
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
128
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
6,147.00
5,205.00
1,150.00
4,746.00
229.00
343.00
1,144.00
100.00
1,800.00
750.00
1,990.00
1,318.00
2,330.00
2,330.00
1,660.00
801.00
1,990.00
801.00
2,330.00
1,144.00
1,144.00
1,144.00
1,975.00
801.00
2,320.00
1,975.00
801.00
2,320.00
1,975.00
801.00
2,320.00
2,320.00
1,975.00
801.00
1,144.00
1,144.00
1,990.00
1,320.00
1,144.00
1,144.00
2,562.00
1,990.00
801.00
2,330.00
1,990.00
1,990.00
801.00
2,330.00
6,834.00
5,776.00
1,240.00
5,204.00
263.00
400.00
1,316.00
100.00
2,100.00
862.00
2,104.00
1,432.00
2,505.00
2,505.00
1,883.00
915.00
2,104.00
915.00
2,505.00
1,316.00
1,316.00
1,316.00
2,089.00
915.00
2,490.00
2,089.00
915.00
2,490.00
2,089.00
915.00
2,490.00
2,490.00
2,089.00
915.00
1,316.00
1,316.00
2,104.00
1,432.00
1,316.00
1,316.00
2,791.00
2,104.00
915.00
2,505.00
2,104.00
2,104.00
915.00
2,505.00
7,520.00
6,462.00
1,340.00
5,890.00
297.00
458.00
1,487.00
100.00
2,450.00
990.00
2,241.00
1,569.00
2,699.00
2,699.00
2,027.00
1,052.00
2,241.00
1,052.00
2,699.00
1,510.00
1,510.00
1,510.00
2,226.00
1,052.00
2,684.00
2,226.00
1,052.00
2,684.00
2,226.00
1,052.00
2,684.00
2,684.00
2,226.00
1,052.00
1,510.00
1,510.00
2,241.00
1,569.00
1,510.00
1,510.00
3,019.00
2,241.00
1,052.00
2,699.00
2,241.00
2,241.00
1,052.00
2,699.00
8,435.00
7,263.00
1,460.00
6,577.00
343.00
526.00
1,716.00
100.00
2,800.00
1,150.00
2,447.00
1,775.00
2,905.00
2,905.00
2,233.00
1,258.00
2,447.00
1,258.00
2,905.00
1,716.00
1,716.00
1,716.00
2,432.00
1,258.00
2,890.00
2,432.00
1,258.00
2,890.00
2,432.00
1,258.00
2,890.00
2,890.00
2,432.00
1,258.00
1,716.00
1,716.00
2,447.00
1,775.00
1,716.00
1,716.00
3,248.00
2,447.00
1,258.00
2,905.00
2,447.00
2,447.00
1,258.00
2,905.00
7,851.00
7,174.00
1,069.00
6,362.00
406.00
623.00
2,030.00
1,245.00
100.00
812.00
1,489.00
1,489.00
2,030.00
2,030.00
2,030.00
1,489.00
1,489.00
1,489.00
2,030.00
2,030.00
2,030.00
2,030.00
1,489.00
1,489.00
1,760.00
1,489.00
1,489.00
2,030.00
1,489.00
1,489.00
2,030.00
2,030.00
1,489.00
1,489.00
2,030.00
2,030.00
1,489.00
1,489.00
2,030.00
2,030.00
2,436.00
1,489.00
1,489.00
2,030.00
1,489.00
1,489.00
1,489.00
2,030.00
328
329
330
331
400
401
402
403
404
405
406
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
530
531
532
533
534
535
536
537
538
38
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
1,990.00
1,975.00
801.00
2,320.00
2,320.00
2,320.00
2,547.00
2,547.00
1,870.00
1,870.00
1,870.00
286.00
400.00
400.00
286.00
400.00
286.00
572.00
915.00
400.00
286.00
400.00
286.00
286.00
286.00
286.00
286.00
286.00
286.00
286.00
400.00
286.00
286.00
400.00
286.00
858.00
570.00
286.00
400.00
280.00
2,500.00
2,500.00
2,500.00
2,500.00
2,500.00
2,500.00
1,373.00
2,500.00
2,104.00
2,089.00
915.00
2,490.00
2,490.00
2,480.00
2,776.00
2,776.00
2,040.00
2,040.00
2,040.00
343.00
458.00
458.00
343.00
458.00
343.00
629.00
1,030.00
458.00
343.00
458.00
343.00
343.00
343.00
343.00
343.00
343.00
343.00
343.00
458.00
343.00
343.00
458.00
343.00
986.00
625.00
343.00
458.00
280.00
2,729.00
2,729.00
2,729.00
2,729.00
2,729.00
2,729.00
1,602.00
2,729.00
2,241.00
2,226.00
1,052.00
2,684.00
2,684.00
2,684.00
3,004.00
3,004.00
2,234.00
2,234.00
2,234.00
400.00
526.00
526.00
400.00
526.00
400.00
686.00
1,144.00
526.00
400.00
526.00
400.00
400.00
400.00
400.00
400.00
400.00
400.00
400.00
526.00
400.00
400.00
526.00
400.00
1,135.00
720.00
400.00
526.00
280.00
2,957.00
2,957.00
2,957.00
2,957.00
2,957.00
2,957.00
1,830.00
2,957.00
2,447.00
2,432.00
1,258.00
2,890.00
2,890.00
2,890.00
3,233.00
3,233.00
2,440.00
2,440.00
2,440.00
458.00
606.00
606.00
458.00
606.00
458.00
744.00
1,258.00
606.00
458.00
606.00
458.00
458.00
458.00
458.00
458.00
458.00
458.00
458.00
606.00
458.00
458.00
606.00
458.00
1,304.00
810.00
458.00
606.00
280.00
3,311.00
3,311.00
3,311.00
3,311.00
3,311.00
3,311.00
2,184.00
3,311.00
1,489.00
1,489.00
1,489.00
2,030.00
2,030.00
2,030.00
2,436.00
2,436.00
2,754.00
2,754.00
2,754.00
541.00
717.00
717.00
541.00
717.00
541.00
880.00
1,489.00
717.00
541.00
717.00
541.00
541.00
541.00
541.00
541.00
541.00
541.00
541.00
677.00
541.00
541.00
677.00
541.00
1,543.00
744.00
541.00
717.00
280.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
39
539
540
541
542
543
544
545
546
547
548
549
550
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
650
700
701
702
703
704
705
706
707
708
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
2,500.00
2,500.00
2,500.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
2,500.00
2,500.00
2,500.00
2,500.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
2,500.00
2,500.00
2,500.00
2,500.00
629.00
629.00
629.00
629.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
1,373.00
2,500.00
1,373.00
2,500.00
2,500.00
2,500.00
1,373.00
2,500.00
2,500.00
2,500.00
1,373.00
1,373.00
2,729.00
2,729.00
2,729.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
2,729.00
2,729.00
2,729.00
2,729.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
2,729.00
2,729.00
2,729.00
2,729.00
744.00
744.00
744.00
744.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
1,602.00
2,729.00
1,602.00
2,729.00
2,729.00
2,729.00
1,602.00
2,729.00
2,729.00
2,729.00
1,602.00
1,602.00
2,957.00
2,957.00
2,957.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
2,957.00
2,957.00
2,957.00
2,957.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
2,957.00
2,957.00
2,957.00
2,957.00
837.00
837.00
837.00
837.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
1,830.00
2,957.00
1,830.00
2,957.00
2,957.00
2,957.00
1,830.00
2,957.00
2,957.00
2,957.00
1,830.00
1,830.00
3,311.00
3,311.00
3,311.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
3,311.00
3,311.00
3,311.00
3,311.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
3,311.00
3,311.00
3,311.00
3,311.00
962.00
962.00
962.00
962.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
2,184.00
3,311.00
2,184.00
3,311.00
3,311.00
3,311.00
2,184.00
3,311.00
3,311.00
3,311.00
2,184.00
2,184.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
1,137.00
1,137.00
1,137.00
1,137.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
TAC.ABDOMEN C/RECONST.PANCREAS
TAC.ABDOMEN MULTICORTE
TAC.ARTICULACION CONTRASTADA VASCULAR
TAC.ARTICULACION SIMPLE
TAC.ARTICULACION MANO SIMPLE
TAC.ARTICULACION S/C MUECA
TAC.ARTICULACION RODILLAS SIMPLE
TAC.ARTICULACION CODO SIMPLE C/U
TAC.ARTICULACION HOMBRO SIMPLE C/U
TAC.COLUMNA CONTINUA (2 POSICIONES)
TAC.COLUMNA CERVICAL MULTICORTE
TAC.COLUMNA DORSAL MULTICORTE
TAC.COLUMNA LUMBAR MULTICORTE
TAC.CRANEO CONTRASTADA
TAC.CUELLO (PANCUELLO) PAROTIDA
TAC.CUELLO (PANCUELLO) LARINGE
TAC.CUELLO (PANCUELLO) TIROIDES
ENDOSCOPIA VIRTUAL DE COLON
ENDOSCOPIA VIRTUAL DE SPN
ENDOSCOPIA VIRTUAL DE VIAS RESPIRATORIAS
ENDOSCOPIAS OTRAS
TAC.MACIZO FACIAL OSEO
TAC.MIELOTAC
TAC.MIELOTOMOGRAFIA
TAC.Ms.ls. OSEO(AMBOS MUSLOS,PIERNA,
TAC.Ms Ss.OSEO (AMBOS ANTEBRAZOS Y BRAZO
NAVEGACION DE CANAL LARINGEO
NAVEGACION DE CANAL TRAQUEAL
NAVEGACION DE CANAL BRONQUIAL
NAVEGACION DE CANAL RAQUIDEO
TAC.OIDO EXT. Y MEDIO (COND.AUD.EXT
TAC.OIDO INTERNO(APARATO COCLEAR)
TAC.ORTOPANTOMOGRAFIA
TAC.PANFACIAL
TAC.PANTOMOGRAFIA ARTICULACIONES
TAC.PANTOMOGRAFIA DE COLUMNA POR
TAC.PANTOMOGRAFIA DE EXTREMIDADES
TAC.PANTOMOGRAFIA DE EXT.SUPERIORES
TAC.PANTOMOGRAFIA DE EXT.INFERIORES
TAC.PANTOMOGRAFIA DE SILA TURCA E
TAC.PANTOMOGRAFIA TUMORAL
TAC.PELVIS MULTICORTE
TAC.PELVIS HOMBRE C/RECONST.1 VICERA
TAC.PELVIS MUJER C/RECONST.1 VICERA
TAC.PELVIS C/RECONST. DE 1 VICERA
TAC.SENOS PARANASALES(MULTICORTE)
TAC.SUPRARENALES (MULTICORTE)
TAC.TESTICULOS (MULTICORTE)
TAC.TIROIDES MULTICORTE
TAC.MACIZO FACIAL
TAC.DE OIDO(NAVEGACION
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
40
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
2,500.00
2,500.00
1,373.00
2,500.00
1,373.00
572.00
1,873.00
3,800.00
5,360.00
5,880.00
5,880.00
5,880.00
2,760.00
2,240.00
5,880.00
3,640.00
1,560.00
4,160.00
7,980.00
7,440.00
5,720.00
18,450.00
2,080.00
2,080.00
2,760.00
2,760.00
2,780.00
5,880.00
1,324.00
7,010.00
5,970.00
7,010.00
2,760.00
6,400.00
2,600.00
2,600.00
2,240.00
2,760.00
2,600.00
3,800.00
5,970.00
5,880.00
2,760.00
2,760.00
1,560.00
6,400.00
2,729.00
2,729.00
1,602.00
2,729.00
1,602.00
629.00
2,102.00
4,216.00
5,984.00
6,608.00
6,608.00
6,608.00
2,968.00
2,393.00
6,608.00
4,160.00
1,768.00
4,784.00
9,072.00
8,376.00
6,552.00
20,946.00
2,392.00
2,392.00
3,145.00
3,145.00
3,331.00
7,149.00
1,489.00
8,445.00
7,072.00
8,445.00
3,145.00
7,835.00
3,016.00
3,016.00
2,396.00
2,968.00
3,016.00
4,216.00
6,594.00
6,608.00
2,968.00
2,968.00
1,768.00
7,232.00
2,957.00
2,957.00
1,830.00
2,957.00
1,830.00
755.00
2,330.00
4,632.00
6,702.00
7,440.00
7,440.00
7,440.00
3,280.00
2,604.00
7,440.00
4,784.00
2,080.00
5,512.00
10,372.00
9,468.00
7,592.00
23,858.00
2,704.00
2,704.00
3,488.00
1,429.00
3,732.00
8,064.00
1,615.00
9,360.00
7,873.00
9,360.00
3,488.00
8,750.00
3,432.00
3,432.00
2,604.00
3,280.00
3,432.00
4,632.00
7,322.00
7,440.00
3,280.00
3,280.00
2,080.00
8,064.00
3,311.00
3,311.00
2,184.00
3,311.00
2,184.00
869.00
2,684.00
5,152.00
7,544.00
8,272.00
8,272.00
8,272.00
3,592.00
2,781.00
8,272.00
5,512.00
2,392.00
6,344.00
11,724.00
10,685.00
8,736.00
27,082.00
3,172.00
3,172.00
3,592.00
3,592.00
3,872.00
8,272.00
1,652.00
9,714.00
8,154.00
9,714.00
3,592.00
9,104.00
3,952.00
3,952.00
2,781.00
3,592.00
3,952.00
5,152.00
8,154.00
8,272.00
3,592.00
3,592.00
2,392.00
9,104.00
2,572.00
2,572.00
2,572.00
2,572.00
2,572.00
1,029.00
3,072.00
5,143.00
8,257.00
9,204.00
9,204.00
9,204.00
3,113.00
2,057.00
9,204.00
7,174.00
3,113.00
8,257.00
14,348.00
12,344.00
11,370.00
32,891.00
4,128.00
4,128.00
3,113.00
3,113.00
4,128.00
9,204.00
1,238.00
12,994.00
8,257.00
10,287.00
3,113.00
10,287.00
5,143.00
5,143.00
2,114.00
3,199.00
5,143.00
5,143.00
8,257.00
9,204.00
3,113.00
3,113.00
3,113.00
10,287.00
41
760
761
762
763
764
765
766
800
801
802
803
804
805
806
807
808
809
820
821
822
823
824
825
826
827
828
829
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
860
861
862
863
864
866
868
869
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
5,360.00
1,560.00
6,490.00
5,490.00
3,820.00
5,360.00
2,260.00
4,860.00
9,520.00
6,400.00
5,880.00
5,880.00
8,050.00
8,050.00
5,360.00
5,880.00
7,010.00
6,400.00
6,400.00
5,360.00
4,840.00
5,360.00
5,360.00
5,880.00
5,880.00
5,880.00
9,680.00
8,640.00
5,360.00
3,280.00
5,360.00
1,560.00
3,120.00
6,864.00
1,725.00
4,784.00
5,824.00
7,280.00
1.00
260.00
260.00
598.00
120.00
1.00
391.00
391.00
338.00
142.00
5,984.00
1,768.00
7,218.00
7,218.00
4,340.00
5,984.00
2,468.00
5,484.00
10,768.00
4,232.00
6,608.00
6,608.00
8,986.00
8,986.00
5,984.00
6,608.00
7,842.00
7,232.00
7,232.00
5,984.00
5,360.00
5,984.00
5,984.00
6,608.00
6,608.00
6,608.00
10,720.00
9,576.00
5,984.00
3,592.00
5,984.00
1,768.00
3,640.00
7,894.00
1,725.00
5,200.00
6,500.00
8,216.00
1.00
312.00
312.00
686.00
137.00
1.00
458.00
458.00
397.00
168.00
6,712.00
2,080.00
8,050.00
8,050.00
4,860.00
6,712.00
2,780.00
6,212.00
12,224.00
8,064.00
7,440.00
7,440.00
10,026.00
10,026.00
6,712.00
7,440.00
8,674.00
8,064.00
8,064.00
6,712.00
5,984.00
6,712.00
6,712.00
7,440.00
7,440.00
7,440.00
12,072.00
10,616.00
6,712.00
3,904.00
6,712.00
2,080.00
4,160.00
9,038.00
1,725.00
5,616.00
7,280.00
8,268.00
1.00
364.00
364.00
790.00
158.00
1.00
541.00
541.00
468.00
198.00
7,544.00
2,392.00
8,882.00
8,882.00
5,484.00
7,544.00
3,092.00
7,044.00
13,888.00
9,104.00
8,272.00
8,272.00
11,274.00
11,274.00
7,544.00
8,272.00
11,214.00
9,104.00
9,104.00
7,544.00
6,712.00
7,544.00
7,544.00
8,272.00
8,272.00
8,272.00
13,424.00
11,864.00
7,544.00
4,320.00
7,544.00
2,392.00
4,784.00
10,410.00
1,725.00
6,136.00
8,216.00
10,504.00
1.00
418.00
418.00
909.00
182.00
1.00
624.00
624.00
539.00
229.00
8,257.00
3,113.00
9,204.00
9,204.00
6,226.00
8,257.00
3,113.00
8,257.00
16,513.00
10,287.00
9,204.00
9,204.00
12,317.00
12,317.00
8,257.00
9,204.00
10,287.00
10,287.00
10,287.00
8,257.00
7,174.00
8,257.00
8,257.00
9,204.00
9,204.00
9,204.00
14,348.00
12,317.00
8,257.00
4,061.00
8,257.00
3,113.00
6,226.00
13,548.00
1,725.00
7,986.00
10,693.00
13,671.00
1.00
474.00
474.00
1,029.00
206.00
1.00
389.00
365.00
365.00
130.00
870
871
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
920
921
922
923
924
925
926
950
951
952
953
1000
1
2
3
4
50
1
2
3
4
42
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
23
23
23
23
23
24
24
24
24
104.00
208.00
156.00
88.00
156.00
374.00
380.00
260.00
260.00
312.00
187.00
312.00
208.00
258.00
104.00
260.00
380.00
151.00
62.00
241.00
374.00
229.00
104.00
1.00
7,592.00
7,592.00
8,320.00
41,600.00
57,200.00
72,800.00
6,240.00
41,600.00
41,600.00
31,200.00
41,600.00
41,600.00
104,000.00
41,600.00
26,000.00
20,800.00
31,200.00
46,800.00
104,000.00
72,800.00
88,400.00
93,600.00
83,200.00
120.00
239.00
179.00
104.00
179.00
431.00
447.00
310.00
310.00
366.00
222.00
366.00
239.00
297.00
125.00
310.00
447.00
172.00
71.00
278.00
431.00
263.00
120.00
1.00
7,592.00
7,592.00
8,320.00
41,600.00
57,200.00
72,800.00
6,240.00
41,600.00
41,600.00
31,200.00
41,600.00
41,600.00
104,000.00
41,600.00
26,000.00
20,800.00
31,200.00
46,800.00
104,000.00
72,800.00
88,400.00
93,600.00
83,200.00
137.00
275.00
206.00
120.00
206.00
495.00
525.00
364.00
364.00
432.00
260.00
432.00
275.00
342.00
156.00
364.00
525.00
198.00
83.00
319.00
504.00
302.00
137.00
1.00
8,320.00
8,320.00
10,400.00
46,800.00
62,400.00
78,000.00
6,240.00
57,200.00
52,000.00
36,400.00
46,800.00
46,800.00
114,400.00
46,800.00
31,200.00
26,000.00
41,600.00
52,000.00
114,400.00
83,200.00
93,600.00
104,000.00
88,400.00
158.00
316.00
237.00
135.00
237.00
570.00
603.00
418.00
418.00
496.00
300.00
496.00
316.00
393.00
180.00
418.00
603.00
229.00
96.00
367.00
580.00
348.00
158.00
1.00
10,400.00
10,400.00
10,400.00
46,800.00
62,400.00
78,000.00
6,240.00
57,200.00
52,000.00
36,400.00
52,000.00
46,800.00
124,800.00
52,000.00
31,200.00
31,200.00
41,600.00
52,000.00
124,800.00
83,200.00
93,600.00
104,000.00
88,400.00
130.00
197.00
281.00
159.00
281.00
674.00
271.00
468.00
468.00
318.00
318.00
318.00
382.00
464.00
133.00
309.00
318.00
271.00
106.00
434.00
674.00
341.00
418.00
1.00
12,182.00
12,182.00
12,158.00
50,275.00
70,925.00
80,000.00
8,000.00
60,925.00
56,925.00
44,275.00
63,250.00
48,070.00
126,700.00
63,250.00
37,950.00
37,950.00
44,275.00
63,250.00
130,000.00
90,550.00
110,000.00
120,200.00
90,200.00
43
CEMENTACION DE APARATO
CORONA DE ACERO PREFORMADA
CORONA DE CELULOIDE C/RESINA P/DIENTE
DESGASTE DE CANINOS
ENDODONCIA DIENTE TEMPORAL C/2
EXPANSOR FIJO
HAWLEY (PLACA)
HAWLEY CON TORNILLO LATERAL
HAWLEY CON TORNILLO TRIDIMENSIONAL
MANTENEDOR DE ESPACIO C/BANDA
MANTENEDOR DE ESPACIO C/CORONA
MANTENEDOR DE ESPACIO INTRAALVEOLAR
OBTURACION C/AMALGAMA
OBTURACION C/RESINA S/CORONA
ODONTECTOMIA (1 PIEZA)
PLACA HAWLEY C/ADITAMENTO
PLACA HAWLEY S/ADITAMENTO
PLACA OBTURADORA
PROFILAXIS Y CONTROL DE PLACA
PULPOTOMIA
QUAD HELIX
RECONSTRUCCION C/RESINA POLIMERICA
SELLADOR DE FISURA
C.E. ODONTOPEDIATRIA
PROCED.HEMOD.DIAGNOSTICO
ANGIOGRAFIA CORONARIA
CATETER.CARDIACO DER/IZQ.ADULTO
CATETER.CARDIACO DER/IZQ.NIO
PROCEDIMI.INTERVEC.CORONARIO
ANGIOPL.CORON.1 STENT CONVENC.
ANGIOPL.CORON.2 STETN.CONVENC.
ANGIOPL.CORON.3 STENT.CONVENC.
ULTRASONIDO INTRA CORONARIO
PROCED.INTERV.NO CORONARIOS
ANGIO.REN.O PER.(ILIACA,FEMORAL)
VALVULOPL.MITRAL C/BALON
VALVULOPL.PULMON.AORTICA C/BALON.
DILAT.C/BALON Y STENT COARTAC.AORTA
DILAT.C/BALON COART.DE AORTA
CIERRE COMUN.INTER.C/AMPLATZER
CIERR.COND.ARTER.PERSIST.C/AMPLATZER
CIERR.COND.ARTER.PERSIS.C/COIL
COLOC.FILTRO VENA CAVA INFERIOR
COLOC.MARCAPASO UNICAMERAL
COLOC.MARCAPASO BICAMERAL
COLOC.MARCAPASO TRICAMERAL
PRECIOS DE CIRUGIA
REVASCUL.CORONARIA S/B CONTRAPULSO
REVASCUL.CORONARIA C/B CONTRAPULSO
REVASCUL.Y CAMBIO VALVULAR
CAMBIO VALVULAR AORTICO
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
40
1
2
3
4
10
11
12
13
14
20
21
22
23
24
25
26
27
28
29
30
31
32
50
52
53
54
55
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
83,200.00
31,200.00
52,000.00
52,000.00
52,000.00
52,000.00
52,000.00
26,000.00
26,000.00
31,200.00
62,400.00
10,400.00
10,400.00
83,200.00
52,000.00
52,000.00
5.00
1.00
33.00
42.00
16.00
1.00
10.00
5.00
1.00
1.00
1.00
19,136.00
1.00
42.00
52.00
31.00
132.00
146.00
5.00
21.00
1.00
50.00
5,000.00
1.00
25.00
75.00
970.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
83,200.00
31,200.00
52,000.00
52,000.00
52,000.00
52,000.00
52,000.00
26,000.00
26,000.00
31,200.00
62,400.00
10,400.00
10,400.00
83,200.00
52,000.00
52,000.00
6.00
1.00
33.00
48.00
16.00
1.00
10.00
5.00
1.00
1.00
1.00
19,136.00
1.00
48.00
62.00
37.00
140.00
166.00
5.00
21.00
1.00
50.00
5,000.00
1.00
30.00
85.00
970.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
88,400.00
41,600.00
62,400.00
62,400.00
62,400.00
62,400.00
62,400.00
31,200.00
31,200.00
46,800.00
72,800.00
15,600.00
15,600.00
83,200.00
62,400.00
62,400.00
6.00
1.00
33.00
55.00
16.00
1.00
10.00
5.00
1.00
1.00
1.00
19,136.00
1.00
55.00
73.00
42.00
156.00
191.00
5.00
21.00
1.00
50.00
5,000.00
1.00
35.00
97.00
970.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
88,400.00
41,600.00
62,400.00
62,400.00
62,400.00
62,400.00
62,400.00
31,200.00
31,200.00
46,800.00
72,800.00
15,600.00
15,600.00
83,200.00
62,400.00
62,400.00
8.00
1.00
37.00
63.00
16.00
1.00
10.00
5.00
1.00
1.00
1.00
19,136.00
1.00
63.00
83.00
50.00
184.00
220.00
5.00
21.00
1.00
50.00
5,000.00
1.00
40.00
112.00
970.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
90,200.00
50,000.00
70,000.00
70,000.00
70,000.00
70,000.00
70,000.00
45,000.00
45,000.00
50,000.00
75,900.00
20,000.00
20,000.00
101,200.00
65,000.00
65,250.00
12.00
1.00
87.00
16.00
1.00
10.00
5.00
1.00
1.00
1.00
18,400.00
1.00
87.00
90.00
55.00
251.00
302.00
5.00
28.00
1.00
5,000.00
1.00
45.00
145.00
970.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
2
3
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
21
22
26
27
28
29
30
31
32
33
34
35
36
37
38
39
41
42
44
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
25
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
7,800.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1,560.00
6,032.00
437.00
432.00
728.00
697.00
1,238.00
6,032.00
6,032.00
1,269.00
6,032.00
624.00
328.00
1.00
700.00
820.00
950.00
1.00
312.00
728.00
832.00
1,560.00
832.00
1,040.00
1,560.00
1.00
364.00
7,592.00
7,800.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1,794.00
6,937.00
502.00
496.00
837.00
802.00
1,424.00
6,937.00
6,937.00
1,459.00
6,937.00
718.00
376.00
1.00
800.00
930.00
1,100.00
1.00
468.00
832.00
1,248.00
2,080.00
1,040.00
1,560.00
2,080.00
1.00
364.00
7,592.00
7,800.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
2,063.00
7,978.00
577.00
571.00
963.00
921.00
1,637.00
7,978.00
7,978.00
1,678.00
7,978.00
826.00
434.00
1.00
920.00
1,100.00
1,300.00
1.00
468.00
832.00
1,248.00
2,080.00
1,040.00
1,560.00
2,080.00
1.00
364.00
8,320.00
8,736.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
2,372.00
9,173.00
666.00
655.00
1,108.00
1,061.00
1,882.00
9,173.00
9,173.00
1,929.00
9,173.00
952.00
499.00
1.00
1,100.00
1,300.00
1,500.00
1.00
884.00
1,248.00
1,768.00
2,808.00
2,600.00
2,808.00
3,120.00
1.00
832.00
10,400.00
11,955.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
2,769.00
10,853.00
788.00
775.00
1,310.00
1,255.00
2,227.00
10,853.00
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2,283.00
10,853.00
1,126.00
591.00
1.00
1,220.00
1,500.00
1,700.00
1.00
1,151.00
1,624.00
2,301.00
3,655.00
3,384.00
3,655.00
4,061.00
1.00
1,083.00
12,182.00
45
50
60
61
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
116
200
500
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
7
1
2
3
4
5
6
7
9
10
21
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
26
27
27
27
27
27
27
27
27
27
27
27
27
27
27
27
27
27
28
30
30
30
30
30
30
30
30
30
30
7,592.00
60.00
96.00
81.00
100.00
1,123.00
1,123.00
187.00
91.00
91.00
1.00
272.00
377.00
452.00
452.00
621.00
452.00
57.00
114.00
582.00
679.00
754.00
100.00
1.00
731.00
505.00
782.00
561.00
281.00
450.00
250.00
10,239.00
9,117.00
7,574.00
7,013.00
7,434.00
7,434.00
7,434.00
7,013.00
7,013.00
8,556.00
8,556.00
7,434.00
7,434.00
7,013.00
7,013.00
8,556.00
6,732.00
7,434.00
7,592.00
70.00
110.00
94.00
115.00
1,292.00
1,292.00
215.00
104.00
104.00
1.00
272.00
377.00
452.00
452.00
621.00
452.00
57.00
114.00
582.00
679.00
754.00
100.00
1.00
731.00
505.00
782.00
561.00
281.00
450.00
250.00
10,239.00
9,117.00
7,574.00
7,013.00
7,434.00
7,434.00
7,434.00
7,013.00
7,013.00
8,556.00
8,556.00
7,434.00
7,434.00
7,013.00
7,013.00
8,556.00
6,732.00
7,434.00
8,320.00
80.00
126.00
107.00
133.00
1,485.00
1,485.00
248.00
120.00
120.00
1.00
272.00
377.00
452.00
452.00
621.00
452.00
57.00
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582.00
679.00
754.00
100.00
1.00
731.00
505.00
782.00
561.00
281.00
450.00
250.00
10,239.00
9,117.00
7,574.00
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7,013.00
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8,556.00
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7,434.00
7,013.00
7,013.00
8,556.00
6,732.00
7,434.00
10,400.00
92.00
145.00
124.00
153.00
1,709.00
1,709.00
285.00
138.00
138.00
1.00
491.00
652.00
908.00
908.00
1,032.00
908.00
136.00
273.00
1,172.00
1,446.00
1,583.00
652.00
1.00
731.00
505.00
782.00
561.00
281.00
450.00
250.00
10,239.00
9,117.00
7,574.00
7,013.00
7,434.00
7,434.00
7,434.00
7,013.00
7,013.00
8,556.00
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7,434.00
7,434.00
7,013.00
7,013.00
8,556.00
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12,182.00
73.00
107.00
146.00
158.00
1,162.00
1,162.00
193.00
193.00
193.00
1.00
491.00
652.00
908.00
908.00
1,032.00
908.00
136.00
273.00
1,172.00
1,446.00
1,583.00
652.00
1.00
-
22
1
2
3
4
5
6
7
8
9
12
1
2
3
4
5
6
7
8
9
10
11
12
1
155
198
240
300
301
302
303
350
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
46
30
32
32
32
32
32
32
32
32
32
32
33
33
33
33
33
33
33
33
33
33
33
33
34
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
6,732.00
7,434.00
6,873.00
7,434.00
6,592.00
6,592.00
7,434.00
7,714.00
7,434.00
8,135.00
6,592.00
1,108.00
7,013.00
1,320.00
1,240.00
2,665.00
2,665.00
2,665.00
2,665.00
2,665.00
2,665.00
2,665.00
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2,665.00
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6,732.00
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6,592.00
6,592.00
7,434.00
7,714.00
7,434.00
8,135.00
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2,665.00
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2,665.00
47
419
420
421
422
423
424
425
426
427
428
429
430
431
600
601
603
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
1,178.00
1,178.00
1,178.00
1,178.00
2,665.00
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2,665.00
1,066.00
5,330.00
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3,226.00
2,132.00
9,537.00
3,226.00
4,656.00
7,434.00
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8,556.00
14,867.00
12,791.00
11,781.00
34,082.00
4,278.00
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14,867.00
12,791.00
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34,082.00
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4,278.00
735
736
737
738
739
740
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
801
802
803
804
805
806
807
808
809
810
811
820
821
822
823
824
825
826
827
828
829
48
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
3,226.00
3,226.00
4,278.00
9,537.00
1,283.00
10,659.00
8,556.00
10,659.00
3,226.00
10,659.00
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5,330.00
8,556.00
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10,659.00
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3,226.00
9,537.00
9,537.00
6,452.00
8,560.00
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8,556.00
17,111.00
10,659.00
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9,537.00
12,763.00
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10,659.00
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7,434.00
8,556.00
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9,537.00
9,537.00
9,537.00
14,867.00
12,763.00
8,556.00
4,208.00
8,556.00
3,226.00
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4,278.00
9,537.00
1,283.00
10,659.00
8,556.00
10,659.00
3,226.00
10,659.00
3,226.00
5,330.00
8,556.00
9,537.00
3,226.00
10,659.00
8,556.00
3,226.00
9,537.00
9,537.00
6,452.00
8,560.00
3,226.00
8,556.00
17,111.00
10,659.00
9,537.00
9,537.00
12,763.00
12,763.00
8,556.00
9,537.00
10,659.00
10,659.00
10,659.00
8,556.00
7,434.00
8,556.00
8,556.00
9,537.00
9,537.00
9,537.00
14,867.00
12,763.00
8,556.00
4,208.00
8,556.00
3,226.00
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4,278.00
9,537.00
1,283.00
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8,556.00
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9,537.00
9,537.00
14,867.00
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8,556.00
4,208.00
8,556.00
3,226.00
3,226.00
4,278.00
9,537.00
1,283.00
10,659.00
8,556.00
10,659.00
3,226.00
10,659.00
3,226.00
5,330.00
8,556.00
9,537.00
3,226.00
10,659.00
8,556.00
3,226.00
9,537.00
9,537.00
6,452.00
8,560.00
3,226.00
8,556.00
17,111.00
10,659.00
9,537.00
9,537.00
12,763.00
12,763.00
8,556.00
9,537.00
10,659.00
10,659.00
10,659.00
8,556.00
7,434.00
8,556.00
8,556.00
9,537.00
9,537.00
9,537.00
14,867.00
12,763.00
8,556.00
4,208.00
8,556.00
49
PROCEDIMIENTOS RENALES
COLOCACION DE CATETER DOBLE J
DILATACIONES URETERALES
ESCLEROSIS DE QUISTES RENALES
EXTRACCION DE LITOS RENALES
NEFROSTOGRAFIA
NEFROSTOMIA PERCUTANEA S/KIT BILATERAL
NEFROSTOMIA PERCUTANEA S/KIT UNILATERAL
PROCEDIMIENTOS UROLOGICOS COMPLEJOS
RECAMBIO DE CATETER DE NEFROSTOMIA
URETEROPLASTIA
RETIRO DE SONDA DE NEFROSTOMIA
PROCEDIMIENTOS TORACICOS
BIOPSIA PULMONAR
BRONCOPLASTIA
COLOCACION DE STENT BRONQUIAL
DRENAJE PLEURAL
EMBOLIZACION ANEURISMA PULMONAR
EMBOLIZACION FISTULA ARTERIAL
TORACOCENTESIS
PROCEDIMIENTOS VASCULARES
ANGIOPLASTIA PERIFERICA
ANGIOPLASTIA RENAL
COLOCACION DE CATETER HEMODIALISIS
COLOCACION DE FILTRO DE VENA CAVA
COLOCACION DE LINEA CENTRAL
COLOCACION DE PUERTO P/QUIMIOTERAPIA
COLOCACION DE STENT CAROTIDEO
COLOC.DE STENT ARTERIA MESENT.SUPER
COLOCACION DE STENT RENAL
COLOCACION DE STENT VENOSO
EMBOLIZACION ANEURISMA ABDOMINAL
EMBOLIZACION ANEURISMA TORACICO
EMBOLIZACION ARTERIAS BRONQUIAL
EMBOLIZACION ARTERIAS MESENTERICAS
EMBOLIZACION CABEZA Y CUELLO
EMBOL.DE MALFORMACIONES VASCULARE
EMBOLIZACION METASTASIS
EMBOLIZACION MIOMAS UTERINOS
EMBOLIZACION VARICES PELVICAS
EMBOLIZACION HEPATICA
EMBOLIZACION RENAL
FLEBOPLASTIA
FLEBOPL.Y COLOC.CATETER HEMODI
OCLUSION DE PERSISTENCIA DE CONDUCTO ART
TROMBOLISIS MAS ANGIOGR.PERIFERICA
TROMBOLISIS PULMONAR
EXTRACC.DE CUERPO EXTRAO VASCULAR
OTROS PROCEDIMIENTOS
DRENAJE DE COLECCIONES ABDOMINALES
EXTRACC.CUERPO EXTRAO(DIFERENTE TEJIDO)
840
841
842
843
844
845
846
847
848
849
850
851
860
861
862
863
868
869
870
871
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
920
921
922
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
3,226.00
590.00
929.00
958.00
677.00
1,525.00
516.00
516.00
560.00
516.00
516.00
810.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
899.00
589.00
958.00
1,620.00
516.00
1,796.00
516.00
420.00
1,220.00
2,455.00
8,430.00
786.00
3,277.00
-
3,226.00
590.00
929.00
958.00
677.00
1,525.00
516.00
516.00
560.00
516.00
516.00
810.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
899.00
589.00
958.00
1,620.00
516.00
1,796.00
516.00
420.00
1,220.00
2,455.00
8,430.00
786.00
3,277.00
-
3,226.00
590.00
929.00
958.00
677.00
1,525.00
516.00
516.00
560.00
516.00
516.00
810.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
899.00
589.00
958.00
1,620.00
516.00
1,796.00
516.00
420.00
1,220.00
2,455.00
8,430.00
786.00
3,277.00
-
3,226.00
590.00
929.00
958.00
677.00
1,525.00
516.00
516.00
560.00
516.00
516.00
810.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
899.00
589.00
958.00
1,620.00
516.00
1,796.00
516.00
420.00
1,220.00
2,455.00
8,430.00
700.00
18,355.00
9,950.00
13,200.00
16,000.00
786.00
3,277.00
3,400.00
1,790.00
PARACENTESIS
MAMOGRAFIA
MAMOGRAFIA (1)
MAMOGRAFIA (2)
MAMOGRAFIA BIOPSIA
GALACTOGRAFIA BILATERAL
MARCAJE DE MAMA
ULTRASONIDO
ULTRASONIDO ABDOMINAL
ULTRASONIDO RENAL
ULTRASONIDO GINECOLOGICO
ULTRASON. OBST.HASTA 12 S.D.G.
ULTRASONIDO DE MAMA (1)
ULTRASONIDO DE MAMA (2)
ULTRASONIDO PEQUEOS ORGANOS
ULTRASONIDO DOPPLER ESPECTRAL
ULTRASONIDO TRANSFONTANELAR
ULTRASONIDO DE TESTICULO 1
ULTRASONIDO DE TESTICULOS (2)
ULTRASONIDO TIROIDES
ULTRASONIDO TEJIDOS BLANDOS
ULTRASONIDO PAROTIDAS
ULTRASONIDO MUSCULOESQUELETICO
ULTRASONIDO DE CADERA
ULTRASONIDO DE HOMBRO
ULTRASONIDO DE TORAX
ULTRASONIDO TRANSVAGINAL
HISTEROSONOGRAFIA
ULTRASONIDO PELVICO
ULTRASONIDO DOPPLER(1) COLOR
ULTRASONIDO DOPPLER(2) COLOR
US.OBSTETRICO 3ER. TRIMESTRE
FOLICULOGRAMA SEIRE 3 TRANSVAGINAL
ULTRASON.OBST.MAS 12 S.D.G.
REGISTRO CARDIOTOCOGRAFICO
RADIOTERAPIA
TX. DIARIO EN AC. LINEAL
SIMULACION Y LOCALIZACION
BRAQUITERAPIA
BLOQUEO ANESTESICO
CIRUGIA GENERAL
GASTROENTEROLOGIA
C.P.R.E. DIAGNOSTICA
C.P.R.E. C/EXTRACCION CALCULO ENDOSCOPIC
C.P.R.E. C/COLOC. ENDOPROTESIS
CLINICA DE DISPLASIAS
COLPOSCOPIA
CONIZACION CON ASA DE DIATERMIA
OFTALMOLOGIA
FOTOCOAGULACION C/LASER P/OJO
LASER PARCIAL POR OJO
923
1100
1101
1102
1103
1104
1105
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1323
1324
1325
1326
1327
1328
1400
1401
1402
1403
1404
1405
1500
1501
1502
1503
1600
1601
1602
1700
1703
1704
50
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
196.00
306.00
274.00
56.00
464.00
380.00
314.00
504.00
453.00
343.00
281.00
354.00
524.00
423.00
741.00
56.00
56.00
412.00
352.00
74.00
51.00
434.00
38.00
74.00
337.00
306.00
240.00
200.00
200.00
50.00
32.00
87.00
83.00
69.00
72.00
157.00
601.00
86.00
78.00
47.00
64.00
997.00
72.00
337.00
29.00
87.00
625.00
48.00
115.00
196.00
306.00
274.00
56.00
464.00
380.00
314.00
504.00
453.00
343.00
281.00
354.00
524.00
423.00
741.00
56.00
56.00
412.00
352.00
74.00
51.00
434.00
38.00
74.00
337.00
306.00
240.00
200.00
200.00
50.00
32.00
87.00
83.00
69.00
72.00
157.00
601.00
86.00
78.00
47.00
64.00
997.00
72.00
337.00
29.00
87.00
625.00
48.00
115.00
196.00
306.00
274.00
56.00
464.00
380.00
314.00
504.00
453.00
343.00
281.00
354.00
524.00
423.00
741.00
56.00
56.00
412.00
352.00
74.00
51.00
434.00
38.00
74.00
337.00
306.00
240.00
200.00
200.00
50.00
32.00
87.00
83.00
69.00
72.00
157.00
601.00
86.00
78.00
47.00
64.00
997.00
72.00
337.00
29.00
87.00
625.00
48.00
115.00
950.00
196.00
306.00
274.00
56.00
464.00
380.00
314.00
504.00
453.00
343.00
281.00
354.00
524.00
423.00
741.00
56.00
56.00
412.00
352.00
74.00
51.00
434.00
38.00
74.00
337.00
306.00
240.00
200.00
200.00
50.00
32.00
87.00
83.00
69.00
72.00
157.00
601.00
86.00
78.00
47.00
64.00
997.00
72.00
337.00
29.00
87.00
625.00
48.00
115.00
51
1705
1
2
3
4
5
8
9
10
11
12
13
14
15
16
17
18
19
20
21
23
27
28
29
30
31
33
34
35
37
38
40
42
48
49
50
51
52
53
54
56
58
59
60
61
63
64
65
66
67
68
36
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
289.00
48.00
135.00
50.00
388.00
388.00
388.00
372.00
98.00
111.00
391.00
179.00
179.00
179.00
179.00
38.00
315.00
65.00
388.00
388.00
388.00
714.00
714.00
434.00
82.00
196.00
53.00
53.00
53.00
53.00
180.00
87.00
107.00
185.00
77.00
28.00
165.00
165.00
828.00
123.00
162.00
335.00
257.00
359.00
131.00
55.00
103.00
155.00
103.00
103.00
103.00
289.00
48.00
135.00
50.00
388.00
388.00
388.00
372.00
98.00
111.00
391.00
179.00
179.00
179.00
179.00
38.00
315.00
65.00
388.00
388.00
388.00
714.00
714.00
434.00
82.00
196.00
53.00
53.00
53.00
53.00
180.00
87.00
107.00
185.00
77.00
28.00
165.00
165.00
828.00
123.00
162.00
335.00
257.00
359.00
131.00
55.00
103.00
155.00
103.00
103.00
103.00
289.00
48.00
135.00
50.00
388.00
388.00
388.00
372.00
98.00
111.00
391.00
179.00
179.00
179.00
179.00
38.00
315.00
65.00
388.00
388.00
388.00
714.00
714.00
434.00
82.00
196.00
53.00
53.00
53.00
53.00
180.00
87.00
107.00
185.00
77.00
28.00
165.00
165.00
828.00
123.00
162.00
335.00
257.00
359.00
131.00
55.00
103.00
155.00
103.00
103.00
103.00
289.00
48.00
135.00
50.00
388.00
388.00
388.00
372.00
98.00
111.00
391.00
179.00
179.00
179.00
179.00
38.00
315.00
65.00
388.00
388.00
388.00
714.00
714.00
434.00
82.00
196.00
53.00
53.00
53.00
53.00
180.00
87.00
107.00
185.00
77.00
28.00
165.00
165.00
828.00
123.00
162.00
335.00
257.00
359.00
131.00
55.00
103.00
155.00
103.00
103.00
103.00
CREATINOFOSFOQUINASA MB
CREATININA ORINA MATINAL
COAGLUTINACION POR ESPECIE (1)
CUERPOS GRASOS EN ORINA
CULTIVO BACTERIOLOGICO GRAM
CULTIVO DE BIOPSIAS
CULTIVO DE LCR
CURVA DE TOLERANCIA
DEPURACION DE CREATININA
DESHIDROGENASA LACTICA-DHLDIGOXINA
ELECTROLITOS ORINA MATINAL
ELECTROLITOS EN ORINA (Na,K,Cl.)
ELECTROLITOS EN ORINA Na,K
ELECTROLITOS SERICOS(Na,K)
EOSINOFILOS EN MOCO NASAL
ESTRADIOL
EXAMEN GENERAL DE ORINA
EXUDADO FARINGEO
EXUDADO CERVICO-VAGINAL
EXUDADO URETRAL
FENITOINA DFH
FENOBARBITAL
FERRITINA
FIBRINOGENO
INSULINA
FOSFORO EN ORINA DE 24 HS.
FOSFATASA ALKALINA-ALK-P
FOSFORO EN SUERO
FOSFORO ORINA MATINAL
GASOMETRIAS
GLUCOSA EN SUERO
GLUCOSA PRE-POST
Q.S.(GLUCOSA, UREA,CREATININA)
GLUCOSURIA (24 HRS.)
GRASAS EN HECES
H.D.L. COLESTEROL
T.S.H. HORM. ESTIMULANTE TIROIDES
HEMOCULTIVO
APT HB. FETAL
HIERRO SERICO
HOMOCISTEINA
F.S.H. HORMONA FOLICULO ESTIMULANTE
LH HORMONA LUTEINIZANTE
L.D.L. COLESTEROL
LIPIDOS TOTALES
LIQUIDO AMNIOTICO
L.C.R.-CITO Y FISICOQUIMICOLIQUIDO ASCITIS
LIQUIDO DIALISIS
LIQUIDO PLEURAL
69
70
71
72
73
74
75
80
81
82
83
85
86
87
88
89
92
93
94
95
96
98
99
100
101
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
121
122
124
125
126
127
128
129
130
52
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
103.00
151.00
151.00
151.00
206.00
25.00
246.00
973.00
60.00
247.00
65.00
322.00
70.00
296.00
86.00
54.00
70.00
127.00
632.00
70.00
731.00
407.00
434.00
113.00
22.00
194.00
48.00
147.00
127.00
22.00
37.00
298.00
164.00
54.00
70.00
361.00
369.00
369.00
70.00
70.00
54.00
98.00
388.00
22.00
22.00
53.00
64.00
54.00
54.00
96.00
44.00
103.00
151.00
151.00
151.00
206.00
25.00
246.00
973.00
60.00
247.00
65.00
322.00
70.00
296.00
86.00
54.00
70.00
127.00
632.00
70.00
731.00
407.00
434.00
113.00
22.00
194.00
48.00
147.00
127.00
22.00
37.00
298.00
164.00
54.00
70.00
361.00
369.00
369.00
70.00
70.00
54.00
98.00
388.00
22.00
22.00
53.00
64.00
54.00
54.00
96.00
44.00
103.00
151.00
151.00
151.00
206.00
25.00
246.00
973.00
60.00
247.00
65.00
322.00
70.00
296.00
86.00
54.00
70.00
127.00
632.00
70.00
731.00
407.00
434.00
113.00
22.00
194.00
48.00
147.00
127.00
22.00
37.00
298.00
164.00
54.00
70.00
361.00
369.00
369.00
70.00
70.00
54.00
98.00
388.00
22.00
22.00
53.00
64.00
54.00
54.00
96.00
44.00
103.00
151.00
151.00
151.00
206.00
25.00
246.00
973.00
60.00
247.00
65.00
322.00
70.00
296.00
86.00
54.00
70.00
127.00
632.00
70.00
731.00
407.00
434.00
113.00
22.00
194.00
48.00
147.00
127.00
22.00
37.00
298.00
164.00
54.00
70.00
361.00
369.00
369.00
70.00
70.00
54.00
98.00
388.00
22.00
22.00
53.00
64.00
54.00
54.00
96.00
44.00
388.00
-
53
LIQUIDO SINOVIAL
MAGNESIO EN SUERO
MAGNESIO EN ORINA
MAGNESIO DE 24 HS.
OSMOLARIDAD SERICA
P.H.
PRUEBAS DE FUNCION HEPATICA
PERFIL TIROIDEO COMPLETO
PLAQUETAS
PROGESTERONA
POLIMORFOS NUCLEARES
PROTEINA C REACTIVA
PROTEINURIA DE MICCION UNICA
PROLACTINA
PROTEINA DE BENCE JONES
PROTEINAS TOTALES
PROTEINURIA DE 24 HS.
PRUEBA DE EMBARAZO EN ORINA
PSA LIBRE (AG.PROSTATICO LIBRE)
PROTEINURIA UNA SOLA MICCION
PROGRAF
PORCENTAJE DE SATUR. DE HIERRO
FACTOR REUMATOIDE CUANTIFICADO
TAMIZ
TINCION DE MEDULA OSEA (WRIGHT)
REACCIONES FEBRILES
RETICULOCITOS
ROTAVIRUS
ROSA DE BENGALA
TINTA CHINA (CRIPTOCOCO)
SANGRE OCULTA EN HECES
SUBUNIDAD BETA-HGCCAPTACION DE TIROXINA TOTAL
TGO/AST
TGP/ALT
TESTOSTERONA
T3 TOTAL(TRIYODOTIRONINA)
T4 TOTAL(TIROXINA)
TIEMPO DE PROTROMBINA
TIEMPO PARCIAL DE TROMBOPLASTINA
UREA EN ORINA DE 24 HS.
CRIPTOSPORIDIUM
EXPECTORACION GRAM Y BACTERIOLOGICO
TINCION DE ZIEL NELSEN C/U
TINCION SIMPLE DE AZUL DE METILENO
TIPO SANGUINEO Y FACTOR RH
TRIGLICERIDOS
UREA
UREA ORINA MATINAL
VDRL
V.S.G.
131
132
133
134
138
139
140
141
142
143
144
145
146
147
149
150
151
152
153
154
155
156
158
159
160
161
162
163
164
166
168
171
172
173
174
175
176
177
179
180
181
183
184
185
186
187
188
189
190
191
192
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
162.00
162.00
486.00
276.00
505.00
334.00
69.00
54.00
235.00
235.00
71.00
647.00
76.00
31.00
179.00
48.00
220.00
127.00
48.00
53.00
2,754.00
152.00
152.00
578.00
64.00
626.00
273.00
273.00
257.00
109.00
731.00
61.00
200.00
170.00
828.00
524.00
524.00
2,500.00
1,500.00
12,000.00
12,000.00
590.00
930.00
960.00
680.00
2,800.00
516.00
516.00
162.00
162.00
486.00
276.00
505.00
334.00
69.00
54.00
235.00
235.00
71.00
647.00
76.00
31.00
179.00
48.00
220.00
127.00
48.00
53.00
2,754.00
152.00
152.00
578.00
64.00
626.00
273.00
273.00
257.00
109.00
731.00
61.00
200.00
170.00
828.00
524.00
524.00
2,500.00
1,500.00
12,000.00
12,000.00
590.00
930.00
960.00
680.00
2,800.00
516.00
516.00
162.00
162.00
486.00
276.00
505.00
334.00
69.00
54.00
235.00
235.00
71.00
647.00
76.00
31.00
179.00
48.00
220.00
127.00
48.00
53.00
2,754.00
152.00
152.00
578.00
64.00
626.00
273.00
273.00
257.00
109.00
731.00
61.00
200.00
170.00
828.00
524.00
524.00
2,500.00
1,500.00
12,000.00
12,000.00
590.00
930.00
960.00
680.00
2,800.00
516.00
516.00
162.00
162.00
486.00
276.00
505.00
334.00
69.00
54.00
235.00
235.00
71.00
647.00
76.00
31.00
179.00
48.00
200.00
127.00
48.00
53.00
2,754.00
152.00
152.00
578.00
64.00
626.00
273.00
273.00
257.00
109.00
731.00
61.00
200.00
170.00
828.00
524.00
524.00
2,500.00
1,500.00
12,000.00
12,000.00
590.00
930.00
960.00
680.00
2,800.00
516.00
516.00
193
194
196
197
198
199
200
201
202
209
210
213
215
218
219
220
221
222
223
224
225
226
227
228
232
233
234
235
236
239
240
241
248
249
250
251
252
270
271
272
275
276
400
401
402
403
404
405
600
601
602
54
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
516.00
516.00
516.00
811.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
811.00
516.00
589.00
958.00
1,620.00
516.00
1,796.00
736.00
1,500.00
2,000.00
1,700.00
2,000.00
7,000.00
2,000.00
7,200.00
7,000.00
2,000.00
1,500.00
1,320.00
1,240.00
9,697.00
1,074.00
1,724.00
2,253.00
1.00
1.00
1.00
1.00
1.00
1.00
-
516.00
516.00
516.00
811.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
811.00
516.00
589.00
958.00
1,620.00
516.00
1,796.00
736.00
1,500.00
2,000.00
1,700.00
2,000.00
7,000.00
2,000.00
7,200.00
7,000.00
2,000.00
1,500.00
1,320.00
1,240.00
9,697.00
1,074.00
1,724.00
2,253.00
1.00
1.00
1.00
1.00
1.00
1.00
-
516.00
516.00
516.00
811.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
811.00
516.00
589.00
958.00
1,620.00
516.00
1,796.00
736.00
1,500.00
2,000.00
1,700.00
2,000.00
7,000.00
2,000.00
7,200.00
7,000.00
2,000.00
1,500.00
1,320.00
1,240.00
9,697.00
1,074.00
1,724.00
2,253.00
1.00
1.00
1.00
1.00
1.00
1.00
-
516.00
516.00
516.00
811.00
560.00
736.00
589.00
589.00
736.00
589.00
589.00
589.00
589.00
589.00
589.00
589.00
736.00
811.00
516.00
589.00
958.00
1,620.00
516.00
1,796.00
736.00
1,500.00
2,000.00
1,700.00
2,000.00
7,000.00
2,000.00
7,200.00
7,000.00
2,000.00
1,500.00
1,320.00
1,240.00
9,697.00
1,074.00
1,724.00
2,253.00
1.00
1.00
1.00
1.00
1.00
1.00
-
55
ULTRASONIDO GINECOLOGICO
ULTRASONIDO OBST.HASTA 12 SDG
ULTRASONIDO 1 GLANDULA MAMARIA
ULTRASONIDO AMBAS MAMAS
ULTRASONIDO PEQUEOS ORGANOS
ULTRASONIDO DOPLER ESPECTRAL
ULTRASONIDO TRANSFONTANELAR
ULTRASONIDO DE TESTICULO (1)
ULTRASONIDO DE TESTICULO (2)
ULTRASONIDO TIROIDEO
ULTRASONIDO DE TEJIDOS BLANDOS
ULTRASONIDO DE PAROTIDAS
ULTRASONIDO MUSCULOESQUELETICO
ULTRASONIDO DE CADERA
ULTRASONIDO DE HOMBRO
ULTRASONIDO DE TORAX
ULTRASONIDO TRANSVAGINAL
HISTEROSONOGRAFIA
ULTRASONIDO OBST. MAS 12 SDG
ULTRASONIDO PELVICO
ULTRASONIDO DOPLER (1) COLOR
ULTRASONIDO DOPLER (2) COLOR
ULTRASONIDO OBST. 3ER. TRIMESTRE
FOLICULOGRAMA SERIE 3 TRANSVAGINAL
ULTRASONIDO DE RODILLA
ENDOSCOPIAS
ENDOSCOPIA GASTROINTESTINAL SUPERIOR
ENDOSC.GASTROINT.SUP.C/BIOPSIA
COLONOSCOPIA LARGA
COLONOSCOPIALARGA C/BIOPSIA
GASTROSTOMIA
POLIPECTOMIAS
LIGADURA VARICEAL
COLOCAC.SONDA NASOENTERAL
DILAT.ESOFAG.PILORICA O COLONICA
RECTOSIGMOIDOSCOPIA
CARDIOLOGIA
ECO TRANSTORACICO
PRUEBA DE ESFUERZO
PROC.QX.C/HOSP.O AMBULAT. DIVERSOS
USO DE QUIROFANO
ESTANCIA DIARIA (SALA GENERAL)
ESTANCIA DIARIA (U.C.I.)
USO DE VENTILADOR RESPIR-DIARIOCONSUMO DE MAT. QUIRURGICO
CONSUMO DE MEDICAMENTOS
CONS. MAT.CURACION EN SALA HOSPITALIZACI
EXAMENES LAB. CL. EN HOSPITALIZACION
ESTUDIOS DE R.X. EN HOSPITALIZACION
OTROS ESTUDIOS DE DIAGNOSTICO EN HOSPITA
C.E.PROCED.DE OFTALMOLOGIA
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
628
650
651
652
653
654
655
656
657
658
659
660
700
707
708
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1100
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
3,200.00
1,600.00
750.00
560.00
450.00
281.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
245.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1,600.00
750.00
560.00
450.00
281.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
245.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1,600.00
750.00
560.00
450.00
281.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
245.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1,600.00
750.00
560.00
450.00
281.00
365.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
12,000.00
245.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1107
1108
1109
1115
1116
1117
1118
1224
1250
1251
1252
1253
1254
1255
1256
1402
1450
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
56
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
1,200.00
1,200.00
1,200.00
1,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1,066.00
17,600.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
13,000.00
11,200.00
13,000.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
1,200.00
1,200.00
1,200.00
1,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1,066.00
17,600.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
13,000.00
11,200.00
13,000.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
1,200.00
1,200.00
1,200.00
1,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1,066.00
17,600.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
13,000.00
11,200.00
13,000.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
1,200.00
1,200.00
1,200.00
1,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
3,200.00
1,066.00
17,600.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
13,000.00
11,200.00
13,000.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
11,200.00
57
1485
1486
1487
1488
1489
1490
1492
1493
1494
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1560
1561
1562
1567
1568
1569
1570
1571
1573
1574
1575
1577
1578
1579
1580
1581
1583
1584
1585
1586
1587
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
13,000.00
11,200.00
2,000.00
11,200.00
9,500.00
13,300.00
7,400.00
2,500.00
8,000.00
3,200.00
8,600.00
8,800.00
7,600.00
2,000.00
21,700.00
18,600.00
10,000.00
46,500.00
5,500.00
9,300.00
3,200.00
46,500.00
46,500.00
8,200.00
6,300.00
46,500.00
49,000.00
13,300.00
3,200.00
786.00
3,280.00
1.00
1.00
1.00
1.00
624.00
3,120.00
3,120.00
416.00
13,000.00
11,200.00
2,000.00
11,200.00
9,500.00
13,300.00
7,400.00
2,500.00
8,000.00
3,200.00
8,600.00
8,800.00
7,600.00
2,000.00
21,700.00
18,600.00
10,000.00
46,500.00
5,500.00
9,300.00
3,200.00
46,500.00
46,500.00
8,200.00
6,300.00
46,500.00
49,000.00
13,300.00
3,200.00
786.00
3,280.00
1.00
1.00
1.00
1.00
624.00
3,120.00
3,120.00
458.00
13,000.00
11,200.00
2,000.00
11,200.00
9,500.00
13,300.00
7,400.00
2,500.00
8,000.00
3,200.00
8,600.00
8,800.00
7,600.00
2,000.00
21,700.00
18,600.00
10,000.00
46,500.00
5,500.00
9,300.00
3,200.00
46,500.00
46,500.00
8,200.00
6,300.00
46,500.00
49,000.00
13,300.00
3,200.00
786.00
3,280.00
1.00
1.00
1.00
1.00
624.00
3,120.00
3,120.00
503.00
13,000.00
11,200.00
2,000.00
11,200.00
9,500.00
13,300.00
5,656.00
13,300.00
3,200.00
7,400.00
2,500.00
8,000.00
3,200.00
8,600.00
8,800.00
7,600.00
2,000.00
21,700.00
18,600.00
10,000.00
46,500.00
5,500.00
9,300.00
3,200.00
46,500.00
46,500.00
8,200.00
6,300.00
46,500.00
49,000.00
13,300.00
3,200.00
786.00
3,280.00
1.00
1.00
1.00
1.00
1,500.00
3,120.00
3,120.00
13,000.00
553.00
1.00
1.00
1.00
1.00
642.00
3,210.00
3,210.00
753.00
1588
1589
1590
1591
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612
1617
1619
1620
1624
1625
1626
1628
1629
1630
1634
1637
1640
1641
1642
1643
1644
1646
1663
1664
1669
1670
1672
1700
1701
1702
1
2
3
4
5
6
7
8
1
58
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
38
38
38
38
38
38
38
38
39
21.00
26.00
21.00
239.00
250.00
250.00
177.00
297.00
243.00
290.00
343.00
290.00
312.00
243.00
260.00
260.00
317.00
218.00
3,120.00
1,040.00
177.00
302.00
68.00
68.00
1.00
450.00
640.00
795.00
397.00
1,118.00
560.00
25.00
125.00
125.00
125.00
125.00
125.00
125.00
125.00
125.00
125.00
250.00
125.00
125.00
125.00
125.00
1.00
1.00
374.00
21.00
26.00
21.00
276.00
287.00
287.00
204.00
341.00
280.00
333.00
395.00
333.00
359.00
280.00
299.00
299.00
365.00
251.00
4,046.00
1,196.00
204.00
347.00
78.00
78.00
1.00
450.00
640.00
914.00
457.00
1,410.00
705.00
37.00
145.00
144.00
144.00
144.00
144.00
144.00
144.00
144.00
144.00
287.00
140.00
144.00
144.00
144.00
1.00
1.00
412.00
21.00
26.00
21.00
316.00
333.00
333.00
234.00
393.00
321.00
383.00
453.00
383.00
413.00
321.00
343.00
343.00
419.00
289.00
5,252.00
1,376.00
234.00
399.00
89.00
89.00
1.00
450.00
640.00
1,051.00
525.00
2,184.00
1,092.00
50.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
1.00
1.00
453.00
21.00
26.00
21.00
364.00
383.00
383.00
269.00
452.00
370.00
439.00
520.00
442.00
474.00
370.00
395.00
395.00
483.00
333.00
6,833.00
1,581.00
269.00
458.00
104.00
104.00
1.00
450.00
640.00
1,211.00
605.00
2,746.00
1,373.00
62.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
1.00
1.00
499.00
21.00
26.00
21.00
358.00
375.00
375.00
263.00
449.00
368.00
439.00
519.00
439.00
470.00
509.00
391.00
391.00
475.00
328.00
7,740.00
1,585.00
310.00
451.00
102.00
102.00
1.00
450.00
640.00
1,373.00
686.00
3,113.00
1,557.00
71.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
1,075.00
849.00
1.00
1.00
566.00
59
DESAYUNO
COMIDA
CENA
MAT. P/APLIC ONCOVIN
MAT. P/APLIC MEGADOSIS
MAT. P/APLIC VEPECID
MAT. P/PUNCION LUMBAR
MAT. P/APIC LA. (1)
MAT. P/APLIC LA. (2)
MAT. P/ MELANOMA
MAT. P/L.N.H. (1)
MAT. P/L.N.H. (2)
MAT. P/CA. DE MAMA
MAT. P/CA. DE MAMA (REFUERZO)
MAT. P/CA. HEPATICO
MAT. P/CA. DE COLON
MAT. P/CA. DE PULMON
MAT. P/TRANSFUSION SANGUINEA
BRAQUITERAPIA
TOMA DE BIOPSIA*INCLUYE PATOLOGICO*
CURACION DE CATETER
ASPIRACION DE MEDULA OSEA
QUIMIOTERAPIA SUBCUTANEA
QUIMIOTERAPIA INTRAMUSCULAR
QUIMIOTERAPIA
HIDRATACION
APLICACION DE QUIMIOTERAPIA
USO DE QUIROFANO PRIMERA HORA
USO DE QUIROFANO HORAS SUBSECUENTE
USO QUIROF.C.ESPECIALID.(1 H.)
USO QUIROF.CIR.ESPECIALID.SUBSECUENTE
CURACIONES
OXIGENO
DEBRIDACION DE ABSCESOS
DILATACIONES ESOFAGO/URETRA
PUNCION ABDOMINAL
PUNCION PLEURAL
PUNCION ARTICULAR
PUNCION LUMBAR
PUNCION MEDULA OSEA
PUNCIONES OTRAS
REDUCCION CERRADA
TRACCION CUTANEA
SELLO DE AGUA
SUTURA DE HERIDAS
VENODISECCION
ENDOSCOPIA CON BIOPSIA
ENDOSCOPIA SIN BIOPSIA
MATERIAL ESPECIAL DE CARDIOLOGIA
ABONO A CIRUGIA DE CARDIOLOGIA
DIAS CAMA
1
2
3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
1
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
25
26
27
28
30
40
40
40
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
1.00
795.00
397.00
1,118.00
560.00
25.00
125.00
125.00
125.00
125.00
125.00
125.00
125.00
125.00
125.00
250.00
125.00
125.00
125.00
125.00
1.00
1.00
380.00
1.00
624.00
1,508.00
15,600.00
2,080.00
520.00
728.00
37.00
250.00
187.00
187.00
72,800.00
26,572.00
3,120.00
1,040.00
676.00
1.00
1.00
1,248.00
1,123.00
1.00
1.00
2,751.00
1,248.00
1.00
1.00
1.00
914.00
457.00
1,410.00
705.00
37.00
145.00
144.00
144.00
144.00
144.00
144.00
144.00
144.00
144.00
287.00
144.00
144.00
144.00
144.00
1.00
1.00
420.00
1.00
780.00
1,820.00
18,720.00
3,120.00
728.00
936.00
45.00
300.00
225.00
225.00
87,360.00
30,660.00
3,744.00
1,248.00
676.00
1.00
1.00
1,435.00
1,373.00
1.00
1.00
2,751.00
1,248.00
1.00
1.00
1.00
1,051.00
525.00
2,184.00
1,092.00
50.00
165.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
168.00
331.00
168.00
168.00
168.00
168.00
1.00
1.00
460.00
1.00
936.00
2,184.00
22,464.00
4,160.00
936.00
1,144.00
56.00
362.00
275.00
171.00
95,680.00
33,726.00
4,493.00
1,498.00
676.00
1.00
1.00
1,650.00
1,622.00
1.00
1.00
2,756.00
1,248.00
1.00
1.00
1.00
1,211.00
605.00
2,746.00
1,373.00
62.00
195.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
202.00
381.00
202.00
202.00
202.00
202.00
1.00
1.00
505.00
1.00
1,048.00
2,446.00
29,120.00
4,659.00
1,048.00
1,281.00
62.00
406.00
307.00
307.00
116,500.00
42,000.00
6,038.00
2,016.00
988.00
1.00
1.00
80,000.00
20,000.00
1,898.00
1,817.00
1.00
1.00
3,172.00
1,248.00
1.00
1.00
1.00
1,373.00
686.00
3,113.00
1,557.00
71.00
151.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
229.00
432.00
229.00
229.00
229.00
229.00
1.00
1.00
566.00
1.00
1,402.00
5,094.00
38,948.00
6,232.00
1,402.00
1,714.00
70.00
452.00
342.00
342.00
155,150.00
35,524.00
8,078.00
2,696.00
1,321.00
1.00
1.00
2,247.00
2,026.00
1.00
1.00
4,243.00
4,243.00
1.00
1.00
TERAPIA PEDIATRICA
USO DE QUIROFANO PRIMERA HORA
USO DE QUIROFANO HORAS SUBSECUENTE
USO QUIROF.CIR.ESPECIALID.(1H)
USO QUIROF.CIR.ESPECIALID.SUBSECUENTE
CURACIONES
OXIGENO
DEBRIDACION DE ABSCESOS
DILATACIONES ESOFAGO-URETRA
PUNCION ABDOMINAL
PUNCION PLEURAL
PUNCION ARTICULAR
PUNCION LUMBAR
PUNCION DE MEDULA OSEA
PUNCIONES OTRAS
REDUCCIONES CERRADAS
TRACCION CUTANEA
SELLO DE AGUA
SUTURA DE HERIDAS
VENODISECCION
MATERIAL ESPECIAL DE CARDIOLOGIA
ABONO A CIRUGIA DE CARDIOLOGIA
DIAS CAMA
TERAPIA DE CARDIOLOGIA
ENFERMERA INSTRUMENTISTA
MAT. Qx. DE TRASPLANTE
PROCURACION DE ORGANOS
SOL. PRESERVACION DE ORGANOS
TIEMPO ANEST. DE TRASPLANTE
TIEMPO Qx. DE TRASPLANTE
CURACIONES
OXIGENO
PUNCIONES (DIF. REGION)
VENODISECCION
CIRUGIA DE TRASPLANTE DE RION
CIRUGIA DE TRASPLANTE DE CORNEA
PROCURACION DE ORGANOS CORNEA
SOL. PRESERVACION TEJ. CORNEA
SESION DE HEMODIALISIS
CIRUGIA DE TRASPLANTE DE HIGADO
COLOCACION DE CATETER
TRASPLANTE RENAL DONADOR VIVO RELACIONAD
NEFRECTOMIA DEL DONADOR VIVO
CONST. FISTULA ARTERIOVENOSA
ESTANCIA
MAT. DESECHABLE DE TRASPLANTE
MEDICAMENTOS ESPECIALES DE TRASPLANTE
TOMA DE BIOPSIA RENAL
HEMOFILTRACION
UNIDAD DE TRASPLANTES
CASOS INSUFICIENCIA RENAL
50
1
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
27
28
30
50
2
3
4
5
6
7
10
11
12
13
14
15
16
17
18
20
21
22
23
29
30
31
32
33
34
50
99
60
42
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
43
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
44
1.00
1.00
458.00
229.00
286.00
286.00
858.00
718.00
598.00
359.00
208.00
359.00
300.00
718.00
416.00
250.00
300.00
400.00
600.00
900.00
450.00
73.00
312.00
478.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
7,280.00
5,200.00
5,200.00
4,680.00
5,200.00
4,160.00
4,160.00
4,680.00
3,640.00
4,680.00
4,680.00
4,160.00
1.00
1.00
1.00
40.00
1.00
1.00
526.00
265.00
343.00
343.00
986.00
826.00
687.00
413.00
239.00
413.00
344.00
826.00
478.00
250.00
300.00
400.00
600.00
900.00
450.00
83.00
359.00
551.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
7,280.00
5,200.00
5,200.00
4,680.00
5,200.00
4,160.00
4,160.00
4,680.00
3,640.00
4,680.00
4,680.00
4,160.00
1.00
1.00
1.00
46.00
1.00
1.00
579.00
302.00
400.00
400.00
1,134.00
950.00
790.00
474.00
276.00
474.00
396.00
950.00
550.00
250.00
300.00
400.00
600.00
900.00
450.00
94.00
413.00
632.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
7,280.00
5,200.00
5,200.00
4,680.00
5,200.00
4,160.00
4,160.00
4,680.00
3,640.00
4,680.00
4,680.00
4,160.00
1.00
1.00
1.00
53.00
1.00
1.00
697.00
348.00
458.00
458.00
1,304.00
1,091.00
910.00
546.00
316.00
546.00
456.00
1,091.00
632.00
300.00
350.00
450.00
600.00
900.00
500.00
104.00
474.00
728.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
7,280.00
5,200.00
5,200.00
4,680.00
5,200.00
4,160.00
4,160.00
4,680.00
3,640.00
4,680.00
4,680.00
4,160.00
1.00
1.00
1.00
61.00
1.00
1.00
863.00
430.00
538.00
645.00
1,613.00
1,291.00
1,075.00
645.00
645.00
645.00
539.00
1,291.00
1,291.00
300.00
350.00
450.00
600.00
900.00
500.00
112.00
402.00
805.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
9,906.00
7,075.00
7,075.00
6,368.00
7,075.00
5,660.00
5,660.00
6,368.00
4,953.00
6,368.00
6,368.00
5,660.00
1.00
1.00
1.00
64.00
61
1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
1
2
3
4
5
6
1
2
3
1
2
3
4
1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
1
45
45
46
46
46
46
46
47
47
47
47
47
47
47
47
48
48
48
48
48
48
49
49
49
50
50
50
50
51
51
51
51
51
51
51
52
52
52
52
52
52
52
52
52
52
52
52
52
52
52
53
134.00
126.00
75.00
119.00
109.00
1,040.00
766.00
728.00
676.00
1.00
1.00
1.00
1.00
416.00
208.00
1,210.00
62.00
62.00
26.00
26.00
26.00
26.00
26.00
26.00
26.00
52.00
6,240.00
130.00
45.00
350.00
125.00
4,675.00
6,032.00
84.00
250.00
84.00
84.00
4,800.00
4,900.00
2,500.00
187.00
1.00
283.00
83,200.00
26,000.00
83,200.00
83,200.00
52,000.00
52,000.00
154.00
145.00
86.00
136.00
125.00
1,238.00
902.00
837.00
811.00
1.00
1.00
1.00
1.00
624.00
624.00
2,980.00
78.00
78.00
30.00
30.00
30.00
30.00
30.00
30.00
30.00
60.00
6,240.00
150.00
60.00
524.00
145.00
4,675.00
6,937.00
120.00
287.00
120.00
120.00
5,500.00
5,700.00
2,900.00
206.00
1.00
283.00
83,200.00
26,000.00
83,200.00
83,200.00
52,000.00
52,000.00
177.00
166.00
99.00
157.00
146.00
1,456.00
1,061.00
962.00
936.00
1.00
1.00
1.00
1.00
624.00
624.00
2,980.00
94.00
94.00
34.00
34.00
34.00
34.00
34.00
34.00
34.00
69.00
6,240.00
202.00
83.00
674.00
165.00
4,675.00
7,978.00
168.00
331.00
168.00
168.00
6,300.00
6,500.00
3,300.00
226.00
1.00
283.00
83,200.00
31,200.00
88,400.00
88,400.00
62,400.00
62,400.00
204.00
191.00
114.00
180.00
166.00
1,716.00
1,248.00
1,107.00
1,071.00
1.00
1.00
1.00
1.00
624.00
624.00
2,980.00
109.00
109.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
79.00
6,240.00
243.00
101.00
811.00
195.00
4,675.00
9,173.00
202.00
381.00
202.00
202.00
7,200.00
7,500.00
3,800.00
250.00
1.00
283.00
83,200.00
31,200.00
88,400.00
88,400.00
62,400.00
62,400.00
203.00
193.00
118.00
214.00
193.00
1,338.00
1,198.00
1,198.00
1,400.00
1.00
1.00
1.00
1.00
642.00
642.00
2,675.00
157.00
157.00
157.00
157.00
157.00
157.00
157.00
157.00
157.00
198.00
6,000.00
276.00
115.00
920.00
151.00
4,675.00
10,853.00
229.00
432.00
229.00
229.00
283.00
1.00
283.00
101,200.00
45,000.00
90,200.00
90,200.00
70,000.00
70,000.00
2
3
4
5
1
2
3
4
5
1
2
3
4
1
2
3
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
30
50
60
1
2
3
4
5
6
62
53
53
53
53
54
54
54
54
54
55
55
55
55
56
56
56
57
57
57
57
57
57
57
57
57
57
58
58
58
58
58
58
58
58
58
58
58
58
58
58
58
58
58
58
58
59
59
59
59
59
59
52,000.00
31,200.00
52,000.00
52,000.00
31,200.00
62,400.00
52,000.00
52,000.00
52,000.00
52,000.00
70,000.00
52,000.00
26,000.00
10,400.00
5,000.00
5,000.00
72,800.00
93,600.00
88,400.00
10,400.00
385.00
130.00
45.00
351.00
125.00
84.00
84.00
250.00
84.00
84.00
210.00
104.00
520.00
187.00
1.00
130.00
45.00
351.00
125.00
84.00
84.00
250.00
84.00
84.00
210.00
104.00
520.00
-
52,000.00
31,200.00
52,000.00
52,000.00
31,200.00
62,400.00
52,000.00
52,000.00
52,000.00
52,000.00
70,000.00
52,000.00
26,000.00
10,400.00
5,000.00
5,000.00
72,800.00
93,600.00
88,400.00
10,400.00
385.00
150.00
60.00
524.00
145.00
120.00
120.00
287.00
120.00
120.00
225.00
135.00
1,048.00
206.00
1.00
150.00
60.00
524.00
145.00
120.00
120.00
287.00
120.00
120.00
225.00
135.00
1,048.00
-
62,400.00
41,600.00
62,400.00
62,400.00
46,800.00
72,800.00
62,400.00
52,000.00
52,000.00
62,400.00
70,000.00
52,000.00
31,200.00
15,600.00
5,000.00
5,000.00
83,200.00
104,000.00
93,600.00
15,600.00
385.00
202.00
84.00
674.00
165.00
168.00
168.00
331.00
168.00
168.00
252.00
236.00
1,685.00
226.00
1.00
202.00
84.00
674.00
165.00
168.00
168.00
331.00
168.00
168.00
252.00
236.00
1,685.00
-
62,400.00
41,600.00
62,400.00
62,400.00
46,800.00
72,800.00
62,400.00
52,000.00
52,000.00
62,400.00
70,000.00
52,000.00
31,200.00
15,600.00
6,000.00
5,000.00
83,200.00
104,000.00
93,600.00
15,600.00
1,500.00
243.00
101.00
811.00
190.00
202.00
202.00
381.00
202.00
202.00
303.00
283.00
2,028.00
250.00
1.00
243.00
101.00
811.00
195.00
202.00
202.00
381.00
202.00
202.00
303.00
283.00
2,028.00
-
70,000.00
50,000.00
70,000.00
65,000.00
50,000.00
75,900.00
70,000.00
65,250.00
45,000.00
20,000.00
90,550.00
120,200.00
110,000.00
20,000.00
1,500.00
276.00
115.00
920.00
151.00
229.00
229.00
432.00
229.00
229.00
344.00
321.00
2,298.00
283.00
1.00
276.00
115.00
920.00
151.00
229.00
229.00
432.00
229.00
229.00
344.00
321.00
2,298.00
-
63
CIERRE DE CIV
CIERRE DE PCA
CIERRE DE PCA Y CIV
CIERRE PCA Y RODETE SUBAORTICA
COARTACION AORTICA
COMISUROT.MITRAL AB+ABLAC.
CORREC.TOTAL TETRALOGIA FALLOT
CORRECC.INTERRUPC.ARCO AORTICO TPO.A,B,C
CORRECC.TRANSPOSICION GDES.ARTERIAS
CORRECCION CANAL AB C/B EXTRACORPOREA
ENDOCARD.BACT.SUBAGUD+CAMBIO VALVULAR
ENDOCARDITIS BACTERIANA SUBAGUDA
FISTULA ARTERIOVENOSA
PERICARDIECTOMIA
PERICARDIOCENTESIS
PERICARDITIS
REVASC. CORONARIA S/B CONTRAPULSACION
REVASCUL Y CAMBIO VALVULAR
REVASCUL.CORONARIA C/B CONTRAPULSACION
VENTANA PERICARDICA
POTENCIALES AUDITIVOS EVOCADOS A TALLO C
TIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO DE MATERIAL DE QUIROFANO
OXIGENO
DEBRIDACION DE ABSCESOS
PUNCIONES DIFERENTE REGION
REDUCCION CERRADA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
USO DE QUIROFANO PRIMERA HORA
USO DE QUIROFANO HORAS SUBSECUENTES)
DIAS CAMA
ESCOLARES
TIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO MATERIAL DE QUIROFANO
OXIGENO
DEBRIDACION DE ABSCESOS
PUNCIONES DIFERENTE REGION
REDUCCION CERRADA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
USO DE QUIROFANO PRIMERA HORA
USO DE QUIROFANO HORAS SUBSECUENTES)
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
1
2
3
4
7
9
16
17
18
21
22
23
24
25
26
30
50
2
3
4
7
9
16
17
18
21
22
23
24
25
26
59
59
59
59
59
59
59
59
59
59
59
59
59
59
59
59
59
59
59
59
60
61
61
61
61
61
61
61
61
61
61
61
61
61
61
61
61
62
62
62
62
62
62
62
62
62
62
62
62
62
62
374.00
1.00
130.00
45.00
351.00
125.00
84.00
84.00
250.00
84.00
84.00
210.00
104.00
520.00
187.00
1.00
130.00
45.00
351.00
125.00
84.00
84.00
250.00
84.00
84.00
210.00
104.00
520.52
374.00
1.00
130.00
45.00
351.00
125.00
84.00
84.00
250.00
84.00
210.00
104.00
520.00
374.00
1.00
130.00
45.00
412.00
1.00
150.00
60.00
524.00
145.00
120.00
120.00
287.00
120.00
120.00
225.00
135.00
1,048.00
206.00
1.00
150.00
60.00
524.00
145.00
120.00
120.00
287.00
120.00
120.00
225.00
135.00
1,048.00
412.00
1.00
150.00
60.00
524.00
145.00
120.00
120.00
287.00
120.00
225.00
135.00
1,048.00
412.00
1.00
150.00
60.00
453.00
1.00
202.00
84.00
674.00
165.00
168.00
168.00
331.00
168.00
168.00
252.00
236.00
1,685.00
226.00
1.00
202.00
84.00
674.00
165.00
168.00
168.00
331.00
168.00
168.00
252.00
236.00
1,685.00
453.00
1.00
202.00
84.00
674.00
165.00
168.00
168.00
331.00
168.00
252.00
236.00
1,685.00
453.00
1.00
202.00
84.00
499.00
1.00
243.00
101.00
811.00
195.00
202.00
202.00
381.00
202.00
202.00
303.00
283.00
2,028.00
250.00
1.00
243.00
101.00
811.00
195.00
202.00
202.00
381.00
202.00
202.00
303.00
283.00
2,028.00
499.00
1.00
243.00
101.00
811.00
195.00
202.00
202.00
381.00
202.00
303.00
283.00
2,028.00
499.00
1.00
243.00
101.00
283.00
1.00
276.00
115.00
920.00
151.00
229.00
229.00
432.00
229.00
229.00
344.00
321.00
2,298.00
283.00
1.00
276.00
115.00
920.00
151.00
229.00
229.00
432.00
229.00
229.00
344.00
321.00
2,298.00
283.00
1.00
276.00
115.00
920.00
151.00
229.00
229.00
432.00
229.00
344.00
321.00
2,298.00
283.00
1.00
276.00
115.00
DIAS CAMA
INFECT.PED. (AISLADOS)
TIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO DE MATERIAL DE QUIROFANO
OXIGENO
DEBRIDACION DE ABSCESOS
PUNCIONES DIFERENTE REGION
REDUCCION CERRADA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
USO DE QUIROFANO PRIMERA HORA
USO DE QUIROFANO HORAS SUBSECUENTES)
DIAS CAMA
LACTANTES
TIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO DE MATERIAL DE QUIROFANO
OXIGENO
DEBRIDACION DE ABSCESOS
PUNCIONES DIFERENTE REGION
REDUCCION CERRADA
SUTURA DE HERIDAS
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
USO DE QUIROFANO HORA
USO DE QUIROFANO HORAS SUBSECUENTES
DIAS CAMA
NEONATOLOGIA I-UCINTIEMPO QUIRURGICO
TIEMPO ANESTESICO
CONSUMO DE MATERIAL DE QUIROFANO
OXIGENO
DEBRIDACION DE ABSCESOS
PUNCIONES DIFERENTE REGION
REDUCCION CERRADA
VENODISECCION
TIEMPO QUIRURG.CIR.ESPECIALIDADES
TIEMPO ANEST.CIR.ESPECIALIDADES
CONSUMO MAT.CIR.ESPECIALIDADES
USO DE QUIROFANO PRIMERA HORA
USO DE QUIROFANO HORAS SUBSECUENTES
DIAS CAMA
NEONATOLOGIA II-UCIRENTIEMPO QUIRURGICO
TIEMPO ANESTESICO
30
50
2
3
4
7
9
16
17
18
21
22
23
24
25
26
30
50
2
3
4
7
9
16
17
18
21
22
23
24
25
26
30
50
2
3
4
7
9
16
17
21
22
23
24
25
26
30
50
2
3
64
62
62
63
63
63
63
63
63
63
63
63
63
63
63
63
63
63
63
64
64
64
64
64
64
64
64
64
64
64
64
64
64
64
64
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
66
66
351.00
125.00
84.00
84.00
250.00
84.00
210.00
104.00
520.00
374.00
1.00
700.00
1,000.00
1,500.00
1,000.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
998.00
874.00
749.00
624.00
520.00
43.20
122.04
417.60
61.32
277.50
99.10
173.20
106.38
505.93
145.81
145.81
1,261.64
230.05
130.76
55.31
40.40
162.71
160.03
2,235.68
907.85
3,419.28
524.00
145.00
120.00
120.00
287.00
120.00
225.00
135.00
1,048.00
412.00
1.00
700.00
1,000.00
1,500.00
1,000.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,148.00
998.00
874.00
749.00
520.00
43.20
122.04
417.60
61.32
277.50
99.10
173.20
106.38
505.93
145.81
145.81
1,261.64
230.05
130.76
55.31
40.40
162.71
160.03
2,235.68
907.85
3,419.28
674.00
165.00
168.00
168.00
331.00
168.00
252.00
236.00
1,685.00
453.00
1.00
700.00
1,000.00
1,500.00
1,000.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,373.00
1,148.00
998.00
874.00
520.00
43.20
122.04
417.60
61.32
277.50
99.10
173.20
106.38
505.93
145.81
145.81
1,261.64
230.05
130.76
55.31
40.40
162.71
160.03
2,235.68
907.85
3,419.28
811.00
195.00
202.00
202.00
381.00
202.00
303.00
283.00
2,028.00
499.00
1.00
900.00
1,500.00
2,000.00
1,000.00
2,000.00
2,000.00
1,500.00
2,000.00
2,000.00
2,000.00
2,000.00
2,000.00
1,622.00
1,373.00
1,148.00
998.00
520.00
43.20
122.04
417.60
61.32
277.50
99.10
173.20
106.38
505.93
145.81
145.81
1,261.64
230.05
130.76
55.31
40.40
162.71
160.03
2,235.68
907.85
3,419.28
920.00
151.00
229.00
229.00
432.00
229.00
344.00
321.00
2,298.00
283.00
1.00
900.00
1,500.00
2,000.00
1,500.00
2,000.00
2,000.00
2,000.00
2,000.00
2,000.00
2,000.00
2,000.00
2,000.00
1,840.00
1,557.00
1,302.00
1,132.00
520.00
43.20
122.04
417.60
61.32
277.50
99.10
173.20
106.38
505.93
145.81
145.81
1,261.64
230.05
130.76
55.31
40.40
162.71
160.03
2,235.68
907.85
3,419.28
65
4
7
9
16
17
21
22
23
24
25
26
30
50
1
1
2
3
4
5
6
7
8
9
10
11
1
2
3
4
5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
66
66
66
66
66
66
66
66
66
66
66
66
66
67
68
68
68
68
68
68
68
68
68
68
68
69
69
69
69
69
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
117.50
59.10
75.79
510.04
2,032.42
415.79
415.79
415.79
372.03
159.24
392.32
171.48
157.09
93.21
489.65
274.51
417.37
277.33
311.37
366.37
536.62
379.53
369.23
326.93
241.03
436.35
144.51
371.34
255.67
255.67
255.67
255.67
255.67
255.67
255.67
357.25
255.67
255.67
255.67
182.66
167.71
315.52
350.96
606.37
177.35
168.95
164.89
164.81
164.81
158.70
117.50
59.10
75.79
510.04
2,032.42
415.79
415.79
415.79
372.03
159.24
392.32
171.48
157.09
93.21
489.65
274.51
417.37
277.33
311.37
366.37
536.62
379.53
369.23
326.93
241.03
436.35
144.51
371.34
255.67
255.67
255.67
255.67
255.67
255.67
255.67
357.25
255.67
255.67
255.67
182.66
167.71
315.52
350.96
606.37
177.35
168.95
164.89
164.81
164.81
158.70
117.50
59.10
75.79
510.04
2,032.42
415.79
415.79
415.79
372.03
159.24
392.32
171.48
157.09
93.21
489.65
274.51
417.37
277.33
311.37
366.37
536.62
379.53
369.23
326.93
241.03
436.35
144.51
371.34
25,567.00
255.67
255.67
255.67
255.67
255.67
255.67
357.25
522.67
255.67
255.67
182.66
167.71
315.52
350.96
606.37
177.35
168.95
164.89
164.81
164.81
158.70
117.50
59.10
75.79
510.04
2,032.42
415.79
415.79
415.79
372.03
159.24
392.32
171.48
157.09
93.21
489.65
274.51
417.37
277.33
311.37
366.37
536.62
379.53
369.23
326.93
241.03
436.35
144.51
371.00
255.67
255.67
255.67
255.67
255.67
255.67
255.67
357.25
255.67
255.67
255.67
182.66
167.71
315.52
350.96
606.37
177.35
168.95
164.89
164.81
164.81
158.70
117.50
59.10
75.79
510.04
2,030.42
415.79
415.79
415.79
372.03
159.24
392.32
171.48
157.09
93.21
489.65
274.51
417.37
277.33
311.37
366.37
536.62
379.53
369.23
326.93
241.03
436.35
144.51
371.34
255.67
255.67
255.67
255.67
255.67
255.67
255.67
357.25
255.67
255.67
255.67
182.66
167.71
315.52
350.96
606.37
177.35
168.95
164.89
164.81
164.81
158.70
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
70
71
66
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
193.35
149.37
280.08
6,323.54
1,235.24
3,450.79
3,424.93
1,414.63
436.05
172.04
279.31
182.17
145.35
2,352.26
1,635.26
1.00
340.96
494.71
1,164.14
2,472.68
890.78
1,006.31
654.72
6,000.91
704.57
11,029.73
11,240.53
685.86
688.40
276.57
500.37
4,896.70
5,755.31
3,919.87
22,647.02
3,227.70
4,042.39
7,478.93
2,690.58
5,836.65
4,151.24
15,504.27
9,437.04
5,599.62
796.34
2,662.52
3,323.86
1.00
6,669.20
5,711.16
4,515.57
193.35
149.37
280.08
6,323.54
1,235.24
3,450.79
3,424.93
1,414.63
436.05
172.04
279.31
182.17
145.35
2,352.26
1,635.26
1.00
340.96
494.71
1,164.14
2,472.68
890.78
1,006.31
654.72
6,000.91
704.57
11,029.73
11,240.53
685.86
688.40
276.57
500.37
4,896.70
5,755.31
3,919.87
22,647.02
3,227.70
4,042.39
7,478.93
2,690.58
5,836.65
4,151.24
15,504.27
9,437.04
5,599.62
796.34
2,662.52
3,323.86
1.00
6,669.20
5,711.16
4,515.57
193.35
149.37
280.08
6,323.54
1,235.24
3,450.79
3,424.93
1,414.63
436.05
172.04
279.31
182.17
145.35
2,352.26
1,635.26
1.00
340.96
494.71
1,164.14
2,472.68
890.78
1,006.31
654.72
6,000.91
704.57
11,029.73
11,240.53
685.86
688.40
276.57
500.37
4,896.70
5,755.31
3,919.87
22,647.02
3,227.70
4,042.39
7,478.93
2,690.58
5,836.65
4,151.24
15,504.27
9,437.04
5,599.62
796.34
2,662.52
3,323.86
1.00
6,669.20
5,711.16
4,515.57
193.35
149.37
280.08
6,323.54
1,235.24
3,450.79
3,424.93
1,414.63
4,036.05
172.04
279.31
182.17
145.35
2,352.26
1,635.26
1.00
340.96
494.71
1,164.14
2,472.68
890.78
1,006.31
654.72
6,000.91
704.57
11,029.73
11,240.53
685.86
688.40
276.57
500.37
4,896.70
5,755.31
3,919.87
22,647.02
3,227.70
4,042.39
7,478.93
2,690.58
5,836.65
4,151.24
15,504.27
9,437.04
5,599.62
796.34
2,662.52
3,323.86
1.00
6,669.20
5,711.16
4,515.57
193.35
149.37
280.08
6,323.54
1,235.24
3,450.79
3,424.93
1,414.63
436.05
172.04
279.31
182.17
145.35
2,352.26
1,635.26
1.00
340.96
494.71
1,164.14
2,472.68
890.78
1,006.31
654.72
6,000.91
704.57
11,029.73
11,240.53
685.86
688.40
276.57
500.37
4,896.70
5,755.31
3,919.87
22,647.02
3,227.70
4,042.39
7,478.96
2,690.58
5,836.65
4,151.24
15,504.27
9,437.04
5,599.62
796.34
2,662.52
3,323.83
1.00
6,669.20
5,711.16
4,515.57
67
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
2,606.72
2,075.39
1,793.27
1,400.00
1,400.00
217.39
207.01
376.21
495.62
395.62
495.62
3,097.78
1,709.00
6,610.00
6,003.00
2,917.00
3,493.00
7,434.00
2,917.00
2,917.00
1,170.00
5,479.00
3,001.00
3,189.00
1,214.00
8,988.00
3,523.00
779.00
5,113.00
755.00
1,463.00
3,430.00
384.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
8,259.00
6,287.00
4,324.00
34,269.00
42,758.00
29,617.00
16,543.00
16,094.00
31,440.00
12,760.00
6,219.00
1.00
2,606.72
2,075.39
1,793.27
1,400.00
1,400.00
217.39
207.01
376.21
495.62
395.62
495.62
3,097.78
1,709.00
6,610.00
6,003.00
2,917.00
3,493.00
7,434.00
2,917.00
2,917.00
1,170.00
5,479.00
3,001.00
3,189.00
1,214.00
8,988.00
3,523.00
779.00
5,113.00
755.00
1,463.00
3,430.00
384.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
8,259.00
6,287.00
4,324.00
34,269.00
42,758.00
29,617.00
16,543.00
16,094.00
31,440.00
12,760.00
6,219.00
1.00
2,606.72
2,075.39
1,793.27
1,400.00
1,400.00
217.39
207.01
376.21
495.62
395.62
495.62
3,097.78
1,709.00
6,610.00
6,003.00
2,917.00
3,493.00
7,434.00
2,917.00
2,917.00
1,170.00
5,479.00
3,001.00
3,189.00
1,214.00
8,988.00
3,523.00
779.00
5,113.00
755.00
1,463.00
3,430.00
384.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
8,259.00
6,287.00
4,324.00
34,269.00
42,758.00
29,617.00
16,543.00
16,094.00
31,440.00
12,760.00
6,219.00
1.00
2,606.72
2,075.39
1,793.27
1,400.00
1,400.00
217.39
207.01
376.21
495.62
395.62
495.62
3,097.78
1,709.00
6,610.00
6,003.00
2,917.00
3,493.00
7,434.00
2,917.00
2,917.00
1,170.00
5,479.00
3,001.00
3,189.00
1,214.00
8,988.00
3,523.00
779.00
5,113.00
755.00
1,463.00
3,430.00
384.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
8,259.00
6,287.00
4,324.00
34,269.00
42,758.00
29,617.00
16,543.00
16,094.00
31,440.00
12,760.00
6,219.00
1.00
2,606.72
2,075.39
1,793.27
1,400.00
1,400.00
217.39
207.01
376.21
495.62
395.62
495.62
3,097.78
1,709.00
6,610.00
6,003.00
2,917.00
3,493.00
7,434.00
2,917.00
2,917.00
1,170.00
5,479.00
3,001.00
3,189.00
1,214.00
8,988.00
3,523.00
779.00
5,113.00
755.00
1,463.00
3,430.00
384.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
6,316.00
8,259.00
6,287.00
4,324.00
34,269.00
42,758.00
29,617.25
16,543.00
16,094.00
31,440.00
12,760.00
6,219.00
1.00
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
68
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
5,822.00
24,425.00
16,048.00
93,418.00
946.00
3,523.00
10,630.00
13,819.00
5,453.00
4,218.00
49,258.00
52,083.00
27,240.00
78,841.00
10,506.00
20,494.00
20,494.00
40,068.00
11,778.00
14,985.00
3,944.00
8,206.00
27,658.00
24,841.00
5,454.00
7,967.00
11,023.00
1.00
1.00
1.00
1.00
1.00
1.00
21,378.00
9,197.00
15,490.00
20,419.00
26,178.00
21,912.00
25,248.00
9,251.00
3,761.00
5,614.00
9,352.00
13,193.00
11,022.00
4,840.00
5,187.00
7,935.00
5,186.00
15,620.00
5,822.00
24,425.00
16,048.00
93,418.00
946.00
3,523.00
10,630.00
13,819.00
5,453.00
4,218.00
49,258.00
52,083.00
27,240.00
78,841.00
10,506.00
20,494.00
20,494.00
40,068.00
11,778.00
14,985.00
3,944.00
8,206.00
27,658.00
24,841.00
5,454.00
7,967.00
11,023.00
1.00
1.00
1.00
1.00
1.00
1.00
21,378.00
9,197.00
15,490.00
20,419.00
26,178.00
21,912.00
25,248.00
9,251.00
3,761.00
5,614.00
9,352.00
13,193.00
11,022.00
4,840.00
5,187.00
7,935.00
5,186.00
15,620.00
5,822.00
24,425.00
16,048.00
93,418.00
946.00
3,523.00
10,630.00
13,819.00
5,453.00
4,218.00
49,258.00
52,083.00
27,240.00
78,841.00
10,506.00
20,494.00
20,494.00
40,068.00
11,778.00
14,985.00
3,944.00
8,206.00
27,658.00
24,841.00
5,454.00
7,967.00
11,023.00
1.00
1.00
1.00
1.00
1.00
1.00
21,378.00
9,197.00
15,490.00
20,419.00
26,178.00
21,912.00
25,248.00
9,251.00
3,761.00
5,614.00
9,352.00
13,193.00
11,022.00
4,840.00
5,187.00
7,935.00
5,186.00
15,620.00
5,822.00
24,425.00
16,048.00
93,418.00
946.00
3,523.00
10,630.00
13,819.00
5,453.00
4,218.00
49,258.00
52,083.00
27,240.00
78,841.00
10,506.00
20,494.00
20,494.00
40,068.00
11,778.00
14,985.00
3,944.00
8,206.00
27,658.00
24,841.00
5,454.00
7,967.00
11,023.00
1.00
1.00
1.00
1.00
1.00
1.00
21,378.00
9,197.00
15,490.00
20,419.00
26,178.00
21,912.00
25,248.00
9,251.00
3,761.00
5,614.00
9,352.00
13,193.00
11,022.00
4,840.00
5,187.00
7,935.00
5,186.00
15,620.00
5,822.00
24,425.00
16,048.00
93,418.00
946.00
3,523.00
10,630.00
13,819.00
5,453.00
4,218.00
49,258.00
52,083.00
27,240.00
78,841.00
10,506.00
20,494.00
20,494.00
40,068.00
11,778.00
14,985.00
3,944.00
8,206.00
27,658.00
24,841.00
5,454.00
7,967.00
11,023.00
1.00
1.00
1.00
1.00
1.00
1.00
21,378.00
9,197.00
15,490.00
20,419.00
26,178.00
21,912.00
25,248.00
9,251.00
3,761.00
5,614.00
9,352.00
13,193.00
11,022.00
4,840.00
5,187.00
7,935.00
5,186.00
15,620.00
69
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
70
1
2
3
4
5
6
7
8
9
10
1
2
10
1
2
3
4
5
6
7
INSUFICIENCIA RENAL
CANCER CERVICO UTERINO
CANCER DE MAMA
LEUCEMIA LINFOBLASTICA AGUDA
CANCER EN NIOS/TUMORES SOLIDOS
CATARATA
PREMATUREZ
TRAST.QUIR.CONG.ADQ. DE SMNG
CUIDADOS INTENSIVOS NEONATALES
CANCER EN NIOS DEL SMNG
RESONANCIA MAGNETICA SIMPLE
RESONANCIA MAGNETICA C/M.C.
RESONANCIA MAGNETICA
HISTORIA CLINICA
BIOMETRIA HEMATICA CON PLAQUETAS
COLESTEROL
EXAMEN GENERAL DE ORINA
QUIMICA SANGUINEA
TELE DE TORAX 1 POSICION
ELECTROCARDIOGRAMA
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
3,999.00
4,999.00
1.00
100.00
109.00
103.00
73.00
108.00
71.00
136.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
3,999.00
4,999.00
1.00
100.00
109.00
103.00
73.00
108.00
71.00
136.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
3,999.00
4,999.00
1.00
100.00
109.00
103.00
73.00
108.00
71.00
136.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
3,999.00
4,999.00
1.00
100.00
109.00
103.00
73.00
108.00
71.00
136.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
3,999.00
4,999.00
1.00
-
70
71
71
71
71
71
71
71
71
71
71
72
72
72
73
73
73
73
73
73
73
Clave
Descripcin
Consulta externa
Consulta general
Consulta especialidad
Consulta subsecuente de especialidad
Consulta extempornea
Consulta urgencias
Observacin de 2 a 12 hrs.
Observacin de 12 a 23 hrs.
Hidratacin oral
Hidratacin de menores
Hospitalizacin da cama
Da incubadora
consulta externa psiquitrica
Tabletas De Talidomida
Retiro De Puntos
Retiro De Puntos
Vacuna Hepatitis B
Manejo Urg.Quemaduras 1er Grado
Dx.Y Tx Picadura Abeja,Araa,Otros Art
Dx.Y Tx De Intoxic.Aguda Alimentaria
Dx.Y Tx De Intoxic.Aguda Monxido De C
Dx.Y Tx De Intoxic.Aguda Por lcalis
Dx.Y Tx De Intoxic.Aguda Por Benzodiac
Dx.Y Tx De Intoxic.Aguda Por Fenotiazi
Dx.Y Tx De Intoxic.Aguda Alcohol Metil
Dx.Y Tx De Intoxic.Aguda Organofosfora
Dx.Y Tx Traumat.Cran.Leve
Manejo.Urg.Sindrome Hipergl.No Cetsico
Dx.Y Tx Del Alacranismo
Manejo Mordedura Y Prev.Rabia En Huma
Dx.Y Tx De Intoxic.Aguda Por Salicilat
Estab.En Urg. Del Pte. Diabtico
Estab.En.Urg.Por Crisis Hipertensiva
Estab.En Urg.Por Angina De Pecho
Dx.Y Tx De Mordedura De Serpiente
Ciruga general (mayor, interna y menor)
Nivel
Exento
Nivel 1
Nivel 2
Nivel 3
Nivel 4
Nivel 5
Nivel 6
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$86
$109
$109
$110
$120
$89
$166
$0
$70
$286
$686
$109
$9
$31
$67
$80
$220
$445
$669
$694
$1,668
$1,668
$1,668
$1,716
$1,823
$1,961
$1,997
$2,014
$2,923
$3,133
$3,432
$3,779
$4,250
$5,139
$99
$125
$125
$127
$138
$102
$190
$0
$81
$329
$789
$125
$11
$36
$78
$92
$252
$512
$769
$798
$1,918
$1,918
$1,918
$1,973
$2,097
$2,255
$2,297
$2,316
$3,362
$3,603
$3,947
$4,346
$4,888
$5,910
$113
$144
$144
$146
$159
$117
$219
$0
$93
$378
$907
$144
$12
$41
$89
$106
$290
$589
$885
$918
$2,206
$2,206
$2,206
$2,269
$2,411
$2,594
$2,641
$2,664
$3,866
$4,143
$4,539
$4,998
$5,621
$6,796
$130
$165
$165
$168
$183
$135
$252
$0
$107
$435
$1,043
$165
$14
$47
$103
$122
$334
$677
$1,017
$1,056
$2,537
$2,537
$2,537
$2,610
$2,773
$2,983
$3,037
$3,063
$4,446
$4,764
$5,220
$5,748
$6,464
$7,816
$150
$190
$190
$193
$210
$155
$290
$0
$123
$500
$1,200
$190
$16
$54
$118
$140
$384
$779
$1,170
$1,214
$2,917
$2,917
$2,917
$3,001
$3,189
$3,430
$3,493
$3,523
$5,113
$5,479
$6,003
$6,610
$7,434
$8,988
$173
$219
$219
$222
$242
$178
$333
$0
$141
$575
$1,380
$219
$18
$62
$136
$161
$442
$896
$1,346
$1,396
$3,355
$3,355
$3,355
$3,451
$3,667
$3,945
$4,017
$4,051
$5,880
$6,301
$6,903
$7,602
$8,549
$10,336
Clave
010-00
010-01
010-02
010-03
010-04
010-05
010-06
010-07
010-08
010-09
010-10
010-11
010-12
010-13
010-14
010-15
010-16
010-17
010-18
010-19
010-20
010-21
010-22
010-23
010-24
010-25
010-26
010-27
010-28
010-29
010-30
010-31
010-32
010-33
010-34
Como regla general, el monto de cobro se establece en el Nivel 5. Sin embargo, cuando el paciente o los familiares manifiesten que requieren apoyo adicional al respecto, el
departamento de trabajo social realizar un estudio socioeconmico y, en funcin del mismo se establecer el nivel de cobro que puede ir desde el exento, hasta el nivel 4. En
las unidades mdicas donde no se cuente con departamento de trabajo social, ser responsabilidad del mdico titular del mismo, establecer el nivel de cobro. El Nivel 6 se
aplicar a los servicios mdicos que se presten en funcin de convenios especiales celebrados con diversas entidades.
$1,122
$1,122
$1,981
$1,122
$1,202
$4,537
$2,966
$2,767
$7,543
$1,122
$5,258
$106
$705
$4,922
$1,017
$1,233
$4,295
$4,295
$3,210
$5,246
$2,168
$704
$2,965
$11,276
$526
$122
$131
$131
$131
$144
$144
$196
$279
$836
$1,780
$4,555
$5,289
$11,675
$14,967
$1,290
$1,290
$2,278
$1,290
$1,382
$5,217
$3,411
$3,182
$8,675
$1,290
$6,047
$122
$811
$5,661
$1,169
$1,418
$4,939
$4,939
$3,691
$6,033
$2,493
$809
$3,410
$12,968
$605
$141
$151
$151
$151
$166
$166
$225
$321
$962
$2,047
$5,238
$6,083
$13,426
$17,212
$1,484
$1,484
$2,619
$1,484
$1,589
$6,000
$3,922
$3,660
$9,976
$1,484
$6,954
$140
$932
$6,510
$1,344
$1,630
$5,680
$5,680
$4,245
$6,938
$2,867
$931
$3,921
$14,913
$696
$162
$173
$173
$173
$191
$191
$259
$369
$1,106
$2,354
$6,024
$6,995
$15,440
$19,794
$1,706
$1,706
$3,012
$1,706
$1,828
$6,900
$4,510
$4,209
$11,472
$1,706
$7,997
$161
$1,072
$7,486
$1,546
$1,875
$6,532
$6,532
$4,882
$7,978
$3,297
$1,070
$4,510
$17,150
$800
$186
$199
$199
$199
$219
$219
$297
$424
$1,272
$2,707
$6,928
$8,044
$17,756
$22,763
$1,962
$1,962
$3,464
$1,962
$2,102
$7,935
$5,187
$4,840
$13,193
$1,962
$9,197
$185
$1,233
$8,609
$1,778
$2,156
$7,512
$7,512
$5,614
$9,175
$3,791
$1,231
$5,186
$19,722
$920
$214
$229
$229
$229
$252
$252
$342
$488
$1,463
$3,113
$7,967
$9,251
$20,419
$26,178
$2,256
$2,256
$3,984
$2,256
$2,417
$9,125
$5,965
$5,566
$15,172
$2,256
$10,577
$213
$1,418
$9,900
$2,045
$2,480
$8,639
$8,639
$6,456
$10,551
$4,360
$1,416
$5,964
$22,680
$1,058
$246
$263
$263
$263
$290
$290
$393
$561
$1,682
$3,580
$9,162
$10,639
$23,482
$30,105
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,122
$4,537
$2,966
$7,543
$5,258
$599
$1,290
$5,217
$3,411
$8,675
$6,047
$689
$1,484
$6,000
$3,922
$9,976
$6,954
$792
$1,706
$6,900
$4,510
$11,472
$7,997
$911
$1,962
$7,935
$5,187
$13,193
$9,197
$1,048
$2,256
$9,125
$5,965
$15,172
$10,577
$1,205
$0.00
$0.00
$0.00
$0.00
$109
$62
$113
$442
$125
$71
$130
$508
$144
$82
$149
$584
$165
$94
$171
$672
$190
$109
$197
$772
$219
$125
$227
$888
71
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Lipomas
Quiste cereceo quirrgico
Fimosis
Extirpacin ganglionar
Mastectomia
Hernia umbilical y paraumbilical
Hernia inguinal
Hernia crural
Hernia hiatal
Quiste pilonidal
Apendicectomia
Extraccin de uas
Litotoma
Safenectoma por extremidad
Eventracin postquirrgica
Histerectoma, anterectomia y biopsia
Extirpacin de tumores de piel malignos
Extirpacin de tumores de piel benignos
Fisuras (anal)
Tiroidectomia
Frenorrafia
Coledocorrafia
Diastasis de rectos
Sello de agua
Consumo de material de quirfano
Extirpacin De Tumoracin Benigna
Puncin Abdominal
Sutura De Heridas
Ven diseccin (ginec, pediatra, quemados, terapia)
Sutura De Heridas (medicina interna, urgencias y ciruga)
Ven diseccin
Ven diseccin (trasplante)
Extirpacin De Tumoraciones Benignas (maxilofacial)
Manejo Lesiones Traumat.Tej.Blandos
Toracocentesis
MANEJO HOSP.QUEMAD.2o GRADO
Tx.Qx.Volvulo Colonico
Tx.Qx.Enfermedad Diverticular
Tx.Qx.Isquiemia Infarto Intestinal
Paq. de Ciruga menor corta estancia sin uso de quirfano.
Lipomas, nuevos quistes
Hernia umbilical
Hernia inguinal
Hernia hiatal
Apendicectoma
relajante a paciente psiquiatrico (por sesion)
Odontologa
Consulta y plan de tratamiento
Apicoformacin
Corona de acero cromo
Mantenedores de espacio
020-00
020-01
020-02
020-03
020-04
020-05
020-06
020-07
020-08
020-09
020-10
020-11
020-12
020-13
020-14
020-15
020-16
020-17
020-18
020-19
020-20
020-21
020-22
020-23
020-24
020-25
020-26
020-27
020-28
020-29
020-30
020-31
020-32
020-33
020-34
020-35
020-36
020-37
020-38
020-39
021-00
021-01
021-02
021-03
021-04
021-05
021-06
030-00
030-01
030-06
030-07
$380
$161
$74
$209
$222
$209
$91
$86
$239
$436
$185
$85
$240
$256
$240
$105
$99
$275
$502
$212
$98
$276
$294
$276
$120
$113
$316
$577
$244
$113
$317
$338
$317
$138
$130
$363
$664
$281
$130
$365
$389
$365
$159
$150
$418
$763
$323
$150
$420
$447
$420
$183
$173
$481
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$637
$218
$265
$215
$43
$45
$45
$0
$226
$226
$383
$367
$953
$367
$721
$454
$888
$4,054
$3,579
$7,323
$53
$5,262
$5,262
$1,771
$181
$1,122
$1,122
$1,122
$140
$124
$181
$124
$43
$383
$383
$383
$118
$733
$251
$305
$247
$49
$52
$52
$0
$260
$260
$440
$422
$1,095
$422
$829
$522
$1,021
$4,662
$4,116
$8,422
$61
$6,052
$6,052
$2,037
$208
$1,290
$1,290
$1,290
$160
$143
$208
$143
$49
$440
$440
$440
$136
$843
$289
$351
$284
$56
$59
$59
$0
$299
$299
$506
$485
$1,260
$485
$954
$601
$1,174
$5,361
$4,733
$9,685
$70
$6,960
$6,960
$2,342
$239
$1,484
$1,484
$1,484
$184
$164
$239
$164
$56
$506
$506
$506
$157
$969
$332
$403
$327
$65
$68
$68
$0
$344
$344
$582
$558
$1,449
$558
$1,097
$691
$1,350
$6,165
$5,443
$11,138
$80
$8,003
$8,003
$2,694
$275
$1,706
$1,706
$1,706
$212
$189
$275
$189
$65
$582
$582
$582
$180
$1,114
$382
$464
$376
$74
$78
$78
$0
$396
$396
$670
$642
$1,666
$642
$1,261
$794
$1,553
$7,090
$6,259
$12,808
$93
$9,204
$9,204
$3,098
$316
$1,962
$1,962
$1,962
$244
$217
$316
$217
$74
$670
$670
$670
$207
$1,281
$439
$534
$433
$86
$90
$90
$0
$455
$455
$770
$738
$1,916
$738
$1,450
$914
$1,786
$8,154
$7,198
$14,730
$106
$10,585
$10,585
$3,562
$363
$2,256
$2,256
$2,256
$281
$250
$363
$250
$86
$770
$770
$770
$238
$0.00
$0.00
$0.00
$283
$283
$283
$326
$326
$326
$375
$375
$375
$431
$431
$431
$496
$496
$496
$570
$570
$570
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Sedacin
Corona de celuloide con resina p/diente
Blanqueamiento por diente
Arco lingual
Apto.Fijo P/Interceptar Hbitos
Apto.Remov.P/Interceptar Hbitos
Desgaste caninos
Irrigacin Intraoral
Sellador De Fisura
Operatoria
Atencin por cuadrante
Obturacin con amalgama de plata
Obturacin con resina compuesta
Obturacin con IRM o con xido de zinc
Restauracin con corona de acero de cromo
Restauracin con corona de celuloide
Cemento incrustaciones y corona
Aplicacin de flor
Exodoncia simple (por pieza) va alveolar
Exodoncia mltiple con regularizacin
Exodoncia por diseccin
Ciruga preprotsica
Ciruga periapical
Ciruga parodontal
Ciruga ATM prtesis
Reduccin cerrada de fractura mandibular
Reduccin abierta de fractura mandibular
Mandbula
Maxilar
Bimaxilar
Pulido de restauracin
Ciruga de labio fisurado
Ciruga de paladar fisurado
Drenaje de absceso en quirfano
Drenaje de absceso en consulta externa
Excisin de neoplastia bucal c/anest. local
Excisin de neoplastia bucal c/anest. gral.
Excisin de neopl. bucal r. x. periap. y oclusal
Curaciones dentales
Limpieza cabitron
Suturas dentales
Odontoxesis
Silicato
Dientes supernumerarios
Mltiples bajo anestecia
Extraccin tercer molar
Obturacin con ionmero de vidrio
Terapia pulpar
Recubrimientos pulpares
Pulpotoma piezas posteriores
Pulpotoma piezas anteriores
72
030-08
030-09
030-10
030-11
030-12
030-13
030-14
030-15
030-16
030-17
031-00
031-01
031-02
031-03
031-04
031-05
031-06
031-07
031-08
031-09
031-10
031-11
031-12
031-13
031-14
031-15
031-16
031-17
031-18
031-19
031-20
031-21
031-22
031-23
031-24
031-25
031-26
031-27
031-28
031-29
031-30
031-31
031-32
031-33
031-34
031-35
031-36
031-37
032-00
032-01
032-02
$283
$326
$375
$431
$496
$570
$0.00
$0.00
$120
$120
$138
$138
$159
$159
$183
$183
$210
$210
$242
$242
$0.00
$124
$143
$164
$189
$217
$250
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$247
$16,934
$53
$186
$3,291
$161
$1,969
$284
$19,474
$61
$214
$3,785
$185
$2,264
$327
$22,395
$70
$246
$4,353
$212
$2,604
$376
$25,754
$80
$283
$5,006
$244
$2,994
$432
$29,617
$93
$325
$5,757
$281
$3,443
$497
$34,060
$106
$374
$6,620
$323
$3,960
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$58
$283
$58
$93
$52
$279
$685
$66
$326
$66
$107
$60
$321
$788
$76
$375
$76
$123
$68
$369
$906
$87
$431
$87
$142
$79
$424
$1,042
$101
$496
$101
$163
$91
$488
$1,198
$116
$570
$116
$187
$104
$561
$1,378
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$836
$160
$160
$217
$93
$836
$186
$953
$1,055
$962
$184
$184
$250
$107
$962
$214
$1,095
$1,214
$1,106
$211
$211
$287
$123
$1,106
$246
$1,260
$1,396
$1,272
$243
$243
$331
$142
$1,272
$283
$1,449
$1,605
$1,463
$280
$280
$380
$163
$1,463
$325
$1,666
$1,846
$1,682
$322
$322
$437
$187
$1,682
$374
$1,916
$2,123
$0.00
$0.00
$0.00
$67
$101
$145
$464
$535
$858
$1,069
$0
$93
$110
$121
$141
$155
$155
$177
$182
$182
$182
$77
$116
$167
$534
$615
$987
$1,230
$0
$107
$127
$139
$162
$178
$178
$203
$209
$209
$209
$88
$134
$192
$614
$707
$1,135
$1,414
$0
$123
$146
$160
$186
$205
$205
$234
$240
$240
$240
$101
$154
$220
$706
$813
$1,305
$1,626
$0
$142
$168
$184
$214
$236
$236
$269
$277
$277
$277
$117
$177
$253
$812
$935
$1,501
$1,870
$134
$204
$291
$934
$1,075
$1,726
$2,151
$0
$187
$222
$244
$283
$312
$312
$355
$366
$366
$366
$0.00
$163
$193
$212
$246
$271
$271
$309
$318
$318
$318
73
$0.00
Urgencia pulpar
Radiologa
Tcnica oclusal
Tcnica periapical
Patologa dental
Profilaxis
Ciruga
Frenivectomia
Ostiomielitis
Parodoncia
Gingivectomia
Plastia labial
Endodoncia
Distractor dactilar y mandibular
Plastias gingivales hiperplastias
Pordifenhidantoina cuadrante
Debridacin y canalizacin de abscesos
Correccin de fistula oro-angral
Apicectomia
Bloqueos liticos a nivel trigeminal
Regularizacion de proc. alveolares residuales
Tulvidina y toma de biopsia
Traumatologa
Suturas menores
Fractura dentoalveolar frula aparte
Fractura mandibular estable
Fractura mandibular inestable y fer. (osteo.)
Fractura tercio medio gigomtrico malar
Suturas mayores (10 puntos)
Laceraciones (Heridas)
Fracturas Dentoalveolares
Reduc. De Fx.(Colocacion De Arcos)
Exodoncia
Implante normal (por pieza)
Implante anormal (por pieza)
rganos dentarios retenidos (por pieza)
Extraccin Tercer Molar*1*
Extraccin Tercer Molar*2*
Extraccin Tercer Molar*3*
Extraccin Tercer Molar*4*
Ortodoncia
Cuota por sesin
Pro-Bnp
Retiro De Arcos Barra
Placa Simple De Abdomen Nino 1
Hawley (Placa)
Placa Obturadora
Placa Hawley C/Aditamento
Mantenedor De Espacio C/Banda
Mantenedor De Espacio C/Corona
Mantenedor De Espacio Intraalveolar
032-03
032-04
033-00
033-01
033-02
034-00
034-01
035-00
035-01
035-02
035-03
035-04
035-05
035-06
035-07
036-00
036-01
036-02
036-03
036-04
036-05
036-06
036-07
037-00
037-01
037-02
037-03
037-04
037-05
037-06
037-07
037-08
037-09
038-00
038-01
038-02
038-03
038-04
038-05
038-06
038-07
039-00
039-01
039-02
039-03
039-04
039-05
039-06
039-07
039-08
039-09
$209
$267
$268
$268
$308
$308
$338
$338
$410
$443
$443
$240
$307
$308
$308
$354
$354
$389
$389
$471
$510
$510
$277
$353
$354
$354
$407
$407
$447
$447
$542
$586
$586
$318
$406
$407
$407
$468
$468
$514
$514
$623
$674
$674
$366
$467
$468
$468
$538
$538
$591
$591
$716
$775
$775
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$271
$0
$601
$304
$139
$140
$139
$118
$85
$84
$137
$137
$53
$53
$53
$53
$403
$12,075
$680
$85
$164
$59
$164
$33
$72
$231
$92
$312
$0
$692
$349
$160
$161
$160
$136
$98
$97
$157
$157
$61
$61
$61
$61
$463
$13,886
$782
$98
$189
$67
$189
$38
$83
$266
$106
$359
$0
$795
$402
$184
$186
$184
$157
$113
$111
$181
$181
$70
$70
$70
$70
$532
$15,969
$899
$113
$217
$78
$217
$44
$96
$306
$122
$413
$0
$915
$462
$212
$213
$212
$180
$129
$128
$208
$208
$80
$80
$80
$80
$612
$18,365
$1,034
$129
$250
$89
$250
$51
$110
$352
$140
$475
$0
$1,052
$531
$243
$245
$243
$207
$149
$147
$239
$239
$93
$93
$93
$93
$704
$21,119
$1,189
$149
$288
$103
$288
$58
$127
$404
$161
$546
$0
$1,210
$611
$280
$282
$280
$238
$171
$169
$275
$275
$106
$106
$106
$106
$810
$24,287
$1,367
$171
$331
$118
$331
$67
$146
$465
$185
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$373
$81
$166
$41
$166
$201
$59
$236
$163
$163
$166
$429
$93
$191
$47
$190
$231
$67
$271
$188
$188
$191
$493
$107
$219
$54
$219
$266
$78
$312
$216
$216
$219
$567
$123
$252
$62
$252
$306
$89
$359
$248
$248
$252
$652
$142
$290
$71
$290
$352
$103
$412
$286
$286
$290
$750
$163
$334
$82
$333
$405
$118
$474
$328
$328
$334
$182
$232
$233
$233
$268
$268
$294
$294
$356
$385
$385
74
039-10
039-11
039-12
039-13
039-14
039-15
039-16
039-17
039-18
039-19
039-20
039-21
040-00
040-01
040-02
040-03
040-04
040-05
040-06
040-07
040-08
040-09
040-10
040-11
040-12
040-13
040-14
040-15
040-16
040-17
040-18
040-19
040-20
040-21
040-22
040-23
040-24
040-25
040-26
040-27
050-00
050-01
050-02
050-03
050-04
050-05
050-06
050-07
050-08
050-09
050-10
$215
$289
$204
$106
$141
$1,294
$809
$485
$42
$415
$415
$415
$1,214
$1,214
$247
$332
$235
$122
$162
$1,489
$930
$558
$49
$477
$477
$477
$1,396
$1,396
$284
$382
$270
$140
$186
$1,712
$1,070
$642
$56
$549
$549
$549
$1,605
$1,605
$327
$439
$310
$161
$214
$1,969
$1,230
$738
$64
$631
$631
$631
$1,846
$1,846
$376
$505
$357
$185
$246
$2,264
$1,415
$849
$74
$726
$726
$726
$2,123
$2,123
$433
$581
$411
$213
$283
$2,604
$1,627
$976
$85
$835
$835
$835
$2,441
$2,441
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$155
$89
$64
$89
$53
$197
$197
$179
$102
$74
$102
$61
$226
$226
$205
$117
$85
$117
$70
$260
$260
$236
$135
$98
$135
$80
$299
$299
$272
$155
$113
$155
$93
$344
$344
$312
$178
$130
$178
$106
$396
$396
$0.00
$0.00
$0.00
$0.00
$0.00
$474
$394
$315
$200
$81
$545
$454
$362
$230
$93
$627
$522
$417
$265
$106
$721
$600
$479
$304
$122
$829
$690
$551
$350
$141
$953
$793
$634
$402
$162
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$53
$67
$49
$160
$562
$259
$85
$90
$90
$90
$90
$90
$61
$77
$57
$184
$647
$298
$98
$103
$103
$103
$103
$103
$70
$88
$65
$211
$744
$342
$113
$119
$119
$119
$119
$119
$80
$101
$75
$243
$855
$394
$129
$137
$137
$137
$137
$137
$93
$117
$86
$280
$984
$453
$149
$157
$157
$157
$157
$157
$106
$134
$99
$322
$1,131
$520
$171
$181
$181
$181
$181
$181
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7,954
$7,954
$1,122
$539
$526
$1,122
$7,373
$1,122
$420
$9,147
$9,147
$1,290
$620
$604
$1,290
$8,479
$1,290
$483
$10,519
$10,519
$1,484
$713
$695
$1,484
$9,751
$1,484
$555
$12,097
$12,097
$1,706
$820
$799
$1,706
$11,214
$1,706
$638
$13,911
$13,911
$1,962
$943
$919
$1,962
$12,896
$1,962
$734
$15,998
$15,998
$2,256
$1,085
$1,057
$2,256
$14,830
$2,256
$844
75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Aplicacin tpica
Aplicacion intralesionar
Ciruga con cierre primario
Crioterapia (10 a 20 lesiones)
Crioterapia ms de 20 lesiones
Cx. Est. Dermat. Tatuaje Grande
Cx. Est. Dermat. Tatuaje Mediano
Cx. Est. Dermat. Tatuaje Pequeo
Reduccin De Verrugas Vulgares
Otros Procedimientos Cosmticos
Peeling Cosmtico
Subincisiones
Elim.Hemangioma Con Coagulador
Eliminacin Tatuaje C/Coagulador
Estudios
Estudio audiofoniatrico completo
Estudio audiomtrico bsico
Estudio audiomtrico complementario
Estudio fonitrico
Colocacin de aae
Estudio afasiolgico
Estroboscopia
Terapias de rehabilitacin
20 Sesiones al mes (5 por semana)
12 Sesiones al mes (3 por semana)
8 Sesiones al mes(2 por semana)
4 Sesiones al mes (1 por semana)
1 Sesin
Medicina fsica y rehabilitacin
Sesin de terapia fsica
Sesin terapia ocupacional
Sesin terapia psicolgica
Cardiometria por impedancia
Valoracin cardiaca por paquete: p/ esfuerzo
Monitoreo de control cardiaco
Terapia del lenguaje
Electroterapia
Hidroterapia
Luminoterapia
Mecanoterapia
Parafina
Gineco-obstetricia
Histerectoma abdominal
Histerectoma vaginal
Bartholinectoma
Conificacin
Reseccin alta o baja de crvix
Debridacin de absceso mamario
Colpoperinografia (ciruga p/correc. est. pelv.)
Reseccion de quistes y tumores benignos
Drenaje de fondo de saco
050-11
050-12
050-13
050-14
050-15
050-16
050-17
050-18
050-19
050-20
050-21
050-22
050-23
050-24
050-25
061-00
061-01
061-02
061-03
061-04
061-05
061-06
061-07
062-00
062-01
062-02
062-03
062-04
062-05
070-00
070-01
070-02
070-03
070-06
070-07
070-08
070-09
070-10
070-11
070-12
070-13
070-14
080-00
080-01
080-02
080-03
080-04
080-05
080-06
080-07
080-08
$440
$2,758
$550
$2,157
$2,673
$5,057
$3,329
$15,806
$3,329
$5,605
$4,318
$5,057
$2,033
$3,556
$2,033
$8,257
$7,221
$5,057
$8,244
$712
$6,095
$233
$12,223
$812
$2,033
$13,559
$2,033
$4,063
$1,122
$1,122
$1,122
$2,033
$4,904
$2,033
$10,158
$8,127
$2,965
$2,033
$4,560
$2,673
$2,033
$2,033
$407
$246
$407
$102
$1,357
$812
$255
$1,357
$848
$507
$3,172
$632
$2,481
$3,074
$5,816
$3,828
$18,176
$3,828
$6,446
$4,966
$5,816
$2,338
$4,089
$2,338
$9,496
$8,304
$5,816
$9,481
$819
$7,009
$268
$14,056
$934
$2,338
$15,593
$2,338
$4,672
$1,290
$1,290
$1,290
$2,338
$5,640
$2,338
$11,682
$9,346
$3,410
$2,338
$5,244
$3,074
$2,338
$2,338
$468
$283
$468
$118
$1,561
$934
$294
$1,561
$975
$582
$3,648
$727
$2,853
$3,535
$6,688
$4,402
$20,903
$4,402
$7,413
$5,710
$6,688
$2,689
$4,702
$2,689
$10,920
$9,550
$6,688
$10,903
$941
$8,061
$308
$16,165
$1,074
$2,689
$17,932
$2,689
$5,373
$1,484
$1,484
$1,484
$2,689
$6,485
$2,689
$13,434
$10,748
$3,921
$2,689
$6,030
$3,535
$2,689
$2,689
$538
$325
$538
$135
$1,795
$1,074
$338
$1,795
$1,121
$670
$4,195
$836
$3,281
$4,065
$7,691
$5,063
$24,038
$5,063
$8,525
$6,567
$7,691
$3,092
$5,408
$3,092
$12,558
$10,983
$7,691
$12,539
$1,083
$9,270
$354
$18,590
$1,235
$3,092
$20,622
$3,092
$6,179
$1,706
$1,706
$1,706
$3,092
$7,458
$3,092
$15,449
$12,360
$4,510
$3,092
$6,935
$4,065
$3,092
$3,092
$619
$374
$619
$156
$2,064
$1,235
$388
$2,064
$1,289
$770
$4,824
$961
$3,773
$4,675
$8,845
$5,822
$27,644
$5,822
$9,804
$7,552
$8,845
$3,556
$6,219
$3,556
$14,442
$12,630
$8,845
$14,419
$1,245
$10,660
$407
$21,378
$1,420
$3,556
$23,715
$3,556
$7,106
$1,962
$1,962
$1,962
$3,556
$8,577
$3,556
$17,766
$14,214
$5,186
$3,556
$7,975
$4,675
$3,556
$3,556
$712
$430
$712
$179
$2,373
$1,420
$447
$2,373
$1,482
$886
$5,548
$1,106
$4,339
$5,376
$10,172
$6,695
$31,791
$6,695
$11,275
$8,685
$10,172
$4,089
$7,152
$4,089
$16,608
$14,525
$10,172
$16,582
$1,432
$12,259
$468
$24,585
$1,633
$4,089
$27,272
$4,089
$8,172
$2,256
$2,256
$2,256
$4,089
$9,864
$4,089
$20,431
$16,346
$5,964
$4,089
$9,171
$5,376
$4,089
$4,089
$819
$495
$819
$206
$2,729
$1,633
$513
$2,729
$1,705
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
76
080-09
080-10
080-11
080-12
080-13
080-14
080-15
080-16
080-17
080-18
080-19
080-20
080-21
080-22
080-23
080-24
080-25
080-26
080-27
080-28
080-29
080-30
080-31
080-32
080-33
080-34
080-35
080-36
080-37
080-38
080-39
080-40
080-41
080-42
080-43
080-44
080-45
080-46
080-47
080-48
080-49
080-50
080-51
080-52
080-53
080-54
080-55
080-56
080-57
080-58
080-59
$1,529
$356
$83
$43
$232
$1,759
$410
$96
$49
$267
$2,023
$471
$110
$57
$307
$2,326
$542
$127
$65
$353
$2,675
$623
$146
$75
$406
$3,076
$716
$168
$86
$467
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$3,813
$1,122
$3,261
$1,122
$4,507
$2,210
$3,556
$4,318
$4,904
$3,510
$0
$2,808
$2,673
$712
$4,295
$118
$2,316
$2,146
$10,158
$3,329
$3,329
$5,605
$7,954
$7,954
$7,373
$367
$2,412
$4,129
$6,007
$7,296
$9,175
$13,965
$15,575
$15,806
$16,604
$20,732
$28,163
$29,779
$45,078
$53,412
$4,385
$1,290
$3,751
$1,290
$5,183
$2,542
$4,089
$4,966
$5,640
$4,036
$0
$3,230
$3,074
$819
$4,939
$136
$2,664
$2,468
$11,682
$3,828
$3,828
$6,446
$9,147
$9,147
$8,479
$422
$2,773
$4,749
$6,908
$8,390
$10,552
$16,060
$17,911
$18,176
$19,095
$23,842
$32,388
$34,245
$51,839
$61,424
$5,043
$1,484
$4,313
$1,484
$5,960
$2,923
$4,702
$5,710
$6,485
$4,642
$0
$3,714
$3,535
$941
$5,680
$157
$3,063
$2,839
$13,434
$4,402
$4,402
$7,413
$10,519
$10,519
$9,751
$485
$3,189
$5,461
$7,944
$9,648
$12,135
$18,469
$20,597
$20,903
$21,959
$27,419
$37,246
$39,382
$59,615
$70,637
$5,800
$1,706
$4,960
$1,706
$6,854
$3,362
$5,408
$6,567
$7,458
$5,338
$0
$4,271
$4,065
$1,083
$6,532
$180
$3,522
$3,264
$15,449
$5,063
$5,063
$8,525
$12,097
$12,097
$11,214
$558
$3,668
$6,280
$9,136
$11,096
$13,955
$21,239
$23,687
$24,038
$25,253
$31,531
$42,833
$45,290
$68,557
$81,233
$6,670
$1,962
$5,704
$1,962
$7,883
$3,866
$6,219
$7,552
$8,577
$6,139
$0
$4,912
$4,675
$1,245
$7,512
$207
$4,051
$3,754
$17,766
$5,822
$5,822
$9,804
$13,911
$13,911
$12,896
$642
$4,218
$7,222
$10,506
$12,760
$16,048
$24,425
$27,240
$27,644
$29,041
$36,261
$49,258
$52,083
$78,841
$93,418
$7,670
$2,256
$6,560
$2,256
$9,065
$4,446
$7,152
$8,685
$9,864
$7,059
$0
$5,648
$5,376
$1,432
$8,639
$238
$4,659
$4,317
$20,431
$6,695
$6,695
$11,275
$15,998
$15,998
$14,830
$738
$4,851
$8,305
$12,082
$14,674
$18,455
$28,089
$31,326
$31,791
$33,397
$41,700
$56,647
$59,895
$90,667
$107,431
$0.00
$0.00
$0.00
$0.00
$131
$1,892
$1,421
$884
$151
$2,176
$1,635
$1,017
$173
$2,502
$1,880
$1,170
$199
$2,877
$2,162
$1,345
$229
$3,309
$2,486
$1,547
$263
$3,805
$2,859
$1,779
77
$0.00
$0.00
$0.00
$0.00
$0.00
Asa diatrmica
Mastografa
Cuerpos lamelares en lq. Amnitico
Revisin De Paca. De G-O
Observ. De Pte. Ginecolgica
Paquetes de Gineco-obstetricia
Paq. traqueloplasta
Paq. bartholinectoma o marzupializacin
Paq. himenectomia o aplicacin de introito
Paq. polipectoma
Paq. cono cervical
Paq. vaporizacin de crvix con lser
Paq. cerclaje
Paq. legrado obsttrico
Paq. legrado hemosttico biopsia
Paq. senequiolisis con aplicacin de D.I.U.
Paq. extraccin de D.I.U. bajo anestesia
Paq. laparoscopa diagnstica
Paq. O.T.B. de intervalo
Paq. biopsia abierta de mama
Paq. biopsia de piel
Paq. biopsia de ganglios
Paq. reseccin de mamas supernumerarias
Paq. extirpacin de condilomas vulv. o vag.
Paq. inseminacin gift-fivte
Paq. parto normal
Paq. parto distcico
Paq. cesrea
Paq. histerectoma abdominal
Paq. histerectoma vaginal
Paq. colpoperineoplasta
Estudio colposcpico
Dx.Y Tx De Pre-Eclampsia
Tx.Qx.Torsion De Anexos
Inf.Episiorrafia O Hx Qx Obsttrica
Dx.Y Tx Enfer.Plvica Inflamatoria
Endometritis Puerperal
Pelviperitonitis
Hemorragia Obsttrica Puerperal
Tx.Qx.Embarazo Ectpico
Tx.Qx.Enfermedad Trofoblastica
Reparacin Uterina
Dx.Y Tx De Pre-Eclampsia Severa
Dx.Y Tx De Eclampsia
Hemorragia Por Placenta Previa O Despren
Dx.Y Tx Choque Sptico Puerperal
Neurologa y neurociruga
Puncin lumbar
Craneotoma
Creniectoma
Exploracin de nervio perifrico. plastias
080-60
080-61
080-62
080-63
080-64
080-65
081-00
081-01
081-02
081-03
081-04
081-05
081-06
081-07
081-08
081-09
081-10
081-11
081-12
081-13
081-14
081-15
081-16
081-17
081-18
081-19
081-20
081-21
081-22
081-23
081-24
081-25
081-26
081-27
081-28
081-29
081-30
081-31
081-32
081-33
081-34
081-35
081-36
081-37
081-38
081-39
081-40
090-00
090-01
090-02
090-03
$1,193
$16,167
$1,570
$1,892
$1,892
$257
$208
$189
$3,220
$141
$365
$7,912
$9,206
$2,443
$131
$230
$2,255
$19,593
$230
$1,371
$18,592
$1,805
$2,176
$2,176
$296
$239
$217
$3,703
$163
$419
$9,099
$10,587
$2,809
$151
$264
$2,593
$22,532
$264
$1,577
$21,381
$2,076
$2,502
$2,502
$340
$275
$249
$4,258
$187
$482
$10,464
$12,175
$3,230
$173
$304
$2,982
$25,912
$304
$1,814
$24,588
$2,387
$2,877
$2,877
$391
$317
$287
$4,897
$215
$554
$12,033
$14,001
$3,715
$199
$350
$3,430
$29,799
$350
$2,086
$28,276
$2,746
$3,309
$3,309
$450
$364
$330
$5,632
$247
$638
$13,838
$16,101
$4,272
$229
$402
$3,944
$34,269
$402
$2,399
$32,517
$3,157
$3,805
$3,805
$518
$419
$379
$6,477
$285
$733
$15,914
$18,516
$4,913
$263
$462
$4,536
$39,409
$462
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$131
$11,276
$11,276
$11,276
$1,600
$1,962
$1,182
$789
$922
$500
$707
$809
$181
$181
$154
$181
$131
$259
$181
$179
$93
$367
$590
$519
$519
$373
$373
$281
$519
$1,780
$141
$151
$12,968
$12,968
$12,968
$1,840
$2,256
$1,360
$907
$1,061
$575
$813
$930
$208
$208
$177
$208
$151
$298
$208
$206
$107
$422
$679
$597
$597
$429
$429
$323
$597
$2,047
$162
$173
$14,913
$14,913
$14,913
$2,116
$2,595
$1,563
$1,043
$1,220
$661
$935
$1,070
$239
$239
$204
$239
$173
$342
$239
$237
$123
$485
$780
$687
$687
$493
$493
$371
$687
$2,354
$186
$199
$17,150
$17,150
$17,150
$2,433
$2,984
$1,798
$1,200
$1,403
$760
$1,076
$1,230
$275
$275
$234
$275
$199
$394
$275
$273
$142
$558
$897
$790
$790
$567
$567
$427
$790
$2,707
$214
$229
$19,722
$19,722
$19,722
$2,798
$3,431
$2,068
$1,380
$1,613
$874
$1,237
$1,415
$316
$316
$270
$316
$229
$453
$316
$314
$163
$642
$1,032
$908
$908
$652
$652
$491
$908
$3,113
$246
$263
$22,680
$22,680
$22,680
$3,217
$3,946
$2,378
$1,587
$1,855
$1,005
$1,423
$1,627
$363
$363
$310
$363
$263
$520
$363
$361
$187
$738
$1,187
$1,044
$1,044
$750
$750
$565
$1,044
$3,580
$283
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Meningoplastia
Colocacin de vlvula pudens (con sonda)
tratamiento quirurgico de epilepsia
Abordaje de columna cervical va anterior
Ciruga transfenoidal
Electroencefalografa
Electromiografa
Potenciales evocados
Neurociruga con rayo lser
Velocidad de conduccin
Mapeo cerebral con potenciales o beg.
Reseccin meningional frontal
Reseccin tercer ventrculo
Polisomnografia
Puncin Lumbar
Mapeo Cerebral De Eeg
Manejo Hosp.Crisis Convulsivas
Dx.Y Tx De Meningitis
mapeo cerebral de eeg
Neumologa
Puncin transtorcica
Toracotoma
Toracotoma con reseccin
Toractoma de proceso mediastinal
Decorticacin pulmonar
Mioplastia
Toracoplastia
Pleurotoma
Mediastinotoma
traqueostomia
Broncoscopa con brocoscopio rgido diagnost.
Broncoscopa con brocoscopio lavado terap.
Fibrobroncoscopa cepillado lavado biopsia
Fibrobroncoscopa biopsia transbronquial
Fibrobroncoscopa lavado broncoalveolar
Fibrobroncoscopa cepillado selectivo
Fibrobroncoscopa biopsia puncin transbron.
Fibroncoscopa extraccin de cuerpo extrao
Toracoscopa toma de biopsia o muest. de liq.
inseminacin artificial
Pruebas funcionales pulmonares y respiratorias
Pletismografa
Espir. Difusion y vol. Pulmonar
Espir, y difusion monoxido de carbono
Espir, y presiones insp./exp. Maximas
Espirom. C/Broncodil. Portatil
Espirometria c/broncodilatador
Espirometria simple
Espirometia y volumenes pulmonares
Drenaje pleural
Apicograma
78
090-04
090-05
090-06
090-08
090-09
090-10
090-13
090-14
090-15
090-16
090-17
090-18
090-19
090-20
090-21
090-22
090-23
090-24
090-25
090-26
100-00
100-01
100-02
100-03
100-05
100-06
100-08
100-09
100-10
100-12
100-13
100-14
100-15
100-16
100-17
100-18
100-19
100-20
100-21
100-22
100-23
100-24
100-26
100-27
100-28
100-29
100-30
100-31
100-32
100-33
100-34
$4,721
$526
$2,941
$78
$131
$156
$281
$373
$373
$519
$519
$519
$590
$827
$905
$2,472
$7,042
$9,202
$5,429
$605
$3,382
$89
$151
$180
$323
$429
$429
$597
$597
$597
$679
$951
$1,041
$2,843
$8,099
$10,582
$6,243
$696
$3,889
$103
$173
$206
$371
$493
$493
$687
$687
$687
$780
$1,093
$1,197
$3,270
$9,313
$12,169
$7,180
$800
$4,472
$118
$199
$237
$427
$567
$567
$790
$790
$790
$897
$1,257
$1,377
$3,760
$10,710
$13,995
$8,257
$920
$5,143
$136
$229
$273
$491
$652
$652
$908
$908
$908
$1,032
$1,446
$1,583
$4,324
$12,317
$16,094
$9,496
$1,058
$5,914
$156
$263
$314
$565
$750
$750
$1,044
$1,044
$1,044
$1,187
$1,663
$1,820
$4,973
$14,165
$18,508
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$3,233
$907
$3,291
$4,753
$3,153
$5,518
$1,626
$3,905
$1,776
$2,747
$4,845
$1,642
$2,064
$513
$915
$1,611
$656
$514
$1,102
$445
$3,126
$519
$2,760
$1,626
$394
$601
$601
$4,753
$601
$647
$5,262
$3,718
$1,043
$3,785
$5,466
$3,626
$6,345
$1,870
$4,491
$2,042
$3,159
$5,572
$1,889
$2,374
$590
$1,053
$1,853
$754
$591
$1,267
$512
$3,595
$596
$3,174
$1,870
$454
$692
$692
$5,466
$692
$744
$6,052
$4,275
$1,200
$4,353
$6,286
$4,170
$7,297
$2,151
$5,165
$2,348
$3,633
$6,407
$2,172
$2,730
$679
$1,211
$2,131
$867
$680
$1,457
$589
$4,134
$686
$3,650
$2,151
$522
$795
$795
$6,286
$795
$856
$6,960
$4,916
$1,380
$5,006
$7,229
$4,796
$8,392
$2,473
$5,940
$2,700
$4,178
$7,369
$2,498
$3,139
$781
$1,392
$2,450
$997
$782
$1,676
$677
$4,754
$789
$4,198
$2,473
$600
$915
$915
$7,229
$915
$984
$8,003
$5,654
$1,587
$5,757
$8,313
$5,515
$9,650
$2,844
$6,831
$3,106
$4,805
$8,474
$2,872
$3,610
$898
$1,601
$2,818
$1,146
$899
$1,927
$778
$5,467
$907
$4,827
$2,844
$690
$1,052
$1,052
$8,313
$1,052
$1,132
$9,204
$6,502
$1,825
$6,620
$9,560
$6,342
$11,098
$3,271
$7,855
$3,571
$5,526
$9,745
$3,303
$4,152
$1,033
$1,841
$3,241
$1,318
$1,034
$2,216
$895
$6,287
$1,043
$5,551
$3,271
$793
$1,210
$1,210
$9,560
$1,210
$1,302
$10,585
79
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Broncoplasta
Broncoscopa sin biopsia
Biopsia pulmonar
Oximetra En Reposo
Puncin Pleural
Oximetra (Caminata De 6 Minutos)
Espirometra Simple
Espirom.C/Broncodil.Portatil
Espirometra C/Broncodilatador
Espir.Y Difusin Monxido De Carbono
Espir.Y Presiones Insp./Exp.Maximas
Espirometra Y Volumenes Pulmonares
Espir. Difusin Y Vol.Pulmonar
P.F.R.Completas C/Oxim.En Reposo
P.F.R. Con Oxim.(Caminata De 6 Min)
Dx.Y Tx De Bronquitis Aguda
Trombolisis Pulmonar
Dx.Y Tx De Neumona Adulto Y Adulto Ma
Ciruga plstica y reconstructiva
Ritidectoma
Fasiotoma
Mamas de reduccin
Mamas en aumento
Lipectomia abdominal
Blefaroplasta
Otoplasta
Mentoplasta
Progmatismo
Dermoabracin (peeling)
Liposuccin
Colocacin de expansores
Maxilofacial
Colgajos Miocutneos
Colgajos
Microciruga
Temorrafas
Neurorrafas
Procesos combinados
Labio leporino y paladar endido
Mastopexia
Plastia umbilical
Injertos de piel menores
Injertos de piel mayores
Cicatrices de manos
Cicatrices mayores
Plastia local (cicatrices mayores)
Prtesis de mamas
Obturador l. p. h.
Vestibuloplastias
Reparacin Labio Hendido
Ciruga cardiovascular
100-35
100-36
100-37
100-38
100-39
100-40
100-41
100-42
100-43
100-44
100-45
100-46
100-47
100-48
100-49
100-50
100-51
100-52
100-53
110-00
110-01
110-02
110-03
110-04
110-05
110-06
110-07
110-08
110-09
110-10
110-11
110-12
110-13
110-14
110-15
110-16
110-17
110-18
110-19
110-20
110-21
110-22
110-23
110-24
110-25
110-26
110-27
110-28
110-29
110-30
110-31
$423
$1,038
$6,965
$5,262
$1,799
$1,584
$451
$240
$6,965
$4,721
$5,262
$658
$375
$128
$174
$197
$51,572
$3,123
$3,870
$619
$2,308
$1,090
$1,090
$1,090
$1,386
$1,144
$4,721
$3,870
$4,102
$4,102
$4,102
$3,870
$4,721
$3,870
$4,179
$5,030
$5,649
$4,721
$4,102
$3,870
$3,870
$3,870
$3,870
$51,572
$51,572
$21,698
$72,441
$40,023
$40,023
$28,588
$40,023
$487
$1,194
$8,010
$6,052
$2,068
$1,821
$518
$276
$8,010
$5,429
$6,052
$757
$431
$147
$200
$226
$59,308
$3,592
$4,450
$712
$2,654
$1,254
$1,254
$1,254
$1,594
$1,315
$5,429
$4,450
$4,717
$4,717
$4,717
$4,450
$5,429
$4,450
$4,806
$5,785
$6,497
$5,429
$4,717
$4,450
$4,450
$4,450
$4,450
$59,308
$59,308
$24,953
$83,307
$46,026
$46,026
$32,876
$46,026
$560
$1,373
$9,211
$6,960
$2,379
$2,094
$596
$318
$9,211
$6,243
$6,960
$870
$496
$169
$230
$260
$68,204
$4,131
$5,118
$819
$3,052
$1,442
$1,442
$1,442
$1,833
$1,512
$6,243
$5,118
$5,425
$5,425
$5,425
$5,118
$6,243
$5,118
$5,527
$6,653
$7,471
$6,243
$5,425
$5,118
$5,118
$5,118
$5,118
$68,204
$68,204
$28,696
$95,803
$52,930
$52,930
$37,807
$52,930
$644
$1,579
$10,593
$8,003
$2,735
$2,408
$686
$366
$10,593
$7,180
$8,003
$1,001
$570
$195
$264
$299
$78,435
$4,750
$5,885
$942
$3,510
$1,658
$1,658
$1,658
$2,108
$1,739
$7,180
$5,885
$6,238
$6,238
$6,238
$5,885
$7,180
$5,885
$6,356
$7,650
$8,592
$7,180
$6,238
$5,885
$5,885
$5,885
$5,885
$78,435
$78,435
$33,000
$110,174
$60,870
$60,870
$43,478
$60,870
$740
$1,816
$12,182
$9,204
$3,146
$2,770
$788
$420
$12,182
$8,257
$9,204
$1,151
$656
$224
$304
$344
$90,200
$5,463
$6,768
$1,083
$4,037
$1,907
$1,907
$1,907
$2,424
$2,000
$8,257
$6,768
$7,174
$7,174
$7,174
$6,768
$8,257
$6,768
$7,309
$8,798
$9,881
$8,257
$7,174
$6,768
$6,768
$6,768
$6,768
$90,200
$90,200
$37,950
$126,700
$70,000
$70,000
$50,000
$70,000
$851
$2,089
$14,009
$10,585
$3,618
$3,185
$907
$483
$14,009
$9,496
$10,585
$1,324
$754
$258
$349
$396
$103,730
$6,282
$7,783
$1,245
$4,642
$2,193
$2,193
$2,193
$2,787
$2,300
$9,496
$7,783
$8,250
$8,250
$8,250
$7,783
$9,496
$7,783
$8,405
$10,118
$11,363
$9,496
$8,250
$7,783
$7,783
$7,783
$7,783
$103,730
$103,730
$43,643
$145,705
$80,500
$80,500
$57,500
$80,500
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
80
120-00
120-01
120-02
120-03
120-04
120-05
120-06
120-07
120-08
120-09
120-10
120-11
120-12
120-13
120-14
120-15
120-16
120-17
120-18
120-19
120-20
120-21
120-22
120-23
120-24
120-25
120-26
120-27
120-28
120-29
120-30
120-31
120-32
120-33
120-34
120-35
120-36
120-37
120-38
120-39
120-40
120-41
120-42
120-43
120-44
120-45
120-46
120-47
120-48
120-49
120-50
$37,164
$28,588
$21,698
$25,314
$36,163
$74,328
$40,023
$43,396
$37,307
$42,739
$32,876
$24,953
$29,112
$41,588
$85,477
$46,026
$49,905
$42,903
$49,149
$37,807
$28,696
$33,478
$47,826
$98,299
$52,930
$57,391
$49,338
$56,522
$43,478
$33,000
$38,500
$55,000
$113,043
$60,870
$66,000
$56,739
$65,000
$50,000
$37,950
$44,275
$63,250
$130,000
$70,000
$75,900
$65,250
$74,750
$57,500
$43,643
$50,916
$72,738
$149,500
$80,500
$87,285
$75,038
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$806
$3,449
$2,335
$1,167
$318
$752
$752
$338
$5,635
$110
$338
$102
$380
$175
$338
$20,311
$6,205
$1,472
$8,381
$518
$738
$615
$308
$369
$738
$369
$107
$118
$206
$441
$871
$1,737
$6,835
$927
$3,966
$2,685
$1,342
$366
$865
$865
$389
$6,480
$127
$389
$118
$436
$201
$389
$23,358
$7,136
$1,693
$9,638
$596
$849
$707
$354
$425
$849
$424
$123
$135
$237
$508
$1,001
$1,998
$7,861
$1,066
$4,561
$3,088
$1,544
$420
$995
$995
$447
$7,453
$146
$447
$135
$502
$231
$447
$26,861
$8,206
$1,947
$11,084
$685
$976
$813
$408
$488
$976
$488
$141
$156
$272
$584
$1,152
$2,297
$9,040
$1,226
$5,245
$3,551
$1,775
$483
$1,144
$1,144
$514
$8,570
$168
$514
$156
$577
$266
$514
$30,890
$9,437
$2,239
$12,747
$788
$1,123
$935
$469
$562
$1,123
$561
$163
$179
$313
$671
$1,324
$2,642
$10,396
$1,410
$6,032
$4,084
$2,042
$556
$1,315
$1,315
$591
$9,856
$193
$591
$179
$664
$306
$591
$35,524
$10,853
$2,575
$14,659
$906
$1,291
$1,075
$539
$646
$1,291
$645
$187
$206
$360
$772
$1,523
$3,038
$11,955
$1,621
$6,937
$4,697
$2,348
$639
$1,513
$1,513
$680
$11,334
$222
$680
$206
$763
$352
$680
$40,853
$12,481
$2,961
$16,858
$1,042
$1,485
$1,236
$620
$743
$1,485
$742
$215
$237
$414
$888
$1,751
$3,494
$13,748
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$705
$432
$175
$174
$262
$644
$695
$811
$496
$201
$200
$302
$740
$799
$932
$571
$231
$230
$347
$851
$919
$1,072
$657
$266
$264
$399
$979
$1,056
$1,233
$755
$306
$304
$459
$1,126
$1,215
$1,418
$868
$352
$349
$527
$1,295
$1,397
81
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
120-51
120-52
120-53
120-54
120-55
120-56
120-57
120-58
120-59
120-60
130-00
130-01
130-02
130-03
130-04
130-05
130-06
130-07
130-08
130-09
130-10
130-11
130-12
130-13
130-14
130-15
130-16
130-17
130-18
130-19
130-20
130-21
130-22
130-23
130-24
130-25
130-26
130-27
130-28
130-29
130-30
130-31
130-32
130-33
140-00
140-01
140-02
140-03
140-04
140-05
140-06
$930
$850
$24,447
$24,447
$1,570
$24,447
$766
$972
$1,362
$964
$1,337
$972
$937
$713
$768
$768
$1,122
$620
$339
$1,377
$757
$5,693
$2,061
$1,440
$620
$1,143
$1,217
$645
$1,051
$2,152
$2,407
$2,407
$981
$1,143
$394
$451
$613
$1,377
$1,377
$2,809
$1,377
$607
$1,377
$707
$1,377
$339
$707
$615
$6,205
$615
$707
$1,070
$977
$28,114
$28,114
$1,805
$28,114
$881
$1,118
$1,566
$1,108
$1,538
$1,118
$1,078
$820
$883
$883
$1,290
$713
$390
$1,583
$870
$6,546
$2,370
$1,656
$713
$1,315
$1,399
$742
$1,209
$2,474
$2,768
$2,768
$1,128
$1,315
$454
$518
$705
$1,583
$1,583
$3,231
$1,583
$698
$1,583
$813
$1,583
$390
$813
$707
$7,136
$707
$813
$1,230
$1,124
$32,331
$32,331
$2,076
$32,331
$1,013
$1,285
$1,801
$1,274
$1,769
$1,285
$1,240
$943
$1,016
$1,016
$1,484
$820
$449
$1,820
$1,001
$7,528
$2,725
$1,904
$820
$1,512
$1,609
$853
$1,390
$2,846
$3,183
$3,183
$1,297
$1,512
$522
$596
$811
$1,820
$1,820
$3,715
$1,820
$803
$1,820
$935
$1,820
$449
$935
$813
$8,206
$813
$935
$1,415
$1,293
$37,181
$37,181
$2,387
$37,181
$1,165
$1,478
$2,071
$1,466
$2,034
$1,478
$1,425
$1,084
$1,168
$1,168
$1,706
$943
$516
$2,094
$1,151
$8,658
$3,134
$2,190
$943
$1,739
$1,850
$981
$1,599
$3,272
$3,661
$3,661
$1,492
$1,739
$600
$685
$932
$2,094
$2,094
$4,273
$2,094
$923
$2,094
$1,076
$2,094
$516
$1,076
$935
$9,437
$935
$1,076
$1,627
$1,486
$42,758
$42,758
$2,746
$42,758
$1,340
$1,700
$2,381
$1,686
$2,339
$1,700
$1,639
$1,247
$1,344
$1,344
$1,962
$1,084
$593
$2,408
$1,323
$9,956
$3,604
$2,518
$1,084
$1,999
$2,128
$1,128
$1,838
$3,763
$4,210
$4,210
$1,716
$1,999
$690
$788
$1,072
$2,408
$2,408
$4,914
$2,408
$1,062
$2,408
$1,237
$2,408
$593
$1,237
$1,075
$10,853
$1,075
$1,237
$1,871
$1,709
$49,172
$49,172
$3,157
$49,172
$1,540
$1,955
$2,739
$1,938
$2,690
$1,955
$1,885
$1,434
$1,545
$1,545
$2,256
$1,247
$682
$2,769
$1,522
$11,450
$4,145
$2,896
$1,247
$2,299
$2,447
$1,298
$2,114
$4,328
$4,842
$4,842
$1,973
$2,299
$793
$906
$1,233
$2,769
$2,769
$5,651
$2,769
$1,221
$2,769
$1,423
$2,769
$682
$1,423
$1,236
$12,481
$1,236
$1,423
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Miringoplasta
Timpanoplasta
Mastoidectoma simple
Mastoidectoma con timpanoplasta
Tratamiento quirrgico de parlisis facial
Mastoidectoma radical
Estapedectoma
Laberintectoma
Tratamiento quirrgico de tumores m. de odo
Tratamiento quirrgico de tumores b.de odo
Tratamiento quirrgico de absceso otogeno endocraneano
Tratamiento quirrgico estenosis del conduct. auditiv. ext.
Tratamiento quirrgico malformaciones congnitas de odo
Ciruga de polipos nasales
Ligadura trans-antral de la arteria max. int.
Ligadura de cartida externa
Debridacin de hematoma y/o absceso sep. nasal
Tratamiento quirrgico de sequias
Tratamiento de fractura nasal
Tratamiento quirrgico atresia coanal
Correccin quirrgico septum nasal
Rinoplasta
Rinoseptumplasta
Tratamiento quirrgico de perforaciones dent.
Extirpacin de tumores benignos en fosas nasales
Tratamiento quirrgico de angiofibroma nasfar
Tratamiento quirrgico de sinusitis front.y/o et.
Tratamiento quirrgico de sinusitis maxilar (caldwell luc)
Tratamiento quirrgico del laberinto etmoidal
Maxilectoma
Amigdalectoma con o sin adenoidectoma
Debridacin de abscesos faringoamigdalinos
Tratamiento quirrgico de ranula
Extirpacin de glndula submaxilar
Oclusin de fistula oroantral
Taponamiento nasal
Laringofisura
Tratamiento quirrgico de la parlisis de los abd. laringe
Laringostoma (resoluciones de las est.lar.)
Laringectoma total
Laringectomas parciales
Procedimientos reconstructivos (colgajos lar)
Tratamiento quirrgico de remanentes embrionarios del cue.
Laringoscopia dir. expl. microscopia de laringe
Obturadores por maxilectoma
Rinectoma prtesis nasal
Laringoscopia con biopsia
Laringoscopia sin biopsia
Correccin defectos de mentn
Laringoscopia Sin Biopsia
Laringoscopia Con Biopsia
82
140-07
140-08
140-09
140-10
140-11
140-12
140-13
140-14
140-15
140-16
140-17
140-18
140-19
140-20
140-21
140-22
140-23
140-24
140-25
140-26
140-27
140-28
140-29
140-30
140-31
140-32
140-33
140-34
140-35
140-36
140-37
140-38
140-39
140-40
140-41
140-42
140-43
140-44
140-45
140-46
140-47
140-48
140-49
140-50
140-51
140-52
140-53
140-54
140-55
140-56
140-57
$432
$991
$651
$1,321
$2,657
$1,360
$2,407
$2,257
$496
$1,140
$749
$1,520
$3,055
$1,565
$2,768
$2,595
$571
$1,311
$861
$1,747
$3,513
$1,799
$3,183
$2,984
$657
$1,508
$990
$2,010
$4,040
$2,069
$3,661
$3,432
$755
$1,734
$1,138
$2,311
$4,646
$2,379
$4,210
$3,947
$868
$1,994
$1,309
$2,658
$5,343
$2,736
$4,842
$4,539
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,648
$11,718
$1,198
$7,831
$1,202
$1,780
$131
$1,993
$582
$1,819
$1,349
$884
$112
$4,553
$1,043
$2,940
$88,708
$35,426
$1,082
$3,560
$1,122
$1,478
$5,262
$615
$1,285
$1,895
$13,475
$1,378
$9,006
$1,382
$2,047
$151
$2,292
$669
$2,092
$1,551
$1,017
$128
$5,236
$1,200
$3,381
$102,014
$40,740
$1,244
$4,094
$1,290
$1,699
$6,052
$707
$1,477
$2,179
$15,496
$1,585
$10,357
$1,589
$2,354
$173
$2,636
$770
$2,406
$1,784
$1,170
$148
$6,021
$1,379
$3,888
$117,316
$46,851
$1,431
$4,708
$1,484
$1,954
$6,960
$813
$1,699
$2,506
$17,821
$1,822
$11,910
$1,828
$2,707
$199
$3,031
$885
$2,767
$2,052
$1,345
$170
$6,924
$1,586
$4,471
$134,913
$53,878
$1,645
$5,414
$1,706
$2,247
$8,003
$935
$1,954
$2,882
$20,494
$2,096
$13,697
$2,102
$3,113
$229
$3,486
$1,018
$3,182
$2,359
$1,547
$195
$7,963
$1,824
$5,142
$155,150
$61,960
$1,892
$6,226
$1,962
$2,585
$9,204
$1,075
$2,247
$3,315
$23,568
$2,410
$15,752
$2,417
$3,580
$263
$4,009
$1,170
$3,659
$2,713
$1,779
$224
$9,157
$2,098
$5,913
$178,423
$71,254
$2,176
$7,160
$2,256
$2,972
$10,585
$1,236
$2,584
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7,831
$7,831
$2,301
$5,882
$5,882
$11,718
$9,006
$9,006
$2,647
$6,764
$6,764
$13,475
$10,357
$10,357
$3,043
$7,778
$7,778
$15,496
$11,910
$11,910
$3,500
$8,945
$8,945
$17,821
$13,697
$13,697
$4,025
$10,287
$10,287
$20,494
$15,752
$15,752
$4,629
$11,830
$11,830
$23,568
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$725
$856
$1,091
$4,801
$1,360
$4,801
$244
$244
$833
$984
$1,255
$5,521
$1,565
$5,521
$280
$280
$958
$1,132
$1,443
$6,349
$1,799
$6,349
$322
$322
$1,102
$1,301
$1,660
$7,302
$2,069
$7,302
$371
$371
$1,267
$1,496
$1,909
$8,397
$2,379
$8,397
$426
$426
$1,457
$1,721
$2,195
$9,657
$2,736
$9,657
$490
$490
83
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Paquetes de otorrinolaringologa
Extraccin de c/extrao nasal
Ciruga polipos nasales
Tratamiento de fractura nasal
C. qx. septum nasal
Rinoseptumplasta
Sinusitis maxilar cadwel
Amigdalectoma con o sin adenoidectoma.
Escisin Papiloma Farngeo Juvenil
Urologa
Nefrectoma
Pielilotoma
Cistostoma
Prostatectoma
Correccin de reflujo vesicouretral
Dilatacin uretral
Puncin de absceso prosttico
Orquiectoma
Meatotomas
Dilisis peritoneal (con equipo)
Dilisis peritoneal (sin equipo)
Hemodilisis (con equipo)
Hemodilisis
Extirpacin de tumores retroperitoneales
Extirpacin de tumores renales
Biopsia renal percutanea
Trasplante renal
Litotripsia
Colocacin de catter blando
Colocacin de catter para hemodilisis
Exceresis de quiste de epididimo
Prtesis testiculares
Angioplasta renal
Cistoscopa con biopsia
Const. Fstula Arteriovenosa
Paquetes de urologa
Prostactectoma
RTUP
Vasectoma(Mtodos Definitivos De Planif
Procedimientos Urolgicos Complejos
Ureteroplastia
Dx.Y Tx Litiasis Vas Urinarias Inferi
Ortopedia, amputacin o desarticulacin
Brazo
Antebrazo
Muslo
Pierna
Mano
Pie
Dedo
Ortejo
140-58
141-00
141-01
141-02
141-03
141-04
141-05
141-06
141-07
141-08
150-00
150-01
150-02
150-03
150-04
150-05
150-06
150-07
150-08
150-09
150-10
150-11
150-12
150-13
150-14
150-15
150-16
150-17
150-18
150-19
150-20
150-21
150-22
150-23
150-24
150-25
151-00
151-01
151-02
151-03
151-04
151-05
151-06
160-00
160-01
160-02
160-03
160-04
160-05
160-06
160-07
$131
$247
$272
$1,694
$2,632
$3,611
$4,250
$4,981
$16,934
$151
$284
$312
$1,948
$3,027
$4,153
$4,887
$5,728
$19,474
$173
$327
$359
$2,240
$3,481
$4,776
$5,620
$6,588
$22,395
$199
$376
$413
$2,576
$4,003
$5,492
$6,463
$7,576
$25,754
$229
$432
$475
$2,962
$4,604
$6,316
$7,433
$8,712
$29,617
$263
$497
$546
$3,406
$5,295
$7,263
$8,548
$10,019
$34,060
$0.00
$0.00
$0.00
$0.00
$0.00
$1,226
$1,265
$1,360
$529
$1,587
$1,410
$1,455
$1,565
$608
$1,825
$1,621
$1,673
$1,799
$700
$2,099
$1,864
$1,924
$2,069
$805
$2,414
$2,144
$2,212
$2,379
$925
$2,776
$2,466
$2,544
$2,736
$1,064
$3,192
$0.00
$0.00
$1,265
$1,211
$1,455
$1,393
$1,673
$1,601
$1,924
$1,842
$2,212
$2,118
$2,544
$2,436
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20,966
$5,664
$20,966
$1,360
$1,408
$1,711
$24,111
$6,513
$24,111
$1,565
$1,619
$1,968
$27,728
$7,490
$27,728
$1,799
$1,862
$2,263
$31,887
$8,614
$31,887
$2,069
$2,141
$2,603
$36,670
$9,906
$36,670
$2,379
$2,462
$2,993
$42,171
$11,392
$42,171
$2,736
$2,831
$3,442
$0.00
$0.00
$626
$828
$719
$952
$827
$1,095
$951
$1,259
$1,094
$1,448
$1,258
$1,665
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$604
$604
$604
$604
$604
$604
$604
$604
$604
$604
$604
$604
$604
$604
$504
$1,280
$49
$694
$694
$694
$694
$694
$694
$694
$694
$694
$694
$694
$694
$694
$694
$579
$1,472
$57
$798
$798
$798
$798
$798
$798
$798
$798
$798
$798
$798
$798
$798
$798
$666
$1,693
$65
$918
$918
$918
$918
$918
$918
$918
$918
$918
$918
$918
$918
$918
$918
$766
$1,947
$75
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$1,056
$881
$2,239
$86
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,214
$1,013
$2,574
$99
$0.00
$0.00
$0.00
$0.00
$1,111
$1,236
$1,111
$1,236
$1,278
$1,422
$1,278
$1,422
$1,469
$1,635
$1,469
$1,635
$1,690
$1,880
$1,690
$1,880
$1,943
$2,162
$1,943
$2,162
$2,234
$2,487
$2,234
$2,487
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Puncin Articular
Reduccin Cerrada (gine, pediatra, terapia, quemados)
Reduccin Cerrada
Tx.De Quiste Sinovial
Reducc.Qx.Fractura Clavcula
Dx.Y Tx De Esguince De Codo
Tx.Qx.Pie Equino En Nios
Tx.Qx.Luxacion Congnita Cadera
Dx.Y Tx De Osteomielitis
Artrdesis
Hombro
Columna
Cadera
Artroneumografa
Artrdesis
Coxartrosis y gonardrosis
Total
Parcial
Fractura de cadera
Artroplasta total
Artroplasta parcial
Osteosntesis
Elongacin sea
Extirpacin discal
Laminectomia
Hallus valgus
Unilateral
Bilateral
Luxaciones glenohumeral
Miembro torxico reduccin manual
Miembro torxico reduccin quirrgica
Radiocarpiana reduccin manual
Radiocarpiana reduccin quirrgica
Dedos reduccin manual
Dedos reduccin quirrgica
Miembro plvico reduccin manual
Miembro plvico reduccin quirrgica
Rodilla reduccin manual
Rodilla reduccin quirrgica
Tobillo reduccin manual
Tobillo reduccin quirrgica
Pie reduccin manual
Pie reduccin quirrgica
Columna reduccin manual
Columna reduccin quirrgica
Realizacin de frulas de yeso
Osteoplatia
Hmero
Codo
Antebrazo
Mano
84
160-08
160-09
160-10
160-11
160-12
160-13
160-14
160-15
160-16
160-17
161-00
161-01
161-02
161-03
161-04
161-05
162-00
162-01
162-02
163-00
163-01
163-02
163-03
163-04
163-05
163-06
164-00
164-01
164-02
165-00
165-01
165-02
165-03
165-04
165-05
165-06
165-07
165-08
165-09
165-10
165-11
165-12
165-13
165-14
165-15
165-16
165-17
166-00
166-01
166-02
166-03
$1,007
$1,268
$1,067
$1,067
$1,067
$1,226
$1,226
$1,446
$1,159
$1,459
$1,227
$1,227
$1,227
$1,410
$1,410
$1,662
$1,332
$1,678
$1,411
$1,411
$1,411
$1,621
$1,621
$1,912
$1,532
$1,929
$1,623
$1,623
$1,623
$1,864
$1,864
$2,199
$1,762
$2,219
$1,867
$1,867
$1,867
$2,144
$2,144
$2,528
$2,026
$2,551
$2,147
$2,147
$2,147
$2,466
$2,466
$2,908
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7,816
$6,728
$6,728
$3,838
$3,838
$20,966
$11,644
$3,484
$3,484
$11,643
$10,836
$10,836
$2,823
$1,018
$1,280
$118
$131
$586
$8,988
$7,738
$7,738
$4,413
$4,413
$24,111
$13,391
$4,007
$4,007
$13,389
$12,462
$12,462
$3,247
$1,170
$1,472
$135
$151
$674
$10,336
$8,898
$8,898
$5,075
$5,075
$27,728
$15,400
$4,608
$4,608
$15,397
$14,331
$14,331
$3,734
$1,346
$1,693
$156
$173
$775
$11,887
$10,233
$10,233
$5,837
$5,837
$31,887
$17,710
$5,299
$5,299
$17,707
$16,481
$16,481
$4,294
$1,548
$1,947
$179
$199
$891
$13,670
$11,768
$11,768
$6,712
$6,712
$36,670
$20,366
$6,094
$6,094
$20,363
$18,953
$18,953
$4,938
$1,780
$2,239
$206
$229
$1,025
$15,721
$13,533
$13,533
$7,719
$7,719
$42,171
$23,421
$7,008
$7,008
$23,417
$21,796
$21,796
$5,679
$2,047
$2,574
$237
$263
$1,179
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$935
$789
$2,979
$1,787
$966
$1,160
$1,027
$966
$1,027
$1,059
$1,059
$1,385
$689
$1,075
$907
$3,425
$2,055
$1,111
$1,334
$1,181
$1,111
$1,181
$1,218
$1,218
$1,592
$792
$1,236
$1,043
$3,939
$2,363
$1,278
$1,535
$1,358
$1,278
$1,358
$1,401
$1,401
$1,831
$911
$1,422
$1,200
$4,530
$2,718
$1,469
$1,765
$1,562
$1,469
$1,562
$1,611
$1,611
$2,106
$1,048
$1,635
$1,380
$5,209
$3,126
$1,690
$2,029
$1,796
$1,690
$1,796
$1,852
$1,852
$2,422
$1,205
$1,881
$1,587
$5,991
$3,594
$1,943
$2,334
$2,066
$1,943
$2,066
$2,130
$2,130
$2,785
$1,386
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$935
$881
$935
$881
$881
$1,018
$935
$935
$935
$1,075
$1,013
$1,075
$1,013
$1,013
$1,170
$1,075
$1,075
$1,075
$1,236
$1,165
$1,236
$1,165
$1,165
$1,346
$1,236
$1,236
$1,236
$1,422
$1,340
$1,422
$1,340
$1,340
$1,548
$1,422
$1,422
$1,422
$1,635
$1,541
$1,635
$1,541
$1,541
$1,780
$1,635
$1,635
$1,635
$1,881
$1,772
$1,881
$1,772
$1,772
$2,047
$1,881
$1,881
$1,881
85
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Dedo
Cadera
Fmur
Rodilla
Tibia y/o peron
Tobillo
Pie
Columna
Osteosntesis
Hmero
Codo
Antebrazo
Mano
Dedo
Cadera
Fmur
Rodilla
Menisectomia
Tibia y/o peron
Tobillo
Pie
Columna
Meniscotomia y colocacin de prtesis ortopdica
Liberacin de canal
Radiografa Transqx.Adicional
Traccin Cutnea
Radiografa Porttil Transqx 5 Placas
Osteotoma
Hmero
Codo
Antebrazo
Mano
Dedo
Cadera
Fmur
Rodilla
Tibia y/o peron
Tobillo
Pie
Columna
Prtesis dactilar
Raspa secuestrectoma
Hmero
Codo
Antebrazo
Mano
Dedo
Cadera
Fmur
Rodilla
Tibia y/o peron
166-04
166-05
166-06
166-07
166-08
166-09
166-10
166-11
166-12
167-00
167-01
167-02
167-03
167-04
167-05
167-06
167-07
167-08
167-09
167-10
167-11
167-12
167-13
167-14
167-15
167-16
167-17
167-18
168-00
168-01
168-02
168-03
168-04
168-05
168-06
168-07
168-08
168-09
168-10
168-11
168-12
168-13
169-00
169-01
169-02
169-03
169-04
169-05
169-06
169-07
169-08
$766
$1,067
$49
$511
$881
$1,227
$57
$587
$1,013
$1,411
$65
$675
$1,165
$1,623
$75
$777
$1,340
$1,867
$86
$893
$1,540
$2,147
$99
$1,027
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,966
$2,966
$4,537
$1,086
$6,302
$1,027
$1,142
$1,320
$2,812
$1,373
$1,373
$8,856
$1,603
$1,395
$1,362
$1,396
$1,352
$912
$1,774
$1,265
$1,265
$12,528
$1,395
$1,455
$14,436
$1,512
$1,122
$5,246
$1,233
$951
$1,076
$1,373
$5,882
$2,318
$1,134
$882
$2,021
$1,512
$18,806
$5,262
$5,262
$3,411
$3,411
$5,217
$1,248
$7,247
$1,181
$1,313
$1,518
$3,234
$1,579
$1,579
$10,185
$1,844
$1,604
$1,566
$1,606
$1,555
$1,049
$2,041
$1,455
$1,455
$14,407
$1,604
$1,673
$16,601
$1,739
$1,290
$6,033
$1,418
$1,094
$1,238
$1,579
$6,764
$2,666
$1,304
$1,014
$2,324
$1,739
$21,626
$6,052
$6,052
$3,922
$3,922
$6,000
$1,436
$8,334
$1,358
$1,510
$1,746
$3,719
$1,816
$1,816
$11,713
$2,120
$1,845
$1,801
$1,846
$1,789
$1,206
$2,347
$1,673
$1,673
$16,569
$1,845
$1,924
$19,091
$2,000
$1,484
$6,938
$1,630
$1,258
$1,424
$1,816
$7,778
$3,066
$1,500
$1,167
$2,672
$2,000
$24,870
$6,960
$6,960
$4,510
$4,510
$6,900
$1,651
$9,584
$1,562
$1,737
$2,008
$4,276
$2,088
$2,088
$13,470
$2,438
$2,122
$2,071
$2,123
$2,057
$1,387
$2,699
$1,924
$1,924
$19,054
$2,122
$2,212
$21,955
$2,300
$1,706
$7,978
$1,875
$1,446
$1,637
$2,088
$8,945
$3,526
$1,725
$1,341
$3,073
$2,300
$28,601
$8,003
$8,003
$5,187
$5,187
$7,935
$1,899
$11,022
$1,796
$1,997
$2,309
$4,918
$2,402
$2,402
$15,490
$2,804
$2,440
$2,381
$2,442
$2,365
$1,595
$3,104
$2,212
$2,212
$21,912
$2,440
$2,544
$25,248
$2,645
$1,962
$9,175
$2,156
$1,663
$1,883
$2,402
$10,287
$4,055
$1,983
$1,543
$3,534
$2,645
$32,891
$9,204
$9,204
$5,965
$5,965
$9,125
$2,184
$12,675
$2,066
$2,297
$2,655
$5,655
$2,762
$2,762
$17,814
$3,224
$2,806
$2,739
$2,808
$2,720
$1,834
$3,569
$2,544
$2,544
$25,199
$2,806
$2,926
$29,035
$3,042
$2,256
$10,551
$2,480
$1,913
$2,165
$2,762
$11,830
$4,663
$2,281
$1,774
$4,064
$3,042
$37,825
$10,585
$10,585
$0.00
$0.00
$0.00
$0.00
$1,396
$1,396
$1,396
$25,729
$1,606
$1,606
$1,606
$29,588
$1,846
$1,846
$1,846
$34,026
$2,123
$2,123
$2,123
$39,130
$2,442
$2,442
$2,442
$45,000
$2,808
$2,808
$2,808
$51,750
$0.00
$0.00
$0.00
$0.00
Pie
Columna
Vendas de yeso c/u (reposicin)
Tobillo
Ciruga peditrica
Hernioplasta inguinal simple
Hernioplasta inguinal doble
Hernioplasta umbilical
Hernioplastia diafragmtica
Pilorotoma
Desinvaginacin del intestino
Intervencin del intestino
Intervenciones esplnicas
Intervenciones hepticas
Intervenciones biliares
Atresias de intestino
esplenectomia
Anastmosis de hgado. rin y t. digestivo
Atresia de esfago
Tumorectomas abdominales
Atresia rectal alta
Atresia rectal baja
Colostoma
Descenso
Ano cubierto
Ano humedo
Oclusin intestinal
Fstula recto urinaria
Quiste ideoptico
Perforacin de intestino
Adherencias intestinales
Absceso residual de pared abdominal
Quiste tirogloso
Miectoma
Eventraciones. bridas. reseccin
Exonfalos simples
Exonfalos en dos tiempos
Estnosis uretero pilica unilateral
Estnosis uretero pilica bilateral: plastia bilateral
Fstula branquial (reseccin de fstula)
Frenillo lingual corto: frenilectoma
Hipospadias: plasta de uretra peneana
Desinvaginacin por taxis
derivacion transyugular portosistemica
derivacion biliar hemod/us
drenaje biliar sin kit
Ciruga cardiovascular peditrica
Blalock
Anastmosis troncovenoso auricular derecho
Anastmosis sistemtico pulmonar
Bandaje de arteria pulmonar
86
169-09
169-10
169-11
169-12
169-80
171-00
171-01
171-02
171-03
171-04
171-06
171-07
171-08
171-09
171-10
171-11
171-12
171-13
171-14
171-15
171-16
171-17
171-18
171-19
171-20
171-22
171-23
171-25
171-26
171-27
171-28
171-29
171-30
171-31
171-32
171-33
171-34
171-35
171-36
171-37
171-38
171-39
171-40
171-41
171-42
171-43
171-44
172-00
172-01
172-02
172-03
$1,370
$1,396
$1,396
$1,280
$1,280
$2,395
$51,572
$2,395
$2,395
$2,395
$2,395
$1,280
$1,280
$25,729
$1,280
$2,395
$28,588
$40,023
$1,396
$1,396
$1,396
$2,395
$5,832
$40,023
$40,023
$40,023
$37,164
$28,588
$40,023
$43,396
$37,307
$11,435
$11,435
$51,772
$62,893
$68,725
$25,729
$1,575
$1,606
$1,606
$1,472
$1,472
$2,755
$59,308
$2,755
$2,755
$2,755
$2,755
$1,472
$1,472
$29,588
$1,472
$2,755
$32,876
$46,026
$1,606
$1,606
$1,606
$2,755
$6,707
$46,026
$46,026
$46,026
$42,739
$32,876
$46,026
$49,905
$42,903
$13,150
$13,150
$59,538
$72,327
$79,033
$29,588
$1,811
$1,846
$1,846
$1,693
$1,693
$3,168
$68,204
$3,168
$3,168
$3,168
$3,168
$1,693
$1,693
$34,026
$1,693
$3,168
$37,807
$52,930
$1,846
$1,846
$1,846
$3,168
$7,713
$52,930
$52,930
$52,930
$49,149
$37,807
$52,930
$57,391
$49,338
$15,123
$15,123
$68,469
$83,176
$90,888
$34,026
$2,083
$2,123
$2,123
$1,947
$1,947
$3,643
$78,435
$3,643
$3,643
$3,643
$3,643
$1,947
$1,947
$39,130
$1,947
$3,643
$43,478
$60,870
$2,123
$2,123
$2,123
$3,643
$8,870
$60,870
$60,870
$60,870
$56,522
$43,478
$60,870
$66,000
$56,739
$17,391
$17,391
$78,739
$95,652
$104,522
$39,130
$2,396
$2,442
$2,442
$2,239
$2,239
$4,190
$90,200
$4,190
$4,190
$4,190
$4,190
$2,239
$2,239
$45,000
$2,239
$4,190
$50,000
$70,000
$2,442
$2,442
$2,442
$4,190
$10,200
$70,000
$70,000
$70,000
$65,000
$50,000
$70,000
$75,900
$65,250
$20,000
$20,000
$90,550
$110,000
$120,200
$45,000
$2,755
$2,808
$2,808
$2,574
$2,574
$4,818
$103,730
$4,818
$4,818
$4,818
$4,818
$2,574
$2,574
$51,750
$2,574
$4,818
$57,500
$80,500
$2,808
$2,808
$2,808
$4,818
$11,730
$80,500
$80,500
$80,500
$74,750
$57,500
$80,500
$87,285
$75,038
$23,000
$23,000
$104,133
$126,500
$138,230
$51,750
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$233
$670
$905
$827
$3,595
$9,459
$268
$771
$1,041
$951
$4,134
$10,877
$309
$886
$1,197
$1,093
$4,754
$12,509
$355
$1,019
$1,377
$1,257
$5,467
$14,385
$408
$1,172
$1,583
$1,446
$6,287
$16,543
$469
$1,348
$1,820
$1,663
$7,230
$19,024
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$704
$593
$593
$661
$661
$519
$809
$682
$682
$760
$760
$596
$931
$785
$785
$875
$875
$686
$1,070
$902
$902
$1,006
$1,006
$789
$1,231
$1,038
$1,038
$1,157
$1,157
$907
$1,416
$1,194
$1,194
$1,330
$1,330
$1,043
87
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Waterston
Drenaje de arteria pulmonar
Derivacin espleno renal
Coartectoma
Rastelli
Rastelli con tubo valvulado
Substitucin valvular (sin prtesis)
Comisurotoma
Septostoma de raskin
Septostoma transauricular
Anastomosis y blalock
Venocarvoportografa
Reseccin paquete varicoso
Correccin de fstula
Esplenoportografa
Correccin drenaje anomalo tot. venas pulm. cierre
Seccin y sutura de conducto p.c.a.
Cierre de c.i.v.
Correccin transposicin de grandes vasos tgv
Correccin total de enfermedad de ebstein
Correccin total del canal a.v.
Fstula y blalock izquierdo modificado
Aneurisma de aorta
Cierre de CIA
Cierre de CIA y CIV
Cierre de PCA y CIV
Cierre PCA y rodete subartica
Coartacin artica
Correccin total Tetraloga de Fallot
Comisurotoma mitral AB+Ablacin
Correccin canal AB C/B Extracorprea
Pericardiectomia
Ventana Pericardica
Revasc. Coronaria S/B Contrapulsacion
Revascul.Coronaria C/B Contrapulsacion
Revascul Y Cambio Valvular
Fstula arterio venosa
Neumologa peditrica
Gasometra
Pruebas funcionales respiratorias
PFR con oxim. (caminata de 6 min)
PFR completas c/oxim. En reposo
Dx.Y Tx De La Bronquiolitis
Dx.Y Tx De Neumona En Nios
Neurociruga peditrica
Quiste pilonidal
Laminectoma
Plasta de meningocele
Plasta de meningocele craneano
Murcelacin
Craneoplasta
172-04
172-05
172-06
172-07
172-08
172-09
172-10
172-11
172-12
172-13
172-14
172-15
172-16
172-17
172-18
172-19
172-22
172-23
172-24
172-25
172-26
172-27
172-28
172-29
172-30
172-31
172-32
172-33
172-34
172-35
172-36
172-37
172-38
172-39
172-40
172-41
172-42
172-43
173-00
173-01
173-02
173-03
173-04
173-05
173-06
174-00
174-01
174-02
174-03
174-04
174-05
$1,025
$695
$1,425
$1,425
$1,178
$799
$1,639
$1,639
$1,355
$919
$1,884
$1,884
$1,558
$1,056
$2,167
$2,167
$1,792
$1,215
$2,492
$2,492
$2,061
$1,397
$2,866
$2,866
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$411
$106
$411
$106
$2,941
$2,395
$1,280
$2,822
$2,822
$1,981
$1,981
$562
$611
$886
$886
$879
$879
$472
$122
$472
$122
$3,382
$2,755
$1,472
$3,246
$3,246
$2,278
$2,278
$647
$702
$1,018
$1,018
$1,010
$1,010
$543
$140
$543
$140
$3,889
$3,168
$1,693
$3,732
$3,732
$2,619
$2,619
$744
$808
$1,171
$1,171
$1,162
$1,162
$624
$161
$624
$161
$4,472
$3,643
$1,947
$4,292
$4,292
$3,012
$3,012
$855
$929
$1,347
$1,347
$1,336
$1,336
$718
$185
$718
$185
$5,143
$4,190
$2,239
$4,936
$4,936
$3,464
$3,464
$984
$1,068
$1,549
$1,549
$1,537
$1,537
$826
$213
$826
$213
$5,914
$4,818
$2,574
$5,676
$5,676
$3,984
$3,984
$1,131
$1,228
$1,781
$1,781
$1,767
$1,767
$0.00
$1,981
$2,278
$2,619
$3,012
$3,464
$3,984
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$77
$37
$28
$644
$25
$62
$173
$28
$2,014
$3,118
$6,078
$7,901
$89
$42
$32
$740
$29
$71
$199
$32
$2,316
$3,585
$6,989
$9,086
$102
$49
$37
$851
$33
$82
$228
$37
$2,664
$4,123
$8,038
$10,449
$117
$56
$43
$979
$38
$94
$263
$43
$3,063
$4,742
$9,243
$12,017
$135
$64
$49
$1,126
$44
$109
$302
$49
$3,523
$5,453
$10,630
$13,819
$155
$74
$56
$1,295
$51
$125
$347
$56
$4,051
$6,271
$12,225
$15,892
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$5,347
$966
$712
$3,210
$2,150
$8,931
$1,076
$1,004
$1,067
$1,144
$2,464
$1,245
$1,226
$6,149
$1,111
$819
$3,691
$2,473
$10,270
$1,238
$1,155
$1,227
$1,315
$2,834
$1,432
$1,410
$7,071
$1,278
$941
$4,245
$2,844
$11,811
$1,424
$1,328
$1,411
$1,512
$3,259
$1,647
$1,621
$8,132
$1,469
$1,083
$4,882
$3,270
$13,583
$1,637
$1,527
$1,623
$1,739
$3,748
$1,894
$1,864
$9,352
$1,690
$1,245
$5,614
$3,761
$15,620
$1,883
$1,756
$1,867
$2,000
$4,310
$2,178
$2,144
$10,755
$1,943
$1,432
$6,456
$4,325
$17,963
$2,165
$2,019
$2,147
$2,300
$4,957
$2,505
$2,466
$0.00
$0.00
$0.00
$0.00
Creneotoma o craniectoma
Derivacin de lquido cefalorraqudeo
Colocacin de reservorio de omaya
Colocacin de deriv ventricular periton
Urologa peditrica
Dilisis peritoneal con equipo
Dilisis peritoneal sin equipo
Hemodilis con equipo
Hemodilis sin equipo
Biopsia renal
Trasplante de rin-receptor
Trasplante de rin-donador
Orquidopexia unilateral
Orquidopexia bilateral
Circuncisin
Circuncisin con plastibel y anestesia
Cicatriz fibrosa del prepucio
Correccin de hipospadias
Reflujo vesicouretral
Reimplante de ureteros
Valvas posteriores
Tumores de vejiga
Paquetes de urologa peditrica
Circuncisin
Neonatologa
Aspiracin de secreciones
Fototerapia por da
Fototerapia por 1 hora
Intubacin
Uso monitor apnea por da
Uso de monitor neonatal
Preparacin alimentacin parenteral
Fototerapia Por Sesin
Ictericia Neonatal
Dx.Y Tx Rn Con Bajo Peso Al Nacer
Dx.Y TX DEL PREMATURO SIN COMPLICACION
Dx.Y Tx Del Prematuro Con Hipotermia
Gastroenterologa
Hemorroidectomas
Extirpacin de tumores benignos de ano o recto
Debridacin de abscesos
Fistulectomas
Prolapso rectal
Colecistectoma
Colecistectoma con canales
Gastrectoma
Hernias diafragmticas
Gastrostoma
Hemicolectomas o colectomas
Reseccin abdomino perineal
Transposicin de colon
88
174-06
174-07
174-08
174-09
174-10
175-00
175-01
175-02
175-03
175-04
175-05
175-07
175-08
175-09
175-10
175-11
175-12
175-13
175-14
175-16
175-17
175-18
175-19
176-00
176-01
177-00
177-01
177-02
177-03
177-04
177-05
177-06
177-07
177-08
177-09
177-10
177-11
177-12
180-00
180-01
180-02
180-03
180-04
180-05
180-06
180-07
180-08
180-09
180-10
180-11
180-12
$12,223
$1,226
$1,977
$1,780
$685
$485
$858
$890
$4,560
$971
$1,780
$315
$37
$58
$215
$432
$93
$1,086
$14,436
$858
$1,233
$1,045
$869
$8,931
$935
$1,373
$8,931
$765
$2,360
$17,976
$1,214
$485
$615
$615
$1,144
$1,144
$181
$161
$1,052
$4,721
$2,941
$4,721
$5,262
$5,262
$1,144
$131
$1,144
$1,144
$1,780
$485
$485
$14,056
$1,410
$2,273
$2,047
$788
$558
$986
$1,024
$5,244
$1,116
$2,047
$362
$42
$66
$247
$496
$107
$1,248
$16,601
$986
$1,418
$1,202
$1,000
$10,270
$1,075
$1,579
$10,270
$880
$2,714
$20,672
$1,396
$558
$707
$707
$1,315
$1,315
$208
$185
$1,210
$5,429
$3,382
$5,429
$6,052
$6,052
$1,315
$151
$1,315
$1,315
$2,047
$558
$558
$16,165
$1,621
$2,614
$2,354
$906
$642
$1,134
$1,177
$6,030
$1,284
$2,354
$417
$48
$76
$284
$571
$123
$1,436
$19,091
$1,134
$1,630
$1,382
$1,150
$11,811
$1,236
$1,816
$11,811
$1,012
$3,121
$23,773
$1,605
$642
$813
$813
$1,512
$1,512
$240
$213
$1,391
$6,243
$3,889
$6,243
$6,960
$6,960
$1,512
$173
$1,512
$1,512
$2,354
$642
$642
$18,590
$1,864
$3,007
$2,707
$1,042
$738
$1,304
$1,354
$6,935
$1,477
$2,707
$479
$56
$87
$327
$657
$142
$1,651
$21,955
$1,304
$1,875
$1,590
$1,322
$13,583
$1,422
$2,088
$13,583
$1,163
$3,590
$27,339
$1,846
$738
$935
$935
$1,739
$1,739
$276
$245
$1,600
$7,180
$4,472
$7,180
$8,003
$8,003
$1,739
$199
$1,739
$1,739
$2,707
$738
$738
$21,378
$2,144
$3,458
$3,113
$1,198
$849
$1,500
$1,557
$7,975
$1,698
$3,113
$551
$64
$101
$376
$755
$163
$1,899
$25,248
$1,500
$2,156
$1,828
$1,521
$15,620
$1,635
$2,402
$15,620
$1,338
$4,128
$31,440
$2,123
$849
$1,075
$1,075
$2,000
$2,000
$317
$282
$1,840
$8,257
$5,143
$8,257
$9,204
$9,204
$2,000
$229
$2,000
$2,000
$3,113
$849
$849
$24,585
$2,466
$3,976
$3,580
$1,378
$976
$1,725
$1,791
$9,171
$1,953
$3,580
$634
$74
$116
$433
$868
$187
$2,184
$29,035
$1,725
$2,480
$2,103
$1,749
$17,963
$1,881
$2,762
$17,963
$1,539
$4,747
$36,156
$2,441
$976
$1,236
$1,236
$2,300
$2,300
$365
$324
$2,116
$9,496
$5,914
$9,496
$10,585
$10,585
$2,300
$263
$2,300
$2,300
$3,580
$976
$976
89
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Laparotoma exploradora
Resecciones intestinales
Colostoma o cierre
Biopsia heptica
Rectosigmoidoscopa
Gastroscopa
Panendoscopa
Colonoscopia
Ciruga menor de esfago
Esclerosis de varices por sesin
Dilataciones esofgicas por sesin
Ciruga menor de recto
Curaciones proctolgicas
Curaciones esofgicas
Peritoneoscopas
Cuerpos extraos en esfago y recto
Perfil rectal
Ciruga de pncreas
Abdomen agudo por perforacin de vscera hueca
Endoscopa
Piloroplasta
Anoplasta perineal
Rectonectoma
Plastia local colesistectoma laparoscpica
Colectoma (reseccin de colon)
Apendicectoma por laparoscopa
Colecistectoma por laparoscopa
Ligadura de hemorroides
Drenaje de absceso hepatico
Drenaje de absceso hepatico amebiano
Gastrostomia percutanea endoscopica
rectosigmoidoscopa en sala
rectosigmoidoscopa con biopsia
Gastroscopa con biopsia
Panendoscopa con biopsia
Endoscopa con biopsia
Biopsia endoscpica mayor
Biopsia endoscpica simple
Bandeo de vrices esofgicas
Biopsia heptica transyugular
Colecistostoma percutnea
Colocacin de endoprtesis biliar
Derivacin biliar Hemod/US
Drenaje biliar sin kit
Colocacin de sonda nasoenteral (sin kit)
Dilatacin esfago-uretra
Dilatacin colnica
Dilatacin pilrica
Dilatacin traqueal
Endoscopia Sin Biopsia
Esofagoscopia Sin Biopsia
180-13
180-14
180-15
180-16
180-17
180-18
180-19
180-20
180-21
180-22
180-23
180-24
180-25
180-26
180-27
180-28
180-29
180-30
180-31
180-32
180-33
180-34
180-35
180-36
180-37
180-38
180-39
180-40
180-41
180-42
180-43
180-44
180-45
180-46
180-47
180-48
180-49
180-50
180-51
180-52
180-53
180-54
180-55
180-56
180-57
180-58
180-59
180-60
180-61
180-62
180-63
190-10
190-11
190-12
190-13
190-14
190-16
190-17
190-18
190-19
190-20
190-21
190-22
190-23
190-24
190-25
190-26
$485
$615
$615
$615
$615
$1,176
$1,214
$1,780
$6,302
$17,976
$971
$1,144
$558
$707
$707
$707
$707
$1,353
$1,396
$2,047
$7,248
$20,672
$1,116
$1,315
$642
$813
$813
$813
$813
$1,555
$1,605
$2,354
$8,335
$23,773
$1,284
$1,512
$738
$935
$935
$935
$935
$1,789
$1,846
$2,707
$9,585
$27,339
$1,477
$1,739
$849
$1,075
$1,075
$1,075
$1,075
$2,057
$2,123
$3,113
$11,023
$31,440
$1,698
$2,000
$976
$1,236
$1,236
$1,236
$1,236
$2,366
$2,441
$3,580
$12,676
$36,156
$1,953
$2,300
$0.00
$0.00
$0.00
$0.00
$8,931
$12,223
$2,322
$8,568
$10,270
$14,056
$2,670
$9,853
$11,811
$16,165
$3,071
$11,331
$13,583
$18,590
$3,531
$13,030
$15,620
$21,378
$4,061
$14,985
$17,963
$24,585
$4,670
$17,233
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,500
$222
$2,522
$87
$89
$489
$150
$222
$159
$1,500
$255
$2,900
$101
$102
$562
$172
$255
$183
$1,500
$293
$3,335
$116
$117
$646
$198
$293
$210
$1,500
$337
$3,836
$133
$135
$743
$228
$337
$242
$1,500
$388
$4,411
$153
$155
$855
$262
$388
$278
$1,500
$446
$5,073
$176
$178
$983
$301
$446
$320
$0.00
$8,742
$10,054
$11,562
$13,296
$15,290
$17,584
$0.00
$31
$36
$41
$47
$54
$62
$0.00
$844
$971
$1,116
$1,284
$1,476
$1,698
$0.00
$89
$102
$117
$135
$155
$178
$0.00
$20,170
$23,195
$26,675
$30,676
$35,277
$40,569
$0.00
$811
$932
$1,072
$1,233
$1,418
$1,631
$0.00
$511
$587
$675
$777
$893
$1,027
$0.00
$669
$770
$885
$1,018
$1,171
$1,346
$0.00
$270
$311
$357
$411
$473
$544
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$61
$146
$599
$750
$110
$110
$664
$664
$70
$168
$689
$750
$127
$127
$764
$764
$81
$193
$792
$750
$146
$146
$879
$879
$93
$222
$911
$750
$168
$168
$1,010
$1,010
$107
$255
$1,048
$750
$193
$193
$1,162
$1,162
$123
$294
$1,205
$750
$222
$222
$1,336
$1,336
190-15
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
190-09
90
180-64
180-65
180-66
180-67
180-68
180-69
180-70
180-71
180-72
180-73
180-74
180-75
180-76
181-00
181-01
181-02
181-03
181-04
190-00
190-01
190-02
190-03
190-04
190-05
190-06
190-07
190-08
191-11
191-12
191-13
191-14
191-15
191-17
191-18
191-19
191-20
191-21
191-22
191-23
191-24
191-25
191-26
191-27
191-28
191-29
191-30
191-31
191-32
191-33
191-34
191-35
191-36
191-37
191-38
191-39
191-40
191-41
191-42
191-43
191-44
$37
$186
$35
$92
$159
$169
$63
$165
$184
$123
$53
$42
$214
$40
$106
$183
$194
$73
$190
$212
$142
$61
$49
$246
$46
$122
$210
$223
$84
$219
$243
$163
$70
$56
$283
$52
$140
$242
$257
$96
$251
$280
$187
$80
$64
$325
$60
$161
$278
$295
$111
$289
$322
$215
$93
$74
$374
$69
$185
$320
$339
$127
$332
$370
$247
$106
$0.00
$420
$483
$556
$639
$735
$845
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$0.00
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$225
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$316
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$36
$41
$47
$54
$62
$72
$0.00
$239
$275
$316
$364
$418
$481
$0.00
$1,557
$1,791
$2,059
$2,368
$2,723
$3,132
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
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$109
$179
$179
$360
$400
$239
$239
$120
$41
$420
$150
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$185
$420
$22
$24
$54
$70
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$153
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$206
$414
$400
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$47
$483
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$483
$25
$28
$62
$81
$173
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$176
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$176
$176
$176
$176
$212
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$237
$237
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$400
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$316
$158
$54
$555
$199
$244
$244
$556
$29
$32
$72
$93
$199
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$203
$203
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$203
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$273
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$400
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$364
$182
$62
$638
$229
$281
$281
$639
$33
$37
$83
$107
$229
$233
$233
$233
$233
$233
$233
$233
$281
$190
$314
$314
$630
$400
$418
$418
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$71
$734
$263
$323
$323
$735
$38
$42
$95
$123
$263
$268
$268
$268
$268
$268
$268
$268
$323
$219
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$361
$724
$400
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$481
$241
$82
$844
$302
$371
$371
$845
$44
$48
$109
$141
$302
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$308
$308
$308
$308
$308
$308
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$400
$400
$400
$400
$400
$400
$0.00
$140
$161
$186
$213
$245
$282
91
191-45
192-00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
191-16
Bacteriologa en fresco
Bacteriologa frotis y tincin
Serotipificaciones
Investigacin de plasmodium
Cultivos en general
Examen de fresco (Busqueda de Trichomonas vaginalis)
Tincin de Gram
Coprocultivo (Salmonella,Shigella)
Aislamiento de Campylobacter
Urocultivo con Antibiograma
Cultivos anaerobios
Cultivos bacteriolgicos lquidos y secreciones diversas con
Antibiograma (2,3,4,5 11b)
Hemocultivo con antibiograma
Aislamiento de Bordetella pertussis
bsqueda de bacilos acidol alcoholresistente (BAAR) por ZiehlNeelsen
Cultivo de Micobacterias en Sistema ESP y Lowenstein-Jensen
Identificacin de cultivo a Mycabacterium tuberculosis por PCR y
Susceptibilidad a antibiticos por sistema ESP a 4 Antifmico
PPD 5 UI con control
Determ. de Coliformes Totales y Fecales en Agua
Bsqueda de Vibrio cholerae en agua
Bsqueda de Salmonella en Alimentos
Bsqueda de Vibrio cholerae en alimentos
Determinacin de Coliformes Totales y Fecales e alimentos
Bsqueda de Staphylococcus aureus en alimentos
Determinacin de Mesofilicos en alimentos
Identificacin de hongos y levaduras
Bsqueda de Campylobacter en alimentos
exudado faringeo
exudado uretral
Cultivo de L.C.R.
Cultivo de punta de catter
Tinta China (Criptococo)
Tincin Simple De Azul De Met.
Tincin De P.A.S.
Rosa De Bengala
Exudado Farngeo
Liquido Amnitico
Liquido Ascitis
Liquido Dilisis
Liquido Pericardico
Liquido Peritoneal
Liquido Pleural
Liquido Sinovial
Exudado Uretral
Busqueda de vibrio cholerae y V parahaemolyticus en muestras
ambientales
Inmunologa
Estudio de l.c.r.
191-00
191-01
191-02
191-03
191-04
191-05
191-06
191-07
191-08
191-09
191-10
$124
$108
$136
$90
$90
$90
$34
$0
$43
$47
$97
$73
$49
$61
$77
$98
$98
$98
$136
$101
$101
$61
$123
$98
$123
$123
$123
$77
$159
$83
$90
$53
$81
$184
$148
$229
$152
$495
$760
$427
$269
$285
$427
$124
$124
$124
$124
$124
$124
$124
$124
$143
$124
$156
$104
$104
$104
$39
$0
$49
$54
$111
$84
$57
$70
$89
$112
$112
$112
$156
$116
$116
$70
$142
$112
$142
$142
$142
$89
$183
$96
$104
$61
$93
$211
$170
$263
$174
$569
$874
$491
$310
$328
$491
$143
$143
$143
$143
$143
$143
$143
$143
$164
$143
$179
$119
$119
$119
$45
$0
$57
$62
$128
$97
$65
$81
$102
$129
$129
$129
$179
$134
$134
$81
$163
$129
$163
$163
$163
$102
$210
$110
$119
$70
$106
$243
$196
$302
$200
$654
$1,005
$564
$356
$377
$564
$164
$164
$164
$164
$164
$164
$164
$164
$189
$164
$206
$137
$137
$137
$52
$0
$65
$72
$147
$111
$75
$93
$117
$149
$149
$149
$206
$154
$154
$93
$187
$149
$187
$187
$187
$117
$241
$127
$137
$80
$122
$279
$225
$348
$230
$752
$1,156
$649
$410
$434
$649
$189
$189
$189
$189
$189
$189
$189
$189
$217
$189
$237
$158
$158
$158
$60
$0
$75
$82
$169
$128
$86
$107
$135
$171
$171
$171
$237
$177
$177
$107
$215
$171
$215
$215
$215
$135
$278
$146
$158
$93
$141
$321
$259
$400
$265
$865
$1,330
$746
$471
$499
$746
$217
$217
$217
$217
$217
$217
$217
$217
$250
$217
$273
$182
$182
$182
$69
$0
$86
$95
$194
$147
$99
$123
$155
$197
$197
$197
$273
$204
$204
$123
$247
$197
$247
$247
$247
$155
$319
$168
$182
$106
$162
$369
$298
$460
$305
$995
$1,529
$858
$542
$574
$858
$250
$250
$250
$250
$250
$250
$250
$250
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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$0.00
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$0.00
$0.00
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$0.00
$0.00
$0.00
Estudio de l. ascitis
Estudio de l.peritoneal
Estudio de l. sinovial
Reacciones febriles en placa
Reacciones febriles en tubo
Reacciones febriles en zona
V.d.r.l. cuantitativo
V.d.r.l. cualitativo
Eosinfilos en moco nasal
Eosinfilos en esputo
Treponema inmunofluorecencia
Antiestreptolisinas
Protenas c-reactivas
Factor reumatoide (p. ltex r.f.)
R.p.r. prueba de sfilis
I.g.g.
I.g.m.
I.g.a.
I.g.e.
Complemento hemoltico c3
Complemento hemoltico c4
Clulas l.e.
A.c. toxoplasma
A.c. mononucleosis
A.c. dna
A.c. antincleo
Ac. Mitocondria
Ac. t.b.g.
Clamidia fluorescencia
Coombs directo
Coombs indirecto
Paul y bunell
Ac. amibisis
Antgeno carcinoembrionario (c e a)
Alfa feto protena (a f p)
Antgeno prosttico (p a p)
Ferritina
Antgeno extraible del ncleo i (ena i)
Antgeno extraible del ncleo ii (ena ii)
C.a. 15-3 (marcador tumoral)
C.a. 125 (marcador tumoral)
P.g.a. (marcador tumoral)
C.a. 19-9 (marcador tumoral)
Investigacin ag asociado a hepatitis
Investigacin de a.c. asociados a hepatitis
Investigacin ac hla 827
Ac. a histomas msculo esqueltico
Anticuerpos antitiroides
Anticuerpos antimsculo liso
Ac. anticelulares parietales
Cadenas ligeras de inmunoglobulinas
92
192-01
192-02
192-03
192-04
192-05
192-06
192-07
192-08
192-09
192-10
192-11
192-12
192-13
192-14
192-15
192-16
192-17
192-18
192-19
192-20
192-21
192-22
192-23
192-24
192-25
192-26
192-27
192-28
192-29
192-30
192-31
192-32
192-33
192-34
192-35
192-36
192-37
192-38
192-39
192-40
192-41
192-42
192-43
192-44
192-45
192-46
192-47
192-48
192-49
192-50
192-51
192-68
192-70
192-71
192-72
192-73
192-74
192-75
192-76
192-77
192-78
192-79
$101
$403
$139
$132
$150
$220
$109
$160
$214
$211
$177
$177
$177
$177
$155
$120
$116
$463
$160
$152
$172
$253
$125
$184
$247
$243
$204
$204
$204
$204
$179
$138
$134
$532
$184
$175
$198
$290
$144
$211
$284
$279
$234
$234
$234
$234
$205
$158
$154
$612
$212
$201
$228
$334
$165
$243
$326
$321
$270
$270
$270
$270
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$182
$177
$704
$243
$231
$262
$384
$190
$280
$375
$369
$310
$310
$310
$310
$272
$209
$204
$810
$280
$266
$301
$442
$219
$322
$431
$424
$357
$357
$357
$357
$312
$241
$0.00
$120
$138
$158
$182
$209
$241
$0.00
$120
$138
$158
$182
$209
$241
$0.00
$120
$138
$158
$182
$209
$241
$0.00
$191
$191
$191
$191
$191
$191
$0.00
$120
$138
$158
$182
$209
$241
$0.00
$120
$138
$158
$182
$209
$241
$0.00
$0.00
$0.00
$0.00
$0.00
$144
$120
$120
$177
$239
$165
$138
$138
$204
$275
$190
$158
$158
$234
$316
$219
$182
$182
$270
$364
$251
$209
$209
$310
$418
$289
$241
$241
$357
$481
$0.00
$209
$241
$277
$318
$366
$421
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$209
$239
$420
$1,018
$838
$2,096
$2,755
$119
$91
$214
$168
$209
$222
$152
$159
$95
$241
$275
$483
$1,170
$964
$2,411
$3,169
$137
$105
$247
$193
$241
$255
$174
$183
$110
$277
$316
$555
$1,346
$1,109
$2,773
$3,644
$157
$121
$284
$222
$277
$293
$200
$210
$126
$318
$364
$638
$1,548
$1,275
$3,188
$4,191
$181
$139
$326
$255
$318
$337
$230
$242
$145
$366
$418
$734
$1,780
$1,466
$3,667
$4,819
$208
$160
$375
$293
$366
$388
$265
$278
$167
$421
$481
$844
$2,047
$1,686
$4,217
$5,542
$239
$184
$431
$337
$421
$446
$305
$320
$192
93
192-80
192-81
192-82
192-83
192-84
192-85
192-86
192-87
192-88
192-89
192-90
192-91
192-92
192-93
192-94
192-95
$0.00
$0.00
$0.00
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$0.00
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$0.00
$0.00
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$0.00
$0.00
192-69
192-52
192-53
192-54
192-55
192-56
192-57
192-58
192-59
192-60
192-61
192-62
192-63
192-64
192-65
192-66
192-67
192-99
192-100
$146
$146
$146
$168
$168
$168
$194
$194
$194
$223
$223
$223
$256
$256
$256
$294
$294
$294
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$146
$168
$194
$223
$256
$294
$0.00
$146
$168
$194
$223
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$294
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$34
$122
$257
$34
$37
$37
$41
$71
$43
$41
$41
$49
$89
$89
$58
$116
$84
$124
$140
$101
$284
$148
$94
$148
$37
$37
$37
$71
$71
$34
$66
$34
$41
$148
$17
$34
$34
$42
$46
$56
$66
$86
$39
$141
$295
$39
$42
$42
$47
$82
$49
$47
$47
$57
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$102
$66
$134
$97
$143
$161
$116
$327
$170
$108
$170
$43
$42
$42
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$82
$39
$76
$39
$47
$170
$20
$39
$39
$48
$53
$64
$76
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$45
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$340
$45
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$48
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$94
$57
$54
$54
$65
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$117
$76
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$111
$164
$186
$134
$376
$196
$125
$196
$49
$48
$48
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$94
$45
$87
$45
$54
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$23
$45
$45
$55
$61
$74
$87
$113
$52
$186
$390
$52
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$56
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$65
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$75
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$135
$87
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$189
$213
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$225
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$56
$56
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$108
$52
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$52
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$52
$52
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$70
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$100
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$214
$449
$60
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$64
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$71
$71
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$155
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$203
$147
$217
$245
$177
$497
$259
$165
$259
$65
$64
$64
$124
$124
$60
$115
$60
$71
$259
$30
$60
$60
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$81
$98
$115
$150
$69
$246
$516
$69
$74
$74
$82
$143
$86
$82
$82
$99
$178
$178
$116
$234
$169
$250
$282
$204
$571
$298
$190
$298
$75
$74
$74
$143
$143
$69
$132
$69
$82
$298
$35
$69
$69
$84
$93
$113
$132
$173
$0.00
$0.00
$0.00
192-101
193-00
193-01
193-02
193-03
193-04
193-05
193-06
193-07
193-08
193-09
193-10
193-11
193-12
193-13
193-14
193-15
193-16
193-17
193-18
193-19
193-20
193-21
193-22
193-23
193-24
193-25
193-26
193-27
193-28
193-29
193-30
193-31
193-32
193-33
193-34
193-35
193-36
193-37
193-38
193-39
193-40
193-41
94
192-96
192-97
192-98
$86
$86
$86
$91
$119
$169
$276
$99
$99
$99
$105
$137
$194
$317
$113
$113
$113
$121
$157
$223
$364
$130
$130
$130
$139
$181
$257
$419
$150
$150
$150
$160
$208
$295
$482
$173
$173
$173
$184
$239
$339
$554
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$46
$46
$50
$93
$93
$86
$53
$89
$92
$64
$101
$63
$53
$168
$89
$110
$103
$126
$122
$440
$53
$53
$58
$107
$107
$99
$61
$102
$106
$74
$116
$73
$61
$193
$102
$127
$118
$145
$141
$506
$61
$61
$67
$123
$123
$113
$70
$117
$122
$85
$134
$84
$70
$222
$117
$146
$136
$166
$162
$582
$70
$70
$77
$142
$142
$130
$80
$135
$140
$98
$154
$96
$80
$255
$135
$168
$157
$191
$186
$670
$81
$81
$88
$163
$163
$150
$93
$155
$161
$113
$177
$111
$93
$294
$155
$193
$180
$220
$214
$770
$93
$93
$101
$187
$187
$173
$106
$178
$185
$130
$204
$127
$106
$338
$178
$222
$207
$253
$246
$886
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$150
$37
$37
$37
$53
$37
$84
$76
$177
$106
$37
$53
$110
$53
$37
$37
$53
$37
$136
$37
$77
$37
$172
$42
$42
$42
$61
$42
$97
$87
$204
$122
$42
$61
$127
$61
$42
$42
$61
$42
$156
$42
$89
$42
$198
$49
$49
$49
$70
$49
$111
$101
$234
$140
$49
$70
$146
$70
$49
$49
$70
$49
$179
$49
$102
$49
$228
$56
$56
$56
$80
$56
$128
$116
$270
$161
$56
$80
$168
$80
$56
$56
$80
$56
$206
$56
$117
$56
$262
$64
$64
$64
$93
$64
$147
$133
$310
$185
$64
$93
$193
$93
$64
$64
$93
$64
$237
$64
$135
$64
$301
$74
$74
$74
$106
$74
$169
$153
$357
$213
$74
$106
$222
$106
$74
$74
$106
$74
$273
$74
$155
$74
95
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
193-42
193-43
193-44
193-45
193-46
193-47
193-48
193-49
194-00
194-01
194-02
194-03
194-04
194-05
194-06
194-07
194-08
194-09
194-10
194-11
194-12
194-13
194-14
194-15
194-16
194-17
194-18
194-19
194-20
195-00
195-01
195-02
195-03
195-04
195-05
195-06
195-07
195-08
195-09
195-10
195-11
195-12
195-13
195-14
195-15
195-16
195-17
195-18
195-19
195-20
195-21
$53
$71
$61
$82
$70
$94
$80
$108
$93
$124
$106
$143
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$86
$0
$0
$53
$37
$37
$41
$81
$34
$53
$34
$47
$101
$101
$108
$37
$53
$37
$53
$37
$47
$431
$37
$99
$0
$0
$61
$42
$42
$47
$93
$39
$61
$39
$55
$116
$116
$124
$42
$61
$42
$61
$42
$55
$495
$43
$113
$0
$0
$70
$49
$49
$54
$107
$45
$70
$45
$63
$134
$134
$143
$49
$70
$49
$70
$49
$63
$569
$49
$130
$0
$0
$80
$56
$56
$62
$123
$52
$80
$52
$72
$154
$154
$164
$56
$80
$56
$80
$56
$72
$655
$57
$150
$93
$64
$64
$71
$141
$60
$93
$60
$83
$177
$177
$189
$64
$93
$64
$93
$64
$83
$753
$65
$173
$0
$0
$106
$74
$74
$82
$162
$69
$106
$69
$95
$204
$204
$217
$74
$106
$74
$106
$74
$95
$866
$75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$159
$42
$61
$89
$41
$37
$183
$48
$70
$102
$47
$42
$210
$55
$81
$117
$54
$48
$242
$63
$93
$135
$62
$56
$278
$73
$107
$155
$71
$64
$320
$84
$123
$178
$82
$74
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$153
$153
$148
$132
$92
$92
$92
$132
$124
$148
$92
$92
$58
$102
$58
$58
$86
$176
$176
$170
$151
$106
$106
$106
$151
$143
$170
$106
$106
$66
$118
$66
$66
$99
$203
$203
$196
$174
$122
$122
$122
$174
$164
$196
$122
$122
$76
$135
$76
$76
$114
$233
$233
$225
$200
$140
$140
$140
$200
$189
$225
$140
$140
$87
$156
$87
$87
$131
$268
$268
$259
$230
$161
$161
$161
$230
$217
$259
$161
$161
$101
$179
$101
$101
$151
$308
$308
$298
$265
$185
$185
$185
$265
$250
$298
$185
$185
$116
$206
$116
$116
$173
$0.00
$0.00
96
195-22
195-23
195-24
196-00
196-01
196-02
196-03
196-04
196-05
196-06
196-07
196-08
196-09
196-10
196-11
196-12
196-13
196-14
196-16
196-17
196-18
196-19
196-20
196-21
196-22
196-23
196-24
197-00
197-01
197-02
197-04
197-05
197-06
197-07
198-00
198-01
198-02
198-03
198-04
198-05
198-06
198-07
198-08
198-09
198-10
198-11
198-12
198-13
198-14
198-15
198-16
$66
$170
$143
$170
$106
$57
$66
$124
$147
$161
$82
$151
$143
$151
$106
$143
$171
$143
$222
$172
$377
$151
$170
$176
$176
$76
$196
$164
$196
$122
$65
$76
$142
$169
$186
$94
$174
$164
$174
$122
$164
$196
$164
$256
$198
$433
$174
$196
$203
$203
$87
$225
$189
$225
$140
$75
$87
$163
$194
$213
$108
$200
$189
$200
$140
$189
$226
$189
$294
$228
$498
$200
$225
$233
$233
$101
$259
$217
$259
$161
$86
$101
$188
$223
$245
$125
$230
$217
$230
$161
$217
$259
$217
$338
$262
$573
$230
$259
$268
$268
$116
$298
$250
$298
$185
$99
$116
$216
$257
$282
$143
$265
$250
$265
$185
$250
$298
$250
$389
$301
$659
$265
$298
$308
$308
$92
$29
$29
$41
$29
$53
$37
$37
$37
$52
$53
$31
$34
$34
$34
$106
$33
$33
$47
$33
$61
$42
$42
$42
$60
$61
$36
$39
$39
$39
$122
$38
$38
$54
$38
$70
$49
$49
$49
$69
$70
$41
$45
$45
$45
$140
$44
$44
$62
$44
$80
$56
$56
$56
$79
$80
$47
$52
$52
$52
$161
$50
$50
$71
$50
$93
$64
$64
$64
$91
$93
$54
$60
$60
$60
$185
$58
$58
$82
$58
$106
$74
$74
$74
$105
$106
$62
$69
$69
$69
$106
$46
$37
$37
$40
$43
$41
$122
$53
$42
$42
$46
$49
$47
$140
$61
$49
$49
$53
$57
$54
$161
$70
$56
$56
$61
$65
$62
$185
$81
$64
$64
$70
$75
$71
$213
$93
$74
$74
$81
$86
$82
$120
$138
$158
$182
$209
$241
97
$58
$148
$124
$148
$92
$49
$58
$107
$128
$140
$71
$132
$124
$132
$92
$124
$148
$124
$193
$150
$328
$132
$148
$153
$153
200-08
Ac. homovanlico
$0.00
Estriol
$0.00
Estradiol
$0.00
Progesterona
$0.00
Serotomina
$0.00
Aldosterona
$0.00
Prueba de thorn
$0.00
Insulina
$0.00
Glucagon
$0.00
H. crecimiento
$0.00
H.a.c.t.
$0.00
H.f.e.
$0.00
H.l.
$0.00
Prolactina
$0.00
Antidiurtica
$0.00
Gonadotropina cualitativa
$0.00
Gonadotropina cuantitativa
$0.00
Lactgeno placentario
$0.00
Paratohormona
$0.00
Fraccin "b" gonadotropina
$0.00
Fraccin "b" gonadotropina urgente
$0.00
L.H.
$0.00
ndice De T4 Libre
$0.00
T3 Libre Real
$0.00
T4 Libre Real
$0.00
Examen de orina
Protenas
$0.00
Ac. diactico
$0.00
Mioglobina
$0.00
Ac. rico urinario
$0.00
Hemosiderina en orina
$0.00
Fenilcetonuria
$0.00
Sedimento urinario
$0.00
Clulas grasas
$0.00
Investigacin de hifas
$0.00
Protenas de bence jones
$0.00
Acetona
$0.00
Cuerpos grasos en orina
$0.00
Fosforo En Orina De 24 Hrs.
$0.00
Glucosa En Orina
$0.00
Magnesio En Orina
$0.00
Parasitologa
Prueba para induccin de parsitos
$0.00
Ex. coproparasitoscpico en serie
$0.00
Investigacin enterobios
$0.00
Investigacin trofozoitos
$0.00
Sangre oculta en heces
$0.00
Examen coprolgico
$0.00
Ameba en fresco
$0.00
Diadnstico de paludismo y treponema (enfermedad de chagas) por
$0.00
gota gruesa con tincin de Giemsa
198-17
198-18
198-19
198-20
198-21
198-22
198-24
198-26
198-27
198-28
198-29
198-30
198-31
198-32
198-33
198-34
198-35
198-36
198-37
198-38
198-39
198-40
198-41
198-42
198-43
198-44
199-00
199-01
199-03
199-05
199-06
199-07
199-08
199-09
199-10
199-11
199-14
199-15
199-16
199-17
199-18
199-19
200-00
200-01
200-02
200-03
200-04
200-06
200-07
$48
$120
$51
$41
$56
$138
$59
$47
$64
$158
$67
$54
$73
$182
$77
$62
$84
$209
$89
$71
$97
$241
$102
$82
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20
$20
$20
$20
$17
$37
$49
$50
$31
$47
$101
$101
$37
$101
$38
$41
$33
$106
$53
$53
$53
$37
$37
$47
$29
$47
$33
$42
$42
$74
$53
$33
$46
$87
$299
$232
$4,032
$4,032
$139
$55
$548
$165
$42
$50
$62
$110
$22
$22
$22
$22
$20
$42
$57
$58
$36
$54
$116
$116
$43
$116
$44
$47
$38
$122
$61
$61
$61
$43
$42
$54
$33
$54
$38
$48
$48
$85
$61
$38
$53
$100
$344
$267
$4,637
$4,637
$160
$63
$630
$190
$48
$58
$71
$127
$26
$26
$26
$26
$23
$49
$65
$67
$41
$62
$134
$134
$49
$134
$50
$54
$44
$140
$70
$70
$70
$49
$49
$62
$38
$62
$44
$55
$55
$98
$70
$44
$61
$115
$395
$307
$5,332
$5,332
$184
$73
$724
$219
$55
$67
$82
$146
$30
$30
$30
$30
$26
$56
$75
$77
$47
$72
$154
$154
$57
$154
$58
$62
$51
$161
$80
$80
$80
$57
$56
$72
$44
$72
$51
$63
$63
$112
$80
$51
$70
$132
$455
$353
$6,132
$6,132
$212
$83
$833
$251
$63
$77
$94
$168
$34
$34
$34
$34
$30
$64
$86
$88
$54
$82
$177
$177
$65
$177
$66
$71
$58
$185
$93
$93
$93
$65
$64
$82
$50
$82
$58
$73
$73
$129
$93
$58
$81
$152
$523
$406
$7,052
$7,052
$243
$96
$958
$289
$73
$88
$108
$193
$39
$39
$39
$39
$35
$74
$99
$101
$62
$95
$204
$204
$75
$204
$76
$82
$67
$213
$106
$106
$106
$75
$74
$95
$58
$95
$67
$84
$84
$148
$106
$67
$93
$175
$601
$467
$8,110
$8,110
$280
$110
$1,102
$332
$84
$101
$124
$222
$0.00
$0.00
$0.00
$0.00
98
200-09
200-10
200-11
200-12
200-13
201-00
201-01
201-02
201-03
201-04
201-05
201-06
201-07
201-08
201-09
201-10
201-11
201-12
201-13
201-14
201-15
201-16
201-18
201-19
201-20
201-21
201-22
201-25
201-26
201-27
201-28
201-29
201-30
201-31
201-32
201-33
201-34
201-35
201-36
201-41
201-43
201-44
201-45
201-46
201-47
201-48
201-49
201-50
201-51
201-52
201-53
$110
$131
$148
$148
$268
$664
$664
$2,426
$127
$151
$170
$170
$308
$764
$764
$2,790
$146
$173
$196
$196
$355
$879
$879
$3,208
$168
$199
$225
$225
$408
$1,010
$1,010
$3,690
$193
$229
$259
$259
$469
$1,162
$1,162
$4,243
$222
$263
$298
$298
$539
$1,336
$1,336
$4,879
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$34
$90
$53
$281
$198
$221
$90
$43
$108
$124
$467
$304
$252
$1,002
$484
$62
$90
$89
$263
$252
$67
$78
$116
$66
$129
$1,058
$37
$39
$104
$61
$323
$227
$254
$104
$49
$124
$143
$537
$349
$290
$1,153
$557
$71
$104
$103
$302
$289
$77
$90
$133
$76
$148
$1,216
$43
$45
$119
$70
$371
$262
$292
$119
$56
$143
$164
$617
$402
$333
$1,326
$640
$82
$119
$118
$348
$333
$88
$104
$153
$87
$170
$1,399
$49
$52
$137
$80
$427
$301
$336
$137
$65
$164
$189
$710
$462
$383
$1,524
$737
$94
$137
$136
$400
$383
$102
$119
$177
$100
$196
$1,609
$57
$60
$158
$93
$491
$346
$386
$158
$74
$189
$217
$817
$531
$440
$1,753
$847
$109
$158
$156
$460
$440
$117
$137
$203
$115
$225
$1,850
$65
$69
$182
$106
$564
$398
$444
$182
$86
$217
$250
$939
$611
$507
$2,016
$974
$125
$182
$179
$529
$506
$135
$158
$233
$132
$259
$2,128
$75
$0.00
$0.00
$0.00
$0.00
$0.00
$554
$139
$139
$139
$139
$637
$160
$160
$160
$160
$733
$184
$184
$184
$184
$843
$212
$212
$212
$212
$969
$243
$243
$243
$243
$1,115
$280
$280
$280
$280
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$131
$143
$25
$25
$14
$25
$633
$469
$151
$164
$29
$29
$16
$29
$727
$540
$173
$189
$33
$33
$18
$33
$836
$621
$199
$217
$38
$38
$21
$38
$962
$714
$229
$249
$44
$44
$24
$44
$1,106
$821
$264
$287
$51
$51
$28
$51
$1,272
$944
99
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Est.Serologicos De P.F.C.
Puncin Medula sea
Tp C/Correccin De Plasma Fco.
Ttp C/Correccin De Plasma Fco.
Vitamina B-12
Est.Serologicos De P.G.
Est.Serologicos De S.T.
Hemofiltracin
Paquetes de estudio de laboratorio
Examen general de orina
Examen general de orina c/gonadotropina car.
Biometra hem. com vsg reticulocitos y plaquet
Perfil bioqumico XII
Perfil de lpidos I
Perfil de lpidos II
Qumica sangunea III
Qumica II
Perfil qumica sangunea IV
Qumica sangunea V
Perfil heptico
Perfil quirrgico
Perfil reumtico
Perfil control de embarazo
Perfil tiroideo
Protocolo centinela de diarrea (3 est. lab)
prueba de embarazo en orina
prueba de embarazo en sangre
cido flico
Anti-CCP
APT Hb fetal
Captacin de tiroxina T.
Dmero D
Hematologa (Perfil)
E.S. Y GASOMETRIA
Enzimas Cardiacas (Perfil)
Polimorfonucleares
Antidoping
Examen antidoping (incluye 4 pruebas)
Examen antidoping: cocana
Examen antidoping: canabinoides
Examen antidoping: opiaceos
Examen antidoping: benzodiacepinas
Laboratorio anlisis de alimentos comerc.
Superficies vivas e inertes
Cenizas
Peso neto
Peso drenado
Conservadores en leche
ndice refractomtrico en leche
Aflatoxinas con garanta de calidad
Aflatoxinas sin garanta de calidad
201-54
201-55
201-56
201-57
201-58
201-59
201-60
201-61
201-62
202-00
202-01
202-02
202-03
202-04
202-05
202-06
202-07
202-08
202-09
202-10
202-11
202-12
202-13
202-14
202-15
202-16
202-17
202-18
202-19
202-20
202-21
202-22
202-23
202-24
202-25
202-26
202-27
203-00
203-01
203-02
203-03
203-04
203-05
204-00
204-01
204-02
204-03
204-04
204-05
204-06
204-07
204-15
204-16
204-17
204-18
204-19
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$232
$44
$147
$156
$15
$148
$189
$267
$50
$169
$180
$17
$171
$217
$307
$58
$195
$207
$20
$196
$249
$353
$66
$224
$238
$23
$226
$287
$406
$76
$257
$274
$26
$259
$330
$467
$88
$296
$315
$30
$298
$379
$0.00
$299
$344
$395
$455
$523
$601
$299
$344
$395
$455
$523
$601
$120
$192
$138
$221
$158
$254
$182
$292
$209
$336
$241
$386
$0.00
$599
$689
$792
$911
$1,048
$1,205
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$239
204
205
224
174
285
212
560
143
143
$275
235
236
257
201
327
244
644
164
164
$316
270
271
296
231
377
281
740
189
189
$364
310
312
340
265
433
323
851
217
217
$418
357
359
391
305
498
371
979
250
250
$481
411
413
450
351
573
427
1126
288
288
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$643
$7,155
$4,425
$499
$357
$1,431
$739
$8,229
$5,089
$574
$410
$1,645
$850
$9,463
$5,853
$660
$471
$1,892
$978
$10,882
$6,730
$759
$542
$2,176
$1,124
$12,515
$7,740
$873
$624
$2,502
$1,293
$14,392
$8,901
$1,004
$717
$2,877
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$375
$1,823
$1,823
$1,360
$1,360
$1,287
$1,360
$1,823
$643
$2,576
$2,148
$2,504
$1,431
$1,431
$1,431
$2,576
$2,504
$1,431
$431
$2,096
$2,096
$1,565
$1,565
$1,480
$1,565
$2,096
$739
$2,962
$2,470
$2,879
$1,645
$1,645
$1,645
$2,962
$2,879
$1,645
$496
$2,411
$2,411
$1,799
$1,799
$1,702
$1,799
$2,411
$850
$3,407
$2,841
$3,311
$1,892
$1,892
$1,892
$3,407
$3,311
$1,892
$570
$2,772
$2,772
$2,069
$2,069
$1,957
$2,069
$2,772
$978
$3,918
$3,267
$3,808
$2,176
$2,176
$2,176
$3,918
$3,808
$2,176
$656
$3,188
$3,188
$2,379
$2,379
$2,251
$2,379
$3,188
$1,124
$4,505
$3,757
$4,379
$2,502
$2,502
$2,502
$4,505
$4,379
$2,502
$754
$3,666
$3,666
$2,736
$2,736
$2,588
$2,736
$3,666
$1,293
$5,181
$4,321
$5,036
$2,877
$2,877
$2,877
$5,181
$5,036
$2,877
$0.00
$0.00
$0.00
204-20
204-21
204-22
204-23
204-24
204-25
204-26
204-27
204-28
204-29
204-30
300-00
300-01
300-02
300-03
300-04
300-05
300-06
301-00
301-01
301-02
301-03
301-04
301-05
301-06
301-07
301-08
301-09
301-10
301-11
301-12
301-13
301-14
301-15
301-16
301-17
100
204-08
204-09
204-10
204-11
204-12
204-13
204-14
$1,431
$2,177
$3,005
$246
$106
$37
$258
$309
$630
$1,209
$1,829
$1,645
$2,503
$3,456
$283
$122
$42
$297
$356
$725
$1,390
$2,103
$1,892
$2,879
$3,974
$325
$140
$49
$341
$409
$833
$1,598
$2,419
$2,176
$3,311
$4,570
$374
$161
$56
$392
$470
$958
$1,838
$2,782
$2,502
$3,807
$5,256
$430
$185
$64
$451
$541
$1,102
$2,114
$3,199
$2,877
$4,379
$6,044
$495
$213
$74
$519
$622
$1,268
$2,431
$3,679
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$177
$177
$257
$257
$306
$743
$170
$245
$133
$141
$166
$410
$1,471
$179
$184
$595
$53
$1,471
$356
$105
$97
$141
$59
$1,471
$141
$141
$286
$217
$133
$101
$151
$141
$116
$141
$286
$92
$166
$128
$255
$204
$204
$295
$295
$352
$854
$196
$281
$153
$162
$190
$471
$1,691
$206
$211
$684
$61
$1,691
$410
$120
$111
$162
$67
$1,691
$162
$162
$329
$249
$153
$116
$173
$162
$134
$162
$329
$106
$190
$147
$294
$234
$234
$340
$340
$405
$982
$225
$324
$176
$186
$219
$542
$1,945
$237
$243
$786
$70
$1,945
$471
$138
$128
$186
$78
$1,945
$186
$186
$379
$287
$176
$134
$199
$186
$154
$186
$379
$122
$219
$169
$338
$270
$270
$390
$390
$465
$1,130
$259
$372
$203
$214
$252
$623
$2,237
$273
$279
$904
$80
$2,237
$542
$159
$147
$214
$89
$2,237
$214
$214
$436
$330
$203
$154
$229
$214
$177
$214
$436
$140
$252
$194
$388
$310
$310
$449
$449
$535
$1,299
$298
$428
$233
$246
$290
$717
$2,572
$314
$321
$1,040
$93
$2,572
$623
$183
$169
$246
$103
$2,572
$246
$246
$501
$379
$233
$177
$263
$246
$203
$246
$501
$161
$290
$223
$447
$357
$357
$516
$516
$615
$1,494
$343
$492
$268
$283
$333
$825
$2,958
$361
$369
$1,196
$106
$2,958
$716
$210
$194
$283
$118
$2,958
$283
$283
$576
$436
$268
$204
$303
$283
$234
$283
$576
$185
$333
$257
$513
101
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Venoso
Rastreo
Tratamiento
Mielograma
Esplenograma
Adenograma
Aspirado e interpretacin de mdula sea
Esofagografa
Neumoperitoneo
Revisin Catter Nefrostoma Unilateral
Revisin Catter Nefrostoma Bilateral
Rayos "x"
B. trax p.a.
Costillas o esternn (trax seo)
Columna vertebral cervical
Columna vertebral dorsal
Columna vertebral lumbosacra
Columna vertebral estudio dinmico
Pelvis a.p.
Crneo
Macizo facial
Huesos propios de la narz perfilograma
rbitas por placa
Senos paranasales
Senos paranasales con tomografa
Articulaciones temporomandibulares
Silla turca
Silla turca con tomografa
Odos schuller
Odos schuller con tomografa
Mastoides convencional
Conductos auditivos
Mandbula dos posiciones
Lateral de cuello
Laringe
Laringe con tomografa a.p.
Cuello a.p. y lateral partes blandas
Mano
Manos comparativas
Mueca, escafoides y carpo
Antebrazo adulto
Codo
Codo comparativo
Hmero
Hmeros comparativos
Hombro
Hombro comparativos
Clavcula
Clavcula comparada
Omplato
Omplato comparativo
301-18
301-19
301-20
301-21
301-22
301-23
301-24
301-25
301-26
301-27
301-28
301-29
302-00
302-01
302-02
302-03
302-04
302-05
302-06
302-07
302-08
302-09
302-10
302-11
302-12
302-13
302-14
302-15
302-16
302-17
302-18
302-19
302-20
302-21
302-22
302-23
302-24
302-25
302-26
302-27
302-28
302-29
302-30
302-31
302-32
302-33
302-34
302-35
302-36
302-37
302-38
$141
$141
$217
$178
$178
$278
$464
$245
$245
$323
$166
$112
$184
$294
$306
$257
$428
$472
$356
$141
$232
$294
$309
$425
$387
$286
$271
$286
$472
$245
$141
$217
$3,637
$4,721
$4,721
$5,262
$5,262
$5,262
$5,262
$858
$306
$294
$245
$306
$367
$57
$90
$141
$141
$141
$141
$162
$162
$249
$204
$204
$320
$534
$281
$281
$372
$190
$128
$211
$338
$352
$295
$492
$543
$410
$162
$267
$338
$356
$489
$445
$329
$312
$329
$543
$281
$162
$249
$4,183
$5,429
$5,429
$6,052
$6,052
$6,052
$6,052
$986
$352
$338
$281
$352
$422
$66
$103
$162
$162
$162
$162
$186
$186
$287
$235
$235
$368
$614
$324
$324
$427
$219
$148
$243
$389
$405
$340
$566
$625
$471
$186
$307
$389
$409
$563
$512
$379
$358
$379
$625
$324
$186
$287
$4,811
$6,243
$6,243
$6,960
$6,960
$6,960
$6,960
$1,134
$405
$389
$324
$405
$485
$76
$119
$186
$186
$186
$186
$214
$214
$330
$270
$270
$423
$706
$372
$372
$491
$252
$170
$279
$447
$465
$390
$651
$718
$542
$214
$353
$447
$470
$647
$589
$436
$412
$436
$718
$372
$214
$330
$5,532
$7,180
$7,180
$8,003
$8,003
$8,003
$8,003
$1,304
$465
$447
$372
$465
$558
$87
$137
$214
$214
$214
$214
$246
$246
$379
$311
$311
$487
$812
$428
$428
$565
$290
$195
$321
$514
$535
$449
$749
$826
$623
$246
$406
$514
$541
$744
$677
$501
$474
$501
$826
$428
$246
$379
$6,362
$8,257
$8,257
$9,204
$9,204
$9,204
$9,204
$1,500
$535
$514
$428
$535
$642
$100
$157
$246
$246
$246
$246
$283
$283
$436
$358
$358
$560
$934
$492
$492
$650
$333
$224
$369
$591
$615
$516
$861
$950
$716
$283
$467
$591
$622
$856
$779
$576
$545
$576
$950
$492
$283
$436
$7,316
$9,496
$9,496
$10,585
$10,585
$10,585
$10,585
$1,725
$615
$591
$492
$615
$738
$115
$181
$283
$283
$283
$283
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Pie
Tobillo
Tobillo comparativo
Pierna
Rodilla
Rodilla ap, lat y axial
Rodillas comparativas
Fmur a.p.
Fmur a.p. v.l.
Fmur comparativo
Medicin de miembro plvico
Edad sea
Abdomen simple
abdomen simple (2)
Col.Cerv.Ap.Lateral Y Oblicua
Col.Cervical Trans Oral Y Lat
Col.Lumbo Sacra Ap.Y Lat.Y Obl.
Col.Lumbo Sacra Dinmicas
abdomen simple (3)
abdomen simple nio
abdomen simple nio (2)
abdomen simple nio (3)
pelvis ap y oblicua
pelvicefalometria
hombro ap y oblicuas
hombro ap y lat comparativas
pie ap, lat y oblicuas
pies comparativas
pies comparativas (ap, lat,oblicuas)
piena ap y la comp
Canal ptico (1 lado)
Canal ptico (2 lados)
Cavografa
Colocacin de filtro de vena cava
Colocacin De Puerto P/Quimioterapia
Colocacin De Stent Biliar
Colocacin De Stent Bronquial
Colocacin De Stent Renal
Colocacin De Stent Venoso
Colonoscopa Larga
Columna cervical dinmica
Coxofemorales AP. Y Oblicua
Coxofemorales articulaciones
Crneo 3 posiciones
Crneo 4 posiciones
Interpretacin De Mamografa
Masoterapia
Escafoides 1
Maxilar Sup.O Inf.(1 Placa)
Tobillo Ap. Y Lateral (1)
Watters O Town
102
302-39
302-40
302-41
302-42
302-43
302-44
302-45
302-46
302-47
302-48
302-49
302-50
302-51
302-52
302-53
302-54
302-55
302-56
302-57
302-58
302-59
302-60
302-61
302-62
302-63
302-64
302-65
302-66
302-67
302-68
302-69
302-70
302-71
302-72
302-73
302-74
302-75
302-76
302-77
302-78
302-79
302-80
302-81
302-82
302-83
302-84
302-85
302-86
302-87
302-88
302-89
$177
$177
$178
$184
$184
$248
$286
$294
$294
$294
$300
$348
$348
$356
$356
$356
$410
$820
$1,408
$204
$204
$204
$211
$211
$285
$329
$338
$338
$338
$345
$400
$400
$410
$410
$410
$471
$944
$1,619
$234
$234
$235
$243
$243
$327
$379
$389
$389
$389
$396
$460
$460
$471
$471
$471
$542
$1,085
$1,862
$270
$270
$270
$279
$279
$377
$436
$447
$447
$447
$456
$530
$530
$542
$542
$542
$623
$1,248
$2,142
$310
$310
$311
$321
$321
$433
$501
$514
$514
$514
$524
$609
$609
$623
$623
$623
$717
$1,435
$2,463
$357
$357
$358
$369
$369
$498
$576
$591
$591
$591
$603
$700
$700
$716
$716
$716
$825
$1,650
$2,832
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$356
$712
$356
$511
$511
$774
$704
$410
$488
$472
$651
$588
$1,161
$1,409
$4,489
$253
$1,592
$2,040
$4,721
$309
$4,566
$991
$774
$534
$619
$1,156
$4,257
$551
$651
$562
$425
$410
$819
$410
$587
$587
$890
$810
$471
$561
$543
$749
$677
$1,335
$1,620
$5,162
$291
$1,830
$2,346
$5,429
$356
$5,251
$1,139
$890
$614
$712
$1,329
$4,895
$633
$749
$647
$489
$471
$941
$471
$675
$675
$1,024
$932
$542
$645
$625
$861
$778
$1,535
$1,863
$5,936
$335
$2,105
$2,698
$6,243
$409
$6,039
$1,310
$1,024
$706
$819
$1,528
$5,629
$728
$861
$744
$563
$542
$1,083
$542
$777
$777
$1,177
$1,071
$623
$742
$718
$990
$895
$1,765
$2,143
$6,827
$385
$2,421
$3,103
$7,180
$470
$6,944
$1,507
$1,177
$812
$942
$1,758
$6,474
$837
$990
$855
$647
$623
$1,245
$623
$893
$893
$1,354
$1,232
$717
$853
$826
$1,138
$1,029
$2,030
$2,464
$7,851
$442
$2,784
$3,568
$8,257
$541
$7,986
$1,733
$1,354
$934
$1,083
$2,021
$7,445
$963
$1,138
$984
$744
$716
$1,432
$716
$1,027
$1,027
$1,557
$1,417
$825
$981
$950
$1,309
$1,183
$2,335
$2,833
$9,029
$509
$3,201
$4,103
$9,496
$622
$9,184
$1,993
$1,557
$1,074
$1,245
$2,325
$8,562
$1,107
$1,309
$1,131
$856
103
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Talones Comparativos
Trax Lateral
Rodilla Ap. Y Lateral (1)
Sacro Iliacas (Articulaciones)
Tobillo Ap.Lateral Y Oblicuas
Econometra (Medic. Ms.Is)
Pies Comparativa (Ap Y Lat)
Edad sea 7 Anos
Serie sea Ninos R.N.
Tele Trax (2)
Sacroiliacas Ap. Y Oblicuas
Tele Trax (3)
Trax seo Ap. Y Oblicuas
Edad sea 15 A 17 Anos
Edad sea 12 A 14 Anos
Edad sea 8 A 11 Anos
Tobillo Ap Lateral Y Oblicua 2
Serie sea Nino De 6 A 12 Anos
Serie sea Adulto
Estudios especiales
Histerosalpingografa
Galactografa
Mamografa
Urografa excretora adulto
Urografa excretora infantil
Urografa excretora cronometrada maxwell
Urografa excretora por perfusin arata
Uretrosistografa
Cistografa retrograda
Sialografa
Broncografa
Fistulografa
Laringografa
Mielografa lumbar.dorsal. cervical
Flebografa bilateral
Artrografa
Arteriografa perifrica o aortografa
Arteriografa viceral. pulmonar o cerebral
Extraccin de clculos. dilatacin. angiop.
Colecistografia (oral)
Colangiografia por perfusin
Colangio por sonda
Colon por enema
Serie esfago gastroduodenal
Trnsito intestinal
Trnsito intestinal con serie esf. gastroduod
Colangiografa percutnea
Serie cardiaca
Angiografa selectiva abdominal
Angiografa cerebral
Pielografa ascendente
302-90
302-91
302-92
302-93
302-94
302-95
302-96
302-97
302-98
302-99
302-100
302-101
302-102
302-103
302-104
302-105
302-106
302-107
302-108
302-109
303-00
303-01
303-02
303-03
303-04
303-05
303-06
303-07
303-08
303-09
303-10
303-11
303-12
303-13
303-14
303-15
303-16
303-17
303-18
303-19
303-20
303-21
303-22
303-23
303-24
303-25
303-26
303-27
303-28
303-29
303-30
$163
$1,409
$651
$485
$451
$1,161
$588
$1,176
$4,102
$3,715
$4,102
$3,715
$4,102
$5,262
$5,262
$425
$812
$4,102
$3,792
$7,816
$4,566
$6,114
$8,204
$1,780
$1,780
$5,882
$9,441
$7,058
$6,501
$356
$774
$1,144
$124
$140
$184
$193
$217
$356
$425
$425
$534
$588
$642
$650
$650
$650
$650
$708
$929
$1,161
$1,176
$188
$1,620
$749
$558
$518
$1,335
$677
$1,353
$4,717
$4,272
$4,717
$4,272
$4,717
$6,052
$6,052
$489
$934
$4,717
$4,361
$8,989
$5,251
$7,031
$9,434
$2,047
$2,047
$6,764
$10,858
$8,116
$7,476
$410
$890
$1,315
$143
$160
$211
$222
$249
$410
$489
$489
$614
$677
$738
$748
$748
$748
$748
$814
$1,068
$1,335
$1,353
$216
$1,863
$861
$642
$596
$1,535
$778
$1,555
$5,425
$4,913
$5,425
$4,913
$5,425
$6,960
$6,960
$563
$1,074
$5,425
$5,015
$10,337
$6,039
$8,085
$10,849
$2,354
$2,354
$7,778
$12,486
$9,334
$8,597
$471
$1,024
$1,512
$164
$184
$243
$256
$287
$471
$563
$563
$706
$778
$849
$860
$860
$860
$860
$936
$1,228
$1,535
$1,555
$248
$2,143
$990
$738
$686
$1,765
$895
$1,789
$6,238
$5,650
$6,238
$5,650
$6,238
$8,003
$8,003
$647
$1,236
$6,238
$5,767
$11,888
$6,944
$9,298
$12,477
$2,707
$2,707
$8,945
$14,359
$10,734
$9,887
$542
$1,177
$1,739
$189
$212
$279
$294
$330
$542
$647
$647
$812
$895
$977
$989
$989
$989
$989
$1,077
$1,412
$1,765
$1,789
$286
$2,464
$1,138
$849
$788
$2,030
$1,029
$2,057
$7,174
$6,497
$7,174
$6,497
$7,174
$9,204
$9,204
$744
$1,421
$7,174
$6,632
$13,671
$7,986
$10,693
$14,348
$3,113
$3,113
$10,287
$16,513
$12,344
$11,370
$623
$1,354
$2,000
$217
$244
$321
$338
$379
$623
$744
$744
$934
$1,029
$1,123
$1,137
$1,137
$1,137
$1,137
$1,238
$1,624
$2,030
$2,057
$328
$2,833
$1,309
$976
$907
$2,335
$1,183
$2,366
$8,250
$7,472
$8,250
$7,472
$8,250
$10,585
$10,585
$856
$1,634
$8,250
$7,627
$15,722
$9,184
$12,297
$16,500
$3,580
$3,580
$11,830
$18,990
$14,196
$13,076
$716
$1,557
$2,300
$250
$281
$369
$389
$436
$716
$856
$856
$1,074
$1,183
$1,291
$1,308
$1,308
$1,308
$1,308
$1,424
$1,868
$2,335
$2,366
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Dacrosistografa
Bulbografa
Pielografa retrgrada
Cistoscopa
Estudios de holter
Mamografa biopsia
sialografa 2
flebografa ascendente (1)
flebografia descendente unilateral
arteriografia miembro inf (1)
arteriografia miembro inf (2)
arteriografia miembro sup (1)
arteriografia miembro sup (2)
extraccin de litos biliares
extraccin de litos renales
serie esfago gastroduodenal nios
pielografa ascendente (2)
Arteriografa Renal Bilateral
Arteriografa Renal Unilateral
C.P.R.E. C/Coloc. Endoprtesis
C.P.R.E. Diagnstica
C.P.R.E.C/Extraccin Clculo
Colangiografa transyugular
Colocacin Catter Doble J
Colocacin De Lnea Central
Colocacin De Stent Arteria Mesentrica
Colocacin De Stent Carotideo
Colocacin De Stent Colnico
Colocacin De Stent Esofgico
Colograma Distal
Colon Por Enema Doble Contraste
Colonosc.Larga C/Biopsia
Transito Esofgico
Fluoroscopa Por Minuto
Silla Turca (2)
Topograma Lateral De Crneo
Invertograma Ap. Y Lat.
Uretrografia Retrograda
Histerosonografia
Serie Gastroduodenal Nino
Serie Gastroduodenal Contrastada
Sialografia 2
Retinofluorangiografia
Navegacin De Canal Bronquial
Navegacin De Canal Larngeo
Navegacin De Canal Raqudeo
Navegacin De Canal Traqueal
Nefrostografia
Fluoroscopa Biopsia
Mamografa Biopsia
Flebografia Ascendente (1)
104
303-31
303-32
303-33
303-34
303-35
303-36
303-37
303-38
303-39
303-40
303-41
303-42
303-43
303-44
303-45
303-46
303-47
303-48
303-49
303-50
303-51
303-52
303-53
303-54
303-55
303-56
303-57
303-58
303-59
303-60
303-61
303-62
303-63
303-64
303-65
303-66
303-67
303-68
303-69
303-70
303-71
303-72
303-73
303-74
303-75
303-76
303-77
303-78
303-79
303-80
303-81
$1,471
$1,471
$1,471
$1,471
$1,780
$1,780
$2,287
$2,360
$2,360
$3,637
$4,102
$4,102
$4,721
$4,721
$4,721
$4,721
$4,721
$4,721
$5,262
$5,262
$5,262
$5,262
$5,262
$5,882
$5,882
$5,882
$5,882
$7,042
$7,042
$8,204
$1,691
$1,691
$1,691
$1,691
$2,047
$2,047
$2,630
$2,714
$2,714
$4,183
$4,717
$4,717
$5,429
$5,429
$5,429
$5,429
$5,429
$5,429
$6,052
$6,052
$6,052
$6,052
$6,052
$6,764
$6,764
$6,764
$6,764
$8,099
$8,099
$9,434
$1,945
$1,945
$1,945
$1,945
$2,354
$2,354
$3,025
$3,121
$3,121
$4,811
$5,425
$5,425
$6,243
$6,243
$6,243
$6,243
$6,243
$6,243
$6,960
$6,960
$6,960
$6,960
$6,960
$7,778
$7,778
$7,778
$7,778
$9,313
$9,313
$10,849
$2,237
$2,237
$2,237
$2,237
$2,707
$2,707
$3,478
$3,590
$3,590
$5,532
$6,238
$6,238
$7,180
$7,180
$7,180
$7,180
$7,180
$7,180
$8,003
$8,003
$8,003
$8,003
$8,003
$8,945
$8,945
$8,945
$8,945
$10,710
$10,710
$12,477
$2,572
$2,572
$2,572
$2,572
$3,113
$3,113
$4,000
$4,128
$4,128
$6,362
$7,174
$7,174
$8,257
$8,257
$8,257
$8,257
$8,257
$8,257
$9,204
$9,204
$9,204
$9,204
$9,204
$10,287
$10,287
$10,287
$10,287
$12,317
$12,317
$14,348
$2,958
$2,958
$2,958
$2,958
$3,580
$3,580
$4,600
$4,747
$4,747
$7,316
$8,250
$8,250
$9,496
$9,496
$9,496
$9,496
$9,496
$9,496
$10,585
$10,585
$10,585
$10,585
$10,585
$11,830
$11,830
$11,830
$11,830
$14,165
$14,165
$16,500
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,161
$1,161
$1,161
$851
$1,161
$1,072
$1,471
$1,335
$1,335
$1,335
$979
$1,335
$1,233
$1,691
$1,535
$1,535
$1,535
$1,126
$1,535
$1,417
$1,945
$1,765
$1,765
$1,765
$1,295
$1,765
$1,630
$2,237
$2,030
$2,030
$2,030
$1,489
$2,030
$1,875
$2,572
$2,335
$2,335
$2,335
$1,712
$2,335
$2,156
$2,958
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$851
$1,471
$2,941
$464
$588
$851
$851
$851
$851
$851
$851
$851
$979
$1,691
$3,382
$534
$677
$979
$979
$979
$979
$979
$979
$979
$1,126
$1,945
$3,889
$614
$778
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,295
$2,237
$4,472
$706
$895
$1,295
$1,295
$1,295
$1,295
$1,295
$1,295
$1,295
$1,489
$2,572
$5,143
$812
$1,029
$1,489
$1,489
$1,489
$1,489
$1,489
$1,489
$1,489
$1,712
$2,958
$5,914
$934
$1,183
$1,712
$1,712
$1,712
$1,712
$1,712
$1,712
$1,712
105
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
303-82
303-83
303-84
303-85
303-86
303-87
303-88
303-89
303-90
303-91
303-92
303-93
303-94
303-95
303-96
303-97
303-98
303-99
303-100
303-101
303-102
303-103
303-104
303-105
303-106
303-107
303-108
303-109
303-110
303-111
303-112
304-00
304-01
304-02
304-03
304-04
304-05
304-06
304-07
305-00
305-01
305-02
305-03
305-04
305-05
305-06
305-07
305-08
305-09
305-10
305-11
$851
$851
$851
$851
$851
$851
$851
$851
$851
$851
$851
$851
$851
$851
$851
$1,006
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,161
$1,393
$1,393
$1,393
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$979
$979
$979
$979
$979
$979
$979
$979
$979
$979
$979
$979
$979
$979
$979
$1,157
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,335
$1,602
$1,602
$1,602
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,691
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,126
$1,331
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,535
$1,842
$1,842
$1,842
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
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$1,945
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$1,295
$1,295
$1,295
$1,295
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$1,765
$1,765
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$1,765
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$1,765
$2,118
$2,118
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$1,489
$1,489
$1,489
$1,489
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$1,489
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$2,030
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$1,712
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$1,712
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$1,712
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$1,712
$2,024
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,335
$2,801
$2,801
$2,801
$2,958
$2,958
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$2,958
$2,958
$2,958
$2,958
$2,958
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106
305-12
305-13
305-14
305-15
305-16
305-17
305-18
305-19
305-20
305-21
305-22
305-23
305-24
305-25
305-26
305-27
305-28
305-29
305-30
305-31
305-32
305-33
305-34
305-35
305-36
305-37
305-38
305-39
305-40
305-41
305-42
305-43
305-44
305-45
305-46
305-47
305-48
305-49
305-50
305-51
305-52
305-53
305-54
305-55
305-56
305-57
305-58
305-59
305-60
305-61
305-62
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
$1,471
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$1,471
$1,471
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$1,471
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$1,691
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$1,691
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$1,691
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$2,020
$1,945
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$1,945
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$1,945
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$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$1,945
$2,323
$2,237
$2,237
$2,237
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$2,237
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$2,237
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$2,572
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$2,572
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$2,572
$2,572
$2,572
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$2,572
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$2,958
$2,958
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$2,958
$2,958
$2,958
$2,958
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$2,958
$2,958
$2,958
$2,958
$2,958
$2,958
$2,958
$2,958
$2,958
$2,958
$3,533
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$309
$512
$309
$882
$49
$113
$160
$309
$309
$309
$309
$309
$356
$589
$356
$1,015
$57
$130
$184
$356
$356
$356
$356
$356
$409
$677
$409
$1,167
$65
$150
$212
$409
$409
$409
$409
$409
$470
$778
$470
$1,342
$75
$172
$243
$470
$470
$470
$470
$470
$541
$895
$541
$1,543
$86
$198
$280
$541
$541
$541
$541
$541
$622
$1,029
$622
$1,774
$99
$228
$322
$622
$622
$622
$622
$622
107
$0.00
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305-63
305-64
305-65
305-66
305-67
305-68
305-69
305-70
305-71
305-72
305-73
305-74
305-75
305-76
305-77
305-78
305-79
305-80
305-81
305-82
305-83
305-84
305-85
305-86
305-87
305-88
305-89
305-90
305-91
305-92
305-93
305-94
305-95
305-96
305-97
305-98
305-99
305-100
305-101
306-00
306-01
306-02
306-03
306-04
306-05
306-06
306-07
306-08
306-09
306-10
306-11
$309
$309
$309
$309
$309
$309
$309
$309
$309
$309
$387
$387
$410
$410
$410
$410
$410
$410
$503
$851
$929
$1,316
$1,935
$2,090
$2,090
$2,322
$425
$356
$356
$356
$356
$356
$356
$356
$356
$356
$356
$445
$445
$471
$471
$471
$471
$471
$471
$579
$979
$1,068
$1,513
$2,225
$2,403
$2,403
$2,670
$489
$409
$409
$409
$409
$409
$409
$409
$409
$409
$409
$512
$512
$542
$542
$542
$542
$542
$542
$665
$1,126
$1,228
$1,740
$2,559
$2,764
$2,764
$3,071
$563
$470
$470
$470
$470
$470
$470
$470
$470
$470
$470
$589
$589
$623
$623
$623
$623
$623
$623
$765
$1,295
$1,412
$2,001
$2,943
$3,178
$3,178
$3,531
$647
$541
$541
$541
$541
$541
$541
$541
$541
$541
$541
$677
$677
$717
$717
$717
$717
$717
$717
$880
$1,489
$1,624
$2,301
$3,384
$3,655
$3,655
$4,061
$744
$622
$622
$622
$622
$622
$622
$622
$622
$622
$622
$779
$779
$825
$825
$825
$825
$825
$825
$1,012
$1,712
$1,868
$2,646
$3,892
$4,203
$4,203
$4,670
$856
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,201
$2,939
$1,233
$3,038
$1,357
$4,760
$1,381
$3,380
$1,418
$3,494
$1,561
$5,474
$1,588
$3,887
$1,630
$4,018
$1,795
$6,295
$1,826
$4,470
$1,875
$4,621
$2,064
$7,239
$2,100
$5,141
$2,156
$5,314
$2,373
$8,325
$2,415
$5,912
$2,480
$6,111
$2,729
$9,574
$0.00
$0.00
$0.00
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$0.00
$0.00
$0.00
$155
$106
$304
$160
$197
$197
$304
$124
$243
$160
$160
$163
$193
$140
$193
$243
$179
$122
$349
$184
$226
$226
$349
$143
$279
$184
$184
$188
$222
$161
$222
$279
$205
$140
$402
$211
$260
$260
$402
$164
$321
$211
$211
$216
$256
$186
$256
$321
$236
$161
$462
$243
$299
$299
$462
$189
$369
$243
$243
$248
$294
$213
$294
$369
$272
$185
$531
$280
$344
$344
$531
$217
$424
$280
$280
$286
$338
$245
$338
$424
$312
$213
$611
$322
$396
$396
$611
$250
$488
$322
$322
$328
$389
$282
$389
$488
$0.00
$0.00
$0.00
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$0.00
Ultrasonido De Tiroides
Ultrasonido De Trax
Ultrasonido Ginecolgico
Ultrasonido Obsttrico
Ultrasonido Obsttrico 3er Trimestre
Ultrasonido Plvico
Ultrasonido Pequeos rganos
Ultrasonido Prosttico
Ultrasonido Renal
Ultrasonido Transfontanelar
Ultrasonido De Testiculos-2Ultrasonido Transvaginal
Ultrasonido De Cadera
Ultrasonido De Hombro
Ultrasonido De Mama (2)
Ultrasonido De Rodilla
Ultrasonido Doppler Espectral
Ultrasonido Musculo esqueltico
Ultrasonido Dopler (1) Color
Ultrasonido Dopler (2) Color
Ecocardiograma De Contraste
Ecocardiograma Farmacolgico
Ecocardiograma Transesofagico
Eco Farmacolgico Y De Contraste
Eco Transesofagico Transoperatorio
Eco Transesofagico Farmacolgico
histerosonografa
Resonancia magntica
Estudio normal de una regin
Estudio de una regin con medio de contraste
Estudio normal de dos regiones
Estudio dos regiones con medio de contraste
Estudio normal de tres regiones
Estudio tres regiones con medio de contraste
Patologa
Apndice ceccol. vescula biliar
Tumores pequeos de mama
Tumores benignos de mama (pieza mayor)
Resecciones intestinales sin tumor
Resecciones intestinales con tumor
Tumores de glndulas salivales s/diseccin
Tumores de glndulas salivales c/diseccin
Estmago sin tumor
Estmago con tumor
Segmentos o lbulos pulmonares
Prstata
Rin sin tumor
Rin con tumor
Testculos sin tumor
Testculos con tumor
Extremidades con gangrena o infeccin
108
306-12
306-13
306-14
306-15
306-16
306-17
306-18
306-19
306-20
306-21
306-22
306-23
306-24
306-25
306-26
306-27
306-28
306-29
306-30
306-31
306-32
306-33
306-34
306-35
306-36
306-37
306-38
306-39
307-00
307-01
307-02
307-03
307-04
307-05
307-06
310-00
310-01
310-02
310-03
310-04
310-05
310-06
310-07
310-08
310-09
310-10
310-11
310-12
310-13
310-14
310-15
$273
$112
$155
$37
$193
$247
$5,246
$201
$5,246
$112
$112
$112
$112
$112
$112
$125
$373
$125
$125
$197
$232
$197
$197
$160
$160
$135
$64
$323
$72
$153
$197
$112
$112
$139
$118
$128
$166
$130
$185
$306
$306
$197
$108
$2,941
$201
$400
$150
$986
$153
$153
$153
$313
$128
$179
$43
$222
$284
$6,033
$231
$6,033
$128
$128
$128
$128
$128
$128
$144
$429
$144
$144
$226
$267
$226
$226
$184
$184
$155
$74
$372
$83
$176
$226
$128
$128
$160
$136
$147
$190
$149
$213
$352
$352
$226
$124
$3,382
$231
$460
$173
$1,134
$176
$176
$176
$360
$148
$205
$49
$256
$327
$6,938
$266
$6,938
$148
$148
$148
$148
$148
$148
$166
$493
$166
$166
$260
$307
$260
$260
$211
$211
$178
$85
$427
$96
$203
$260
$148
$148
$184
$157
$169
$219
$172
$245
$405
$405
$260
$143
$3,889
$266
$529
$199
$1,304
$203
$203
$203
$415
$170
$236
$57
$294
$376
$7,978
$306
$7,978
$170
$170
$170
$170
$170
$170
$190
$567
$190
$190
$299
$353
$299
$299
$243
$243
$205
$98
$491
$110
$233
$299
$170
$170
$212
$180
$194
$252
$198
$282
$465
$465
$299
$164
$4,472
$306
$609
$229
$1,500
$233
$233
$233
$477
$195
$272
$65
$338
$432
$9,175
$352
$9,175
$195
$195
$195
$195
$195
$195
$219
$652
$219
$219
$344
$406
$344
$344
$280
$280
$236
$113
$565
$127
$268
$344
$195
$195
$243
$207
$223
$290
$227
$324
$535
$535
$344
$189
$5,143
$352
$700
$263
$1,725
$268
$268
$268
$548
$224
$312
$75
$389
$497
$10,551
$405
$10,551
$224
$224
$224
$224
$224
$224
$252
$750
$252
$252
$396
$467
$396
$396
$322
$322
$271
$130
$650
$146
$308
$396
$224
$224
$280
$238
$257
$333
$261
$372
$615
$615
$396
$217
$5,914
$405
$805
$302
$1,984
$308
$308
$308
109
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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$0.00
$0.00
$0.00
Tumores retroperitoneales
Amgdalas
Ganglio linfatico
Mdula sea
Bazo
Laringe sin diseccin de cuello
Laringe con diseccin de cuello
Tiroides sin diseccin de cuello
Tiroides con diseccin de cuello
Inmunofluorescencia
Inmuno-peroxidasa
Anticuerpos monoclonales
Microscopa electrnica
Revisin de laminillas
Laminillas para otra institucin
Biopsia por saca-bocado de piel (punch)
Biopsia incisional de piel
Biopsia para rasurado de piel
Biopsia por coretaje de piel
Pieza quirrgica de piel
Cariotipo simple
Cariotipo con bandas
Sexocromatina
Electroforesis
Tamis metablico
Papanicolau crvico vaginal
Serie hormonal
Espectoracin en serie
Cepillado y lavado
Ascitis lquido pleural y lquido cefaloraq.
Orina en serie
Pulmn glndula mamaria. Tiroides gangl. linf.
Prstata tejido blando huesos
Citologia gastrica
Biopsias peq. cervix endom. estom. esof. intest.
Ovarios sin tumor
tero sin anexos
Ovarios con tumor
tero con anexos
Exenteracin anterior y posterior
Exenteracin total
Fetos hasta 4 1/2 meses
Placenta
Biopsia de hgado y rin
Toma y estudio de mdula sea
Colpocitologas
biopsia transoperatoria
ganglio centinela
lquido ascitis
lquido cefalorraquideo cito y fisicoqui
lquido dialisis
310-16
310-17
310-18
310-19
310-20
310-21
310-22
310-23
310-24
310-25
310-26
310-27
310-28
310-29
310-30
310-31
310-32
310-33
310-34
310-35
310-37
310-38
310-39
310-40
310-41
310-42
310-43
310-44
310-45
310-46
310-47
310-48
310-49
310-50
310-51
310-52
310-53
310-54
310-55
310-56
310-57
310-58
310-59
310-60
310-61
310-62
310-63
310-64
310-65
310-66
310-67
$153
$153
$153
$4,102
$1,541
$2,426
$3,563
$176
$176
$176
$4,717
$1,773
$2,790
$4,098
$203
$203
$203
$5,425
$2,039
$3,208
$4,712
$233
$233
$233
$6,238
$2,344
$3,690
$5,419
$268
$268
$268
$7,174
$2,696
$4,243
$6,232
$308
$308
$308
$8,250
$3,100
$4,879
$7,167
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$29
$197
$190
$108
$47
$89
$108
$89
$155
$232
$33
$226
$218
$124
$54
$102
$124
$102
$179
$267
$38
$260
$251
$143
$62
$117
$143
$117
$205
$307
$44
$299
$289
$164
$72
$135
$164
$135
$236
$353
$50
$344
$332
$189
$82
$155
$189
$155
$272
$406
$58
$396
$382
$217
$95
$178
$217
$178
$312
$467
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$29
$159
$53
$17
$153
$420
$33
$183
$61
$20
$176
$483
$38
$210
$70
$23
$203
$556
$43
$242
$80
$26
$233
$639
$50
$278
$93
$30
$268
$735
$58
$320
$106
$35
$308
$845
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$86
$105
$37
$93
$105
$93
$49
$53
$37
$53
$49
$49
$140
$105
$93
$37
$202
$49
$49
$49
$49
$49
$37
$37
$49
$99
$120
$42
$107
$120
$107
$57
$61
$42
$61
$57
$57
$161
$120
$107
$42
$233
$57
$57
$57
$57
$57
$42
$42
$57
$114
$138
$49
$123
$138
$123
$65
$70
$49
$70
$65
$65
$186
$138
$123
$49
$268
$65
$65
$65
$65
$65
$49
$49
$65
$131
$159
$56
$142
$159
$142
$75
$80
$56
$80
$75
$75
$213
$159
$142
$56
$308
$75
$75
$75
$75
$75
$56
$56
$75
$151
$183
$64
$163
$183
$163
$86
$93
$64
$93
$86
$86
$245
$183
$163
$64
$354
$86
$86
$86
$86
$86
$64
$64
$86
$173
$210
$74
$187
$210
$187
$99
$106
$74
$106
$99
$99
$282
$210
$187
$74
$407
$99
$99
$99
$99
$99
$74
$74
$99
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
lquido pericardico
lquido peritoneal
lquido sinovial
Alcoholizacin tumores hepticos
Sol. Preservacin Teja. Cornea
Toma De Biopsia Renal
Sol. Preservacin De rganos
Alergia
Citologa de moco nasal
Proteosa autovacuna
Preciptiva
Inmunoterapia (vacunas especficas)
Pruebas cutneas intradrmicas 1 serie
Pruebas cutneas intradrmicas 2 series
Pruebas cutneas intradrmicas 3 series
Pruebas cutneas por transferencias 1 serie
Pruebas cutneas por transferencias 2 series
Pruebas cutneas por transferencias 3 series
Infectologa
Citologa de l.c.r.
Cultivo en orina y bacterioscpico baar (t b)
Tincin de machiavelo
Serologa de amiba por hemoglutinacin indir.
LIQUIDO CEFALORRAQUIDEO-Cito Y Fisicoqui
Mielocultivo
Tratamiento teraputico "clnica del dolor"
Bloqueo rama trigeminal
Bloqueo ganglio gaser
Bloqueo de ramas trigeminales terminales
Bloqueo de nervio lingual
Bloqueo de nervio gloso farngeo
Bloque de ganglio esfenopalatino
Bloqueo de nervio occipital
Bloqueo de raz cervical profunda
Bloqueo de plexo cervical superficial
Bloqueo de nervio farngeo
Bloqueo de nervio frnico
Bloqueo de nervio supraescapular
Bloqueo simptico servicodorsal c/contr. r. x
Bloqueo simptico servicodorsal s/contr. r. x
Bloqueo peridual anti-inflamat. sin medicamento
Bloqueo peridual ltico
Bloqueo subaragnoideo ltico
Bloqueo paravertebral
Bloqueo de nervios intercostales
Bloqueo de nervio abdominogenital
Bloqueo de nervio crural
Bloqueo de nervio fermorocutneo
Bloqueo de nervio obturador
Bloqueo de nervio citico
Bloqueo de articulacion sacro-ilaca
110
310-68
310-69
310-70
310-71
310-72
310-73
310-74
310-75
320-00
320-01
320-02
320-03
320-04
320-05
320-06
320-07
320-08
320-09
320-10
330-00
330-05
330-07
330-08
330-12
330-13
330-14
340-00
340-01
340-02
340-03
340-04
340-05
340-06
340-07
340-08
340-09
340-10
340-11
340-12
340-13
340-14
340-15
340-16
340-17
340-18
340-19
340-20
340-21
340-22
340-23
340-24
$49
$37
$49
$49
$49
$49
$49
$37
$37
$37
$276
$276
$37
$37
$90
$57
$42
$57
$57
$57
$57
$57
$42
$42
$42
$317
$317
$42
$42
$103
$65
$49
$65
$65
$65
$65
$65
$49
$49
$49
$365
$365
$49
$49
$119
$75
$56
$75
$75
$75
$75
$75
$56
$56
$56
$420
$420
$56
$56
$137
$86
$64
$86
$86
$86
$86
$86
$64
$64
$64
$483
$483
$64
$64
$157
$99
$74
$99
$99
$99
$99
$99
$74
$74
$74
$555
$555
$74
$74
$181
$0.00
$0.00
$0.00
$0.00
$686
$521
$128
$141
$789
$599
$147
$163
$907
$689
$169
$187
$1,043
$792
$195
$215
$1,200
$600
$224
$247
$1,380
$690
$258
$285
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$164
$140
$168
$53
$13
$92
$53
$201
$131
$37
$37
$29
$29
$110
$116
$177
$140
$31
$31
$189
$161
$193
$61
$14
$106
$61
$231
$151
$42
$42
$33
$33
$127
$133
$204
$160
$36
$36
$217
$186
$222
$70
$17
$122
$70
$266
$173
$49
$48
$38
$38
$146
$153
$234
$184
$41
$41
$250
$213
$255
$80
$19
$140
$80
$306
$199
$56
$56
$44
$44
$168
$177
$270
$212
$47
$47
$288
$245
$294
$93
$22
$161
$93
$352
$229
$64
$64
$50
$50
$193
$203
$310
$244
$54
$54
$331
$282
$338
$106
$25
$185
$106
$405
$263
$74
$74
$58
$58
$222
$233
$357
$281
$62
$62
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0
$0
$37
$37
$20
$14
$89
$25
$6
$7
$0
$0
$42
$42
$22
$16
$102
$29
$7
$8
$0
$0
$49
$49
$26
$18
$117
$33
$8
$9
$0
$0
$56
$56
$30
$21
$135
$38
$9
$10
$0
$0
$64
$64
$34
$24
$155
$44
$10
$12
$0
$0
$74
$74
$39
$28
$178
$51
$12
$14
111
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
340-25
340-26
340-27
340-28
340-29
340-29
340-30
340-31
340-32
340-33
340-34
340-35
340-36
340-37
340-38
340-39
350-00
350-01
350-02
350-03
350-07
360-00
360-01
360-02
360-03
360-04
360-05
360-06
360-07
360-08
360-09
360-10
360-11
360-12
360-13
360-14
360-15
360-16
360-17
360-18
360-19
370-00
370-01
370-02
370-03
370-04
370-05
370-06
370-07
370-08
370-09
$142
$57
$169
$22
$86
$4
$4
$7
$542
$992
$29
$281
$778
$464
$623
$623
$778
$623
$163
$66
$195
$26
$99
$5
$5
$8
$624
$1,141
$33
$323
$894
$534
$716
$716
$894
$716
$187
$76
$224
$30
$114
$5
$5
$9
$717
$1,312
$38
$371
$1,028
$614
$824
$824
$1,028
$824
$215
$87
$257
$34
$131
$6
$6
$10
$825
$1,509
$44
$427
$1,183
$706
$947
$947
$1,183
$947
$247
$100
$296
$39
$150
$7
$7
$12
$948
$1,735
$51
$491
$1,360
$812
$1,089
$1,089
$1,360
$1,089
$6
$7
$8
$9
$10
$12
$3
$7,746
$858
$42
$700
$541
$9
$109
$120
$109
$109
$90
$1,314
$144
$110
$131
$1,772
$686
$286
$162
$110
$64
$17
$217
$144
$6
$16
$26
$31
$51
$66
$3
$8,908
$986
$49
$805
$622
$11
$125
$138
$125
$125
$103
$1,511
$166
$127
$151
$2,038
$789
$329
$186
$127
$74
$20
$250
$165
$7
$18
$30
$36
$59
$76
$4
$10,244
$1,134
$56
$926
$715
$12
$144
$159
$144
$144
$119
$1,738
$191
$146
$173
$2,344
$907
$378
$214
$146
$85
$23
$287
$190
$8
$21
$34
$42
$68
$87
$4
$11,781
$1,304
$64
$1,065
$823
$14
$165
$183
$165
$165
$137
$1,998
$219
$168
$199
$2,696
$1,043
$435
$246
$168
$97
$26
$330
$218
$9
$24
$39
$48
$78
$100
$5
$13,548
$1,500
$74
$1,225
$946
$16
$190
$210
$190
$190
$157
$2,298
$252
$193
$229
$3,100
$1,200
$500
$283
$193
$112
$30
$380
$251
$11
$28
$45
$55
$90
$115
$6
$15,580
$1,725
$85
$1,409
$1,088
$18
$219
$242
$219
$219
$181
$2,643
$290
$222
$263
$3,565
$1,380
$575
$325
$222
$129
$35
$437
$289
$12
$32
$52
$63
$104
$132
370-36
370-37
370-38
370-39
370-40
370-41
370-42
370-43
370-44
370-45
370-46
370-47
370-48
370-49
370-50
370-51
370-52
370-53
370-54
370-55
370-56
370-57
370-58
370-59
370-60
370-61
370-62
370-63
370-64
370-65
370-66
$123
$50
$147
$20
$75
$3
$3
$6
$472
$863
$25
$244
$676
$404
$542
$542
$676
$542
370-35
112
370-10
370-11
370-12
370-13
370-14
370-15
370-16
370-17
370-18
370-19
370-22
370-26
370-29
370-30
370-31
370-32
370-33
370-34
$66
$83
$86
$86
$86
$86
$86
$131
$131
$158
$184
$196
$197
$200
$258
$271
$271
$392
$647
$656
$720
$744
$755
$765
$785
$785
$802
$802
$890
$890
$927
$980
$1,029
$1,051
$1,052
$1,052
$1,144
$1,144
$1,158
$1,612
$1,780
$2,001
$2,859
$2,913
$3,398
$3,560
$4,619
$4,721
$7,429
$10,520
$22,269
$76
$95
$99
$99
$99
$99
$99
$151
$151
$181
$211
$225
$226
$230
$297
$312
$312
$451
$744
$755
$828
$856
$869
$880
$903
$903
$922
$922
$1,024
$1,024
$1,066
$1,127
$1,184
$1,209
$1,210
$1,210
$1,315
$1,315
$1,332
$1,854
$2,047
$2,301
$3,288
$3,349
$3,908
$4,094
$5,311
$5,429
$8,544
$12,098
$25,609
$87
$110
$114
$114
$114
$114
$114
$173
$173
$209
$243
$259
$260
$265
$342
$358
$358
$519
$856
$868
$953
$984
$999
$1,012
$1,038
$1,038
$1,060
$1,060
$1,177
$1,177
$1,226
$1,296
$1,361
$1,391
$1,391
$1,391
$1,512
$1,512
$1,532
$2,132
$2,354
$2,647
$3,781
$3,852
$4,494
$4,708
$6,108
$6,243
$9,825
$13,913
$29,450
$100
$126
$131
$131
$131
$131
$131
$199
$199
$240
$279
$297
$299
$304
$393
$412
$412
$597
$984
$998
$1,096
$1,132
$1,149
$1,163
$1,194
$1,194
$1,219
$1,219
$1,354
$1,354
$1,410
$1,490
$1,565
$1,599
$1,600
$1,600
$1,739
$1,739
$1,762
$2,452
$2,707
$3,043
$4,348
$4,430
$5,168
$5,414
$7,024
$7,180
$11,299
$16,000
$33,868
$115
$145
$151
$151
$151
$151
$151
$229
$229
$276
$321
$342
$344
$350
$452
$474
$474
$686
$1,132
$1,148
$1,260
$1,302
$1,321
$1,338
$1,373
$1,373
$1,402
$1,402
$1,557
$1,557
$1,622
$1,714
$1,800
$1,839
$1,840
$1,840
$2,000
$2,000
$2,026
$2,820
$3,113
$3,500
$5,000
$5,094
$5,943
$6,226
$8,078
$8,257
$12,994
$18,400
$38,948
$132
$167
$174
$174
$174
$174
$174
$263
$263
$317
$369
$393
$396
$403
$520
$545
$545
$789
$1,302
$1,320
$1,449
$1,497
$1,519
$1,539
$1,579
$1,579
$1,612
$1,612
$1,791
$1,791
$1,865
$1,971
$2,070
$2,115
$2,116
$2,116
$2,300
$2,300
$2,330
$3,243
$3,580
$4,025
$5,750
$5,858
$6,834
$7,160
$9,290
$9,496
$14,943
$21,160
$44,790
113
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
370-67
370-68
370-69
370-70
370-71
370-72
370-73
370-74
370-75
370-76
370-77
370-78
370-79
370-80
370-81
370-82
370-83
370-84
370-85
370-86
370-87
370-88
370-89
370-90
370-91
370-92
370-93
370-94
370-95
370-96
370-97
370-98
370-99
370-100
370-101
370-102
370-103
370-104
370-105
370-106
370-107
370-108
370-109
370-110
370-111
370-112
370-113
370-114
370-115
370-116
370-117
114
370-118
370-119
370-120
370-121
370-122
370-123
370-124
Dx.Y Tx Neuropat.Perif.Sec.Diabetes
Manejo Hosp.Hipertension Arterial
Dx.Y Tx De Pielonefritis
Dx.Y Tx Traumat.Cran.Moderado
Enf. Pulmonar Obstructiva Crnica
Dx.Y Tx Insuf.Cardiaca Aguda
Dx.Y Tx De Dengue Hemorrgico
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$3,118
$4,692
$4,722
$6,734
$14,203
$15,814
$22,909
$3,586
$5,396
$5,430
$7,744
$16,333
$18,186
$26,345
$4,124
$6,205
$6,245
$8,906
$18,783
$20,913
$30,297
$4,743
$7,136
$7,182
$10,242
$21,601
$24,050
$34,842
$5,454
$8,206
$8,259
$11,778
$24,841
$27,658
$40,068
$6,272
$9,437
$9,498
$13,545
$28,567
$31,807
$46,078
30. COMISION PARA LA PROTECCIN CONTRA RIESGOS SANITARIOS DEL ESTADO DE SAN LUIS POTOS.
CONCEPTO
TARIFA
NUMERO DE SALARIOS MINIMOS
VIGENTES EN EL ESTADO
Autorizacin de libros de bancos de sangre y servicios de transfusin por cada 100 folios
10
10
10
20
Autorizacin de libros para el riesgo de medicamentos estupefacientes y psicotrpicos por cada 100 folios
I. De las Autorizaciones.
CONCEPTO
TARIFA
NUMERO DE SALARIOS MINIMOS
VIGENTES EN EL ESTADO
15
10
15
10
10
12
15
Dictamen de condiciones sanitarias de establecimientos para la venta y suministro de bebidas alcohlicas para
consumo inmediato dentro de stos. (bares, cerveceras, centros nocturnos, hoteles y moteles con servicio al
cuarto o servi-bar, y pulqueras; restaurantes, restaurante-bar, centros o clubes sociales, deportivos o
recreativos, baos pblicos, hoteles, moteles, establecimientos tursticos, salones de eventos y banquetes,
cafs, billares, boliches, fondas, cenaduras, taqueras, antojeras y similares). (De los clasificados en las
fracciones I y II del art. 13 de la Ley Estatal de Bebidas Alcohlicas).
II.
115
COSTO
Salarios mnimos
vigentes en el Estado
TEMA
116
7
15
Saneamiento bsico y calidad bacteriolgica del agua para el uso y consumo humano
IV. Por los servicios prestados por el Laboratorio Estatal de Sald Pblica
PRUEBAS
PRECIO
PROPUESTO
200.00
300.00
350.00
300.00
350.00
265.00
140.00
333.00
500.00
330.00
600.00
350.00
700.00
400.00
241.00
226.00
295.00
308.00
335.00
328.00
271.00
453.00
357.00
359.00
655.00
391.00
488.00
Yodatos en sal
Yoduros en sal
Fluoruros en sal
Creatinina
Clenbuterol
Fierro en harina
Zinc en harina
Fluoruros en orina
PRECIO
PROPUESTO
305.00
498.00
371.00
60.00
9.79
250.00
250.00
331.00
PRUEBAS
117
58.00
64.00
118
241.00
151.01
36.52
36.52
114.72
24.94
250.49
751.68
9.46
30.03
24.94
250.49
751.68
60.37
26.98
25.87
5.72
5.00
115.00
29.00
300.00
116.10
61.78
11.00
42.00
Costo (smgv)
$100.00
6.19
7.82
9.78
3.26
3.91
4.89
7.33
8.31
7.33
6.35
7.89
5.87
3.91
6.19
4.64
3.10
9.78
7.33
4.89
5.87
7.82
7.82
7.82
4.89
MA
MB
MC
IA
IB
IC
BA
BB
BF
BG
FA
FB
FC
FD
FE
FF
FG
FH
FI
PE
MM
MP
NS
TR
3.26
4.89
6.52
3.26
119
Descripcin
Inscripcin / Anualidad
Clases 2 das cuota normal
Clases 3 das cuota normal
Clases 5 das cuota normal
Clases 2 das cuota INSEN
Clases 3 das cuota INSEN
Clases 5 das cuota INSEN
Clases 2 das cuotas bebes (30 min.)
Clases 3 das cuotas bebes (30 min.)
Clases 3 das grupo de bebes (50 min.)
Clases 2 das grupo de bebes (50 min.)
Clases 3 das cuota paquete familiar 1er. Nio)
Clases 3 das cuota paquete familiar /2do. Nio)
Clases 3 das cuota paquete familiar /3er. Nio o ms personas
Clases 2 das cuota paquete familiar (1er. Nio)
Clases 2 das cuota paquete familiar (2do.Nio)
Clases 2 das cuota paquete familiar (3er. Nio o ms personas)
Clases 5 das cuota paquete familiar (1er. Persona)
Clases 5 das cuota paquete familiar (2da.Persona)
Clases 5 das cuota paquete familiar (3ra. Persona o ms)
Clases 3 das cuota paquete empresarial (10 personas mximo)
Equipo Mster
Equipo y Preequipo Infantil y Juvenil
Equipo de Nado Sincronizado
Equipo Triatln
ALBERCA UNIDAD DEPORTIVA JOS LPEZ PORTILLO
Clases 2 das por semana
Clases 3 das por semana
Clases 5 das por semana
PAQUETES FAMILIARES
Clases 2 das (mensualidad) 1er. Persona
2.61
2.28
4.89
3.91
3.42
6.52
5.21
4.56
7.33
8.31
7.33
6.35
I. Por cursos de capacitacin en materia de Proteccin Civil a peticin de parte, se pagar por cada participante
Descripcin del Servicio
8
12
18
3.5
II. De visitas de verificacin para opinin tcnica de conformidad con la Ley de Bebidas Alcohlicas
Descripcin del Servicio
Por cada solicitud y, en su caso, expedicin de opinin tcnica sobre medidas de seguridad en
establecimientos para la venta y suministro de bebidas alcohlicas para consumo inmediato dentro de
estos. ( De los clasificados en las fracciones I y II del artculo 13 de la Ley Estatal de Bebidas Alcohlicas)
Costo (smgv)
15
Costo (smgv)
5
120
10
15
Por cada solicitud y, en su caso, expedicin de opinin tcnica sobre medidas de seguridad en establecimientos
para la venta y suministro de bebidas alcohlicas en envase cerrado para llevar (de los clasificados en la fraccin IV
del artculo 13 de la Ley Estatal de Bebidas Alcohlicas).
Por cada solicitud y, en su caso, expedicin de opinin tcnica sobre medidas de seguridad en establecimientos
para la venta, suministro o distribucin de bebidas alcohlicas en forma eventual y transitoria para consumo
inmediato dentro de los mismos(de los clasificados en la fraccin III del artculo 13 de la Ley Estatal de Bebidas
Alcohlicas)
III. De visitas de verificacin sobre medidas de seguridad y en su caso visto bueno del programa interno de Proteccin Civil a peticin de parte
Costo (smgv)
15
15
Costo (smgv)
15
55
V. De autorizacin de registro como consultor externo en la elaboracin de Programas Internos de Proteccin Civil
Descripcin del Servicio
Autorizacin de registro como consultor externo en la elaboracin de Programas Internos de Proteccin Civil
Autorizacin de registro como consultor externo en conformacin y capacitacin de brigadas en primeros auxilios,
uso y manejo de extintores, y evacuacin
Autorizacin de registro como consultor externo en anlisis de riesgo o vulnerabilidad
Costo (smgv)
84
80
75
Costo (smgv)
5 (Por metro lineal)
7 (Por metro lineal)
121
CONCEPTO DE INFRACCIN
1
2
3
4
5
6
7
8
15
16
17
6.0
6.0
4.0
30.0
8.0
15.0
4
3.0
6.0
4.0
15
35.0
15
25.0
25.0
20.0
50
12.0
25.0
20
15
15
30.0
50.0
90.0
90.0
50.0
50.0
30.0
20.0
18
19
20
21
22
23
24
25
26
27
28
29
30
Permiso falsificado en menor de edad y/o expedido por autoridad no facultada por la Ley de Trnsito del estado.
Permiso vencido en menor de edad.
por portar permiso para circular sin placas y sin tarjeta de circulacin falsificado
PLACAS
Falta de placa en remolques.
Falta de una o dos placas.
Placas ocultas en el interior del vehculo.
Placas pintadas, rotuladas, dobladas o ilegibles.
por portar placas vencidas y permiso para circular sin placas y tarjeta de circulacin a la vez
Placas soldadas o remachadas.
Portar placas en lugar no destinado para ello.
Portar placas falsificadas.
Portar placas policiales en vehculos no autorizados.
Portar placas de demostracin sin acreditar su uso.
Portar placas que no correspondan al vehculo.
Portar placas que no cumplan la Norma Oficial Mexicana.
Portar placas vencidas.
COSTO
(smgv)
9
10
11
12
13
14
CALCOMANIAS
Falta de placas de identificacin en lugar visible.
Falta de calcomana de verificacin vehicular en lugar visible.
Falta de engomado de vigente en lugar visible.
DOCUMENTOS
Documentos alterados o falsificados.
Falta de licencia.
Falta de pliza de seguro vigente.
Falta de tarjeta de circulacin.
Falta de carta porte.
PERMISOS
Circular con carga sin el permiso correspondiente.
Circular vehculo de dimensin mayor a la reglamentaria sin el permiso correspondiente.
permiso para circular sin placas y sin tarjetas de circulacin vencido
Falta de permiso Estatal para circular en zonas restringidas.
Falta de permiso Estatal para circular sin placas y sin tarjeta de circulacin
Falta de permiso para conducir en menor de edad.
122
34
35
36
37
38
39
40
41
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
10.0
40.0
50.0
10.0
10.0
10.0
30.0
50.0
3.0
3.0
5.0
5.0
5.0
5.0
15.0
5.0
15.0
6.0
6.0
6.0
6.0
20.0
15.0
30.0
30.0
30.0
50.0
20.0
25.0
123
59
60
61
62
10.0
3.0
15.0
42
43
CINTURON DE SEGURIDAD
No contar con cinturones de seguridad.
No usar cinturn de seguridad conductor y copiloto.
Por transportar menores de edad sin cinturn de seguridad o asientos especiales en asiento posterior.
CLAXON
Usar claxon o cornetas de aire en forma inmoderada.
Usar dispositivos de sonido exclusivos de vehculos de emergencia sin autorizacin.
Usar torretas de emergencia en vehculos no oficiales.
CRISTALES
Falta de parabrisas o medalln.
Parabrisas o medalln estrellado que impida la visibilidad.
Portar en los cristales accesorio que impidan la visibilidad.
Usar vidrios polarizados en color negro que obstruyan la visibilidad.
Usar vidrios polarizados en unidad policiaca/ sin causa justificada.
EQUIPAMIENTO VEHICULAR
Falta de herramienta indispensable para el cambio de llanta.
No contar con banderolas o reflejantes para casos de emergencia.
ESPEJOS
Falta del lateral izquierdo y/o derecho
Falta del retrovisor interior.
LUCES
Emitir luz diferente a la roja correspondiente en la parte posterior del vehculo.
Falta de cuartos o reflejantes.
Falta de luces de galibo a los costados y en la parte de atrs en vehculo de carga.
Falta de luces direccionales.
Falta de luces en el remolque.
Falta de luces intermitentes.
Falta de luces rojas indicadora de frenaje.
Falta de luz parcial o total.
Falta del cambio de intensidad de la luz.
Hacer uso de dispositivos extras de iluminacin que deslumbren o molesten a terceros.
Luz excesiva o faros desviados.
Portar luces de emergencia o torretas, sin autorizacin.
Portar luces de estrobo sin autorizacin.
ACCIDENTES
Abandono de vehculo en Hecho de trnsito.
Abandono de vctimas en Hecho de transito
Chocar o participar en hecho de trnsito y causar daos.
Chocar o participar en hecho de trnsito y causar lesiones.
31
32
33
68
69
90
91
92
93
94
95
96
97
35
35
3.0
10.0
3.0
5.0
5.0
10.0
10.0
8.0
10.0
25.0
3.0
5.0
15.0
10.0
5.0
10.0
5.0
30.0
15.0
15.0
10.0
40.0
40.0
40.0
30.0
15.0
10.0
5.0
81
82
83
84
85
86
87
88
89
30.0
30.0
20.0
20.0
30.0
70
71
72
73
74
75
76
77
78
79
80
124
63
64
65
66
67
5.0
10.0
18.0
50.0
8.0
4.0
10.0
10.0
5.0
30.0
20.0
50.0
10.0
10.0
15.0
8.0
8.0
15.0
20.0
10.0
15.0
10.0
5.0
8.0
50.0
50.0
50.0
50.0
15.0
15.0
15.0
5.0
10.0
10.0
5.0
4.0
125
134
30.0
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
98
5.0
10.0
10.0
10.0
5.0
35.0
60.0
120.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
5.0
10.0
5.0
10.0
10.0
25.0
20.0
20.0
5.0
10.0
60.0
10.0
20.0
5.0
10.0
5.0
5.0
5.0
50.0
5.0
5.0
10.0
10.0
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
126
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
183
184
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
10.0
10.0
2.0
5.0
10.0
20.0
5.0
10.0
10.0
10.0
10.0
50.0
25.0
25.0
10.0
20.01
10.0
30.0
10.0
10.0
50.0
10.0
10.0
10.0
10.0
185
186
187
173
174
175
176
177
178
179
180
181
182
10.0
10.0
10.0
10.0
10.0
127