CODIGO DESCRIPCIÓN Particular

0001 CUARTOS Y ALIMENTACION

000101 CUARTO POR DIA 212.40
000102 CENTRO OBSTETRICO 0.00
000103 CUARTO BIPERSONAL POR DÍA 180.00
000104 HOSPITALIZACIÓN POR DÍA 212.40
0002
000201 UCI ADULTOS CADA DIA INCLUYENDO MONITOR Y RESPIRADOR 1,250.00
0003 SALA DE RECUPERACION
000301 SALA DE RECUPERACIÓN HASTA 2 HORAS 94.40
000302 SALA DE RECUPERACIÓN DESDE HASTA 5 HORAS 141.60
0005 SALA DE OPERACIONES
000501 SALA DE OPERACIONES 30%
000502 TOPICO A (TOPICO DE EMERGENCIA) 50.00
000503 SALA DE PROCEDIMIENTOS AMBULATORIO 50.00
000808 TOPICO DE YESO 50.00
0006 SALA DE PARTOS
000601 SALA DE PARTOS 118.00
0007 SALA DE BEBES
000701 SALA DE BEBÉS 94.40
000702 INCUBADORA HASTA 2 HORAS 100.00
0008 REPOSO EN TOPICO
000801 REPOSO EN EL TÓPICO DE EMERGENCIA LA 1RA HORA 23.60
000802 REPOSO EN EL TOPICO DE EMERG. PARTIR DE LA 2DA HORA ( POR C/H) 23.60
000803 REPOSO EN EL TPICO DE EMERG. PARTIR DE LA 5TA HORA ( POR C/H) 59.00

001449 UNIDAD DE SHOCK TRAUMA - POR ATENCION 400.00

 Sin Tarifa
Rimac Pacifico Mapfre Saludpol Personal Plan Materno Plan IGS
Contrato Convenio

259.60 153.40 236.00 300.00 177.00 271.40 165.00 200.00 230.00

259.60 153.40 236.00 300.00 177.00 271.40 165.00 180.00 180.00

259.60 153.40 236.00 300.00 177.00 271.40 165.00 200.00 230.00

472.00 649.00 1,200.00 1,100.00 800.00 1,000.00 650.00

94.40 94.40 94.40 94.40 94.40 94.40 94.40 94.40 94.40

141.60 141.60 141.60 141.60 141.60 141.60 141.60 141.60 141.60

30% 30% 30% 30% 30% 30%

94.40 94.40 94.40 120.00 50.00 80.00 80.00 50.00 50.00
94.40 94.40 94.40 120.00 50.00 120.00 120.00 50.00 50.00
94.40 94.40 94.40 120.00 50.00 59.00 59.00 50.00 50.00

118.00 118.00 118.00 118.00 118.00 118.00 118.00 118.00 118.00

94.40 94.40 94.40 94.40 94.40 94.40 94.40 94.40 94.40

0.00 100.00 100.00 100.00 100.00

23.60 23.60 23.60 23.60 23.60 23.60 23.60 23.60 23.60

23.60 23.60 23.60 23.60 23.60 23.60 23.60 23.60 23.60
59.00 59.00 59.00 59.00 59.00 59.00 59.00 59.00 59.00

400.00 400.00 400.00 400.00 400.00

 PLAN
PERSONAL
CARE

169.92 210.00

144.00 180.00
169.92 210.00

1,000.00 590.00

94.40
113.28 141.60

30%
50.00
50.00
50.00

118.00

94.40
100.00

23.60
23.60
59.00

400.00
CODIGO DESCRIPCIÓN

5001 CONSULTA AMBULATORIA

500102 CONSULTA AMBULATORIA POR MEDICO ESPECIALISTA
500103 CONTROL NIÑO
500110 CONSULTA MEDICA FÍSICA
500111 CONSULTA MEDICA GENERAL
500112 CONSULTA MEDICA FAMILIAR
500113 CONSULTA MEDICA CRED
500114 CONSULTA MEDICA NUTRICIÓN
500115 CONSULTA MEDICA PSICOLOGÌA
500116 CONSULTA MEDICA ODONTOLOGÌA
500117 CONSULTA OPTOMETRIA + MEDIDA ADULTO
500147 CONSULTA OPTOMETRIA + MEDIDA PEDIATRICO
500118 CONSULTA MEDICA OBSTETRICIA
Particular

80.00
20.00
60.00
50.00
80.00
80.00
30.00
40.00
30.00
75.00
85.00
80.00
12 OPERACIONES EN SISTEMA MUSCULO ESQUELETICO
1201 INFILTRACIONES Y MOVILIZACIONES - INCLUYE CONSULTA
120101 INFILT. MUSCULARES TENDINOSAS,DE FASCIAS O DE GANGLION.
120102 INFILTRACIONES ARTICULARES.
120103 MOVILIZACION FORZADA DE ARTICULACION -BAJO ANESTESIA GENERAL-
INMOVILIZACION - YESOS / VENDAJES / TRACCIONES CONTINUAS - COMO UNICO
1202
TRATAMIENTO (INCLUYE CONSULTA)
120201 YESO PARA NARIZ
120202 MINERVA.
120203 COLLARIN
120204 CORSET.
120205 VENDAJE PARA COSTILLA
120206 VENDAJE EN OCHO ENYESADO
120207 VENDAJE ACROMIO CLAVICULAR
120208 VELPEAU DE YESO
120209 YESO TORACOBRAQUIAL
120210 YESO BRAQUIPALMAR
120211 YESO ANTEBRAQUIPALMAR
120212 FERULA LARGA DE MIEMBRO SUPERIOR
120213 FERULA CORTA DE MIEMBRO SUPERIOR
120214 YESO PELVIPEDIO
120215 YESO MUSLOPEDIO
120216 BOTA CORTA DE YESO
120217 FERULA LARGA DE MIEMBRO INFERIOR
120218 FERULA CORTA DE MIEMBRO INFERIOR
120219 TRACCION CONTINUA CUTANEA, TRACCION DE PARTES BLANDAS
120220 TRACCION CONTINUA CEFALO PELVICA, ESQUELETICA CEFALICA, CEFALO-FEMORAL
120221 YESO MEHTA CASTING
1204 REDUCCION INCRUENTA CON INMOVILIZACION - FRACTURA CON DESPLAZAMIENTO
120401 COLUMNA CERVICAL, DORSAL, LUMBAR
120402 ESTERNON,ESCAPULA,HUMERO,CUBITO Y/O RADIO,1 O MAS HUESOS DEL
120403 PELVIS,FEMUR,TIBIA Y PERONE ASTRAGALO,CALCANEO.
120404 CLAVICULA,COSTILLAS,ROTULA,FALANGES,METACARPIANOS,METATARSIANOS
1205 REDUCCION CRUENTA - TRATAMIENTO QUIRURGICO - FRACTURAS CON DESPLAZAMIENTO
120501 COLUMNA CERVICAL,DORSAL O LUMBAR
120502 HUMERO,PELVIS,SACRO,FEMUR,TIBIA Y PERONE,CUBITO Y RADIO
120503 CUBITO,RADIO,UNO O MAS HUESOS DEL CARPO O DEL TARSO,MAXILAR INF.O
120504 ESTERNON,COSTILLAS,CLAVICULA,ESCAPULA Y ROTULA
120505 METACARPIANO O METATARSIANO,MALAR O HUESOS PROPIOS D'NARIZ
RESECCION PARCIAL DE HUESO / LEGRADO / EXTRACCION DE CUERPO EXTRAÑO
1206 LOCALIZADO EN HUESO - RESECCION DE. LESIONES INFLAMATORIAS / PARASITARIAS /
TUMORALES / BIOPSIA QUIRURGICA / SECUESTRO
120601 VERTEBRAS SACRO,MANDIBULA
120602 COXAL,FEMUR,HUMERO
120603 ESTERNON,ESCAPULA,RADIO,CUBITO,CARPO,PERONE TIBIA,TARSO
120604 COSTILLA,CLAVICULA METACARPIANO,METATARS,FALANGE,ROTULA
120605 PUNCION BIOPSIA DE HUESO
120606 EXTRACCION OSTEOSINTESIS-CLAVO
120607 EXTRACCION OSTEOSINTESIS- CLAVO PROFUNDO
120608 EXTRACCION INTEGRA DEL MATERIAL DE OSTEOSINTESIS - PERNOS, PLACAS Y/O TOR
120610 RETIRO DE MATERIAL QUIRÚRGICO SIMPLE UNILATERAL EN SITIO QX- INC. TOTA
1207 RESECCIONES TOTALES DE HUESOS - INCLUYE REEMPLAZO POR PROTESIS
120701 COXAL,FEMUR,TIBIA,HUMERO,ESCAPULA,MAXILAR SUP. E INF.
120702 OTROS HUESOS
1208 OSTEOTOMIA CORRECTIVAS
120801 FEMUR,TIBIA,TIBIA Y PERONE
120802 HUMERO,CUBITO Y/O RADIO ASTRAGALO CALCANEO,OTROS HUESOS DEL TARSO
120803 METACARPIANO,METATARSIANO,FALANGES
REPARACIONES OSEAS - ALARGAMIENTOS / ACORTAMIENTO / INJERTO EN
1209
PSEUDOARTROSIS / OSTEOPLASTIA / EPIFISIOLISIS / INJERTO DE HUESO
120901 CLAVICULA
120902 HUMERO,FEMUR,TIBIA,PERONE
120903 CUBITO,RADIO,CARPO,HUESOS DE LA CARA,METACARPIANO,ASTRAGALO
120904 UNA O MAS FALANGES DE UN MISMO [Link].
1210 ARTROCENTESIS Y ARTROTOMIAS
121001 ARTROCENTESIS DIAGNOSTICA,TERAPEUTICA Y PARA ARTROGRAFIA
121002 ARTROTOMIA-DRENAJE,[Link] EXTRAÑO OSTEOCARTILAGINOSO
121003 ARTROTOMIA DE OTROS HUESOS
121004 ARTROSCOPIA DIAGNOSTICA
121005 CIRUGIA ARTROSCOPICA HOMBRO,CODO,RODILLA- MENISECTOMIA
1211 ARTROPLASTIAS - INCLUYE INSERCION DE PROTESIS
121101 CADERA
121102 RODILLA,HOMBRO,CODO,MUÑECA,TEMPORO-MAXILAR
121103 OTRAS ARTICULACIONES-ARTROPLASTIAS DE
1212 ARTRODESIS
121201 COLUMNA CERVICAL O LUMBAR ,CADERA,RODILLA,HOMBRO,CODO
121202 OTRAS ARTICULACIONES,ARTRODESIS
121203 DOBLE ARTRODESIS
121204 TRIPLE ARTRODESIS-TIBIOTARSTANA-SUBASTRAGALINAS
1213 SUTURA DE ARTICULACION - REPARACION DE LIGAMENTO Y CAPSULA ARTICULAR
121301 ESTER-CLAVICULAR,ACROMIO-CLAVIC,CODO,MUÑECA,CARPO,CARPOMETACARP.
121302 OTRAS ARTICULACIONES,TARSO,METATARSIANO
121303 ESCISION O INCISION,BIOPSIA,DRENAJE O EXTRACCION DE DEPOSITOS
1214 LUXACIONES - TRATAMIENTO INCRUENTO CON INMOVILIZACION
121401 COLUMNA CERVICAL,DORSAL Y LUMBAR,CADERA,RODILLA
121402 CLAVICULA,HOMBRO,CODO,MUÑECA,METACARPO,TARSO Y METATARSO
121403 METACARPO O METATARSO-FALANGICAS,TEMPORO-MAXILAR
1215 LUXACIONES - TRATAMIENTO QUIRURGICO CON INMOVILIZACION
121501 COLUMNA CERVICAL,DORSAL Y LUMBAR ,CADERA,RODILLA
121502 CLAVICULA,HOMBRO,CODO,MUÑECA,METACARPO,TOBILLO,TARSO-METATARSO
121503 METACARPO O METATARSO-FALANGICA
1216 OPERACIONES EN MUSCULOS
121601 MIECTOMIAS
121602 [Link] LOCAL,[Link] EXTRAÑO,BIOPSIA,MIORRAFIA
1217 OPERACIONES EN LOS TENDONES / VAINAS TENDINOSAS / FASCIAS
121701 REPARACION Y SUTURA -TENORRAFIA DE TENDON FLEXOR O EXTENSOR DE LA
121702 REPARACION Y SUTURA DE OTRO TENDON
121703 [Link] LA SECUELA POR PARALISIS-POLIOMIELITIS
121704 EXTIRPACION DE GANGLION
121705 TENNOPLASTIA CON ALARGAMIENTO O ACORTAMIENTO O INJERTO O
121706 [Link]. DE ENF. DUPUYTREN
121707 [Link]. DE LA SINDACTILA
121708 [Link]. DE DEDO EN GARRA-MARTILLO,ETC.
121709 TENORRAFIA TENDON AQUILES
121710 EXPLORACION Y DRENAJE - EXTRACCION INCISION Y ESCISION BIOPSICA
1218 AMPUTACIONES / DESARTICULACIONES
121801 BRAZO,ANTEBRAZO,MUÑECA,CODO,MANO,MUSLO,RODILLA,PIERNA,PIE
121802
121803 AMPUTACION
AMPUTACION DE DEDODE
PARCIAL DEMIEMBRO
LA MANO O DEDO DE PIE
INFERIOR
1219 OTROS TRATAMIENTOS QUIRURGICOS ORTOPEDICOS
121901 LUXACION CONGENITA DE CADERA ( CRUENTA )
121902 PIE ZAMBO,VARO,EQUINO, CAVO,PLANO
121903 HALLUS VALGUS, HALLUS VARUS
121911 REDUCCIÓN VÍA INTERNA O ADUCTORES UNILATERAL
121912 REDUCCIÓN VÍA INTERNA O ADUCTORES BILATERAL
121913 REDUCCIÓN VÍA ANTERIOR ILIOFEMORAL UNILATERAL
121914 REDUCCIÓN VÍA ANTERIOR ILIOFEMORAL BILATERAL
121915 TECHOPLASTÍA CADERA UNILATERAL
121916 TECHOPLASTÍA CADERA BILATERAL
121917 OSTEOTOMÍA INTERTROCANTÉRICA VARIZANTE DESROTADORA UNILATERAL
121918 OSTEOTOMÍA INTERTROCANTÉRICA VARIZANTE DESROTADORA BILATERAL
121919 CIRUGÍA DE CADERA : 1 ,2 Y 3 TIEMPOS
121920 CIRUGÍA MULTINIVEL PARTES BLANDA
121921 CIRUGÍA MULTINIVEL ÓSEA UNILATERAL
121922 CIRUGÍA MULTINIVEL ÓSEA BILATERAL
121923 DESCENSO O ALINEACIÓN PATELAR UNILATERAL
121924 DESCENSO O ALINEACION PATELAR BILATERAL
121925 CORRECCIONES DE DEFORMIDADES ANG. X ARRESTO EPIFISARIO EN 1 MIEM
121926 CORRECCIONES DE DEFORMIDADES ANG. X ARRESTO EPIFISARIO EN 2 MIEMB
121927 CORRECIÓN DE DEFORMIDADES ANGULARES ,TELESCOPADOS UNILATERAL
121928 CORRECIÓN DE DEFORMIDADES ANGULARES ,TELESCOPADOS BIILATERAL
121929 ALARGAMIENTO ÓSEO DE CUALQUIER FRAGMENTO ÓSEO UNILATERAL
121930 ALARGAMIENTO ÓSEO DE CUALQUIER FRAGMENTO ÓSEO BILATERAL
121931 LIBERACIÓN POSTEROMEDIAL DE PIE UNILATERAL
121932 LIBERACIÓN POSTEROMEDIAL DE PIE BILATERAL
121933 ALARGAMIENTO TENDINOSO DE PIE UNILATERAL
121934 ALARGAMIENTO TENDINOSO DE PIE BILATERAL
121935 TRANSFERENCIA TENDINOSA DE PIE UNILATERAL
121936 TRANSFERENCIA TENDINOSA DE PIE BILATERAL
121937 OSTEOTOMÍA EN DIFERENTES PARTES DEL PIE, UNILATERAL
121938 OSTEOTOMÍA EN DIFERENTES PARTES DEL PIE,BILATERAL
121939 CURA QUIRÚRGICA DE PIE PLANO SIMPLE UNILATERAL
121940 CURA QUIRÚRGICA DE PIE PLANO SIMPLE BILATERAL
121941 CURA QUIRÚRGICA DE PIE PLANO COMPLEJO UNILATERAL (ARTRORRISIS O CALCÁN
121942 CURA QUIRÚRGICA DE PIE PLANO COMPLEJO BILATERAL (ARTRORRISIS O CALCÁNE
121943 AMPUTACIÓN SIMPLE
121944 AMPUTACIONES COMPLEJAS MAS PLASTÍAS
121945 Z PLASTÍA ALEMANA SIMPLE (SINDROME DE ESTREETER)
121946 Z PLASTÍA ALEMANA COMPLEJA (SINDROME DE ESTREETER)
121947 ARTROPLASTÍA TOTAL DE CADERA O RODILLA
121948 ARTROSCOPÍA SIMPLE DE RODILLA, TOBILLO U HOMBRO
121949 ARTROSCOPÍA COMPLEJA DE RODILLA, TOBILLO U HOMBRO
121950 RETIRO DE MATERIAL QUIRÚRGICO SIMPLE UNILATERAL (CLAVO O FIJADOR EXTER
121951 RETIRO DE MATERIAL QUIRÚRGICO SIMPLE BILATERAL (CLAVO O FIJADOR EXTER
121952 RETIRO DE MATERIAL QUIRÚRGICO COMPLEJO
121953 RETIRO DE MATERIAL QUIRÚRGICO COMPLEJO BILATERAL
121954 APLICACIÓN DE TOXINA BOTULINICA
121955 CORRECCION DE DEFORMIDADES VERTEBRALES (ESCOLIOSIS CIFOSIS)
122001 OSTEOTOMIA VARIZANTE O VALGUIZANTE SUPRACONDILEA CODO
122002 CIRUGIA MULTINIVEL PARTES BLANDAS MANO, ANTEBRAZO
122003 CIRUGIA MULTINIVEL PARTES OSEAS - BLANDAS
122004 OSTEOTOMIAS CORRECTORAS EN MUÑECA (ARRESTOS FISIARIOS, CONSOLIDACIONES
122005 ALARGAMIENTO ÓSEO EN MANO
122006 TRANSFERENCIA TENDINOSA FLEXORA O EXTENSORA EN MANO POR PARALISIS
122007 TENOPLASTIAS DE ALARG. O ACORTAMIENTO DE MIEMBRO SUPERIOR
122008 OSTEOTOMIA CORRECTORA EN MANO ( METACARPO Y FALANGES)
122009 CURA QUIRURGICA EN DEFORMIDADES EN FLEXION DIGITAL
122010 CURA QUIRURGICA DE SINDACTILIA SIMPLE
122011 CURA QUIRURGICA SINDACTILIA COMPLEJA
122012 CURA QUIRURGICA DE BRIDAS AMNIOTICAS EN MANO
122013 AMPUTACIÓN SIMPLE (REMODELACION DE MUÑON, UN DIGITO)
122014 AMPUTACION COMPLEJA CON COLGAJOS DE COBERTURA (
122015 ARTROPLASTIA DE INTERPOSICION DEL CODO
122016 ARTROPLASTIA SUSPENSION- INTERPOS. DE ARTICULACION BASILAR
122017 ARTROPLASTIA DE RESECCION DE CUBITO CARPO
122018 TRANSFERENCIA TENDINOSA EN PARALISIS DE HOMBRO
122019 CIRUGIA DE PULGARIZACION
122020 REPARACION TENDINOSA EN MANO Y MUÑECA
122021 REPARACION NEUROVASCULAR Y TENDINOSA COMPLEJA
122022 REPARACION NEUROVASCULAR Y TENDINOSA COMPLEJA
122023 REDUCCION CRUENTA Y OSTEOSINTESIS DE FRACTURAS DE HUMERO, RADIO, CUBIT
122024 REDUCCION CRUENTA Y OSTEOSINTESIS DE FRACTURAS EN MANO
122025 ARTROSCOPIA DE MUÑECA
122026 RETIRO DE MATERIAL QUIRÚRGICO SIMPLE UNILATERAL
122027 RETIRO DE MATERIAL QUIRÚRGICO COMPLEJO
122028 NEUROTIZACION PLEXO BRAQUIAL PARA HOMBRO Y CODO
122029 NEUROTIZACION PLEXO BRAQUIAL PARA CODO
122030 NEUROTIZACION PARA PLEXO BRAQUIAL PARA MANO
122031 AUTOTRANSPLANTE UNIDAD NEURO MUSCULAR LIBRE
122032 MICROCIRUGIA DE REIMPLANTE EN MANO
122033 AUTOTRANSPLANTE DEDO PIE MANO (MICROCIRUGIA)
122034 AMPUTACION COMPLEJA CON COLGAJOS DE COBERTURA LIBRE
122035 ARTROPLASTIA TOTAL DE REEMPLAZO DE CODO
122036 ARTOPLASTIA DE REEMPLAZO CABEZA CUPULA RADIAL
122037 ARTROPLASTIA TOTAL DE REEMPLAZO METACARPO FALANGICO
122038 ARTROSCOPIA DE CADERA
122039 TECHOPLASTIA DE GANZ
122040 SUPERANKLED
 PRECIO FIJO FIJO
CODIGO DESCRIPCIÓN Particular PERSONAL
120221 YESO MEHTA CASTING 1200.00 1044.00
120110 INFILTRACION ARTICULAR M.F. 200.00 174.00
120111 BLOQUEO PARAESPINOSO M.F. 200.00 174.00
120112 PROLOTERAPIA M.F. 200.00 174.00
120113 INFILTRACION CON TOXINA BOTULINICA M.F. 300.00 261.00
120114 ACUPUNTURA M.F. 120.00 104.40
120115 PUNCION SECA 120.00 104.40
230115 ELECTROCARDIOGRAMA DE HOLTER X 24 HORAS PRESIO 150.00 130.50
230124 MONITOREO DE PRESION ARTERIAL 24 HORAS "MAPA" 200.00 174.00
230210 INFILTRACIÓN DE HOMBRO SIN INSUMOS 110.00 95.70
230211 INFILTRACIÓN DE RODILLA SIN INSUMOS 110.00 95.70
230212 ARTROCENTESIS EVACUATORIA SIN INSUMOS 120.00 104.40
230213 INFILTRACIÓN DE CADERA SIN INSUMOS 150.00 130.50
230214 INFILTRACIÓN DE ARTICULACIÓN PEQUEÑA SIN INSUMOS 95.00 82.65
230215 INFILTRACIÓN P TENDÓN SIN INSUMOS 95.00 82.65
230216 INFILTRACIÓN DE TOBILLO SIN INSUMOS 110.00 95.70
230217 INFILTRACIÓN DE TALÓN SIN INSUMOS 110.00 95.70
230218 INFILTRACIÓN DE CINTILLA ILIOTIBIAL SIN INSUMOS 110.00 95.70
230219 INFILTRACIÓN DE PARTE BLANDA SIN INSUMOS 110.00 95.70
230220 ASPIRACIÓN DE GANGLION 110.00 95.70
230221 INFILTRACIÓN CON GUÍA ECOGRÁFICA SIN INSUMOS 210.00 182.70
APLICACIÓN DE PULSO Y/O MINI PULSO DE
230222 210.00 182.70
METILPREDNISOLONA SIN INSUMOS
230223 APLICACIÓN DE BOLO DE CICLOFOSFAMIDA SIN INSUMOS 250.00 217.50
230224 ADMINISTRACIÓN DE TERAPIA BIOLÓGICA, SIN INSUMOS 250.00 217.50
230225 ADMINISTRACIÓN DE A. ZOLEDRONICO SIN INSUMOS 180.00 156.60
TC0017 TELECONSULTA - REUMATOLOGIA 90.00 78.30
240103 VIDEOENDOSCOPIA ALTA Ó GASTROSCOPIA + TOMA DE B 300.00 261.00
240104 SIGMOIDOSCOPIA FLEXIBLE 275.00 239.25
240105 VIDEOENDOSOCOPIA BAJA O COLONOSCOPIA COMPLETA 488.00 424.56
240113 ANOSCOPIA 80.00 69.60
240120 TEST DE ALIENTO 240.00 208.80
270121 SIGMOIDOSCOPIA + TOMA DE BIOPSIA 220.00 191.40
270122 PROCTOSCOPIA FLEXIBLE 135.00 117.45
270123 TEST DE UREASA 85.00 73.95
270124 APLICACION DE ENEMA EVACUANTE 15.00 13.05
1011 LIGADURA DE HEMORROIDES 510.00 443.70
80501 TROMBECTOMIA DE HEMORROIDES 200.00 174.00
270206 POLIPECTOMÍA DE COLON 520.00 452.40
270211 POLIPECTOMIA GASTRICA 446.00 388.02
270206 POLIPECTOMIA 520.00 452.40
250109 TEST NO ESTRESANTE FETAL 118.00 102.66
370101 ESPIROMETRIA, QUE INCLUYA; CAPAC. VITAL,FLUJO EN 1 150.00 130.50
370102 ESPIROMETRIA, QUE INCLUYA;CAPAC. VITAL, FLUJO EN 1 150.00 130.50
370103 ESPIROMETRIA, INCLUYE [Link], FLUJO EN 1SEG, 150.00 130.50
370108 BIOPSIA PLEURAL (1 A 3 MUESTRAS) 400.00 348.00
270105 RIESGO NEUMOLOGICOS 150.00 130.50
270106 RIESGO NEUMOLOGICOS CON ESPIROMETRIA 200.00 174.00
270107 LEVANTAMIENTO DE OBSERVACION 150.00 130.50
270108 LEVANTAMIENTO DE OBSERVACION CON ESPIROMETRIA 200.00 174.00
 FIJO
PLAN CARE

1200.00
200.00
200.00
200.00
300.00
120.00
120.00
150.00
200.00
110.00
110.00
120.00
150.00
95.00
95.00
110.00
110.00
110.00
110.00
110.00
210.00
210.00
250.00
250.00
180.00
90.00
300.00
275.00
488.00
80.00
240.00
220.00
135.00
85.00
15.00
510.00
200.00
520.00
446.00
520.00
118.00
150.00
150.00
150.00
400.00
150.00
200.00
150.00
200.00
 Factor

CODIGO DESCRIPCIÓN UNIDAD UNIDAD

- IGV
1012 INMOVILIZACION - YESOS / VENDAJES / TRACCIONES CONTINUAS (INCLUYE CONSULTA)
101212 T VENTANA NIÑO/ADULTO 2.80 3.30
101213 T CUÑAS/BILATERAL 5.59 6.60
101214 T REFUERZO DE YESO 2.80 3.30
120201 YESO PARA NARIZ 8.00 9.44
120202 MINERVA 36.00 42.48
120203 COLLARIN 12.00 14.16
120204 CORSET 29.00 34.22
120205 VENDAJE PARA COSTILLA 8.00 9.44
120206 VENDAJE EN OCHO ENYESADO 17.00 20.06
120207 VENDAJE ACROMIO CLAVICULAR 17.00 20.06
120208 VELPEAU DE YESO 24.00 28.32
120209 YESO TORACOBRAQUIAL 36.00 42.48
120210 YESO BRAQUIPALMAR 24.00 28.32
120211 YESO ANTEBRAQUIPALMAR 17.00 20.06
120212 FERULA LARGA DE MIEMBRO SUPERIOR 12.00 14.16
120213 FERULA CORTA DE MIEMBRO SUPERIOR 8.00 9.44
120214 YESO H3/H2 PELVIPEDIO 36.00 42.48
120215 YESO MUSLOPEDIO UNILATERAL /BILATERAL 29.00 34.22
120216 BOTA CORTA DE YESO 24.00 28.32
120217 FERULA LARGA DE MIEMBRO INFERIOR 24.00 28.32
120218 FERULA CORTA DE MIEMBRO INFERIOR 8.00 9.44
120219 TRACCION CONTINUA CUTANEA DE PARTES BLANDAS 17.00 20.06
120220 TRACCION CONTINUA CEFALO PELVICA, ESQUELETICA CEFALICA, CE 60.00 70.80
120221 YESO MEHTA CASTING
200302 RETIRO DE YESO 10.00 11.80
120110 INFILTRACION ARTICULAR M.F.
120111 BLOQUEO PARAESPINOSO M.F.
120112 PROLOTERAPIA M.F.
120113 INFILTRACION CON TOXINA BOTULINICA M.F.
120114 ACUPUNTURA M.F.
120115 PUNCION SECA
OTROS PROCEDIMIENTOS
200201 INYECTABLE INTRA MUSCULAR O SUB-CUTANEA/INTRADERMICA 0.75 0.88
200202 INYECTABLE ENDOVENOSO 0.93 1.10
200203 VENOCLISIS 3.92 4.62
200204 MEDIDA DE PRESION ARTERIAL 1.54 1.82
200205 ENEMA EVACUANTE 5.22 6.16
200206 HEMOGLUCOTEST 1.93 2.28
200301 PEQUEÑOS ABSCESO/CUERPOS EXTRAÑOS/LIPOMAS 33.00 38.94
200303 LAVADO DE OIDOS 22.00 25.96
200304 EXTRACCION DE HECES IMPACTADAS 33.00 38.94
220101 SUTURA DE HERIDA -HASTA 10 CMS. 17.00 20.06
220102 SUTURA DE HERIDAS- MAS DE 10 CMS 25.00 29.50
220103 CURACION PEQUEÑA -HERIDAS PEQUEÑAS INFECTADAS/ABCESOS 3.00 3.54
220104 CURACION GRANDE- BOES/INFECTADAS/FLEMONES/QUEMADURAS 5.00 5.90
220105 ABLACION DE UÑA 17.00 20.06
23 CARDIOLOGIA
230101 RIESGO QUIRURGICO,INCLUYE CONSULTA 15.75 18.59
230102 ELECTROCARDIOGRAMA 10.50 12.39
230103 PRUEBA DE ESFUERZO, INCLUYE ECG BASAL DEL DIA 21.00 24.78
230104 MONITORIZAJE OPERATORIO 42.00 49.56
230105 VECTOCARDIOGRAMA 15.75 18.59
230106 FONOCARDIOGRAMA 10.50 12.39
230107 BALISTOCARDIOGRAMA 15.75 18.59
230108 CARDIOVERSION -FUERA DE [Link] 18.90 22.30
230109 CATETERISMO CARDIACO -IZQUIERDO Y/O DERECHO 73.50 86.73
230110 CATETERISMO CARDIACO BILATERAL 86.10 101.60
230111 AORTOGRAFIA 68.25 80.54
230112 VENTRICULOGRAFIA -IZQ./DER./BILATERAL 68.25 80.54
230113 CORONARIOGRAFIA -INCLUYE VENTRICULOGRAFIA 105.00 123.90
230114 DOPPLER 15.75 18.59
230115 ELECTROCARDIOGRAMA DE HOLTER X 24 HORAS PRESION ARTERIA 63.00 74.34
230116 COLOCACION DE MARCAPASO -PERMANENTE O TRANSITORIO 73.50 86.73
230117 PUNCION ARTERIAL PARA INYECCION MEDICAMENTOSA 6.30 7.43
230118 CATETERIZACION VENA CAVA SUPERIOR 44.10 52.04
230119 ECOCARDIOGRAMA BIDIRECCIONAL 50.00 59.00
230121 MONITOREO INTRACAVITARIA SWAN-GANZ 80.00 94.40
230122 ECO DOPPLER A COLOR DE CORAZON 75.00 88.50
230123 DOPPLER-PLETISMOGRAFIA 50.00 59.00
230124 MONITOREO DE PRESION ARTERIAL 24 HORAS "MAPA" 63.00 74.34
230141 REHABILITACION CARDIOVASCULAR 1ER PQTE. 9 DE SESIONES C/UN 20.00 23.60
230142 REHABILITACION CARDIOVASCULAR 2DO PQTE. 9 DE SESIONES C/UN 16.00 18.88
230143 REHABILITACION CARDIOVASCULAR 3ER PQTE. 9 DE SESIONES C/UN 12.00 14.16
230144 REHABILITACION CARDIOVASCULAR 4TO PQTE. 9 DE SESIONES C/UN 10.00 11.80
2302 CARDIOLOGIA INTERVENCIONISTA
230201 ANGIOPLASTIA CORONARIA-REVASCULARIZACION MIOCARDICA 400.00 472.00
230202 ANGIOPLASTIA DE VASOS PERIFERICOS 200.00 236.00
230203 COLOCACION DE STEN CORONARIO 400.00 472.00
230204 ABLACION DE FOCO ARRITMICO POR RADIOFRECUENCIA 200.00 236.00
230205 DILATACION DE VALVULAS CARDIACAS 400.00 472.00
230206 OCLUSION DE DUCTUS ARTERIOSO CON PROTESIS 400.00 472.00
230207 ATRIOSEPTOSTOMIA 400.00 472.00
230208 DILATACION DE COARTACION DE AORTA 400.00 472.00
230209 DIAGNOSTICO ELECTROFISIOLOGICO DE ARRITMIA 60.00 70.80
REUMATOLOGIA
230210 INFILTRACIÓN DE HOMBRO SIN INSUMOS
230211 INFILTRACIÓN DE RODILLA SIN INSUMOS
230212 ARTROCENTESIS EVACUATORIA SIN INSUMOS
230213 INFILTRACIÓN DE CADERA SIN INSUMOS
230214 INFILTRACIÓN DE ARTICULACIÓN PEQUEÑA SIN INSUMOS
230215 INFILTRACIÓN P TENDÓN SIN INSUMOS
230216 INFILTRACIÓN DE TOBILLO SIN INSUMOS
 230217 INFILTRACIÓN DE TALÓN SIN INSUMOS
230218 INFILTRACIÓN DE CINTILLA ILIOTIBIAL SIN INSUMOS
230219 INFILTRACIÓN DE PARTE BLANDA SIN INSUMOS
230220 ASPIRACIÓN DE GANGLION
230221 INFILTRACIÓN CON GUÍA ECOGRÁFICA SIN INSUMOS
APLICACIÓN DE PULSO Y/O MINI PULSO DE METILPREDNISOLONA SIN
230222
INSUMOS
230223 APLICACIÓN DE BOLO DE CICLOFOSFAMIDA SIN INSUMOS
230224 ADMINISTRACIÓN DE TERAPIA BIOLÓGICA, SIN INSUMOS
230225 ADMINISTRACIÓN DE A. ZOLEDRONICO SIN INSUMOS
TC0017 TELECONSULTA - REUMATOLOGIA
2701 GASTROENTEROLOGIA
240101 ESOFAGOFIBROSCOPIA 29.40 34.69
240102 GASTROFIBRROSCOPIA 29.40 34.69
240103 VIDEOENDOSCOPIA ALTA Ó GASTROSCOPIA + TOMA DE BIOPSIA 39.90 47.08
240104 SIGMOIDOSCOPIA FLEXIBLE 39.90 47.08
240105 VIDEOENDOSOCOPIA BAJA O COLONOSCOPIA COMPLETA 63.00 74.34
240106 RECTOSIGMOIDOFIBROSCOPIA 14.70 17.35
240107 RECTOSIGMOIDOSCOPIA CON INSTRUMENTO RIGIDO 8.40 9.91
240108 COLANGIOPANCREATOGRAFIA RETROGADA 110.00 129.80
240109 LAPAROSCOPIA ABDOMINAL 63.00 74.34
240110 COLOCACIÓN DE SONDA NASOYEYUNAL 6.30 7.43
240111 BIOPSIA PERCUTANEA DE HIGADO 30.00 35.40
240112 BIOPSIA GASTRICA O DUODENAL 23.10 27.26
240113 ANOSCOPIA 8.40 9.91
240114 BIOPSIA PERITONEAL 24.86 29.33
240115 DETECCION BIOQUIMICA DE HELICOBACTER PYLORIS 8.20 9.68
240116 ILEOSCOPIA ENDOSCOPICA 14.15 16.70
240117 PH METRIA 24 HRS. 56.60 66.79
240118 MEDICION DE PESION LES (ESFINTER ESOFAGICO DISTAL) 14.15 16.70
240120 TEST DE ALIENTO 50.85 60.00
270121 SIGMOIDOSCOPIA + TOMA DE BIOPSIA
270122 PROCTOSCOPIA FLEXIBLE
270123 TEST DE UREASA
270124 APLICACION DE ENEMA EVACUANTE
001011 LIGADURA DE HEMORROIDES
080501 TROMBECTOMIA DE HEMORROIDES
270206 POLIPECTOMÍA DE COLON
270211 POLIPECTOMIA GASTRICA
2702 TRATAMIENTOS ESPECIALES
270201 LAVADO GASTRICO 7.35 8.67
270202 ESCLEROSIS DE VARICES ESOFAGICAS O ULCERAS SANGRANTES (EN 60.00 70.80
270203 PAPILOTOMIA ENDOSCOPICA 157.50 185.85
270204 DILATACION ESOFAGICA- C/SESION 15.75 18.59
270205 DILATACION DIGITAL O INSTRUMENTAL DEL ANO 6.30 7.43
270206 POLIPECTOMIA 67.00 79.06
270207 GASTROSTOMIA ENDOSCOPICA 70.00 82.60
270208 DILATACION ENDOSCOPICA DEL ESOFAGO CON GLOCO-POR SESION 44.10 52.04
270209 DILATACION ENDOSCOPICA DEL PILORO CON GOLCO-POR SESION 59.85 70.62
270210 COLOCACION ENDOSCOPICA DE PROTESIS BILIAR 110.00 129.80
270211 POLIPECTOMIA GASTRICA
25 GINECOLOGIA Y OBSTETRICIA
250101 COLPOSCOPIA COLPOCITOLOGIA -OBTENCION DEL MATERIAL 6.30 7.43
250102 LAPAROSCOPIA C/S BIOPSIA 15.75 18.59
250103 AMNIOSCOPIA, AMNIOCENTESIS 78.75 92.93
250104 IMPLANTACION DE DISPOSITIVO INTRAUTERINO 18.90 22.30
250105 HISTEROSCOPIA 20.00 23.60
250106 MICROCOLPOSCOPIA 10.00 11.80
250107 COLOCACION Y/O RETIRO DE IMPLANTE SUBDERMICO 18.90 22.30
250109 TEST NO ESTRESANTE FETAL 8.24 9.72
250110 TEST ESTRESANTE FETAL 22.50 26.55
3701 NEUMOLOGIA
370101 ESPIROMETRIA, QUE INCLUYA; CAPAC. VITAL,FLUJO EN 1 7.35 8.67
370102 ESPIROMETRIA, QUE INCLUYA;CAPAC. VITAL, FLUJO EN 1SEG,FLUJO 16.80 19.82
370103 ESPIROMETRIA, INCLUYE [Link], FLUJO EN 1SEG, FLUJO ENTR 15.23 17.97
370104 VOLUMENES PULMONARES. INCLUYE CONSULTA. 28.35 33.45
370105 TRAQUEOSCOPIA C/S BIOPSIA-INCLUYE [Link] CUERPO 31.50 37.17
370106 BRONCOFIBROSCOPIA C/S BIOPSIA, INCLUYE CONSULTA 39.90 47.08
370107 NEBULIZACION CON PRESION POSITIVA INTERMITENTE- C/APLICACIÓ 1.58 1.86
370108 BIOPSIA PLEURAL (1 A 3 MUESTRAS) 24.86 29.33
370109 GASES ARTERIALES 5.78 6.82
370110 PRUEBA DE PROVOCACION CON HISTAMINA O METACOLINA 30.00 35.40
370111 SINDROME DE APNEA- SUEÑO 70.00 82.60
370112 DIFUSION PULMONAR 45.00 53.10
370113 CURVA FLUJO VOLUMEN 58.40 68.91
NUEVO RIESGO NEUMOLOGICOS
NUEVO RIESGO NEUMOLOGICOS CON ESPIROMETRIA
NUEVO LEVANTAMIENTO DE OBSERVACION
NUEVO LEVANTAMIENTO DE OBSERVACION CON ESPIROMETRIA
050301 TORACOCENTESIS -DIAGNOSTICA,EVACUADORA O TERAPEUTICA- 24.00 28.32
38 NEUROLOGIA

280401 ELECTROENCEFALOGRAFIA 25.00 29.50

280402 PUNCION LUMBAR 12.60 14.87
280403 ELECTROMIOGRAFIA VELOCIDAD DE CONDUCCION NERVIOSA 18.90 22.30
280404 ELECTROENCEFALOGRAMA COMPUTARIZADO CON MAPEO CEREBRA 82.00 96.76
280405 POTENCIALES EVOCADOS AUDITIVOS COMPUTARIZADOS 82.00 96.76
280406 POTENCIALES EVOCADOS VISUALES COMPUT. CON MAPEO CEREBRA 90.00 106.20

40 OFTALMOLOGIA
290101 CAMPIMETRIA Y/O PERIMETRIA 12.60 14.87
280107 ESTUDIO DE SUEÑO COMPUTARIZADO CON MAPEO CEREBRAL 180.00 212.40
290102 FONDO DE OJO 6.30 7.43
290103 TONOMETRIA 6.30 7.43
290104 EJERCICIOS ORTOPEDICOS-C/SESION 6.30 7.43
290105 GONIOSCOPIA 12.60 14.87
290106 RETINOGRAFIA 12.60 14.87
290107 RETINOFLUORESCEINOGRAFIA- UNILATERAL 36.75 43.37
290108 RETINOFLUORESCEINOGRAFIA- BILATERAL 47.25 55.76
290109 APLICACIÓN DE RAYOS BETA 10.50 12.39
290110 REFRACCION -MEDICION DE LA VISION-CON CICLOPLEGIA 5.78 6.82
290111 ECOGRAFIA OCULAR GENERAL SCAN A/SCAN B/SCAN A/B-,UNI O BILA 21.00 24.78
290112 ECOMETRIA OCULAR, UNI O BILATERAL 15.75 18.59
290113 PACOMETRIA ULTRASONICA OCULAR, UNI O BILATERAL 15.75 18.59
290115 EXAMEN COMPLETO DE LA VISION (REFRACCION, FONDO DE OJO, TO 10.00 11.80
290116 CURVA DE PRESION INTRAOCULAR (POR CADA TONOMETRIA) 6.30 7.43
290118 BIOMICROSCOPIA 6.30 7.43
290119 BALANCE MUSCULAR 6.30 7.43
290120 OFTALMOSCOPIA INDIRECTA 12.60 14.87
290121 TEST DE ESTEREOPSIA 6.30 7.43
290122 TEST DE ISHIHARA 6.30 7.43
290123 TEST DE SCHIRMER 6.30 7.43
290124 TEST DE PERMEABILIDAD LAGRIMAL 6.30 7.43
020105 LAVADO DE OJOS 95.00 112.10
42 PEDIATRIA
310105 PRESENCIA DEL PEDIATRA EN SALA DE PARTOS 15.00 17.70

41 OTORRINOLARINGOLOGIA
300101 AUDIOMETRIA 12.60 14.87
300104 EXTRACCION DE CERUMEN (LAVADO DE OIDOS )UNI O BILATERAL 9.45 11.15
UNIDAD UNIDAD
OTORRINOLARINGOLOGIA - IGV
300102 LOGOAUDIOMETRIA 15.75 18.58
300103 PRUEBAS LABERINTICAS CON ELECTRONISTAGMOGRAFIA 12.60 14.87
300105 INSUFLACION DE LAS TROMPAS DE EUSTAQUIO - UNILATERAL O BILA 8.40 9.91
300106 TAPONAMIENTO NASAL ANTERIOR (INCLUYE CONSULTA) 15.75 18.58
300107 TAPONAMIENTO NASAL ANTERO POSTERIOR (INCLUYE CONSULTA) 21.00 24.78
300108 EXTRACCION DE CUERPO EXTRAÑO EN OIDO 8.40 9.91
300109 CAUTERIZACION QUIMICA / ELECTRICA DE VARICES DE TABIQUE NAS 10.50 12.39
300110 CAUTERIZACION ELECTRICA / TERMICA / QUIMICA DE FARINGE 8.40 9.91
300111 ELECTROCAUTERIZACION DE RESTOS AMIGDALIANOS 12.60 14.87
300112 INFILTRACION DE CORNETES 9.45 11.15
300113 LARINGOSCOPIA DIRECTA CON O SIN BIOPSIA 15.75 18.58
300114 MICROLARINGOSCOPIA CON O SIN BIOPSIA 31.50 37.17
300115 LUDOAUDIOMETRIA - AUDIOMETRIA POR CONDICIONAMIENTO 15.75 18.58
300116 LOGOAUDIOMETRIA A CAMPO LIBRE 12.60 14.87
300117 EXTRACCION DE CUERPO EXTRAÑO EN NARIZ 8.40 9.91
300118 INFILTRACION DE FARINGE 8.40 9.91
300119 TIMPANOMETRIA CON REFLEJO ESTAPEDIAL IPSI LATERAL 15.75 18.58
300120 REFLEJO ESTAPEDIAL CONTRALATERAL 15.75 18.58
300121 MANIOBRAS DE REPOSICION CANALICULAR 15.00 17.70
300122 EMISIONES OTOACUSTICAS 15.00 17.70
43 PSIQUIATRIA
320301 PRUEBAS PSICOMETRICAS -MINIMO 4 PRUEBAS 15.75 18.59
320302 PRUEBAS PROYECTIVAS - PRFIL DE PERSONALIDAD MINIMO 4 PRUEB 15.75 18.59
 46 UROLOGIA
340101 CISTOSCOPIA (INCLUYE MEATOTOMIA,CASADO,BIOPSIA) 29.40 34.69
340103 URETROSCOPIA 8.40 9.91
340105 LITOTRICIA ULTRASONICA ENDOSCOPICA O PERCUTANEA- URETER R 280.00 330.40
340202 SONDAJE VESICAL EVACUADOR O PARA [Link] CO 8.40 9.91
340204 PUNCION VESICAL SUPRAPUBICA 10.50 12.39
340206 LITOTRICIA EXTRACORPOREA 280.00 330.40

21 ANATOMIA PATOLOGICA
350101 PAPANICOLAU 8.20 9.68
350102 BIOPSIA 13.65 16.11
350104 BIOPSIA QUIRURGICA CON PIEZA OPERATORIA 31.80 37.52
350105 AUTOPSIA-ADULTO 100.00 118.00
350107 INMUNO HISTOQUIMICA (MARCADORES) 34.00 40.12
350111 TAMIZADO ELECTRONICO EN CITOLOGIA 60.00 70.80

360101 ASPIRACIÓN DE SECRECIONES 5.16 6.09

360102 OXIGENOTERAPIA X M3 3.51 4.14
360103 OXIGENOTERAPIA X M3 DESDE BALÓN PORTÁTIL 6.30 7.43
360104 LIMPIEZA DE TQT 4.62 5.45
360105 SONDAJE NASOGÁSTRICO 4.89 5.77
360107 TRANSFUSIÓN DE PAQUETE GLOBULAR 15.75 18.58

44.07 PROCEDIMIENTOS ESPECIALES INVASIVOS

440701 ANGIOCARDIOGRAFIA 52.50 61.95
440702 AORTOGRAFIA 52.20 61.60
440703 ARTERIOGRAFIA CEREBRAL 36.75 43.37
440704 ARTERIOGRAFIA PERIFERICA 52.50 61.95
440705 ARTERIOGRAFIA VISCERAL 52.50 61.95
440706 ARTROGRAFIA 36.75 43.37
440707 BIOPSIA DIRIGIDA 39.90 47.08
440708 BRONCOGRAFIA 50.93 60.10
440709 CATETERISMO CARDIACO 47.25 55.76
440710 CAVOGRAFIA SUPERIOR E INFERIOR 36.75 43.37
440711 COLANG. TRANSHEPATICA 36.77 43.39
440712 COLOCACION DE MARCAPASO 47.25 55.76
440713 CORONARIOGRAFIA 52.50 61.95
440714 EMBOLIZACIONES ARTERIALES 54.60 64.43
440715 FLEBOGRAFIA PERIFERICA 42.00 49.56
440716 MIELOGRAFIA 37.28 43.99
440717 PANCREATOCOLANGIOGRAFIA TRANSDUODENAL 42.00 49.56
440718 LINFOGRAFIA 42.00 49.56
440719 NEUMOPERITONEO 27.83 32.84
440720 SIALOGRAFIA 23.63 27.88
440721 LARINGOGRAFIA CADA PLACA 5.78 6.82
440722 LITOTRICIA POR NEFROSTOMIA 75.00 88.50
440723 ANGIOPLASTIA CON BALON 80.00 94.40
440724 ESPLENO PORTOGRAFIA 60.00 70.80
440725 COLOCACION DE FILTROS VENOSOS 80.00 94.40
440726 QUIMIOTERAPIA ARTERIAL SELECTIVA 80.00 94.40
440727 COOCACION DE ENDOPROTESIS 80.00 94.40
440728 EXTRACCION DE CALCULOS RESIDUALES 80.00 94.40
440729 NEFROSTOMIA Y DILATACION 80.00 94.40
440730 TUBAJE Y ESTENOSIS 60.00 70.80
440731 RECAMBIO DE CATETER 60.00 70.80
440732 CONTROL DE CATETER PERCUTANEO 60.00 70.80
440733 DILATACION DE CONDUCTOS CON BALON 80.00 94.40
440734 DRENAJE PERCUTANEO 80.00 94.40
440735 MANEJO DE FISTULAS ENTEROCUTANEAS 80.00 94.40
440736 SHUNTOGRAFIA 80.00 94.40
440737 DILATACION TUBARIA 80.00 94.40

4408 HONORARIOS POR PROCEDIMIENTOS DE RADIOLOGIA INVASIVA

440801 AORTOGRAFIA TRANSLUMBAR 60.00 70.80
440802 ARTERIOGRAFIA PERIFERICA 60.00 70.80
440803 ARTERIOGRAFIA VISCERAL 60.00 70.80
440804 EMBOLIZACIONES ARTERIALES 80.00 94.40
440805 CAVOGRAFIA SUPERIOR O INFERIOR 60.00 70.80
440806 FLEBOGRAFIA PERIFERICA 60.00 70.80
440807 ESPLENOPORTOGRAFIA 60.00 70.80
440808 COLOCACION DE FILTROS VENOSOS 80.00 94.40
440809 QUMIOTERAPIA ARTERIAL SELECTIVA 60.00 70.80
440810 LINFOGRAFIA 60.00 70.80
440811 COLANGIOGRAFIA TRANSHEPATICA 60.00 70.80
440812 COLOCACION DE ENDOPROTESIS 107.00 126.26
440813 EXTRACCION DE CALCULOS RESIDUALES 119.00 140.42
440814 NEFROSTOMIA Y DILATACION 143.00 168.74
440815 LITOTRICIA Y POR NEFROSTOMIA 143.00 168.74
440816 TUBAJE POR ESTENOSIS 29.40 34.69
440817 RECAMBIO DE CATETER 50.00 59.00
440818 CONTROL DE CATETER PERCUTANEO 50.00 59.00
440819 DILATACION DE CONDUCTOS CON BALON 44.00 51.92
440820 DRENAJE PERCUTANEO 143.00 168.74
440821 MANEJO DE FISTULAS ENTEROCUTANEAS 60.00 70.80
440822 SHUNTOGRAFIA 60.00 70.80
440823 DILATACION TUBARIA 107.00 126.26
440824 BIOPSIA DIRIGIDA 66.00 77.88
440825 BIOPSIA POR TAC 66.00 77.88
440826 DRENAJE POR TAC 66.00 77.88
440827 ARTOGRAFIA 52.00 61.36
440828 SIALOGRAFIA 52.00 61.36
440829 4 GALACTOGRAFIA UNILATERAL 38.00 44.84
440830 4 LOCALIZACION DE LESION DE MAMA NO PALPABLE 44.00 51.92
Falta:
Extracción de clavos
Ventana de Yeso
 4.80 4.90 3.80 4.20 4.00 5.50 4.40 7.20 4.40
POBLAC 4.40
TRABAJ
ION ADORES
Particula Mapfre Sin
Rimac Pacifico Mapfre Saludpol Personal MANCO MANCO
r Soat Contrato
MUNIDA MUNIDA
D D
15.84 16.17 12.54 13.86 13.20 18.15 14.52 23.76 14.52 14.52
31.68 32.34 25.08 27.72 26.40 36.30 29.04 47.52 29.04 29.04
15.84 16.17 12.54 13.86 13.20 18.15 14.52 23.76 14.52 14.52
45.31 46.26 35.87 39.65 37.76 51.92 41.54 67.97 41.54 41.54
203.90 208.15 161.42 178.42 169.92 233.64 186.91 305.86 186.91 186.91
67.97 69.38 53.81 59.47 56.64 77.88 62.30 101.95 62.30 62.30
164.26 167.68 130.04 143.72 136.88 188.21 150.57 246.38 150.57 150.57
45.31 46.26 35.87 39.65 37.76 51.92 41.54 67.97 41.54 41.54
96.29 98.29 76.23 84.25 80.24 110.33 88.26 144.43 88.26 88.26
96.29 98.29 76.23 84.25 80.24 110.33 88.26 144.43 88.26 88.26
135.94 138.77 107.62 118.94 113.28 155.76 124.61 203.90 124.61 124.61
203.90 208.15 161.42 178.42 169.92 233.64 186.91 305.86 186.91 186.91
135.94 138.77 107.62 118.94 113.28 155.76 124.61 203.90 124.61 124.61
96.29 98.29 76.23 84.25 80.24 110.33 88.26 144.43 88.26 88.26
67.97 69.38 53.81 59.47 56.64 77.88 62.30 101.95 62.30 62.30
45.31 46.26 35.87 39.65 37.76 51.92 41.54 67.97 41.54 41.54
203.90 208.15 161.42 178.42 169.92 233.64 186.91 305.86 186.91 186.91
164.26 167.68 130.04 143.72 136.88 188.21 150.57 246.38 150.57 150.57
135.94 138.77 107.62 118.94 113.28 155.76 124.61 203.90 124.61 124.61
135.94 138.77 107.62 118.94 113.28 155.76 124.61 203.90 124.61 124.61
45.31 46.26 35.87 39.65 37.76 51.92 41.54 67.97 41.54 41.54
96.29 98.29 76.23 84.25 80.24 110.33 88.26 144.43 88.26 88.26
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52
1,200.00
56.64 57.82 44.84 49.56 47.20 64.90 51.92 84.96 51.92 51.92
200.00
200.00
200.00
300.00
120.00
120.00

4.22 4.31 3.34 3.70 3.52 4.84 3.87 6.34 3.87 3.87
5.28 5.39 4.18 4.62 4.40 6.05 4.84 7.92 4.84 4.84
22.18 22.64 17.56 19.40 18.48 25.41 20.33 33.26 20.33 20.33
8.74 8.92 6.92 7.64 7.28 10.01 8.01 13.10 8.01 8.01
29.57 30.18 23.41 25.87 24.64 33.88 27.10 44.35 27.10 27.10
10.94 11.17 8.66 9.58 9.12 12.54 10.03 16.42 10.03 10.03
186.91 190.81 147.97 163.55 155.76 214.17 171.34 280.37 171.34 171.34

186.91 190.81 147.97 163.55 155.76 214.17 171.34 280.37 171.34 171.34
96.29 98.29 76.23 84.25 80.24 110.33 88.26 144.43 88.26 88.26
141.60 144.55 112.10 123.90 118.00 162.25 129.80 212.40 129.80 129.80
16.99 17.35 13.45 14.87 14.16 19.47 15.58 25.49 15.58 15.58
 28.32 28.91 22.42 24.78 23.60 32.45 25.96 42.48 25.96 25.96
96.29 98.29 76.23 84.25 80.24 110.33 88.26 144.43 88.26 88.26

89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
59.47 60.71 47.08 52.04 49.56 68.15 54.52 89.21 54.52 54.52
118.94 121.42 94.16 104.08 99.12 136.29 109.03 178.42 109.03 109.03
237.89 242.84 188.33 208.15 198.24 272.58 218.06 356.83 218.06 218.06
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
59.47 60.71 47.08 52.04 49.56 68.15 54.52 89.21 54.52 54.52
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
107.04 109.27 84.74 93.66 89.20 122.65 98.12 160.56 98.12 98.12
416.30 424.98 329.57 364.27 346.92 477.02 381.61 624.46 381.61 381.61
487.68 497.84 386.08 426.72 406.40 558.80 447.04 731.52 447.04 447.04
386.59 394.65 306.05 338.27 322.16 442.97 354.38 579.89 354.38 354.38
386.59 394.65 306.05 338.27 322.16 442.97 354.38 579.89 354.38 354.38
594.72 607.11 470.82 520.38 495.60 681.45 545.16 892.08 545.16 545.16
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
150.00 364.27 282.49 312.23 297.36 408.87 327.10 535.25 327.10 327.10
416.30 424.98 329.57 364.27 346.92 477.02 381.61 624.46 381.61 381.61
35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
249.79 255.00 197.75 218.57 208.16 286.22 228.98 374.69 228.98 228.98
283.20 289.10 224.20 247.80 236.00 324.50 259.60 424.80 259.60 259.60
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
424.80 433.65 336.30 371.70 354.00 486.75 389.40 637.20 389.40 389.40
283.20 289.10 224.20 247.80 236.00 324.50 259.60 424.80 259.60 259.60
200.00 364.27 282.49 312.23 297.36 408.87 327.10 535.25 327.10 327.10
113.28 115.64 89.68 99.12 94.40 129.80 103.84 169.92 103.84 103.84
90.62 92.51 71.74 79.30 75.52 103.84 83.07 135.94 83.07 83.07
67.97 69.38 53.81 59.47 56.64 77.88 62.30 101.95 62.30 62.30
56.64 57.82 44.84 49.56 47.20 64.90 51.92 84.96 51.92 51.92

2,265.60 2,312.80 1,793.60 1,982.40 1,888.00 2,596.00 2,076.80 3,398.40 2,076.80 2,076.80
1,132.80 1,156.40 896.80 991.20 944.00 1,298.00 1,038.40 1,699.20 1,038.40 1,038.40
2,265.60 2,312.80 1,793.60 1,982.40 1,888.00 2,596.00 2,076.80 3,398.40 2,076.80 2,076.80
1,132.80 1,156.40 896.80 991.20 944.00 1,298.00 1,038.40 1,699.20 1,038.40 1,038.40
2,265.60 2,312.80 1,793.60 1,982.40 1,888.00 2,596.00 2,076.80 3,398.40 2,076.80 2,076.80
2,265.60 2,312.80 1,793.60 1,982.40 1,888.00 2,596.00 2,076.80 3,398.40 2,076.80 2,076.80
2,265.60 2,312.80 1,793.60 1,982.40 1,888.00 2,596.00 2,076.80 3,398.40 2,076.80 2,076.80
2,265.60 2,312.80 1,793.60 1,982.40 1,888.00 2,596.00 2,076.80 3,398.40 2,076.80 2,076.80
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52

110.00
110.00
120.00
150.00
95.00
95.00
110.00
110.00
110.00
110.00
110.00
210.00

210.00
250.00
250.00
180.00
90.00

166.51 169.98 131.82 145.70 138.76 190.80 152.64 249.77 152.64 152.64
166.51 169.98 131.82 145.70 138.76 190.80 152.64 249.77 152.64 152.64
300.00 230.69 178.90 197.74 188.32 258.94 207.15 338.98 207.15 207.15
275.00 230.69 178.90 197.74 188.32 258.94 207.15 338.98 207.15 207.15
488.00 364.27 282.49 312.23 297.36 408.87 327.10 535.25 327.10 327.10
83.28 85.02 65.93 72.87 69.40 95.43 76.34 124.92 76.34 76.34
47.57 48.56 37.66 41.62 39.64 54.51 43.60 71.35 43.60 43.60
623.04 636.02 493.24 545.16 519.20 713.90 571.12 934.56 571.12 571.12
356.83 364.27 282.49 312.23 297.36 408.87 327.10 535.25 327.10 327.10
35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
169.92 173.46 134.52 148.68 141.60 194.70 155.76 254.88 155.76 155.76
130.85 133.57 103.59 114.49 109.04 149.93 119.94 196.27 119.94 119.94
80.00 48.56 37.66 41.62 39.64 54.51 43.60 71.35 43.60 43.60
140.78 143.72 111.45 123.19 117.32 161.32 129.05 211.18 129.05 129.05
46.46 47.43 36.78 40.66 38.72 53.24 42.59 69.70 42.59 42.59
80.16 81.83 63.46 70.14 66.80 91.85 73.48 120.24 73.48 73.48
320.59 327.27 253.80 280.52 267.16 367.35 293.88 480.89 293.88 293.88
80.16 81.83 63.46 70.14 66.80 91.85 73.48 120.24 73.48 73.48
240.00 294.00 228.00 252.00 240.00 330.00 264.00 432.00 264.00 264.00
220.00
135.00
85.00
15.00
510.00
200.00
520.00
446.00

41.62 42.48 32.95 36.41 34.68 47.69 38.15 62.42 38.15 38.15
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52
892.08 910.67 706.23 780.57 743.40 1,022.18 817.74 1,338.12 817.74 817.74
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
520.00 387.39 300.43 332.05 316.24 434.83 347.86 569.23 347.86 347.86
396.48 404.74 313.88 346.92 330.40 454.30 363.44 594.72 363.44 363.44
249.79 255.00 197.75 218.57 208.16 286.22 228.98 374.69 228.98 228.98
 338.98 346.04 268.36 296.60 282.48 388.41 310.73 508.46 310.73 310.73
623.04 636.02 493.24 545.16 519.20 713.90 571.12 934.56 571.12 571.12
446.00

35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
446.06 455.36 353.13 390.31 371.72 511.12 408.89 669.10 408.89 408.89
107.04 109.27 84.74 93.66 89.20 122.65 98.12 160.56 98.12 98.12
113.28 115.64 89.68 99.12 94.40 129.80 103.84 169.92 103.84 103.84
56.64 57.82 44.84 49.56 47.20 64.90 51.92 84.96 51.92 51.92
107.04
118.00
127.44

150.00 42.48 32.95 36.41 34.68 47.69 38.15 62.42 38.15 38.15
150.00 97.12 75.32 83.24 79.28 109.01 87.21 142.70 87.21 87.21
150.00 88.05 68.29 75.47 71.88 98.84 79.07 129.38 79.07 79.07
160.56 163.91 127.11 140.49 133.80 183.98 147.18 240.84 147.18 147.18
178.42 182.13 141.25 156.11 148.68 204.44 163.55 267.62 163.55 163.55
225.98 230.69 178.90 197.74 188.32 258.94 207.15 338.98 207.15 207.15
8.93 9.11 7.07 7.81 7.44 10.23 8.18 13.39 8.18 8.18
400.00 143.72 111.45 123.19 117.32 161.32 129.05 211.18 129.05 129.05
32.74 33.42 25.92 28.64 27.28 37.51 30.01 49.10 30.01 30.01
169.92 173.46 134.52 148.68 141.60 194.70 155.76 254.88 155.76 155.76
396.48 404.74 313.88 346.92 330.40 454.30 363.44 594.72 363.44 363.44
254.88 260.19 201.78 223.02 212.40 292.05 233.64 382.32 233.64 233.64
330.77 337.66 261.86 289.42 275.64 379.01 303.20 496.15 303.20 303.20
150.00
200.00
150.00
200.00
250.00

141.60 144.55 112.10 123.90 118.00 162.25 129.80 212.40 129.80 129.80
71.38 72.86 56.51 62.45 59.48 81.79 65.43 107.06 65.43 65.43
107.04 109.27 84.74 93.66 89.20 122.65 98.12 160.56 98.12 98.12
464.45 474.12 367.69 406.39 387.04 532.18 425.74 696.67 425.74 425.74
464.45 474.12 367.69 406.39 387.04 532.18 425.74 696.67 425.74 425.74
509.76 520.38 403.56 446.04 424.80 584.10 467.28 764.64 467.28 467.28

71.38 72.86 56.51 62.45 59.48 81.79 65.43 107.06 65.43 65.43
1,019.52 1,040.76 807.12 892.08 849.60 1,168.20 934.56 1,529.28 934.56 934.56
35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
71.38 72.86 56.51 62.45 59.48 81.79 65.43 107.06 65.43 65.43
71.38 72.86 56.51 62.45 59.48 81.79 65.43 107.06 65.43 65.43
208.18 212.51 164.81 182.15 173.48 238.54 190.83 312.26 190.83 190.83
267.65 273.22 211.89 234.19 223.04 306.68 245.34 401.47 245.34 245.34
59.47 60.71 47.08 52.04 49.56 68.15 54.52 89.21 54.52 54.52
32.74 33.42 25.92 28.64 27.28 37.51 30.01 49.10 30.01 30.01
118.94 121.42 94.16 104.08 99.12 136.29 109.03 178.42 109.03 109.03
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
56.64 57.82 44.84 49.56 47.20 64.90 51.92 84.96 51.92 51.92
35.66
35.66
35.66
71.37
35.68
35.68
35.68
35.68
538.08

84.96 86.73 67.26 74.34 70.80 97.35 77.88 127.44 77.88 77.88

71.38 72.86 56.51 62.45 59.48 81.79 65.43 107.06 65.43 65.43
53.52 54.64 42.37 46.83 44.60 61.33 49.06 80.28 49.06 49.06

89.21
71.37
47.58
89.21
118.94
47.58
59.47
47.58
71.37
53.52
89.21
178.42
89.21
71.37
47.58
47.58
89.21
89.21
84.96
84.96

89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
89.23 91.09 70.64 78.08 74.36 102.25 81.80 133.85 81.80 81.80
 166.51 169.98 131.82 145.70 138.76 190.80 152.64 249.77 152.64 152.64
47.57 48.56 37.66 41.62 39.64 54.51 43.60 71.35 43.60 43.60
1,585.92 1,618.96 1,255.52 1,387.68 1,321.60 1,817.20 1,453.76 2,378.88 1,453.76 1,453.76
47.57 48.56 37.66 41.62 39.64 54.51 43.60 71.35 43.60 43.60
59.47 60.71 47.08 52.04 49.56 68.15 54.52 89.21 54.52 54.52
1,585.92 1,618.96 1,255.52 1,387.68 1,321.60 1,817.20 1,453.76 2,378.88 1,453.76 1,453.76

46.46 47.43 36.78 40.66 38.72 53.24 42.59 69.70 42.59 42.59
77.33 78.94 61.22 67.66 64.44 88.60 70.88 115.99 70.88 70.88
180.10 183.85 142.58 157.58 150.08 206.36 165.09 270.14 165.09 165.09
566.40 578.20 448.40 495.60 472.00 649.00 519.20 849.60 519.20 519.20
192.58 196.59 152.46 168.50 160.48 220.66 176.53 288.86 176.53 176.53
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52

29.23 29.84 23.14 25.58 24.36 33.50 26.80 43.85 26.80 26.80
19.87 20.29 15.73 17.39 16.56 22.77 18.22 29.81 18.22 18.22
35.66 36.41 28.23 31.21 29.72 40.86 32.69 53.50 32.69 32.69
26.16 26.71 20.71 22.89 21.80 29.98 23.98 39.24 23.98 23.98
27.70 28.27 21.93 24.23 23.08 31.74 25.39 41.54 25.39 25.39
89.21 91.07 70.62 78.06 74.34 81.77 133.81 81.77 81.77

297.36 303.56 235.41 260.19 247.80 340.73 272.58 446.04 272.58 272.58
295.68 301.84 234.08 258.72 246.40 338.80 271.04 443.52 271.04 271.04
208.18 212.51 164.81 182.15 173.48 238.54 190.83 312.26 190.83 190.83
297.36 303.56 235.41 260.19 247.80 340.73 272.58 446.04 272.58 272.58
297.36 303.56 235.41 260.19 247.80 340.73 272.58 446.04 272.58 272.58
208.18 212.51 164.81 182.15 173.48 238.54 190.83 312.26 190.83 190.83
225.98 230.69 178.90 197.74 188.32 258.94 207.15 338.98 207.15 207.15
288.48 294.49 228.38 252.42 240.40 330.55 264.44 432.72 264.44 264.44
267.65 273.22 211.89 234.19 223.04 306.68 245.34 401.47 245.34 245.34
208.18 212.51 164.81 182.15 173.48 238.54 190.83 312.26 190.83 190.83
208.27 212.61 164.88 182.24 173.56 238.65 190.92 312.41 190.92 190.92
267.65 273.22 211.89 234.19 223.04 306.68 245.34 401.47 245.34 245.34
297.36 303.56 235.41 260.19 247.80 340.73 272.58 446.04 272.58 272.58
309.26 315.71 244.83 270.61 257.72 354.37 283.49 463.90 283.49 283.49
237.89 242.84 188.33 208.15 198.24 272.58 218.06 356.83 218.06 218.06
211.15 215.55 167.16 184.76 175.96 241.95 193.56 316.73 193.56 193.56
237.89 242.84 188.33 208.15 198.24 272.58 218.06 356.83 218.06 218.06
237.89 242.84 188.33 208.15 198.24 272.58 218.06 356.83 218.06 218.06
157.63 160.92 124.79 137.93 131.36 180.62 144.50 236.45 144.50 144.50
133.82 136.61 105.94 117.10 111.52 153.34 122.67 200.74 122.67 122.67
32.74 33.42 25.92 28.64 27.28 37.51 30.01 49.10 30.01 30.01
424.80 433.65 336.30 371.70 354.00 486.75 389.40 637.20 389.40 389.40
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52
339.84 346.92 269.04 297.36 283.20 389.40 311.52 509.76 311.52 311.52
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36
453.12 462.56 358.72 396.48 377.60 519.20 415.36 679.68 415.36 415.36

339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
453.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 415.36 415.36
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
453.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 415.36 415.36
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
606.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.54 555.54
674.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.85 617.85
809.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.46 742.46
809.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.46 742.46
166.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.64 152.64
283.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.60 259.60
283.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.60 259.60
249.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.45 228.45
809.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.46 742.46
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
339.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.52 311.52
606.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.54 555.54
373.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.67 342.67
373.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.67 342.67
373.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.67 342.67
294.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.98 269.98
294.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.98 269.98
215.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.30 197.30
249.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.45 228.45
 4.00 5.00 4.18 4.40
Plan PLAN PERSON PLAN
Materno IGS AL CARE

13.20 16.50 13.79

26.40 33.00 27.59
13.20 16.50 13.79
37.76 47.20 39.46
169.92 212.40 177.57
56.64 70.80 59.19
136.88 171.10 143.04
37.76 47.20 39.46
80.24 100.30 83.85
80.24 100.30 83.85
113.28 141.60 118.38
169.92 212.40 177.57
113.28 141.60 118.38
80.24 100.30 83.85
56.64 70.80 59.19
37.76 47.20 39.46
169.92 212.40 177.57
136.88 171.10 143.04
113.28 141.60 118.38
113.28 141.60 118.38
37.76 47.20 39.46
80.24 100.30 83.85
283.20 354.00 295.94
1,044.00
47.20 59.00 49.32
174.00
174.00
174.00
261.00
104.40
104.40

3.52 4.40 3.68

4.40 5.50 4.60
18.48 23.10 19.31
7.28 9.10 7.61
24.64 30.80 25.75
9.12 11.40 9.53
155.76 194.70 162.77

155.76 194.70 162.77

80.24 100.30 83.85
118.00 147.50 123.31
14.16 17.70 14.80
 23.60 29.50 24.66
80.24 100.30 83.85

74.36 92.95 77.71

49.56 61.95 51.79
99.12 123.90 103.58
198.24 247.80 207.16
74.36 92.95 77.71
49.56 61.95 51.79
74.36 92.95 77.71
89.20 111.50 93.21
346.92 433.65 362.53
406.40 508.00 424.69
322.16 402.70 336.66
322.16 402.70 336.66
495.60 619.50 517.90
74.36 92.95 77.71
297.36 371.70 130.50
346.92 433.65 362.53
29.72 37.15 31.06
208.16 260.20 217.53
236.00 295.00 246.62
377.60 472.00 394.59
354.00 442.50 369.93
236.00 295.00 246.62
297.36 371.70 174.00
94.40 118.00 98.65
75.52 94.40 78.92
56.64 70.80 59.19
47.20 59.00 49.32

1,888.00 2,360.00 1,972.96

944.00 1,180.00 986.48
1,888.00 2,360.00 1,972.96
944.00 1,180.00 986.48
1,888.00 2,360.00 1,972.96
1,888.00 2,360.00 1,972.96
1,888.00 2,360.00 1,972.96
1,888.00 2,360.00 1,972.96
283.20 354.00 295.94

95.70
95.70
104.40
130.50
82.65
82.65
95.70
 95.70
95.70
95.70
95.70
182.70

182.70
217.50
217.50
156.60
78.30

138.76 173.45 145.00

138.76 173.45 145.00
188.32 235.40 261.00
188.32 235.40 239.25
297.36 371.70 424.56
69.40 86.75 72.52
39.64 49.55 41.42
519.20 649.00 542.56
297.36 371.70 310.74
29.72 37.15 31.06
141.60 177.00 147.97
109.04 136.30 113.95
39.64 49.55 69.60
117.32 146.65 122.60
38.72 48.40 40.46
66.80 83.50 69.81
267.16 333.95 279.18
66.80 83.50 69.81
240.00 300.00 208.80
191.40
117.45
73.95
13.05
443.70
174.00
452.40
388.02

34.68 43.35 36.24

283.20 354.00 295.94
743.40 929.25 776.85
74.36 92.95 77.71
29.72 37.15 31.06
316.24 395.30 452.40
330.40 413.00 345.27
208.16 260.20 217.53
282.48 353.10 295.19
519.20 649.00 542.56
SE REPITE

29.72 37.15 31.06

74.36 92.95 77.71
371.72 464.65 388.45
89.20 111.50 93.21
94.40 118.00 98.65
47.20 59.00 49.32
111.50 93.21
48.62 102.66
132.75 110.98

34.68 43.35 130.50

79.28 99.10 130.50
71.88 89.85 130.50
133.80 167.25 139.82
148.68 185.85 155.37
188.32 235.40 196.79
7.44 9.30 7.77
117.32 146.65 348.00
27.28 34.10 28.51
141.60 177.00 147.97
330.40 413.00 345.27
212.40 265.50 221.96
275.64 344.55 288.04
130.50
174.00
130.50
174.00
141.60 118.38

118.00 147.50 123.31

59.48 74.35 62.16
89.20 111.50 93.21
387.04 483.80 404.46
387.04 483.80 404.46
424.80 531.00 443.92

59.48 74.35 62.16

849.60 1,062.00 887.83
29.72 37.15 31.06
29.72 37.15 31.06
29.72 37.15 31.06
59.48 74.35 62.16
59.48 74.35 62.16
173.48 216.85 181.29
223.04 278.80 233.08
49.56 61.95 51.79
27.28 34.10 28.51
99.12 123.90 103.58
74.36 92.95 77.71
74.36 92.95 77.71
47.20 59.00 49.32
37.17 31.07
37.17 31.07
37.17 31.07
74.34 62.15
37.17 31.07
37.17 31.07
37.17 31.07
37.17 31.07
560.50 468.58

70.80 88.50 73.99

59.48 74.35 62.16

44.60 55.75 46.61

92.92 77.69
74.34 62.15
49.56 41.43
92.92 77.69
123.90 103.58
49.56 41.43
61.95 51.79
49.56 41.43
74.34 62.15
55.75 46.61
92.92 77.69
185.85 155.37
92.92 77.69
74.34 62.15
49.56 41.43
49.56 41.43
92.92 77.69
92.92 77.69
88.50 73.99
88.50 73.99

74.36 92.95 77.71

74.36 92.95 77.71
 138.76 173.45 145.00
39.64 49.55 41.42
1,321.60 1,652.00 1,381.07
39.64 49.55 41.42
49.56 61.95 51.79
1,321.60 1,652.00 1,381.07

38.72 48.40 40.46

64.44 80.55 67.34
150.08 187.60 156.83
472.00 590.00 493.24
160.48 200.60 167.70
283.20 354.00 295.94

24.36 30.45 25.46

16.56 20.70 17.31
29.72 37.15 31.06
21.80 27.25 22.78
23.08 28.85 24.12
74.34 92.92 77.69

247.80 309.75 258.95

246.40 308.00 257.49
173.48 216.85 181.29
247.80 309.75 258.95
247.80 309.75 258.95
173.48 216.85 181.29
188.32 235.40 196.79
240.40 300.50 251.22
223.04 278.80 233.08
173.48 216.85 181.29
173.56 216.95 181.37
223.04 278.80 233.08
247.80 309.75 258.95
257.72 322.15 269.32
198.24 247.80 207.16
175.96 219.95 183.88
198.24 247.80 207.16
198.24 247.80 207.16
131.36 164.20 137.27
111.52 139.40 116.54
27.28 34.10 28.51
354.00 442.50 369.93
377.60 472.00 394.59
283.20 354.00 295.94
377.60 472.00 394.59
377.60 472.00 394.59
377.60 472.00 394.59
377.60 472.00 394.59
377.60 472.00 394.59
283.20 354.00 295.94
283.20 354.00 295.94
283.20 354.00 295.94
377.60 472.00 394.59
377.60 472.00 394.59
377.60 472.00 394.59
377.60 472.00 394.59
377.60 472.00 394.59

283.20 354.00 295.94

283.20 354.00 295.94
283.20 354.00 295.94
377.60 472.00 394.59
283.20 354.00 295.94
283.20 354.00 295.94
283.20 354.00 295.94
377.60 472.00 394.59
283.20 354.00 295.94
283.20 354.00 295.94
283.20 354.00 295.94
505.04 631.30 527.77
561.68 702.10 586.96
674.96 843.70 705.33
674.96 843.70 705.33
138.77 173.46 145.01
236.00 295.00 246.62
236.00 295.00 246.62
207.68 259.60 217.03
674.96 843.70 705.33
283.20 354.00 295.94
283.20 354.00 295.94
505.04 631.30 527.77
311.52 389.40 325.54
311.52 389.40 325.54
311.52 389.40 325.54
245.44 306.80 256.48
245.44 306.80 256.48
179.36 224.20 187.43
207.68 259.60 217.03
 UNIDAD UNIDAD -
CODIGO DESCRIPCIÓN Particular
IGV
260206 INTEGRACION SENSORAL ( TERAPIA OCUPACIONAL ) 2.82 3.33 40.00
260207 MAGNETOTERAPIA BARRIDO (AGENTES FISICOS ) 3.92 4.63 45.00
260208 TERAPIA DE LENGUAJE ADULTOS 4.71 5.56 45.00
260209 TERAPIA DE LENGUAJE EXTENDIDA - NIÑOS 2.82 3.33 40.00
260210 TERAPIA FISICA - ADULTOS ( 2 AGENTES ) 4.71 5.56 45.00
260211 TERAPIA FISICA - ADULTOS ( 3 AGENTES ) 6.28 7.41 55.00
260212 TERAPIA FISICA - ADULTOS ( 4 AGENTES ) 65.00
260212 TERAPIA FISICA EXTENDIDA (ESTIMULACION TEMPRANA) 3.14 3.70 45.00
260213 TERAPIA FISICA NEUROLOGICA EXTENDIDA 3.14 3.70 40.00
260214 TERAPIA FISICA ORTOPEDICA 2.51 2.96 40.00
260215 TERAPIA OCUPACIONAL ADULTOS 4.70 5.55 45.00
260219 TEST MUSCULAR PARCIAL 3.14 3.70 45.00
260222 TERAPIA FISICA ONDAS CHOQUES (30 MIM) 0.00 0.00 45.00
260223 TERAPIA FISICA ESPINA BIFIDA 0.00 0.00 45.00
260401 TERAPIA FISICA ORTOPEDICA MAS TENS 3.92 4.63 45.00
260402 AVD (TERAPIA OCUPACIONAL) 2.51 2.96 40.00
260403 CEMS ( TERAPIA OCUPACIONAL ) 3.14 3.70 40.00
260404 HIDROTERAPIA - ADULTOS 3.92 4.63 45.00
260405 HIDROTERAPIA - NIÑOS 2.51 2.96 40.00
260406 TERAPIA OCUPACIONAL EXTENDIDA NIÑOS 3.14 3.70 40.00
260408 WII - FIT (TERAPIA OCUPACIONAL) 2.51 2.96 40.00
260409 TANQUE HUBBARD 2.51 2.96 40.00
LABORATORIO - PROPUESTA

CODIGO DESCRIPCIÓN TIPO UNIDAD SIN IGV

20 LABORATORIO
200101 PRUEBAS CUTANEAS PARA ALERGIA 7.35
200102 EXTRACTO ALERGENICO 14.70
200103 APLICACION DE ESTRACTO ALERGENICO 2.10
200104 PANEL DE ALERGIAS 68.70
260101 T4 (TIROXINA) EN SANGRE 6.15
260102 T3 (TRI-IODOTIRONINA) EN SANGRE 6.15
260103 INDICE DE TIROXINA LIBRE EN SANGRE 9.40
260104 T.S.H. EN SANGRE 6.15
260105 HGH BASAL EN SANGRE 15.00
260106 L.H. EN SANGRE 9.10
260107 F.S.H. EN SANGRE 9.10
260108 PROLACTINA EN SANGRE 9.10
260109 TESTOSTERONA EN SANGRE 15.00
260110 PROGESTERONA EN SANGRE 15.00
260111 ESTRADIOL EN SANGRE 15.00
260112 CORTISOL EN SANGRE 9.10
260114 IODO PROTEICO EN SANGRE 6.15
260115 17 OH PROGESTERONA EN SANGRE 15.00
260116 ANDROSTENEDIONA EN SANGRE 15.00
260117 DHEA SO4 - DIHIDROEPIANDROSTERONA-SULFAT 15.00
260118 T3 LIBRE EN SANGRE 6.15
260119 ACTH EN SANGRE 16.07
260120 PARATOHORMONA (PTH) EN SANGRE 14.06
260121 ACTH POST ESTIMULACION EN SANGRE 21.43
260122 PEPTIDO C EN SANGRE 21.09
260123 INSULINA BASAL EN SANGRE 9.10
260125 TESTOSTERONA LIBRE EN SANGRE 15.00
260126 SOMATOMEDINA C EN SANGRE 14.06
260127 HORMONA ANTIDIURETICA (ADH) EN SANGRE 25.00
260128 TSH ULTRA SENSIBLE EN SANGRE 6.15
260129 3-ALFA-ANDROSTENEDIOL EN SANGRE 10.00
260130 ALDOSTERONA EN SANGRE 17.81
260131 ANGIOTENSINA EN SANGRE 17.81
260132 CORTISOL LIBRE EN SANGRE 9.10
260133 ERITROPOYETINA EN SANGRE 18.75
260134 ESTRADIOL LIBRE EN SANGRE 15.00
260135 ESTRIOL LIBRE EN SANGRE 3.68
260136 ESTRONA SERICA EN SANGRE 30.50
260137 HGH (TEST DE SUPRESSION) EN SANGRE 14.06
260139 HGH (ESTIMULADO CON EJERCICIO) EN SANGRE 14.06
260140 HGH (ESTIMULADO CON CLONIDINA) EN SANGRE 14.06
260142 INSULINA (C/PRUEBA TOLERANCIA GLUCOSA 12 36.40
260143 INSULINA POST PANDRIAL EN SANGRE 7.60
260144 RENINA EN SANGRE 14.06
260145 SEX HORMONE BINDING GLOBULIN EN SANGRE 17.19
260146 T3 REVERSO EN SANGRE 8.40
260147 T3 UPTAKE (CAPTACION) EN SANGRE 15.00
260148 T4 LIBRE EN SANGRE 6.15
260149 TBG (THYROID BINDING GLOBULIN) EN SANGRE 21.10
260150 HCG SUB UNIDAD BETA EN SANGRE 8.40
260201 17-KETOESTEROIDES EN ORINA 15.00
260202 17-HIDROXICORTICOIDES EN ORINA 15.00
260203 PREGNANDIOL EN ORINA 3.68
260204 ESTRIOL EN ORINA 3.68
260205 ACIDO VANIL MANDELICO EN ORINA 15.00
260216 CORTISOL LIBRE EN ORINA 14.06
260218 EPINEFRINA EN ORINA 8.40
260220 CATECOLAMINAS LIBRES EN ORINA 18.91
260301 METABOLISMO BASAL 12.60
270115 DETENCION BIOQUIMICA DE HELICOBACTER PYL 8.20
280101 CROMATINA SEXUAL CORPUSCULO DE BARR 9.00
280102 CROMATINA SEXUAL CORPUSCULO DE Y 9.00
280103 CARIOTIPO DE LINFOCITO T 37.00
280104 CARIOTIPO DE LINFOCITO B 37.00
280105 CARIOTIPO DE MEDULA OSEA 40.00
280106 CARIOTIPO EN LIQUIDO AMNIOTICO 57.00
280107 CARIOTIPO PARA BUSQUEDA DE X FRAGIL 37.00
280108 BANDAS 'G' 14.00
280109 BANDAS 'Q' 14.00
280110 BANDAS DE FLUORESCENCIA 23.00
280111 DERMATOGLIFIA 7.00
280201 CROMATOGRAFIA DE AMINOACIDOS EN PLASMA 8.00
280202 DETECCION DE METABOLITOS ANORMALES EN OR 21.00
280203 GALACTOSA I-P-UT "GALACTOSOSEMIA" 21.00
280301 ACIDO FENILPIRUVICO Y DERIVADOS 'PKU' EN 8.00
280302 ALFACETOACIDOS 'MSUD' EN ORINA 4.00
280303 CISTINA/HOMOCISTINA EN ORINA 4.00
280304 AMINOCIDURIA RENAL 4.00
280305 AZUCARES REDUCTORES EN ORINA 4.00
280306 ACIDO HOMOGENTISICO 'ALCAPTONURIA' 4.00
280307 INDOLES EN ORINA 4.00
280308 MUCOPOLISACARIDOS EN ORINA 8.00
280309 CROMATOGRAFIA DE AMINOACIDOS EN ORINA 8.00
320101 INMUNOGLOBULINAS SERICAS IGG/IGA/IGM 15.00
320103 INMUNOGLOBULINAS EN L.C.R., SINOVIAL, ET 6.30
320106 COMPLEMENTO C3 Y C4 EN L.C.R., SINOVIAL, 13.35
320107 CH 50 7.50
320108 CRIOGLOBULINAS 3.15
320109 INMUNOELECTROFORESIS 17.75
320110 ANTINUCLEARES (ANA) 5.25
320111 ANTIMUSCULO LISO 6.30
320112 ANTI MITOCONDRIALES 6.30
320116 ANTI DNA 10.85
320119 PRECIPITINAS FUNGALES 4.73
320120 HBsAG (ANTIGENO DE SUPERFICIE) X 10.20
320123 HBeAG (ANTIGENO E) 13.80
320124 ANTI HBeAG (ANTI ANTIGENO E) 13.80
320125 ANTI HDV IGM ( HEPATITIS DELTA) 13.80
320126 ANTI HBcAG IGG (CORE) 13.80
320127 ANTI HAV IGG 13.80
320128 ANTI HBsAG 13.80
320129 ANTI HAV IGM 19.65
320130 ANTI HBcAG IGM (CORE) 19.65
320131 MYCOPLASMA PNEUMONIAE (Ig M, IGG) 11.85
320132 HERPES I (ANTIC IGG) 9.40
320133 HERPES II (ANTIC IGG) 9.40
320134 ANTI HCV (HEPATITIS C) 13.80
320135 NTX TELOPEPTIDO 17.94
320137 ANTI JO 10.52
320138 OSTEOCALCINA 15.26
320139 SEROTONINA 39.06
320140 ANTICUERPOS ANTITIROIDES 31.25
320142 VARICELLA ZOSTER (VZV) 12.50
320143 ANTI HEV (HEPATITIS E) 28.13
320144 VIRUS RESPIRATORIO SINCITIAL IGG 16.64
320148 VIRUS RESPIRATORIO SINCITIAL IGM 16.64
320149 ANTI MEMBRANA BASAL GLOMERULAR 25.00
320150 ANTI TIROGLOBULINA 0.00
320151 ANTI MICROSOMALES 10.94
320152 ANTICUERPOS ANTICITRULINADOS 43.75
320153 ASCA 23.44
320154 CHLAMYDIA TRACHOMATIS 17.98
320155 ANTICUERPOS ANTIISLOTE PANCREATICO 28.13
320156 ANTI - RECEPTOR DE ACETIL COLINA 109.38
320157 ANTICUERPOS ANTIPEROXIDASA 14.06
320158 ANTI SS. SA 18.20
320159 ANTI SS B. 18.20
320160 ADENOVIRUS, ANTICUERPOS 32.81
320161 ALFA 2 MACROGLOBULINA 12.61
320162 ALFA-1-ANTITRIPSINA 9.50
320163 ANTI AMEBA HISTOLYTICA 14.06
320164 ANTI - HBsAg (CUANTITATIVO) 13.80
320165 ANTI HGV (HEPATITIS G) 8.40
320166 ANTI - TPO 14.06
320167 ANTI CELULA PARIETAL GASTRICA 23.44
320168 ANTI CENTROMERO 23.44
320169 ANTI GLIADINA IgA 28.13
320170 ANTI GLIADINA IgG 28.13
320171 ANTI HISTONA 10.52
320172 ANTI INSULINA 35.94
320173 ANTI ISLOTE PANCREATICO 18.79
320174 ANTI MUSCULO ESTRIADO 18.79
320176 ANTI TRANSGLUTAMINASA TISULAR 34.00
320177 ANTICOAGULANTE LUPICO 12.50
320178 ANTICUERPOS ANTIFOSFOLIPIDICOS 95.62
320179 ANTI-MEMBRANA HEPATICA 34.00
320180 ARCO II (FASCIOLASIS) 23.44
320181 ASPERGILOSIS, ANTICUERPOS 8.40
320182 BARTONELLA HENSELAE IGM 78.13
320183 BARTONELLA HENSELAE IGG 78.13
320184 BLASTOMICOSIS, ANTICUERPOS 8.40
320185 BORDETELLA PERTUSIS, AC Ig G 32.81
320186 BORDETELLA PERTUSIS,AC IgM 32.81
320187 BORRELIA BURGDORFERI, IgG 10.52
320188 BORRELIA BURGDORFERI, IgM 10.52
320189 BRUCELLA Ig G 8.40
320190 BRUCELLA Ig M 8.40
320191 C1 INHIBIDOR ESTERASA 7.56
320192 C5 26.90
320193 C8 32.29
320194 C-ANCA (ANTI PR3) 17.19
320195 CHAGAS, ANTICUERPOS 20.31
320196 CHLAMYDIA PNEUMONIAE 8.99
320197 CISTICERCOSIS, ELISA 8.40
320198 CISTICERCOSIS, Western Blot 26.42
320199 CITOMEGALOVIRUS IGG, IGM 8.40
320200 CITOMEGALOVIRUS ANTIGENO (PP65) 8.40
320201 COCCIDIOMICOSIS, ANTICUERPOS 8.40
320202 COMPLEJOS INMUNES C1q 10.70
320203 COXSACKIE VIRUS, ANTICUERPOS PARTICULAR 54.69
320204 CTX (C-TELOPEPTIDO) 20.31
320205 CRIOAGLUTININAS 2.63
320206 CRYPTOCOCCUS, ANTICUERPOS 8.40
320207 CRYPTOCOCCUS, ANTIGENO 5.40
320208 CRYPTOSPORIDIUM, ANTIGENO 6.40
320209 DIFTERIA, ANTICUERPOS IgG 13.00
320210 ECHOVIRUS, ANTICUERPOS TOTALES PARTICULA 48.44
320211 ENA SCREEN 48.44
320212 ANTI ENDOMISIO 32.81
320213 EPSTEIN BARR-EBNA (Ig G) 9.94
320214 EPSTEIN BARR-EBNA (Ig M) 9.94
320215 EPSTEIN BARR-VCA (Ig G) 9.94
320216 EPSTEIN BARR-VCA (Ig M) 9.94
320219 FASCIOLA HEPATICA (Ig G) 39.06
320220 FASCIOLA HEPATICA (IgM) 39.06
320221 FTA ABS 8.40
320222 GIARDIA LAMBLIA (Ig A) 73.59
320223 GIARDIA LAMBLIA (Ig G) 73.59
320224 GIARDIA LAMBLIA (Ig M) 73.59
320225 HELICOBACTER PYLORI (Ig A) 14.06
320226 HELICOBACTER PYLORI (Ig G) 9.94
320227 HELICOBACTER PYLORI (Ig M) 9.94
320228 HIDATIDOSIS (WESTERN BLOT) 32.81
320229 HIDATIDOSIS, ELISA 10.52
320230 HIDROXIPROLINA 13.50
320231 HIV (1- 2) ELISA X 7.80
320232 HIV (WESTERN BLOT) 20.00
320233 HLA B-27 54.69
320234 HTLV I/II, WESTERN BLOT 28.13
320235 HYSTOPLASMA,ANTICUERPOS TOTALES 17.54
320236 INFLUENZA TIPO A 70.91
320237 INFLUENZA TIPO B 70.91
320238 INHIBINA A 17.19
320239 INHIBINA B 39.06
320240 INMUNOGLOBULINA A (IG A) 8.40
320241 INMUNOGLOBULINA E (IG E) 8.40
320242 INMUNOGLOBULINA G (IG G) 8.40
320243 INMUNOGLOBULINA G, SUBCLASES 50.00
320244 INMUNOGLOBULINA M (IG M) 8.40
320245 LEGIONELLA PNEUMOPHILA, ANTICUERPOS 8.77
320246 LEISHMANIA, ANTICUERPOS 39.06
320247 LISTERIA MONOCYTOGENES, ANTICUERPOS 4.20
320248 LKM (ANTI LIVER KIDNEY MICROSOMAL) 34.00
320249 MONOTEST 12.50
320252 P - ANCA (ANTI - MPO) 17.19
320253 PARAMIXOVIRUS (Ig G) 9.64
320254 PARAMIXOVIRUS (Ig M) 9.64
320255 PIRIDINOLINA 13.50
320256 PROTEINA C REACTIVA ULTRASENSIBLE 10.94
320257 R.P.R. (RAPID PLASMA REAGIN) 2.97
320258 RUBEOLA (Ig G) 14.06
320259 RUBEOLA (Ig M) 8.40
320260 SARAMPION (Ig G) 9.94
320261 SARAMPION (Ig M) 9.94
320262 TOXOPLASMA (IG G) 8.40
320263 TOXOPLASMA (IG M) COMPLEMENTO C/U 8.40
320264 VARICELLA ZOSTER (Ig M) 9.64
320265 VARICELLA ZOSTER (IgG) 9.64
320266 VIRUS RESPIRATORIOS POR IFI 28.13
320267 HVD (ANTI) 8.40
330101 ACIDO URICO 1.58
330102 AMILASA SERICA 3.15
330103 BILIRUBINAS FRACCIONARIAS 2.52
330104 CALCIO SERICO 1.79
330105 CALCULO RENAL ANALISIS 8.40
330106 CLORO 2.63
330107 COLESTEROL SERICO 2.00
330108 CREATININA X 2.00
330109 CREATININFOSFOQUINASA 8.40
330110 DEHIDROGENASA LACTICA 5.30
330111 CREATININA DEPURACION 5.46
330112 ELECTROLITOS NA, CL, K 10.50
330113 FOSFATASA ACIDA PROSTATICA 3.15
330114 FOSFATASA ACIDA TOTAL 3.15
330115 FOSFATASA ALCALINA 3.15
330116 FOSFORO 1.79
330117 GAMMA GLUTAMIL TRANSPEPTIDASA 8.40
330118 GLUCOSA X 2.00
330119 GLUCOSA 120' POSTPRANDIAL 2.00
330120 LIPASA 6.75
330121 LIPIDOGRAMA ELECTROFORETICO 9.40
330122 LIPIDOS TOTALES 1.68
330123 POTASIO 2.63
330124 PROTEINAS FRACCIONADAS 2.31
330125 PROTEINOGRAMA ELECTROFORECTICO 9.40
330127 RESERVA ALCALINA 3.15
330128 COLESTEROL Y FRACCIONES (HDL, LDL, VLDL) 23.10
330129 SODIO 2.63
330130 TOLERANCIA A LA GLUCOSA ORAL 10.50
330131 TOLERANCIA A LA LACTOSA 10.50
330132 TRANSAMINASA OXALACETICA 2.31
330133 TRANSAMINASA PIRUVICA 2.31
330134 TRIGLICERIDOS 4.70
330135 UREA X 2.00
330137 H D L COLESTEROL 3.50
330138 MAGNESIO 4.20
330141 CURVA DE INSULINA 36.40
330142 AMONIO 7.30
330144 CALCIO IONICO 6.14
330145 LDL COLESTEROL 7.81
330149 CERULOPLASMINA 9.64
330150 TROPONINA 12.70
330153 OSMOLARIDAD SERICA 5.00
330155 FRUCTOSAMINA 9.64
330156 ACIDO LACTICO 8.84
330157 CPK-MB 13.80
330158 PRO-BNP(PEPTIDO NATRIURETICO) 28.13
330159 NITROGENO UREICO 3.00
330160 ALBUMINA SERICA 2.31
330161 FOSFATASA ALCALINA LEUCOCITARIA 14.06
330163 CARNITINA 24.00
330164 HIERRO SERICO 8.40
330165 HOMOCISTEINA SERICA 30.70
330166 5 NUCLEOTIDASA 9.38
330167 ACETONA SERICA 5.80
330168 ACIDO URICO, DEPURACION 9.38
330169 ADA EN SUERO 9.64
330170 ALDOLASA 14.06
330171 ALFA-1-GLUCOSIDASA 23.11
330172 APOLIPOPROTEINA A1 9.64
330173 APOLIPOPROTEINA B 9.64
330174 BICARBONATO SERICO 2.63
330175 CAROTENO 9.38
330176 COLINESTERASA SERICA 109.38
330177 DESHIDROGENASA LACTICA, ISOENZIMAS (DHL) 8.40
330178 ELECTROFORESIS DE HEMOGLOBINA 8.40
330179 GASES ARTERIALES 5.78
330180 GASES VENOSOS 5.78
330181 GLUCAGON 35.49
330182 GLUCOSA 6-P- DESHIDROGENASA 8.40
330183 HEMOGLOBINA GLICOSILADA TOTAL 8.40
330184 HEMOGLOBINA GLICOSILADA A1c 8.40
330185 MIOGLOBINA 11.33
330186 LIPOPROTEINA (a) 36.00
330187 LITIO 4.20
330188 PROTEINA TOTAL 2.31
330189 SATURACION DE TRANSFERRINA 9.06
330190 TRANSFERRINA 28.13
330191 VITAMINA B1 (TIAMINA) 132.05
330192 VITAMINA A 97.69
330193 VITAMINA B12 8.40
330195 VITAMINA D3 (1,25 - OH ) 45.31
330196 VITAMINA D2 (25 -OH CALCIFEROL) 46.88
330197 VITAMINA E 32.81
330198 TASA DE TRANSPORTE DE LITIO 11.05
330201 AGLUTINACIONES EN LAMINA 4.73
330202 AGLUTINACIONES EN TUBO 7.35
330203 FENOMENO DE ZONA 7.35
330204 MERCAPTO-ETANOL, PRUEBA 7.35
330205 ANTICUERPOS BLOQUEADORES 7.35
330206 ANTIESTRESPTOLISINAS 8.50
330207 ARCO V (HIDATIDOSIS) 2.31
330208 FENOMENO LE. 2.94
330209 GRUPO SANGUINEO Y FACTOR RH X 2.94
330210 INMUNOGLOBULINAS C/U 8.40
330211 PAUL BUNNEL 7.35
330212 PROTEINA C REACTIVA 5.30
330213 FACTOR REUMATOIDEO (CUALITATIVO) 5.30
330214 WALLER-ROSE, PRUEBA 3.00
330215 VDRL CUALITATIVO X 2.31
330216 VDRL CUANTITATIVO 2.84
330217 TEST DE COOMBS DIRECTO 3.15
330218 TEST DE COOMBS INDIRECTO 3.68
330219 TEST DE COOMBS TITULO 6.83
330221 FACTOR REUMATOIDEO (CUANTITATIVO) 5.30
330222 ROSA DE BENGALA 7.60
330224 COMPLEMENTO C3 13.35
330225 COMPLEMENTO C4 13.35
330226 ANTI SM (SMITH) 9.25
330227 ANTI RNP 9.25
330229 ANTICUERPOS ANTI NEUTROFILOS (ANCA) 10.52
330230 ELISA PARA SIFILIS 9.64
330232 ANTICUERPO ANTICARDIOLIPINA IGG 9.64
330233 ANTICUERPO ANTICARDIOLIPINA IGM 9.64
330237 HTLV I-II 14.06
330238 ANTICUERPO ANTI SCL-70 8.99
330239 CHLAMYDIA, ANTIGENO 8.40
330241 LEPTOSPIRA (IG M) 18.75
330242 BETA-2 GLICOPROTEINA 1- [Link] 47.00
330243 COAGLUTINACION BACTERIANA 38.66
330244 BETA-2 GLICOPROTEINA 1,[Link] 26.00
330250 ANTI ESPERMATOZOIDES 14.06
330252 DENGUE IGM 54.69
330301 PRUEBA CRUZADA X 3.29
330302 FROTIS DE EXAMEN DIRECTO 2.10
330303 BILICULTIVO INCLUYE EXAMEN DIRECTO Y ANT 7.56
330304 COPROCULTIVO INCLUYE EX. DIRECTO Y ANTIB 7.56
330306 HEMOCULTIVO INCL EXAMEN DIRECTO Y ANTIB 7.56
330307 MIELOCULTIVO INC. EXAMEN DIRECTO /ANTIB 8.61
330308 UROCULTIVO INCL. EXA. DIRECTO Y ANTIBIO 7.56
330309 OTROS CULTIVOS INCLUYE EXAMEN DIRECTO Y 7.56
330310 SANGRE SERIADO 18.75
330311 COLORACION GRAM 4.35
330312 CULTIVO DE ESPERMA INY EX. DIRECT Y ANTI 7.56
330313 CULTIVO DE SECRECION URETRAL INCY. [Link] 7.56
330315 CULTIVO DE LIQUIDO PLEURAL INCLUYE EXAM 7.56
330317 CULTIVO DE HONGOS 7.56
330318 CULTIVO SECRECION PARANASAL [Link] +AN 7.56
330319 CULTIVO DE SECRECION VAGINAL INY EXDIREC 7.56
330320 CULTIVO DE SECRECION FARINGEA [Link] 7.56
330321 CULTIVO ANAEROBIOS 8.61
330322 UROCULTIVO CON REMOVEDOR DE ANTIBIOTICOS 7.56
330324 PNEUMOCISTIS CARINI 6.66
330339 CHLAMYDIAS IGG 8.99
330340 CHLAMYDIAS IgM 8.99
330352 EOSINOFILOS ESPUTO 10.85
330355 HONGOS DIRECTO 10.94
330356 HEMOCULTIVO BACTEC 42.02
330357 BARTONELLA BACILIFORME, INVESTIGACION 45.26
330358 CAMPYLOBACTER INVESTIGACION 4.20
330359 CLOSTRIDIUM DIFICILE 13.50
330363 CULTIVO DE OTRAS SECRECIONES 10.94
330364 CULTIVO MICROAEROFILICO 10.94
330366 MIC (CONCENTRACION INHIBITORIA MINIMA) 20.17
330367 BK DIRECTO EN ORINA 4.20
330368 BK DIRECTO EN ASPIRADO BRONQUIAL 4.20
330369 BK DIRECTO POST ASPIRADO BRONQUIAL 4.20
330370 BK DIRECTO EN ESPUTO 4.20
330371 BK DIRECTO EN OTRAS MUESTRAS 4.20
330372 CULTIVO BK EN ORINA INY [Link] Y ANT 7.56
330373 CULTIVO BK EN ASPIRADO BRONQUIAL [Link] 7.56
330374 CULTIVO BK EN ESPUTO INCLUYE EX. DIRECTO 7.56
330375 CULTIVO BK EN OTRAS MUESTRAS INCLUYE EXA 7.56
330376 YERSINIA 4.20
330377 CLOSTRIDIUM PERFRIGEN, INVESTIGACION 16.07
330401 COAGULACION Y SANGRIA X 2.64
330403 CONSTANTES CORPUSCULARES 1.89
330404 FIBRINOGENO 3.05
330405 FRAGILIDAD CAPILAR 3.15
330406 FRAGILIDAD GLOBULAR 3.15
330407 GOTA GRUESA 2.63
330408 HEMOGLOBINA HEMATOCRITO 1.89
330409 LEUCOCITOS, FORMULA DIFERENCIAL 2.63
330410 NUMERACION Y FORMULA HEMOGLOBINA HEMATOC 4.20
330411 RECUENTO DE PLAQUETAS 1.58
330412 RECEUNTO DE RETICULOCITOS 1.58
330413 RETRACCION DE COAGULO 1.58
330414 TIEMPO DE PROTROMBINA X 2.63
330415 TIEMPO DE TROMBOPLASTINA PARCIAL X 4.20
330416 VELOCIDAD DE SEDIMENTACION 1.05
330417 HEMATOCRITO 1.89
330418 LEUCOCITOS, RECUENTO 1.58
330419 TEST DE METABISULFITO 6.25
330422 EOSINOFILOS, RECUENTO 6.25
330424 ANTICUERPOS ANTIPLAQUETARIOS 63.43
330425 DIMERO D (CUALITATIVO) 10.20
330426 TIEMPO DE TROMBINA 8.31
330427 PROTEINA C 28.13
330428 PROTEINA S 28.13
330429 ANTITROMBINA III 17.19
330431 RESISTENCIA A LA PROTEINA C ACTIVADA 12.50
330432 FACTOR V (LEYDEN) 28.13
330433 MUTANTE DE DE PROTROMBINA G-20210 53.57
330435 METAHOMOGLOBINA 5.62
330438 FACTOR VIII 25.00
330439 LINFOCITOS T (CD4 Y CD8) 15.43
330455 HEMOGLOBINA A2 43.75
330456 TEST METABISULFITO 6.25
330457 FROTIS DE SANGRE PERIFERICA 5.62
330459 VON WILLEBRAND ANTIGENO 47.37
330460 AGREGACION PLAQUETARIA 7.02
330462 DIMERO D (CUANTITATIVO) 47.44
330463 DIMERO D (SEMI-CUANTITATIVO) 10.20
330464 FACTOR II 43.96
330465 FACTOR V (ACTIVIDAD) 28.13
330466 FACTOR VII 43.96
330467 FACTOR X 23.44
330468 FERRITINA 8.40
330469 FIBRINOGENO, PRODUCTOS DEGRADACION (PDF 17.19
330470 HAPTOGLOBINA 8.40
330471 HEMOGLOBINA 1.89
330472 HEMOGLOBINA F 43.75
330473 HEMOGRAMA COMPLETO X 4.20
330474 INDICE RETICULOCITARIO 2.61
330475 TEST DE HAM 4.09
330476 TEST DE SUCROSA 19.53
330477 VISCOSIDAD SANGUINEA 6.14
330478 SICKLYNG CELL TEST 4.73
330501 ALBUMINA EN ORINA 24 HRS 1.37
330503 CALCIO ORINA 24H 1.58
330504 CREATININA ORINA 24H 3.15
330505 EXAMEN COMPLETO DE ORINA X 1.89
330508 PRUEBA DE ADDIS EN ORINA 2.63
330509 MICROALBUMINURIA 9.64
330512 CITRATOS (ORINA 24H) 3.00
330513 POTASIO (ORINA 24H) 3.00
330514 SODIO (ORINA 24H) 3.00
330515 MAGNESIO (ORINA 24H) 4.20
330516 FOSFORO (ORINA 24H) 4.20
330517 OXALATOS (ORINA 24H) 3.00
330518 PH EN ORINA 1.58
330520 METANEFRINA ORINA 10.71
330521 ACIDO URICO (ORINA 24H) 4.70
330527 ACIDO DELTA-AMINOLEVULENICO EN ORINA 10.52
330529 ACIDO VANILMANDELICO (ORINA 24H) 4.20
330530 AMILASA (ORINA 24H) 5.44
330531 AMILASA (ORINA RANDOM) 5.44
330532 CALCIO (ORINA RANDOM) 1.58
330533 CISTINA (ORINA DE 24 HORAS) 4.00
330534 CLORO (ORINA 24H) 3.00
330535 COPROPORFIRINA (ORINA 24H) 8.40
330536 CREATININA (ORINA RANDOM) 3.15
330537 GLUCOSA (ORINA 24H) 7.22
330538 METANEFRINA (ORINA 24 H) 12.19
330539 NITROGENO UREICO (ORINA 24H) 5.00
330540 OSMOLARIDAD URINARIA 5.00
330541 PKU (FENILCETONURIA) 12.00
330542 PORFOBILINOGENO (ORINA 24H) 10.00
330543 POTASIO (ORINA RANDOM) 3.00
330544 PROTEINA (ORINA 24H) 1.37
330545 PROTEINA BENCE-JONES 8.40
330546 PROTEINOGRAMA ( ORINA 24H) 9.40
330547 PROTEINURIA/CREATININURIA (ORINA RANDOM) 3.15
330548 SODIO (ORINA RANDOM) 3.00
330549 UREA (ORINA 24H) 2.00
330550 UROPORFIRINA (ORINA 24H) 8.35
330551 WATSON-SCHWARTZ 5.62
330601 TEST DE GRAHAM 1.26
330602 PARASITOLOGICO (HECES X 1) 2.10
330604 PARASITOLOGICO (HECES X 3) 5.25
330605 THEVENON HECES 1.26
330606 PARASITOLOGICO (HECES X 2) 15.19
330607 ROTAVIRUS (HECES) 34.75
330608 COPROLOGICO FUNCIONAL 5.20
330610 AMEBAS, INVESTIGACION 4.20
330616 REACCION INFLAMATORIA 4.20
330618 SUSTANCIAS REDUCTORAS 4.20
330619 ISOSPORA BELLI, INVESTIGACION 8.40
330701 CARBAMAZEPINA (TEGRETOL) 17.90
330702 DIFENILHIDANTOINA (EPAMIN) 17.90
330703 DIGOXINA 8.40
330704 FENOBARBITAL 8.40
330707 ACETAMINOFEN 8.40
330708 DIAZEPAN 8.40
330709 TOXICOMANIAS 8.40
330710 OTROS 8.40
330711 ACIDO VALPROICO 5.99
330713 DOSAJE DE MERCURIO 20.11
330714 COCAINA 8.40
330715 MARIHUANA 8.40
330716 PLOMO 26.45
330718 ZINC 23.44
330719 ORGANOCARBAMICOS 8.40
330720 ORGANOFOSFORADOS 13.05
330721 CARBOXIHEMOGLOBINA 8.40
330722 ALCALOIDES 8.40
330723 ALCOHOL ETILICO 8.40
330724 ALCOHOL METILICO 8.40
330725 ANFETAMINA EN ORINA 9.38
330726 ARSENICO 8.40
330727 BARBITURICOS 28.13
330728 BENCENO (FENOLES) 8.40
330729 BENZODIACEPINAS 8.31
330731 CARBAMATOS 93.75
330732 CIANURO 8.40
330733 CICLOSPORINA 8.40
330734 COBRE 23.44
330735 CODEINA 8.40
330736 CROMO 23.44
330737 CUMARINAS 8.40
330738 FENCICLIDINA - PCP 8.40
330739 FENOTIACINAS 8.40
330740 FORMALDEHIDO 8.40
330742 MANGANESO 8.40
330743 METANFETAMINA 8.40
330744 MORFINA 8.40
330745 NICOTINA 48.44
330746 NIQUEL 8.40
330747 OPIO 9.38
330748 ORGANOCLORADOS 8.40
330750 PIRETROIDES 8.40
330751 SELENIO 8.40
330752 TALIO 8.40
330753 TIOCIANATOS 8.40
330754 TOLUENO (ACIDO HIPURICO) 8.40
330807 LCR CITOQUIMICO 8.40
330809 HEMOSIDERINA 8.40
330810 PPD 1.89
330814 TRANSFERINA Y HIERRO SERICO 8.40
330815 ESPERMATOGRAMA 4.20
330827 DEMODEX FOLICORUM (ACAROS) 4.20
330830 LCR BK DIRECTO 8.40
330831 LCR ADA 8.40
330832 LCR PANDY 8.40
330833 LIQUIDO PLEURAL CITOQUIMICO 8.40
330834 LIQUIDO PLEURAL BK DIRECTO 8.40
330835 LIQUIDO PLEURAL ADA 8.40
330836 LIQUIDO SINOVIAL CITOQUIMICO 8.40
330838 LIQUIDO SINOVIAL BK DIRECTO 8.40
330839 LIQUIDO ASCITICO ASCITICO 8.40
330840 LIQUIDO ASCITICO ASCITICO ADA 8.40
330858 [Link] 8.40
330860 COAGULAC. INTRAV. (PDF) 8.40
330888 ELECTROFORESIS DE LCR 4.65
330897 HELICOBACTER PYLORI POR CARBONO 14, (PY- 99.17
330901 AFP (ALFA FETOPROTEINA) 8.40
330902 CEA (ANTIGENO CARCINOEMBRIONARIO) 8.40
330904 BETA 2 MICROGLOBULINA 8.40
330905 CALCITONINA 8.40
330906 CA. - 549 8.40
330907 CA-125 8.40
330908 CA15-3 8.40
330909 CA19-9 8.40
330910 GONADOTROFINA CORIONICA (HCG) 8.40
330913 PSA (ANTIGENO PROSTATICO ESPECIFICO) 8.40
330914 CA 72-4 15.43
330915 CYFRA 21-1 19.47
330917 PSA LIBRE 11.50
330918 GASTRINA 13.80
330928 TIROGLOBULINA 14.06
330929 HIDROXI INDOL ACETICO 8.40
330930 BTA 25.00
330931 CA 27-29 12.50
330932 TNF (FACTOR DE NECROSIS TUMORAL) 46.88
330933 NSE (ENOLASA NEUROESPECIFICA) 32.81
330934 PSA LIBRE, PORCENTAJE 11.50
331001 PERFIL DE COAGULACION Y SANGRIA,FIBR,ETC 13.25
331002 PERFIL LIPIDICO 17.77
331003 PERFIL HEPATICO 14.08
331005 PERFIL TIROIDEO 33.85
331007 PERFIL PRENATAL (HG, GLU, UREA, CREA,ETC 11.56
331009 PERFIL TORCH IGG II, RUBEOLA) 47.05
331801 RIESGO FETAL III 52.00
334006 PERFIL TORCH IGM 47.05
334007 PERFIL ALERGICO 44.64
334008 PERFIL PRE-OP. (HGM,GLU,CR,GS,[Link],HIV 33.81
500001 CHLAMYDIA TRACHOMATIS (PCR) 104.52
500002 HBV CARGA VIRAL 139.06
500003 HCV CARGA VIRAL & GENOTIPO 139.06
500004 HCV CUALITATIVO (RT-PCR) 139.06
500005 HCV GENOTIPIFICACION CONDICIONADA A CV D 168.07
500006 HCV, CARGA VIRAL 139.06
500007 HEPATITIS B VIRUS DNA ULTRACUANT (PCR) 180.00
500008 HIV-1, CARGA VIRAL STANDARD 302.60
500009 HIV-1, CARGA VIRAL ULTRASENSIBLE 139.06
500010 MYCOBACTERIUM TUBERCULOSIS (PCR) 38.64
500011 MYCOBACTERIUM TUBERCULOSIS (PCR - RESIST 46.22
500012 NEISSERIA GONORRHOEAE (PCR) 104.52
500013 PAPILOMAVIRUS HUMANO (PCR) 102.94
500014 PRUEBA RAPIDA
500015 PRUEBA MOLECULAR
990102 BIOPSIA QUIRURGICA 7.17
990103 BIOPSIA PEQUEÑA (2CM) 20.18
990104 BIOPSIA MEDIANA(DE 2 A 5 CMS) 23.17
990106 BIOPSIA(TUMOR MEDIANO) 31.99
990107 BIOPSIA(TUMOR GRANDE) 47.38
990108 BIOPSIA GRANDE (MAYOR DE 5 CMS) 31.99
500016 INMUNOHISTOQUIMICA P63
500017 INMUNOHISTOQUIMICA S100
INMUNOHISTOQUIMICA P63 SE REPITE
500018 INMUNOHISTOQUIMICA CYTOKERATIN 20
500020 TAMIZAJE NEONATAL (4 PRUEBAS)
990158 PERFIL DE TRANSFUSION 9.17
990100 TEST RAPIDO DETECCION DE ANTIGENOS SARS
500022 AMH - HORMONA ANTIMULLERIANA
CODIGO DESCRIPCIÓN TIPO UNIDAD SIN IGV
HISTOLOGIA
210201 BIOPSIA - POR UNIDAD TISULAR 13.65
229043 BIOPSIA POR UNIDAD TISULAR CON WAYSON
210210 ESPECIMEN QUIRURGICO SIMPLE 25.00
210211 ESPECIMEN QUIRURGICO COMPLEJO 45.00
210212 ESPECIMEN QUIRURGICO ONCOLOGICO 80.00
229002 REVISION DE LAMINAS - SEGUNDA OPINION
210202 BIOPSIA POR CONGELACION 25.00
229001 PRUEBA DE MOHS - PIEL NO HAY DATOS
INMUNOHISTOQUIMICA
210215 COLORACIONES ESPECIALES 12.00
210206 MARCADORES INMUNOHISTOQUIMICOS 34.00
229023 MARCADOR INMUNOHISTOQUIMICO ESPECIAL: HER2 NEU
210220 HIBRIDIZACION IN SITU CON PLATA HER2 - SISH HER2 170.00
229086 MARCADOR INMUNOHISTOQUIMICO ESPECIAL: ALK NO HAY DATOS
229092 MARCADOR INMUNOHISTOQUIMICO ESPECIAL: PD-L1 NO HAY DATOS
229026 MARCADOR INMUNOHISTOQUIMICO ESPECIAL: -CISH EBER NO HAY DATOS
229025 INMUNOFLUORESCENCIA RIÑON - PAQUETE: IGG+IGA+IGM+C3
229071 INMUNOFLUORESCENCIA INDIVIDUAL: IGG,IGA,IGM,C3
CITOLOGIA
210101 PAPANICOLAOU CERVICO VAGINAL 8.20
210208 CITOLOGIA DE LIQUIDOS CORPORALES 16.40
210216 PAPANICOLAOU EN BASE LIQUIDA - ENRIQUECIMIENTO CITOLOGICO 50.00
210207 BIOPSIA POR ASPIRACION CON AGUJA FINA (BAAF) 12.00
210205 CONTROL DE BAAF POR CITOPATOLOGO NO HAY DATOS
GENETICA
280114 CARIOTIPO DE MEDULA OSEA 280.00
280113 CARIOTIPO DE SANGRE PERIFERICA 88.71
229021 CARIOTIPO DE VELLOSIDADES CORIALES NO HAY DATOS
BIOLOGIA MOLECULAR
229006 COBAS PVH (PAPILOMA VIRUS HUMANO)
302035 TIPIFICACION DE PVH POR PCR NO HAY DATOS
229012 DETECCION DE MYCOBACTERIUM POR PCR NO HAY DATOS
229010 HIBRIDIZACION IN SITU FLUORESCENTE ALK (FISH ALK) NO HAY DATOS
229068 HIBRIDOZACION IN SITU FLUORESCENTE HER 2 (FISH HE2)
229070 INESTABILIDAD MICROSATELITAL NO HAY DATOS

CODIGO DESCRIPCIÓN TIPO UNIDAD SIN IGV

330363 CULTIVO DE OTRAS SECRECIONES 10.94
330384 CULTIVO DE ESPUTO GERMENES COMUNES 10.94
 45,301.9 35,193.1 36,413.4

20%
3.80
Valor de Precio de Venta
Venta
UNIDAD Plan Plan
SIN IGV Particular Particular Personal Materno Cirugia UNID INC IGV
General

7.35 27.92 33.0 26.9 27.7 27.74 8.67

14.70 55.87 65.9 53.8 55.5 55.52 17.35
2.10 7.99 9.4 7.7 7.9 7.94 2.48
68.70 261.07 308.1 251.3 259.4 259.42 81.07
6.15 23.38 27.6 22.5 23.2 23.23 7.26
6.15 23.38 27.6 22.5 23.2 23.23 7.26
9.40 35.71 42.1 34.4 35.5 35.49 11.09
6.15 23.38 27.6 22.5 23.2 23.23 7.26
15.00 57.00 67.3 54.9 56.6 56.64 17.70
9.10 34.59 40.8 33.3 34.4 34.37 10.74
9.10 34.59 40.8 33.3 34.4 34.37 10.74
9.10 34.59 40.8 33.3 34.4 34.37 10.74
15.00 57.00 67.3 54.9 56.6 56.64 17.70
15.00 57.00 67.3 54.9 56.6 56.64 17.70
15.00 57.00 67.3 54.9 56.6 56.64 17.70
9.10 34.59 40.8 33.3 34.4 34.37 10.74
6.15 23.38 27.6 22.5 23.2 23.23 7.26
15.00 57.00 67.3 54.9 56.6 56.64 17.70
15.00 57.00 67.3 54.9 56.6 56.64 17.70
15.00 57.00 67.3 54.9 56.6 56.64 17.70
6.15 23.38 27.6 22.5 23.2 23.23 7.26
16.07 61.06 72.1 58.8 60.7 60.67 18.96
14.06 53.43 63.0 51.4 53.1 53.09 16.59
21.43 81.44 96.1 78.4 80.9 80.93 25.29
21.09 80.15 94.6 77.2 79.7 79.65 24.89
9.10 34.59 40.8 33.3 34.4 34.37 10.74
15.00 57.00 67.3 54.9 56.6 56.64 17.70
14.06 53.43 63.0 51.4 53.1 53.09 16.59
25.00 95.00 112.1 91.5 94.4 94.4 29.50
6.15 23.38 27.6 22.5 23.2 23.23 7.26
10.00 38.00 44.8 36.6 37.8 37.76 11.80
17.81 67.69 79.9 65.2 67.3 67.26 21.02
17.81 67.69 79.9 65.2 67.3 67.26 21.02
9.10 34.59 40.8 33.3 34.4 34.37 10.74
18.75 71.27 84.1 68.6 70.8 70.82 22.13
15.00 57.00 67.3 54.9 56.6 56.64 17.70
3.68 13.98 16.5 13.5 13.9 13.89 4.34
30.50 115.90 136.8 111.6 115.2 115.17 35.99
14.06 53.43 63.0 51.4 53.1 53.09 16.59
14.06 53.43 63.0 51.4 53.1 53.09 16.59
14.06 53.43 63.0 51.4 53.1 53.09 16.59
36.40 138.31 163.2 133.2 137.4 137.44 42.95
7.60 28.89 34.1 27.8 28.7 28.7 8.97
14.06 53.43 63.0 51.4 53.1 53.09 16.59
17.19 65.31 77.1 62.9 64.9 64.9 20.28
8.40 31.91 37.7 30.7 31.7 31.71 9.91
15.00 57.00 67.3 54.9 56.6 56.64 17.70
 6.15 23.38 27.6 22.5 23.2 23.23 7.26
21.10 80.19 94.6 77.2 79.7 79.68 24.90
8.40 31.91 37.7 30.7 31.7 31.71 9.91
15.00 57.00 67.3 54.9 56.6 56.64 17.70
15.00 57.00 67.3 54.9 56.6 56.64 17.70
3.68 13.98 16.5 13.5 13.9 13.89 4.34
3.68 13.98 16.5 13.5 13.9 13.89 4.34
15.00 57.00 67.3 54.9 56.6 56.64 17.70
14.06 53.43 63.0 51.4 53.1 53.09 16.59
8.40 31.91 37.7 30.7 31.7 31.71 9.91
18.91 71.85 84.8 69.2 71.4 71.39 22.31
12.60 47.89 56.5 46.1 47.6 47.58 14.87
8.20 31.17 36.8 30.0 31.0 30.98 9.68
9.00 34.20 40.4 32.9 34.0 33.98 10.62
9.00 34.20 40.4 32.9 34.0 33.98 10.62
37.00 140.60 165.9 135.4 139.7 139.71 43.66
37.00 140.60 165.9 135.4 139.7 139.71 43.66
40.00 152.00 179.4 146.3 151.0 151.04 47.20
57.00 216.60 255.6 208.5 215.2 215.23 67.26
37.00 140.60 165.9 135.4 139.7 139.71 43.66
14.00 53.20 62.8 51.2 52.9 52.86 16.52
14.00 53.20 62.8 51.2 52.9 52.86 16.52
23.00 87.40 103.1 84.1 86.9 86.85 27.14
7.00 26.60 31.4 25.6 26.4 26.43 8.26
8.00 30.40 35.9 29.3 30.2 30.21 9.44
21.00 79.80 94.2 76.8 79.3 79.3 24.78
21.00 79.80 94.2 76.8 79.3 79.3 24.78
8.00 30.40 35.9 29.3 30.2 30.21 9.44
4.00 15.20 17.9 14.6 15.1 15.1 4.72
4.00 15.20 17.9 14.6 15.1 15.1 4.72
4.00 15.20 17.9 14.6 15.1 15.1 4.72
4.00 15.20 17.9 14.6 15.1 15.1 4.72
4.00 15.20 17.9 14.6 15.1 15.1 4.72
4.00 15.20 17.9 14.6 15.1 15.1 4.72
8.00 30.40 35.9 29.3 30.2 30.21 9.44
8.00 30.40 35.9 29.3 30.2 30.21 9.44
15.00 57.00 67.3 54.9 56.6 56.64 17.70
6.30 23.93 28.2 23.0 23.8 23.78 7.43
13.35 50.72 59.9 48.8 50.4 50.4 15.75
7.50 28.50 33.6 27.4 28.3 28.32 8.85
3.15 11.98 14.1 11.5 11.9 11.9 3.72
17.75 67.47 79.6 65.0 67.0 67.04 20.95
5.25 19.97 23.6 19.2 19.8 19.84 6.20
6.30 23.93 28.2 23.0 23.8 23.78 7.43
6.30 23.93 28.2 23.0 23.8 23.78 7.43
10.85 41.22 48.6 39.7 41.0 40.96 12.80
4.73 17.97 21.2 17.3 17.9 17.86 5.58
10.20 38.77 45.8 37.3 38.5 38.53 12.04
13.80 52.43 61.9 50.5 52.1 52.1 16.28
13.80 52.43 61.9 50.5 52.1 52.1 16.28
13.80 52.43 61.9 50.5 52.1 52.1 16.28
13.80 52.43 61.9 50.5 52.1 52.1 16.28
13.80 52.43 61.9 50.5 52.1 52.1 16.28
13.80 52.43 61.9 50.5 52.1 52.1 16.28
19.65 74.68 88.1 71.9 74.2 74.21 23.19
19.65 74.68 88.1 71.9 74.2 74.21 23.19
11.85 45.02 53.1 43.3 44.7 44.74 13.98
 9.40 35.71 42.1 34.4 35.5 35.49 11.09
9.40 35.71 42.1 34.4 35.5 35.49 11.09
13.80 52.43 61.9 50.5 52.1 52.1 16.28
17.94 68.17 80.5 65.6 67.7 67.74 21.17
10.52 39.96 47.2 38.5 39.7 39.71 12.41
15.26 58.00 68.4 55.8 57.6 57.63 18.01
39.06 148.43 175.1 142.9 147.5 147.49 46.09
31.25 118.77 140.1 114.3 118.0 118.02 36.88
12.50 47.50 56.1 45.7 47.2 47.2 14.75
28.13 106.88 126.1 102.9 106.2 106.21 33.19
16.64 63.25 74.6 60.9 62.9 62.85 19.64
16.64 63.25 74.6 60.9 62.9 62.85 19.64
25.00 95.00 112.1 91.5 94.4 94.4 29.50
0.00 0.00 0.0 0.0 0.0 0 0.00
10.94 41.57 49.1 40.0 41.3 41.31 12.91
43.75 166.27 196.2 160.1 165.2 165.22 51.63
23.44 89.07 105.1 85.8 88.5 88.51 27.66
17.98 68.34 80.6 65.8 67.9 67.9 21.22
28.13 106.88 126.1 102.9 106.2 106.21 33.19
109.38 415.65 490.5 400.1 413.0 413.02 129.07
14.06 53.43 63.0 51.4 53.1 53.09 16.59
18.20 69.17 81.6 66.6 68.7 68.74 21.48
18.20 69.17 81.6 66.6 68.7 68.74 21.48
32.81 124.69 147.1 120.0 123.9 123.9 38.72
12.61 47.92 56.5 46.1 47.6 47.62 14.88
9.50 36.10 42.6 34.8 35.9 35.87 11.21
14.06 53.43 63.0 51.4 53.1 53.09 16.59
13.80 52.43 61.9 50.5 52.1 52.1 16.28
8.40 31.91 37.7 30.7 31.7 31.71 9.91
14.06 53.43 63.0 51.4 53.1 53.09 16.59
23.44 89.07 105.1 85.8 88.5 88.51 27.66
23.44 89.07 105.1 85.8 88.5 88.51 27.66
28.13 106.88 126.1 102.9 106.2 106.21 33.19
28.13 106.88 126.1 102.9 106.2 106.21 33.19
10.52 39.96 47.2 38.5 39.7 39.71 12.41
35.94 136.57 161.2 131.5 135.7 135.71 42.41
18.79 71.39 84.3 68.7 70.9 70.94 22.17
18.79 71.39 84.3 68.7 70.9 70.94 22.17
34.00 129.20 152.5 124.4 128.4 128.38 40.12
12.50 47.50 56.1 45.7 47.2 47.2 14.75
95.62 363.35 428.8 349.8 361.1 361.06 112.83
34.00 129.20 152.5 124.4 128.4 128.38 40.12
23.44 89.07 105.1 85.8 88.5 88.51 27.66
8.40 31.91 37.7 30.7 31.7 31.71 9.91
78.13 296.88 350.3 285.8 295.0 295.01 92.19
78.13 296.88 350.3 285.8 295.0 295.01 92.19
8.40 31.91 37.7 30.7 31.7 31.71 9.91
32.81 124.69 147.1 120.0 123.9 123.9 38.72
32.81 124.69 147.1 120.0 123.9 123.9 38.72
10.52 39.96 47.2 38.5 39.7 39.71 12.41
10.52 39.96 47.2 38.5 39.7 39.71 12.41
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
7.56 28.73 33.9 27.7 28.5 28.54 8.92
26.90 102.21 120.6 98.4 101.6 101.57 31.74
32.29 122.69 144.8 118.1 121.9 121.92 38.10
17.19 65.31 77.1 62.9 64.9 64.9 20.28
20.31 77.19 91.1 74.3 76.7 76.7 23.97
8.99 34.17 40.3 32.9 34.0 33.95 10.61
8.40 31.91 37.7 30.7 31.7 31.71 9.91
26.42 100.41 118.5 96.7 99.8 99.78 31.18
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
10.70 40.67 48.0 39.2 40.4 40.42 12.63
54.69 207.81 245.2 200.0 206.5 206.5 64.53
20.31 77.19 91.1 74.3 76.7 76.7 23.97
2.63 9.98 11.8 9.6 9.9 9.92 3.10
8.40 31.91 37.7 30.7 31.7 31.71 9.91
5.40 20.51 24.2 19.8 20.4 20.38 6.37
6.40 24.31 28.7 23.4 24.2 24.16 7.55
13.00 49.40 58.3 47.6 49.1 49.09 15.34
48.44 184.07 217.2 177.2 182.9 182.91 57.16
48.44 184.07 217.2 177.2 182.9 182.91 57.16
32.81 124.69 147.1 120.0 123.9 123.9 38.72
9.94 37.77 44.6 36.4 37.5 37.54 11.73
9.94 37.77 44.6 36.4 37.5 37.54 11.73
9.94 37.77 44.6 36.4 37.5 37.54 11.73
9.94 37.77 44.6 36.4 37.5 37.54 11.73
39.06 148.43 175.1 142.9 147.5 147.49 46.09
39.06 148.43 175.1 142.9 147.5 147.49 46.09
8.40 31.91 37.7 30.7 31.7 31.71 9.91
73.59 279.65 330.0 269.2 277.9 277.89 86.84
73.59 279.65 330.0 269.2 277.9 277.89 86.84
73.59 279.65 330.0 269.2 277.9 277.89 86.84
14.06 53.43 63.0 51.4 53.1 53.09 16.59
9.94 37.77 44.6 36.4 37.5 37.54 11.73
9.94 37.77 44.6 36.4 37.5 37.54 11.73
32.81 124.69 147.1 120.0 123.9 123.9 38.72
10.52 39.96 47.2 38.5 39.7 39.71 12.41
13.50 51.30 60.5 49.4 51.0 50.98 15.93
7.80 29.63 35.0 28.5 29.4 29.44 9.20
20.00 76.00 89.7 73.2 75.5 75.52 23.60
54.69 207.81 245.2 200.0 206.5 206.5 64.53
28.13 106.88 126.1 102.9 106.2 106.21 33.19
17.54 66.66 78.7 64.2 66.2 66.24 20.70
70.91 269.45 318.0 259.4 267.7 267.74 83.67
70.91 269.45 318.0 259.4 267.7 267.74 83.67
17.19 65.31 77.1 62.9 64.9 64.9 20.28
39.06 148.43 175.1 142.9 147.5 147.49 46.09
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
50.00 190.00 224.2 182.9 188.8 188.8 59.00
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.77 33.33 39.3 32.1 33.1 33.12 10.35
39.06 148.43 175.1 142.9 147.5 147.49 46.09
4.20 15.97 18.9 15.4 15.9 15.87 4.96
34.00 129.20 152.5 124.4 128.4 128.38 40.12
12.50 47.50 56.1 45.7 47.2 47.2 14.75
17.19 65.31 77.1 62.9 64.9 64.9 20.28
9.64 36.65 43.2 35.3 36.4 36.42 11.38
9.64 36.65 43.2 35.3 36.4 36.42 11.38
13.50 51.30 60.5 49.4 51.0 50.98 15.93
10.94 41.57 49.1 40.0 41.3 41.31 12.91
2.97 11.27 13.3 10.9 11.2 11.2 3.50
14.06 53.43 63.0 51.4 53.1 53.09 16.59
8.40 31.91 37.7 30.7 31.7 31.71 9.91
9.94 37.77 44.6 36.4 37.5 37.54 11.73
9.94 37.77 44.6 36.4 37.5 37.54 11.73
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
9.64 36.65 43.2 35.3 36.4 36.42 11.38
9.64 36.65 43.2 35.3 36.4 36.42 11.38
28.13 106.88 126.1 102.9 106.2 106.21 33.19
8.40 31.91 37.7 30.7 31.7 31.71 9.91
1.58 5.99 7.1 5.8 6.0 5.95 1.86
3.15 11.98 14.1 11.5 11.9 11.9 3.72
2.52 9.56 11.3 9.2 9.5 9.5 2.97
1.79 6.79 8.0 6.5 6.8 6.75 2.11
8.40 31.91 37.7 30.7 31.7 31.71 9.91
2.63 9.98 11.8 9.6 9.9 9.92 3.10
2.00 7.60 9.0 7.3 7.6 7.55 2.36
2.00 7.60 9.0 7.3 7.6 7.55 2.36
8.40 31.91 37.7 30.7 31.7 31.71 9.91
5.30 20.13 23.8 19.4 20.0 20 6.25
5.46 20.74 24.5 20.0 20.6 20.61 6.44
10.50 39.90 47.1 38.4 39.7 39.65 12.39
3.15 11.98 14.1 11.5 11.9 11.9 3.72
3.15 11.98 14.1 11.5 11.9 11.9 3.72
3.15 11.98 14.1 11.5 11.9 11.9 3.72
1.79 6.79 8.0 6.5 6.8 6.75 2.11
8.40 31.91 37.7 30.7 31.7 31.71 9.91
2.00 7.60 9.0 7.3 7.6 7.55 2.36
2.00 7.60 9.0 7.3 7.6 7.55 2.36
6.75 25.67 30.3 24.7 25.5 25.5 7.97
9.40 35.71 42.1 34.4 35.5 35.49 11.09
1.68 6.38 7.5 6.1 6.3 6.34 1.98
2.63 9.98 11.8 9.6 9.9 9.92 3.10
2.31 8.79 10.4 8.5 8.7 8.74 2.73
9.40 35.71 42.1 34.4 35.5 35.49 11.09
3.15 11.98 14.1 11.5 11.9 11.9 3.72
23.10 87.79 103.6 84.5 87.2 87.23 27.26
2.63 9.98 11.8 9.6 9.9 9.92 3.10
10.50 39.90 47.1 38.4 39.7 39.65 12.39
10.50 39.90 47.1 38.4 39.7 39.65 12.39
2.31 8.79 10.4 8.5 8.7 8.74 2.73
2.31 8.79 10.4 8.5 8.7 8.74 2.73
4.70 17.87 21.1 17.2 17.8 17.76 5.55
2.00 7.60 9.0 7.3 7.6 7.55 2.36
3.50 13.30 15.7 12.8 13.2 13.22 4.13
4.20 15.97 18.9 15.4 15.9 15.87 4.96
36.40 138.31 163.2 133.2 137.4 137.44 42.95
7.30 27.73 32.7 26.7 27.6 27.55 8.61
6.14 23.35 27.6 22.5 23.2 23.2 7.25
7.81 29.69 35.0 28.6 29.5 29.5 9.22
9.64 36.65 43.2 35.3 36.4 36.42 11.38
12.70 48.27 57.0 46.5 48.0 47.97 14.99
5.00 19.00 22.4 18.3 18.9 18.88 5.90
9.64 36.65 43.2 35.3 36.4 36.42 11.38
8.84 33.59 39.6 32.3 33.4 33.38 10.43
 13.80 52.43 61.9 50.5 52.1 52.1 16.28
28.13 106.88 126.1 102.9 106.2 106.21 33.19
3.00 11.40 13.5 11.0 11.3 11.33 3.54
2.31 8.79 10.4 8.5 8.7 8.74 2.73
14.06 53.43 63.0 51.4 53.1 53.09 16.59
24.00 91.20 107.6 87.8 90.6 90.62 28.32
8.40 31.91 37.7 30.7 31.7 31.71 9.91
30.70 116.67 137.7 112.3 115.9 115.94 36.23
9.38 35.65 42.1 34.3 35.4 35.42 11.07
5.80 22.03 26.0 21.2 21.9 21.89 6.84
9.38 35.65 42.1 34.3 35.4 35.42 11.07
9.64 36.65 43.2 35.3 36.4 36.42 11.38
14.06 53.43 63.0 51.4 53.1 53.09 16.59
23.11 87.82 103.6 84.5 87.3 87.26 27.27
9.64 36.65 43.2 35.3 36.4 36.42 11.38
9.64 36.65 43.2 35.3 36.4 36.42 11.38
2.63 9.98 11.8 9.6 9.9 9.92 3.10
9.38 35.65 42.1 34.3 35.4 35.42 11.07
109.38 415.65 490.5 400.1 413.0 413.02 129.07
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
5.78 21.96 25.9 21.1 21.8 21.82 6.82
5.78 21.96 25.9 21.1 21.8 21.82 6.82
35.49 134.87 159.1 129.8 134.0 134.02 41.88
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
11.33 43.06 50.8 41.5 42.8 42.78 13.37
36.00 136.80 161.4 131.7 135.9 135.94 42.48
4.20 15.97 18.9 15.4 15.9 15.87 4.96
2.31 8.79 10.4 8.5 8.7 8.74 2.73
9.06 34.43 40.6 33.1 34.2 34.21 10.69
28.13 106.88 126.1 102.9 106.2 106.21 33.19
132.05 501.79 592.1 483.0 498.6 498.62 155.82
97.69 371.21 438.0 357.3 368.9 368.86 115.27
8.40 31.91 37.7 30.7 31.7 31.71 9.91
45.31 172.19 203.2 165.8 171.1 171.1 53.47
46.88 178.15 210.2 171.5 177.0 177.02 55.32
32.81 124.69 147.1 120.0 123.9 123.9 38.72
11.05 41.99 49.6 40.4 41.7 41.73 13.04
4.73 17.97 21.2 17.3 17.9 17.86 5.58
7.35 27.92 33.0 26.9 27.7 27.74 8.67
7.35 27.92 33.0 26.9 27.7 27.74 8.67
7.35 27.92 33.0 26.9 27.7 27.74 8.67
7.35 27.92 33.0 26.9 27.7 27.74 8.67
8.50 32.30 38.1 31.1 32.1 32.1 10.03
2.31 8.79 10.4 8.5 8.7 8.74 2.73
2.94 11.17 13.2 10.8 11.1 11.1 3.47
2.94 11.17 13.2 10.8 11.1 11.1 3.47
8.40 31.91 37.7 30.7 31.7 31.71 9.91
7.35 27.92 33.0 26.9 27.7 27.74 8.67
5.30 20.13 23.8 19.4 20.0 20 6.25
5.30 20.13 23.8 19.4 20.0 20 6.25
3.00 11.40 13.5 11.0 11.3 11.33 3.54
2.31 8.79 10.4 8.5 8.7 8.74 2.73
2.84 10.79 12.7 10.4 10.7 10.72 3.35
3.15 11.98 14.1 11.5 11.9 11.9 3.72
 3.68 13.98 16.5 13.5 13.9 13.89 4.34
6.83 25.96 30.6 25.0 25.8 25.79 8.06
5.30 20.13 23.8 19.4 20.0 20 6.25
7.60 28.89 34.1 27.8 28.7 28.7 8.97
13.35 50.72 59.9 48.8 50.4 50.4 15.75
13.35 50.72 59.9 48.8 50.4 50.4 15.75
9.25 35.17 41.5 33.9 34.9 34.94 10.92
9.25 35.17 41.5 33.9 34.9 34.94 10.92
10.52 39.96 47.2 38.5 39.7 39.71 12.41
9.64 36.65 43.2 35.3 36.4 36.42 11.38
9.64 36.65 43.2 35.3 36.4 36.42 11.38
9.64 36.65 43.2 35.3 36.4 36.42 11.38
14.06 53.43 63.0 51.4 53.1 53.09 16.59
8.99 34.17 40.3 32.9 34.0 33.95 10.61
8.40 31.91 37.7 30.7 31.7 31.71 9.91
18.75 71.27 84.1 68.6 70.8 70.82 22.13
47.00 178.60 210.8 171.9 177.5 177.47 55.46
38.66 146.91 173.4 141.4 146.0 145.98 45.62
26.00 98.80 116.6 95.1 98.2 98.18 30.68
14.06 53.43 63.0 51.4 53.1 53.09 16.59
54.69 207.81 245.2 200.0 206.5 206.5 64.53
3.29 12.49 14.7 12.0 12.4 12.42 3.88
2.10 7.99 9.4 7.7 7.9 7.94 2.48
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
8.61 32.72 38.6 31.5 32.5 32.51 10.16
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
18.75 71.27 84.1 68.6 70.8 70.82 22.13
4.35 16.52 19.5 15.9 16.4 16.42 5.13
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
8.61 32.72 38.6 31.5 32.5 32.51 10.16
7.56 28.73 33.9 27.7 28.5 28.54 8.92
6.66 25.31 29.9 24.4 25.2 25.15 7.86
8.99 34.17 40.3 32.9 34.0 33.95 10.61
8.99 34.17 40.3 32.9 34.0 33.95 10.61
10.85 41.22 48.6 39.7 41.0 40.96 12.80
10.94 41.57 49.1 40.0 41.3 41.31 12.91
42.02 159.66 188.4 153.7 158.7 158.66 49.58
45.26 172.00 203.0 165.6 170.9 170.91 53.41
4.20 15.97 18.9 15.4 15.9 15.87 4.96
13.50 51.30 60.5 49.4 51.0 50.98 15.93
10.94 41.57 49.1 40.0 41.3 41.31 12.91
10.94 41.57 49.1 40.0 41.3 41.31 12.91
20.17 76.64 90.4 73.8 76.2 76.16 23.80
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
 7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
7.56 28.73 33.9 27.7 28.5 28.54 8.92
4.20 15.97 18.9 15.4 15.9 15.87 4.96
16.07 61.06 72.1 58.8 60.7 60.67 18.96
2.64 10.05 11.9 9.7 10.0 9.98 3.12
1.89 7.18 8.5 6.9 7.1 7.14 2.23
3.05 11.59 13.7 11.2 11.5 11.52 3.60
3.15 11.98 14.1 11.5 11.9 11.9 3.72
3.15 11.98 14.1 11.5 11.9 11.9 3.72
2.63 9.98 11.8 9.6 9.9 9.92 3.10
1.89 7.18 8.5 6.9 7.1 7.14 2.23
2.63 9.98 11.8 9.6 9.9 9.92 3.10
4.20 15.97 18.9 15.4 15.9 15.87 4.96
1.58 5.99 7.1 5.8 6.0 5.95 1.86
1.58 5.99 7.1 5.8 6.0 5.95 1.86
1.58 5.99 7.1 5.8 6.0 5.95 1.86
2.63 9.98 11.8 9.6 9.9 9.92 3.10
4.20 15.97 18.9 15.4 15.9 15.87 4.96
1.05 3.99 4.7 3.8 4.0 3.97 1.24
1.89 7.18 8.5 6.9 7.1 7.14 2.23
1.58 5.99 7.1 5.8 6.0 5.95 1.86
6.25 23.77 28.0 22.9 23.6 23.62 7.38
6.25 23.77 28.0 22.9 23.6 23.62 7.38
63.43 241.04 284.4 232.0 239.5 239.52 74.85
10.20 38.77 45.8 37.3 38.5 38.53 12.04
8.31 31.59 37.3 30.4 31.4 31.39 9.81
28.13 106.88 126.1 102.9 106.2 106.21 33.19
28.13 106.88 126.1 102.9 106.2 106.21 33.19
17.19 65.31 77.1 62.9 64.9 64.9 20.28
12.50 47.50 56.1 45.7 47.2 47.2 14.75
28.13 106.88 126.1 102.9 106.2 106.21 33.19
53.57 203.56 240.2 196.0 202.3 202.27 63.21
5.62 21.35 25.2 20.6 21.2 21.22 6.63
25.00 95.00 112.1 91.5 94.4 94.4 29.50
15.43 58.64 69.2 56.5 58.3 58.27 18.21
43.75 166.27 196.2 160.1 165.2 165.22 51.63
6.25 23.77 28.0 22.9 23.6 23.62 7.38
5.62 21.35 25.2 20.6 21.2 21.22 6.63
47.37 180.02 212.4 173.3 178.9 178.88 55.90
7.02 26.66 31.5 25.7 26.5 26.5 8.28
47.44 180.27 212.7 173.5 179.1 179.14 55.98
10.20 38.77 45.8 37.3 38.5 38.53 12.04
43.96 167.04 197.1 160.8 166.0 165.98 51.87
28.13 106.88 126.1 102.9 106.2 106.21 33.19
43.96 167.04 197.1 160.8 166.0 165.98 51.87
23.44 89.07 105.1 85.8 88.5 88.51 27.66
8.40 31.91 37.7 30.7 31.7 31.71 9.91
17.19 65.31 77.1 62.9 64.9 64.9 20.28
8.40 31.91 37.7 30.7 31.7 31.71 9.91
1.89 7.18 8.5 6.9 7.1 7.14 2.23
43.75 166.27 196.2 160.1 165.2 165.22 51.63
4.20 15.97 18.9 15.4 15.9 15.87 4.96
2.61 9.92 11.7 9.6 9.9 9.86 3.08
4.09 15.55 18.4 15.0 15.5 15.46 4.83
19.53 74.23 87.6 71.5 73.8 73.76 23.05
 6.14 23.35 27.6 22.5 23.2 23.2 7.25
4.73 17.97 21.2 17.3 17.9 17.86 5.58
1.37 5.22 6.2 5.0 5.2 5.18 1.62
1.58 5.99 7.1 5.8 6.0 5.95 1.86
3.15 11.98 14.1 11.5 11.9 11.9 3.72
1.89 7.18 8.5 6.9 7.1 7.14 2.23
2.63 9.98 11.8 9.6 9.9 9.92 3.10
9.64 36.65 43.2 35.3 36.4 36.42 11.38
3.00 11.40 13.5 11.0 11.3 11.33 3.54
3.00 11.40 13.5 11.0 11.3 11.33 3.54
3.00 11.40 13.5 11.0 11.3 11.33 3.54
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
3.00 11.40 13.5 11.0 11.3 11.33 3.54
1.58 5.99 7.1 5.8 6.0 5.95 1.86
10.71 40.71 48.0 39.2 40.5 40.45 12.64
4.70 17.87 21.1 17.2 17.8 17.76 5.55
10.52 39.96 47.2 38.5 39.7 39.71 12.41
4.20 15.97 18.9 15.4 15.9 15.87 4.96
5.44 20.67 24.4 19.9 20.5 20.54 6.42
5.44 20.67 24.4 19.9 20.5 20.54 6.42
1.58 5.99 7.1 5.8 6.0 5.95 1.86
4.00 15.20 17.9 14.6 15.1 15.1 4.72
3.00 11.40 13.5 11.0 11.3 11.33 3.54
8.40 31.91 37.7 30.7 31.7 31.71 9.91
3.15 11.98 14.1 11.5 11.9 11.9 3.72
7.22 27.44 32.4 26.4 27.3 27.26 8.52
12.19 46.31 54.6 44.6 46.0 46.02 14.38
5.00 19.00 22.4 18.3 18.9 18.88 5.90
5.00 19.00 22.4 18.3 18.9 18.88 5.90
12.00 45.60 53.8 43.9 45.3 45.31 14.16
10.00 38.00 44.8 36.6 37.8 37.76 11.80
3.00 11.40 13.5 11.0 11.3 11.33 3.54
1.37 5.22 6.2 5.0 5.2 5.18 1.62
8.40 31.91 37.7 30.7 31.7 31.71 9.91
9.40 35.71 42.1 34.4 35.5 35.49 11.09
3.15 11.98 14.1 11.5 11.9 11.9 3.72
3.00 11.40 13.5 11.0 11.3 11.33 3.54
2.00 7.60 9.0 7.3 7.6 7.55 2.36
8.35 31.72 37.4 30.5 31.5 31.52 9.85
5.62 21.35 25.2 20.6 21.2 21.22 6.63
1.26 4.80 5.7 4.6 4.8 4.77 1.49
2.10 7.99 9.4 7.7 7.9 7.94 2.48
5.25 19.97 23.6 19.2 19.8 19.84 6.20
1.26 4.80 5.7 4.6 4.8 4.77 1.49
15.19 57.74 68.1 55.6 57.4 57.38 17.93
34.75 132.03 155.8 127.1 131.2 131.2 41.00
5.20 19.77 23.3 19.0 19.7 19.65 6.14
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
8.40 31.91 37.7 30.7 31.7 31.71 9.91
17.90 68.01 80.3 65.5 67.6 67.58 21.12
17.90 68.01 80.3 65.5 67.6 67.58 21.12
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
 8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
5.99 22.77 26.9 21.9 22.6 22.62 7.07
20.11 76.42 90.2 73.6 75.9 75.94 23.73
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
26.45 100.51 118.6 96.8 99.9 99.87 31.21
23.44 89.07 105.1 85.8 88.5 88.51 27.66
8.40 31.91 37.7 30.7 31.7 31.71 9.91
13.05 49.59 58.5 47.7 49.3 49.28 15.40
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
9.38 35.65 42.1 34.3 35.4 35.42 11.07
8.40 31.91 37.7 30.7 31.7 31.71 9.91
28.13 106.88 126.1 102.9 106.2 106.21 33.19
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.31 31.59 37.3 30.4 31.4 31.39 9.81
93.75 356.27 420.4 343.0 354.0 354.02 110.63
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
23.44 89.07 105.1 85.8 88.5 88.51 27.66
8.40 31.91 37.7 30.7 31.7 31.71 9.91
23.44 89.07 105.1 85.8 88.5 88.51 27.66
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
48.44 184.07 217.2 177.2 182.9 182.91 57.16
8.40 31.91 37.7 30.7 31.7 31.71 9.91
9.38 35.65 42.1 34.3 35.4 35.42 11.07
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.92 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
1.89 7.18 8.5 6.9 7.1 7.14 2.23
8.40 31.91 37.7 30.7 31.7 31.71 9.91
4.20 15.97 18.9 15.4 15.9 15.87 4.96
4.20 15.97 18.9 15.4 15.9 15.87 4.96
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
 8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
4.65 17.68 20.9 17.0 17.6 17.57 5.49
99.17 376.84 444.7 362.8 374.5 374.46 117.02
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
8.40 31.91 37.7 30.7 31.7 31.71 9.91
15.43 58.64 69.2 56.5 58.3 58.27 18.21
19.47 73.97 87.3 71.2 73.5 73.5 22.97
11.50 43.70 51.6 42.1 43.4 43.42 13.57
13.80 52.43 61.9 50.5 52.1 52.1 16.28
14.06 53.43 63.0 51.4 53.1 53.09 16.59
8.40 31.91 37.7 30.7 31.7 31.71 9.91
25.00 95.00 112.1 91.5 94.4 94.4 29.50
12.50 47.50 56.1 45.7 47.2 47.2 14.75
46.88 178.15 210.2 171.5 177.0 177.02 55.32
32.81 124.69 147.1 120.0 123.9 123.9 38.72
11.50 43.70 51.6 42.1 43.4 43.42 13.57
13.25 50.37 59.4 48.5 50.1 50.05 15.64
17.77 67.53 79.7 65.0 67.1 67.1 20.97
14.08 53.49 63.1 51.5 53.2 53.15 16.61
33.85 128.62 151.8 123.8 127.8 127.81 39.94
11.56 43.93 51.8 42.3 43.7 43.65 13.64
47.05 178.79 211.0 172.1 177.7 177.66 55.52
52.00 197.60 233.2 190.2 196.4 196.35 61.36
47.05 178.79 211.0 172.1 177.7 177.66 55.52
44.64 169.65 200.2 163.3 168.6 168.58 52.68
33.81 128.49 151.6 123.7 127.7 127.68 39.90
104.52 397.16 468.7 382.3 394.7 394.66 123.33
139.06 528.43 623.5 508.7 525.1 525.09 164.09
139.06 528.43 623.5 508.7 525.1 525.09 164.09
139.06 528.43 623.5 508.7 525.1 525.09 164.09
168.07 638.66 753.6 614.8 634.6 634.62 198.32
139.06 528.43 623.5 508.7 525.1 525.09 164.09
180.00 684.00 807.1 658.4 679.7 679.68 212.40
302.60 1149.89 1356.9 1106.9 1142.6 1142.62 357.07
139.06 528.43 623.5 508.7 525.1 525.09 164.09
38.64 146.85 173.3 141.4 145.9 145.92 45.60
46.22 175.64 207.3 169.1 174.5 174.53 54.54
104.52 397.16 468.7 382.3 394.7 394.66 123.33
102.94 391.17 461.6 376.6 388.7 388.7 121.47
0.00 92.00 108.6 108.6 108.6 108.56
0.00 477.9 563.9 460.2 563.9 563.92
7.17 27.24 32.2 26.2 27.1 27.07 8.46
20.18 76.68 90.5 73.8 76.2 76.19 23.81
23.17 88.04 103.9 84.8 87.5 87.49 27.34
31.99 121.57 143.5 117.0 120.8 120.8 37.75
47.38 180.05 212.5 173.3 178.9 178.91 55.91
31.99 121.57 143.5 117.0 120.8 120.8 37.75
 0.00 S/ 381.93 450.7
0.00 S/ 355.83 419.9
SE REPITE S/ 432.66 510.5
0.00 S/ 432.66 510.5
0.00 S/ 250.00 295.0
9.17 34.84 41.1 33.5 34.6 34.62 10.82
115.0 100.0
233.5
UNIDAD
CON IGV UNILABS

16.11 40.68 58 16.11

84.75 120
29.50 84.75 120 29.50
53.10 127.12 180 53.10
94.40 211.86 300 94.40
254.24 360
29.50 423.73 600 29.50

14.16 50.85 72 14.16

40.12 101.69 144 40.12
237.39 336
200.60 1122.88 1590 200.60

559.32 792
127.12 180

9.68 15.50 22 9.68

19.35 50.85 72 19.35
59.00 152.54 216 59.00
14.16 101.69 144 14.16

330.40 677.97 960 330.40

104.68 677.97 960 104.68

194.92 276

1372.88 1944

UNIDAD
CON IGV
12.91 49.06 12.91
12.91 56.8 12.91
 5.00 4.4

PLAN IGS PLAN CARE

43.35 38.15
86.75 76.34
12.40 10.91
405.35 356.71
36.30 31.94
36.30 31.94
55.45 48.80
36.30 31.94
88.50 77.88
53.70 47.26
53.70 47.26
53.70 47.26
88.50 77.88
88.50 77.88
88.50 77.88
53.70 47.26
36.30 31.94
88.50 77.88
88.50 77.88
88.50 77.88
36.30 31.94
94.80 83.42
82.95 73.00
126.45 111.28
124.45 109.52
53.70 47.26
88.50 77.88
82.95 73.00
147.50 129.80
36.30 31.94
59.00 51.92
105.10 92.49
105.10 92.49
53.70 47.26
110.65 97.37
88.50 77.88
21.70 19.10
179.95 158.36
82.95 73.00
82.95 73.00
82.95 73.00
214.75 188.98
44.85 39.47
82.95 73.00
101.40 89.23
49.55 43.60
88.50 77.88
 36.30 31.94
124.50 109.56
49.55 43.60
88.50 77.88
88.50 77.88
21.70 19.10
21.70 19.10
88.50 77.88
82.95 73.00
49.55 43.60
111.55 98.16
74.35 65.43
48.40 42.59
53.10 46.73
53.10 46.73
218.30 192.10
218.30 192.10
236.00 207.68
336.30 295.94
218.30 192.10
82.60 72.69
82.60 72.69
135.70 119.42
41.30 36.34
47.20 41.54
123.90 109.03
123.90 109.03
47.20 41.54
23.60 20.77
23.60 20.77
23.60 20.77
23.60 20.77
23.60 20.77
23.60 20.77
47.20 41.54
47.20 41.54
88.50 77.88
37.15 32.69
78.75 69.30
44.25 38.94
18.60 16.37
104.75 92.18
31.00 27.28
37.15 32.69
37.15 32.69
64.00 56.32
27.90 24.55
60.20 52.98
81.40 71.63
81.40 71.63
81.40 71.63
81.40 71.63
81.40 71.63
81.40 71.63
115.95 102.04
115.95 102.04
69.90 61.51
 55.45 48.80
55.45 48.80
81.40 71.63
105.85 93.15
62.05 54.60
90.05 79.24
230.45 202.80
184.40 162.27
73.75 64.90
165.95 146.04
98.20 86.42
98.20 86.42
147.50 129.80
0.00 0.00
64.55 56.80
258.15 227.17
138.30 121.70
106.10 93.37
165.95 146.04
645.35 567.91
82.95 73.00
107.40 94.51
107.40 94.51
193.60 170.37
74.40 65.47
56.05 49.32
82.95 73.00
81.40 71.63
49.55 43.60
82.95 73.00
138.30 121.70
138.30 121.70
165.95 146.04
165.95 146.04
62.05 54.60
212.05 186.60
110.85 97.55
110.85 97.55
200.60 176.53
73.75 64.90
564.15 496.45
200.60 176.53
138.30 121.70
49.55 43.60
460.95 405.64
460.95 405.64
49.55 43.60
193.60 170.37
193.60 170.37
62.05 54.60
62.05 54.60
49.55 43.60
49.55 43.60
44.60 39.25
158.70 139.66
190.50 167.64
101.40 89.23
119.85 105.47
53.05 46.68
49.55 43.60
155.90 137.19
49.55 43.60
49.55 43.60
49.55 43.60
63.15 55.57
322.65 283.93
119.85 105.47
15.50 13.64
49.55 43.60
31.85 28.03
37.75 33.22
76.70 67.50
285.80 251.50
285.80 251.50
193.60 170.37
58.65 51.61
58.65 51.61
58.65 51.61
58.65 51.61
230.45 202.80
230.45 202.80
49.55 43.60
434.20 382.10
434.20 382.10
434.20 382.10
82.95 73.00
58.65 51.61
58.65 51.61
193.60 170.37
62.05 54.60
79.65 70.09
46.00 40.48
118.00 103.84
322.65 283.93
165.95 146.04
103.50 91.08
418.35 368.15
418.35 368.15
101.40 89.23
230.45 202.80
49.55 43.60
49.55 43.60
49.55 43.60
295.00 259.60
49.55 43.60
51.75 45.54
230.45 202.80
24.80 21.82
200.60 176.53
73.75 64.90
101.40 89.23
56.90 50.07
56.90 50.07
79.65 70.09
 64.55 56.80
17.50 15.40
82.95 73.00
49.55 43.60
58.65 51.61
58.65 51.61
49.55 43.60
49.55 43.60
56.90 50.07
56.90 50.07
165.95 146.04
49.55 43.60
9.30 8.18
18.60 16.37
14.85 13.07
10.55 9.28
49.55 43.60
15.50 13.64
11.80 10.38
11.80 10.38
49.55 43.60
31.25 27.50
32.20 28.34
61.95 54.52
18.60 16.37
18.60 16.37
18.60 16.37
10.55 9.28
49.55 43.60
11.80 10.38
11.80 10.38
39.85 35.07
55.45 48.80
9.90 8.71
15.50 13.64
13.65 12.01
55.45 48.80
18.60 16.37
136.30 119.94
15.50 13.64
61.95 54.52
61.95 54.52
13.65 12.01
13.65 12.01
27.75 24.42
11.80 10.38
20.65 18.17
24.80 21.82
214.75 188.98
43.05 37.88
36.25 31.90
46.10 40.57
56.90 50.07
74.95 65.96
29.50 25.96
56.90 50.07
52.15 45.89
 81.40 71.63
165.95 146.04
17.70 15.58
13.65 12.01
82.95 73.00
141.60 124.61
49.55 43.60
181.15 159.41
55.35 48.71
34.20 30.10
55.35 48.71
56.90 50.07
82.95 73.00
136.35 119.99
56.90 50.07
56.90 50.07
15.50 13.64
55.35 48.71
645.35 567.91
49.55 43.60
49.55 43.60
34.10 30.01
34.10 30.01
209.40 184.27
49.55 43.60
49.55 43.60
49.55 43.60
66.85 58.83
212.40 186.91
24.80 21.82
13.65 12.01
53.45 47.04
165.95 146.04
779.10 685.61
576.35 507.19
49.55 43.60
267.35 235.27
276.60 243.41
193.60 170.37
65.20 57.38
27.90 24.55
43.35 38.15
43.35 38.15
43.35 38.15
43.35 38.15
50.15 44.13
13.65 12.01
17.35 15.27
17.35 15.27
49.55 43.60
43.35 38.15
31.25 27.50
31.25 27.50
17.70 15.58
13.65 12.01
16.75 14.74
18.60 16.37
 21.70 19.10
40.30 35.46
31.25 27.50
44.85 39.47
78.75 69.30
78.75 69.30
54.60 48.05
54.60 48.05
62.05 54.60
56.90 50.07
56.90 50.07
56.90 50.07
82.95 73.00
53.05 46.68
49.55 43.60
110.65 97.37
277.30 244.02
228.10 200.73
153.40 134.99
82.95 73.00
322.65 283.93
19.40 17.07
12.40 10.91
44.60 39.25
44.60 39.25
44.60 39.25
50.80 44.70
44.60 39.25
44.60 39.25
110.65 97.37
25.65 22.57
44.60 39.25
44.60 39.25
44.60 39.25
44.60 39.25
44.60 39.25
44.60 39.25
44.60 39.25
50.80 44.70
44.60 39.25
39.30 34.58
53.05 46.68
53.05 46.68
64.00 56.32
64.55 56.80
247.90 218.15
267.05 235.00
24.80 21.82
79.65 70.09
64.55 56.80
64.55 56.80
119.00 104.72
24.80 21.82
24.80 21.82
24.80 21.82
24.80 21.82
24.80 21.82
 44.60 39.25
44.60 39.25
44.60 39.25
44.60 39.25
24.80 21.82
94.80 83.42
15.60 13.73
11.15 9.81
18.00 15.84
18.60 16.37
18.60 16.37
15.50 13.64
11.15 9.81
15.50 13.64
24.80 21.82
9.30 8.18
9.30 8.18
9.30 8.18
15.50 13.64
24.80 21.82
6.20 5.46
11.15 9.81
9.30 8.18
36.90 32.47
36.90 32.47
374.25 329.34
60.20 52.98
49.05 43.16
165.95 146.04
165.95 146.04
101.40 89.23
73.75 64.90
165.95 146.04
316.05 278.12
33.15 29.17
147.50 129.80
91.05 80.12
258.15 227.17
36.90 32.47
33.15 29.17
279.50 245.96
41.40 36.43
279.90 246.31
60.20 52.98
259.35 228.23
165.95 146.04
259.35 228.23
138.30 121.70
49.55 43.60
101.40 89.23
49.55 43.60
11.15 9.81
258.15 227.17
24.80 21.82
15.40 13.55
24.15 21.25
115.25 101.42
 36.25 31.90
27.90 24.55
8.10 7.13
9.30 8.18
18.60 16.37
11.15 9.81
15.50 13.64
56.90 50.07
17.70 15.58
17.70 15.58
17.70 15.58
24.80 21.82
24.80 21.82
17.70 15.58
9.30 8.18
63.20 55.62
27.75 24.42
62.05 54.60
24.80 21.82
32.10 28.25
32.10 28.25
9.30 8.18
23.60 20.77
17.70 15.58
49.55 43.60
18.60 16.37
42.60 37.49
71.90 63.27
29.50 25.96
29.50 25.96
70.80 62.30
59.00 51.92
17.70 15.58
8.10 7.13
49.55 43.60
55.45 48.80
18.60 16.37
17.70 15.58
11.80 10.38
49.25 43.34
33.15 29.17
7.45 6.56
12.40 10.91
31.00 27.28
7.45 6.56
89.65 78.89
205.00 180.40
30.70 27.02
24.80 21.82
24.80 21.82
24.80 21.82
49.55 43.60
105.60 92.93
105.60 92.93
49.55 43.60
49.55 43.60
49.55 43.60
 49.55 43.60
49.55 43.60
49.55 43.60
35.35 31.11
118.65 104.41
49.55 43.60
49.55 43.60
156.05 137.32
138.30 121.70
49.55 43.60
77.00 67.76
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
55.35 48.71
49.55 43.60
165.95 146.04
49.55 43.60
49.05 43.16
553.15 486.77
49.55 43.60
49.55 43.60
138.30 121.70
49.55 43.60
138.30 121.70
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
285.80 251.50
49.55 43.60
55.35 48.71
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.56 43.61
49.55 43.60
11.15 9.81
49.55 43.60
24.80 21.82
24.80 21.82
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
 49.55 43.60
49.55 43.60
49.55 43.60
27.45 24.16
585.10 514.89
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
49.55 43.60
91.05 80.12
114.85 101.07
67.85 59.71
81.40 71.63
82.95 73.00
49.55 43.60
147.50 129.80
73.75 64.90
276.60 243.41
193.60 170.37
67.85 59.71
78.20 68.82
104.85 92.27
83.05 73.08
199.70 175.74
68.20 60.02
277.60 244.29
306.80 269.98
277.60 244.29
263.40 231.79
199.50 175.56
616.65 542.65
820.45 722.00
820.45 722.00
820.45 722.00
991.60 872.61
820.45 722.00
1,062.00 934.56
1,785.35 1571.11
820.45 722.00
228.00 200.64
272.70 239.98
616.65 542.65
607.35 534.47

42.30 37.22
119.05 104.76
136.70 120.30
188.75 166.10
279.55 246.00
188.75 166.10
 381.93
355.83

432.66
250.00
54.10 47.61

80.54 70.87
120.00
147.50 129.80
265.50 233.64
472.00 415.36
360.00
147.50 600.00

70.80 62.30
200.60 176.53
336.00
1,003.00 1590.00

792.00
180.00

48.38 42.57
96.76 85.15
295.00 259.60
70.80 144.00

1,652.00 1453.76
523.39 460.58

276.00

1944.00

64.55 56.80
64.55 56.80
 4.40
Valor de Precio de V
Venta

TIP UNIDAD UNIDAD

CODIGO DESCRIPCIÓN O SIN IGV IGV Particular Particular

RX
440101 AGUJEROS OPTICOS 6.83 6.83 30.05 35.5
440102 ARCO SIGOMATICO X 5.78 5.78 25.43 60.0
440103 [Link] -MAXILAR X 9.88 9.88 43.48 80.0
440104 CAVUM FARINGEO 5.25 5.25 23.12 60.0
440105 CRANEO FRONTAL Y PERFIL X 7.88 7.88 34.68 80.0
440106 HUESOS NASALES X 6.83 6.83 30.05 80.0
440107 MASTOIDES 7.88 7.88 34.68 60.0
440108 MAXILAR SUPERIOR X 7.88 7.88 34.68 60.0
440109 MAXILAR INFERIOR X 11.03 11.03 48.55 60.0
440110 ORBITAS - RADIOLOGIA X 7.88 7.88 34.68 60.0
440611 CALCANEO X 40.0
440612 CALCANEO BILATERAL X 60.0
440111 PEÑASCO CADA LADO 7.88 7.88 34.68 60.0
440112 TEMPORAL CADA LADO 7.88 7.88 34.68 60.0
440113 SENOS PARANASALES X 11.03 11.03 48.55 80.0
440114 SILLA TURCA FRENTE Y PERFIL X 7.88 7.88 34.68 60.0
NUEVO CADERA - COXOFEMORAL BILATERAL X 9.98 11.78 51.83 S/ 90.00
440201 CADERA - COXOFEMORAL X 9.98 11.78 51.83 S/ 60.00
440202 COLUMNA CERVICAL F - P x 11.03 11.03 48.55 80.0
440203 COLUMNA CERVICAL F- P - O x 14.36 14.36 63.17 100.0
440204 COLUMNA CERVIAL FUNCIONAL x 21.53 21.53 94.75 100.0
440205 COLUMNA CERVICO - DORSAL x 9.98 9.98 43.93 80.0
440206 COLUMNA DORSAL F - P x 9.98 9.98 43.93 80.0
440207 COLUMNA DORSAL F- P - O x 14.36 14.36 63.17 100.0
440208 COLUMNA DORSO -LUMBAR x 14.36 14.36 63.17 90.0
440209 COLUMNA LUMBAR x 9.98 9.98 43.93 80.0
440210 COLUMNA LUMBO-SACRA F-P FUNCIONAL X 21.53 21.53 94.75 100.0
440212 COLUMNA SACRO-COXIGEA F - P x 9.98 9.98 43.93 60.0
440213 PELVIS x 6.83 6.83 30.05 60.0
440214 PELVIMETRIA 19.43 19.43 85.50 100.9
440215 SACROILIACA 11.15 11.15 49.07 60.0
440216 PELVIS VON ROSEN/AP X 12.11 12.11 53.28 82.2
440217 PELVIS LAWSTEIN/ AP X 15.84 15.84 69.69 82.2
440218 PELVIS LAWSTEIN/VON ROSEN /AP X 17.70 17.70 77.89 91.9
440219 COLUMNA CERVICAL TRANSORAL x 5.58 5.58 24.54 40.0
440220 COLUMNA. VERTEBRAL D1 x 14.36 14.36 63.17 74.5
440221 COLUMNA VERTEBRAL S1 x 14.36 14.36 63.17 74.5
440301 ANTEBRAZO X 8.93 8.93 39.30 50.0
440301 ANTEBRAZO BILATERAL X 8.93 10.54 46.38 S/ 75.00
NUEVO BRAZO - HUMERO BILATERAL X 8.40 9.91 43.60 S/ 80.00
440302 BRAZO - HUMERO X 8.40 9.91 43.60 S/ 60.00
NUEVO CODO BILATERAL X 8.93 10.54 46.38 S/ 75.00
440303 CODO X 8.93 10.54 46.38 S/ 50.00
NUEVO HOMBRO BILATERAL X 7.35 8.67 38.15 S/ 80.00
440304 HOMBRO X 7.35 8.67 38.15 S/ 60.00
440305 MANO X 11.03 13.02 57.29 S/ 50.00
440306 MEDICION DE MIEMBROS X 12.60 12.60 55.45 120.0
NUEVO MANO BILATERAL X 11.03 13.02 57.29 S/ 75.00
NUEVO MUÑECA BILATERAL X 5.78 6.82 30.01 S/ 60.00
440307 MUÑECA X 5.78 6.82 30.01 S/ 40.00
NUEVO MUSLO - FEMUR BILATERAL X 8.93 10.54 46.38 S/ 90.00
440308 MUSLO - FEMUR X 8.93 10.54 46.38 S/ 60.00
990024 PIE (FRONTAL Y OBLICUO) X 6.83 6.83 30.05 50.0
440309 PIE PARADO X 6.83 8.06 35.46 S/ 75.00
990025 PIE BILATERAL X 6.83 8.06 35.46 S/ 75.00
NUEVO PIERNA BILATERAL X 7.35 8.67 38.15 S/ 80.00
440310 PIERNA X 7.35 8.67 38.15 S/ 60.00
NUEVO RODILLA BILATERAL X 7.35 8.67 38.15 S/ 80.00
440311 RODILLA X 7.35 8.67 38.15 S/ 60.00
NUEVO TOBILLO BILATERAL X 9.45 11.15 49.06 S/ 75.00
440312 TOBILLO X 9.45 11.15 49.06 S/ 50.00
NUEVO CLAVICULA BILATERAL X 5.25 6.20 27.28 S/ 60.00
440401 CLAVICULA X 5.25 6.20 27.28 S/ 40.00
440402 CORAZON Y GRANDES VASOS 12.08 12.08 53.14 60.0
440403 COSTILLAS X 8.93 8.93 39.30 60.0
440404 ESTERNON X 7.88 7.88 34.68 50.0
440405 FLUOROSCOPIA 3.15 3.15 13.87 16.4
440403 COSTILLAS BILATERAL X 8.93 8.93 39.30 90.0
440406 TORAX F X 6.83 8.06 35.46 S/ 60.00
NUEVO TORAX FRONTAL LATERAL DER IZ X 6.83 8.06 35.46 S/ 90.00
440407 TORAX F - P X 11.03 11.03 48.55 80.0
440501 ABDOMEN SIMPLE - FRONTAL X 7.04 7.04 30.99 80.0
440502 ABDOMEN SIMPLE - TANGENCIAL X 11.03 11.03 48.55 100.0
440503 COANGIOGRAFIA MEDICA 22.58 22.58 99.34 117.2
440504 COLANGIOGRAFIA POR INFUSION 19.43 19.43 85.50 100.9
440505 COLANGIOGRAFIA OPERATORIA 19.43 19.43 85.50 100.9
440506 COLANGIOGRAFIA POST - OPERATORIA 14.18 14.18 62.38 73.6
440507 COLECISTOGRAFIA 13.13 13.13 57.76 68.2
440508 COLON DOBLE CONTRASTE 23.63 23.63 103.96 122.7
440509 ESOFAGO 11.55 11.55 50.82 60.0
440510 ESTOMAGO Y DUODENO DOBLE CONTRASTE 28.35 28.35 124.73 147.2
440511 INTESTINO DELGADO 16.80 16.80 73.91 87.2
440512 ILIEOCECAL 11.55 11.55 50.82 60.0
440601 CISTOGRAFIA 9.45 9.45 41.58 200.0
440602 CISTOGRAFIA RETROGRADA 17.33 17.33 76.25 200.0
440603 HISTEROSALPINGOGRAFIA 16.28 16.28 71.63 400.0
440604 NEUMOPELVIGRAFIA 24.68 24.68 108.58 128.1
440605 PEILOGRAFIA ASCENENTE 13.13 13.13 57.76 400.0
440606 SIMPLE DE APARATO URINARIO 7.04 7.04 30.99 80.0
440607 URETROGRAFIA RETROGRADA 16.28 16.28 71.63 400.0
440608 UROGRAFIA EXCRETORIA 24.68 24.68 108.58 400.0
440609 UROGRAFIA EXCRETORIA POR INFUSION 21.53 21.53 94.75 111.8
440610 UROGRAFIA FUNCIONAL 27.30 27.30 120.11 400.0
440901 CUERPO EXTRAÑO 4.41 4.41 19.39 22.9
440902 EDAD OSEA 5.25 5.25 23.12 60.0
440903 FISTULOGRAFIA FEMORAL 21.00 21.00 92.40 400.0
440904 MAMOGRAFIA UNILATERAL X 15.20 15.20 66.89 78.9
990008 MAMOGRAFIA PROMOCIONAL X 27.80 32.80 144.32 S/ 100.00
440905 MAMOGRAFIA BILATERAL X 27.80 32.80 144.32 S/ 170.30
440908 PORTATIL CADA VIAJE - PISO 4.20 4.20 18.49 21.8
440909 PORTATIL CADA VIAJE SALA DE OPERACIONES 4.20 4.20 18.49 21.8
440915 DENSITOMETRÍA OSEA 47.25 47.25 80.00 94.4
NUEVO COLUMNA TOTAL + TEST DE BENDING x 30.82 36.36 160.00 S/ 200.00
440916 TEST DE BENDING x 30.82 36.36 160.00 160.0
440916 COLUMNA TOTAL x 30.82 36.36 160.00 S/ 160.00
440917 PANORAMICA DE MIEMBROS INFERIORES x 13.86 13.86 120.00 141.6
 Precio de Venta menos 20%
5.00 3.52
del part 4.4

Plan Plan UNID INC

Personal Materno Cirugia IGV PLAN IGS PERSONAL
General PLAN CARE

30.6 30.6 30.6 NO VA 0.0

25.9 25.9 25.9 6.82 34.10 24.01 48.00 30.01
44.3 44.3 44.3 11.66 58.30 41.04 64.00 51.30
23.6 23.6 23.6 6.20 31.00 21.82 48.00 27.28
35.3 35.3 35.3 9.30 46.50 32.74 64.00 40.92
30.6 30.6 30.6 8.06 40.30 28.37 64.00 35.46
35.3 35.3 35.3 9.30 46.50 32.74 48.00 40.92
35.3 35.3 35.3 9.30 46.50 32.74 48.00 40.92
49.5 49.5 49.5 13.02 65.10 45.83 48.00 57.29
35.3 35.3 35.3 9.30 46.50 32.74 48.00 40.92
0.00 -
0.00 -
35.3 35.3 35.3 9.30 46.50 32.74 48.00 40.92
35.3 35.3 35.3 9.30 46.50 32.74 48.00 40.92
49.5 49.5 49.5 13.02 65.10 45.83 64.00 57.29
35.3 35.3 35.3 9.30 46.50 32.74 48.00 40.92
S/ 52.82 S/ 52.82 S/ 44.76 NUEVO 11.78 58.90 48.93 72.00 51.83
S/ 52.82 S/ 52.82 S/ 44.76 NUEVO 11.78 58.90 48.93 48.00 51.83
49.5 49.5 49.5 13.02 65.10 45.83 64.00 57.29
64.4 64.4 64.4 16.94 84.70 59.63 80.00 74.54
96.6 96.6 96.6 25.41 127.05 89.44 80.00 111.80
44.8 44.8 44.8 11.78 58.90 41.47 64.00 51.83
44.8 44.8 44.8 11.78 58.90 41.47 64.00 51.83
64.4 64.4 64.4 16.94 84.70 59.63 80.00 74.54
64.4 64.4 64.4 16.94 84.70 59.63 72.00 74.54
44.8 44.8 44.8 11.78 58.90 41.47 64.00 51.83
96.6 96.6 96.6 25.41 127.05 89.44 80.00 111.80
44.8 44.8 44.8 11.78 58.90 41.47 48.00 51.83
30.6 30.6 30.6 8.06 40.30 28.37 48.00 35.46
87.1 87.1 87.1 -
50.0 50.0 50.0 13.16 65.80 46.32 48.00 57.90
54.3 54.3 54.3 14.29 71.45 50.30 65.76 62.88
71.0 71.0 71.0 18.69 93.45 65.79 65.79 82.24
79.4 79.4 79.4 20.89 104.45 73.53 73.54 91.92
25.0 25.0 25.0 6.58 32.90 23.16 32.00 28.95
64.4 64.4 64.4 NO VA -
64.4 64.4 64.4 NO VA -
40.1 40.1 40.1 10.54 52.70 37.10 40.00 46.38
S/ 47.26 S/ 47.26 S/ 40.05 NUEVO 10.54 52.70 43.78 60.00 46.38
S/ 44.44 S/ 44.44 S/ 37.66 NUEVO 9.91 49.55 41.16 64.00 43.60
S/ 44.44 S/ 44.44 S/ 37.66 NUEVO 9.91 49.55 41.16 48.00 43.60
S/ 47.26 S/ 47.26 S/ 40.05 NUEVO 10.54 52.70 43.78 60.00 46.38
S/ 47.26 S/ 47.26 S/ 40.05 NUEVO 10.54 52.70 43.78 40.00 46.38
S/ 38.88 S/ 38.88 S/ 32.95 NUEVO 8.67 43.35 36.01 64.00 38.15
S/ 38.88 S/ 38.88 S/ 32.95 NUEVO 8.67 43.35 36.01 48.00 38.15
S/ 40.48 S/ 58.38 S/ 49.48 NUEVO 13.02 65.10 54.08 40.00 57.29
56.5 56.5 56.5 14.87 74.35 52.34 96.00 65.43
S/ 58.38 S/ 58.38 S/ 49.48 NUEVO 13.02 65.10 54.08 60.00 57.29
S/ 30.58 S/ 30.58 S/ 25.92 NUEVO 6.82 34.10 28.33 48.00 30.01
S/ 30.58 S/ 30.58 S/ 25.92 NUEVO 6.82 34.10 28.33 32.00 30.01
S/ 47.26 S/ 47.26 S/ 40.05 NUEVO 10.54 52.70 43.78 72.00 46.38
47.3 47.3 40.1 10.54 52.70 43.78 48.00 46.38
30.6 30.6 30.6 ACTUALIZAR 8.06 40.30 28.37 40.00 35.46
S/ 36.14 S/ 36.14 S/ 30.63 NUEVO 8.06 40.30 33.48 60.00 35.46
S/ 36.14 S/ 36.14 S/ 30.63 NUEVO 8.06 40.30 33.48 60.00 35.46
S/ 38.88 S/ 38.88 S/ 32.95 NUEVO 8.67 43.35 36.01 64.00 38.15
S/ 38.88 S/ 38.88 S/ 32.95 NUEVO 8.67 43.35 36.01 48.00 38.15
S/ 38.88 S/ 38.88 S/ 32.95 NUEVO 8.67 43.35 36.01 64.00 38.15
S/ 38.88 S/ 38.88 S/ 32.95 NUEVO 8.67 43.35 36.01 48.00 38.15
S/ 50.00 S/ 50.00 S/ 42.37 NUEVO 11.15 55.75 46.31 60.00 49.06
S/ 50.00 S/ 50.00 S/ 42.37 NUEVO 11.15 55.75 46.31 40.00 49.06
S/ 27.80 S/ 27.80 S/ 23.56 NUEVO 6.20 31.00 25.75 48.00 27.28
S/ 27.80 S/ 27.80 S/ 23.56 NUEVO 6.20 31.00 25.75 32.00 27.28
54.2 54.2 54.2 14.25 71.25 50.16 48.00 62.70
40.1 40.1 40.1 10.54 52.70 37.10 48.00 46.38
35.3 35.3 35.3 9.30 46.50 32.74 40.00 40.92
14.1 14.1 14.1 -
40.1 40.1 40.1 10.54 52.70 37.10 72.00 46.38
S/ 36.14 S/ 36.14 S/ 30.63 NUEVO 8.06 40.30 33.48 48.00 35.46
S/ 36.14 S/ 36.14 S/ 30.63 NUEVO 8.06 40.30 33.48 72.00 35.46
49.5 49.5 49.5 13.02 65.10 45.83 64.00 57.29
31.6 31.6 31.6 8.31 41.55 29.25 64.00 36.56
49.5 49.5 49.5 13.02 65.10 45.83 80.00 57.29
101.2 101.2 101.2 26.64 133.20 93.77 93.78 117.22
87.1 87.1 87.1 22.93 114.65 80.71 80.71 100.89
87.1 87.1 87.1 22.93 114.65 80.71 80.71 100.89
63.6 63.6 63.6 16.73 83.65 58.89 58.89 73.61
58.9 58.9 58.9 15.49 77.45 54.52 54.53 68.16
105.9 105.9 105.9 27.88 139.40 98.14 98.14 122.67
51.8 51.8 51.8 13.63 68.15 47.98 47.98 59.97
127.1 127.1 127.1 33.45 167.25 117.74 117.74 147.18
75.3 75.3 75.3 19.82 99.10 69.77 69.77 87.21
51.8 51.8 51.8 13.63 68.15 47.98 47.98 59.97
42.4 42.4 42.4 11.15 55.75 39.25 160.00 49.06
77.7 77.7 77.7 20.45 102.25 71.98 160.00 89.98
73.0 73.0 73.0 19.21 96.05 67.62 320.00 84.52
110.7 110.7 110.7 -
58.9 58.9 58.9 15.49 77.45 54.52 320.00 68.16
31.6 31.6 31.6 8.31 41.55 29.25 64.00 36.56
73.0 73.0 73.0 19.21 96.05 67.62 320.00 84.52
110.7 110.7 110.7 29.12 145.60 102.50 320.00 128.13
96.6 96.6 96.6 -
122.4 122.4 122.4 32.21 161.05 113.38 320.00 141.72
19.8 19.8 19.8 -
23.6 23.6 23.6 6.20 31.00 21.82 48.00 27.28
94.2 94.2 94.2 24.78 123.90 87.23 320.00 109.03
68.2 68.2 68.2 17.94 89.70 63.15 63.15 78.94
S/ 147.08 S/ 147.08 S/ 124.64 NUEVO 32.80 164.00 136.24 80.00 144.32
S/ 147.08 S/ 147.08 S/ 124.64 NUEVO 32.80 164.00 136.24 136.24 144.32
18.9 18.9 18.9 -
18.9 18.9 18.9 -
94.4 211.9 211.9 55.75 278.78 196.26 75.52 245.32
S/ 132.16 S/ 188.80 S/ 188.80 NUEVO 36.36 181.82 151.04 160.00 160.00
132.2 188.8 188.8 36.36 181.82 151.04 128.00 160.00
S/ 132.16 S/ 188.80 S/ 188.80 NUEVO 36.36 181.82 151.04 128.00 160.00
99.1 141.6 141.6 16.35 81.77 57.57 113.28 71.96
 3.20
Valor de
Venta
UNIDAD UNIDAD
CODIGO DESCRIPCIÓN TIPO SIN IGV SIN IGV Particular Particular

3801 ABDOMEN
990009 PELVICA PEDIATRICA 80.00 80.0
990010 TIROIDES CON DOPPLER 0.00 120.0
990012 MAMAS BILATERAL 120.0
380401 CAVIDAD PERICARDICA 15.75 15.75 0.00 80.0
380402 ECOCARDIOGRAMA 21.00 21.00 0.00 140.0
380604 VEJIGA, PROSTATA Y VESICULAS SEMINALES 21.00 21.00 0.00 120.0
380801 ECOGRAFIA DE EXTREMIDADES INFERIOR 18.90 18.90 0.00 90.0
380803 ECOGRAFIA DE COLUMNA TOTAL 23.60 23.60 0.00 160.0
990011 ECOGRAFIA DE COLUMNA DORSAL 80.0
990013 ECOGRAFIA DE COLUMNA CERVICAL 80.0
990014 ECOGRAFIA DE COLUMNA CERVICAL DOPPLER 120.0
990015 ECOGRAFIA DE COLUMNA LUMBRO-SACRA 100.0
380804 ECOGRAFIA DE EXTREMIDADES SUPERIOR 18.90 18.90 0.00 90.0
380901 ORBITAS - ECOGRAFIA 18.90 18.90 0.00 160.0
380902 GLANDULAS SUPRARRENALES 18.90 18.90 0.00 80.0
380903 MASAS RETROPERITONEALES 18.90 18.90 0.00 80.0
380906 ECOGRAFIA GENETICA 0.00 120.00 140.0

TOTAL
 FIJO

PLAN CARE

80.0
120.0
120.0
80.0
140.0
120.0
90.0
160.0
80.0
80.0
120.0
100.0
90.0
160.0
80.0
80.0
140.0

17
 3.20
Valor de
Venta
UNIDAD UNIDAD
CODIGO DESCRIPCIÓN TIPO SIN IGV SIN IGV Particular

3801 ABDOMEN
380103 HEMIABDOMEN INFERIOR 29.40 29.40 94.07
990009 PELVICA PEDIATRICA 80.00
380104 ABDOMEN COMPLETO 50.40 50.40 161.27
380105 ABDOMINAL SUPERIOR COMPLETO 44.10 44.10 141.13
380106 TRANSVAGINAL 25.00 25.00 80.00
380107 HEMIABDOMEN SUPERIOR 29.40 29.40 94.07
380201 TIROIDES Y MASAS DEL CUELLO 21.00 21.00 67.20
990010 TIROIDES CON DOPPLER 0.00
380301 MAMAS UNILATERAL 21.00 21.00 67.20
990012 MAMAS BILATERAL
380302 OPACIDADES PULMONARES 21.00 21.00 67.20
380303 COLECCIONES LIQUIDAS PLEURALES 21.00 21.00 67.20
380401 CAVIDAD PERICARDICA 15.75 15.75 50.41
380402 ECOCARDIOGRAMA 21.00 21.00 67.20
380501 HIGADO 21.00 21.00 67.20
380502 VESICULA Y VIAS BILATERALES 21.00 21.00 67.20
380503 PANCREAS 21.00 21.00 67.20
380504 BAZO 21.00 21.00 67.20
380505 SISTEMA PORTA 21.00 21.00 67.20
380506 AORTA ABDOMINAL 21.00 21.00 67.20
380507 VENA CAVA INFERIOR 21.00 21.00 67.20
380508 COLECCIONES LIQUIDAS PERITONEALES 21.00 21.00 67.20
380601 UTERO Y OVARIOS 21.00 21.00 67.20
380602 RIÑONES 21.00 21.00 67.20
380603 VEJIGA 21.00 21.00 67.20
380604 VEJIGA, PROSTATA Y VESICULAS SEMINALES 21.00 21.00 67.20
380605 TESTICULOS 21.00 21.00 67.20
380606 VIAS URINARIAS COMPLETAS 44.10 44.10 141.13
380701 UTERO GESTANTE 18.90 18.90 60.47
380702 EDAD FETAL 8.40 8.40 26.87
380703 POSICION FETAL 8.40 8.40 26.87
380704 NUMERO FETAL 8.40 8.40 26.87
380705 VITALIDAD Y ESTADO FETAL 8.40 8.40 26.87
380706 SEXO FETAL 8.40 8.40 26.87
380707 PLACENTA 8.40 8.40 26.87
380708 CANTIDAD LIQUIDO AMNIOTICO 18.90 18.90 60.47
380710 SERIADA DE EDAD FETAL -3,4 MEDIDAS 18.90 18.90 60.47
380711 OBSTETRICAS PRIMER TRIMESTRE 29.40 29.40 58.00
380712 OBSTETRICAS SEGUNDO Y TERCER TRIMESTRE 44.10 44.10 58.00
380801 ECOGRAFIA DE EXTREMIDADES INFERIOR 18.90 18.90 60.47
380802 ECOGRAFIA DE CADERA 23.60 23.60 75.53
380803 ECOGRAFIA DE COLUMNA TOTAL 23.60 23.60 75.53
990011 ECOGRAFIA DE COLUMNA DORSAL
990013 ECOGRAFIA DE COLUMNA CERVICAL
990014 ECOGRAFIA DE COLUMNA CERVICAL DOPPLER
990015 ECOGRAFIA DE COLUMNA LUMBRO-SACRA
380804 ECOGRAFIA DE EXTREMIDADES SUPERIOR 18.90 18.90 60.47
380901 ORBITAS - ECOGRAFIA 18.90 18.90 60.47
380902 GLANDULAS SUPRARRENALES 18.90 18.90 60.47
380903 MASAS RETROPERITONEALES 18.90 18.90 60.47
380904 DISPOSITIVO INTRAUTERINO 7.35 7.35 23.51
380905 TRANSFONTANELAR 21.00 21.00 67.20
380906 ECOGRAFIA GENETICA 0.00 120.00
 Precio de Venta
MENOS 6% DEL 3.2

Plan Plan Cirugia

Particular Personal Materno General PERSONAL PLAN CARE

111.0 104.1 104.1 104.1 104.35 111.01

80.0 0.0 0.0 0.0 80.0
190.3 178.4 178.4 178.4 178.88 190.30
166.5 156.1 156.1 156.1 156.54 166.53
94.4 88.5 88.5 88.5 88.74 94.40
111.0 104.1 104.1 104.1 104.35 111.01
80.0 74.3 74.3 74.3 75.20 79.30
120.0 112.80 120.0
80.0 74.3 74.3 74.3 75.20 79.30
120.0 112.80 120.0
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 55.8 55.8 55.8 75.20 80.0
140.0 74.3 74.3 74.3 131.60 140.0
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
80.0 74.3 74.3 74.3 75.20 79.30
120.0 74.3 74.3 74.3 112.80 120.0
80.0 74.3 74.3 74.3 75.20 79.30
166.5 156.1 156.1 156.1 156.54 166.53
71.4 66.9 66.9 66.9 67.08 71.36
31.7 29.7 29.7 29.7 29.81 31.71
31.7 29.7 29.7 29.7 29.81 31.71
31.7 29.7 29.7 29.7 29.81 31.71
31.7 29.7 29.7 29.7 29.81 31.71
31.7 29.7 29.7 29.7 29.81 31.71
31.7 29.7 29.7 29.7 29.81 31.71
71.4 66.9 66.9 66.9 67.08 71.36
71.4 66.9 66.9 66.9 67.08 71.36
68.4 104.1 104.1 104.1 64.33 111.01
68.4 156.1 156.1 156.1 64.33 166.53
90.0 66.9 66.9 66.9 84.60 90.0
90.0 83.6 83.6 83.6 84.60 89.12
160.0 83.6 83.6 83.6 150.40 160.0
80.0 80.0
80.0 80.0
120.0 120.0
100.0 100.0
90.0 66.9 66.9 66.9 84.60 90.0
160.0 66.9 66.9 66.9 150.40 160.0
80.0 66.9 66.9 66.9 75.20 80.0
80.0 66.9 66.9 66.9 75.20 80.0
27.7 26.0 26.0 26.0 26.08 27.74
79.3 74.3 74.3 74.3 74.54 79.30
140.0 0.0 0.0 0.0 140.0
 Fijo 4.90 3.80
UNI UNI -
CODIGO DESCRIPCIÓN Particular Rimac Pacifico
IGV
490101 TEMPORO MANDIBULAR 151 178.18 450.00 873.08 677.08
490102 DEL HOMBRO 151 178.18 450.00 873.08 677.08
490103 DEL CODO 151 178.18 450.00 873.08 677.08
490104 DE LA MUÑECA 151 178.18 450.00 873.08 677.08
490105 DE LA MANO 151 178.18 450.00 873.08 677.08
490106 SACRO COXIGEA 151 178.18 450.00 873.08 677.08
490107 COXO FEMORAL 151 178.18 450.00 873.08 677.08
490108 DE LA RODILLA 151 178.18 450.00 873.08 677.08
490109 DEL TOBILLO 151 178.18 450.00 873.08 677.08
490110 FOSA POSTERIOR 151 178.18 450.00 873.08 677.08
490111 MACIZO FACIAL 151 178.18 450.00 873.08 677.08
490112 ANTEBRAZO 151 178.18 450.00 873.08 677.08
490113 MUSLO 151 178.18 450.00 873.08 677.08
490114 PIERNA 151 178.18 450.00 873.08 677.08
490115 CADERA 151 178.18 450.00 873.08 677.08
490116 GLUTEO 151 178.18 450.00 873.08 677.08
490117 ABDOMEN SUPERIOR 151 178.18 450.00 873.08 677.08
490118 COLANGIO RESONANCIA 151 178.18 450.00 873.08 677.08
490201 CERVICAL 151 178.18 450.00 873.08 677.08
490202 DORSAL 151 178.18 450.00 873.08 677.08
490203 LUMBAR 151 178.18 450.00 873.08 677.08
490204 SACRO-COXIGEA 151 178.18 450.00 873.08 677.08
490301 ENCEFALO 151 178.18 450.00 873.08 677.08
490302 REGION SELAR Y PARASELAR 151 178.18 450.00 873.08 677.08
490303 ORBITAS 151 178.18 450.00 873.08 677.08
490304 OIDO 151 178.18 450.00 873.08 677.08
490401 CUELLO 200 236.00 450.00 1156.4 896.80
490402 MEDIASTINO 200 236.00 450.00 1156.4 896.80
490403 PULMON 200 236.00 450.00 1156.4 896.80
490404 CORAZON 200 236.00 1,500.00 1156.4 896.80
490405 HIGADO
490406 BAZO 200 236.00 450.00 1156.4 896.80
490407 PANCREAS
490408 RIÑON
490409 PELVIS 200 236.00 450.00 1156.4 896.80
490410 PROSTATA
490411 MAMAS 1,000.00
490412 URORESONANCIA 850.00
490413 ESTERNON - CLAVICULA 151 178.18 450.00 873.08 677.08
490501 SUSTANCIA PARAMAGNETICA
490502 ANGIORENONANCIA 150.00
490503 DIFUSION 100.00
490504 ESPECTROSCOPIA 150.00
490505 VISTA PANORAMICA 150.00
490506 CONTRASTE A (MAS DE 40 KGS) 150.00
490507 CONTRASTE B (MAS DE 40KGS) 80.00
 4.20 4.00 5.50 3.80 3.50 5.00
Mapfre Sin PLAN IGS
Mapfre Saludpol Personal
Soat Contrato
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
748.36 712.72 979.99 450.00 623.63 890.9
991.20 944.00 1298.00 450.00 826.00 1180
991.20 944.00 1298.00 450.00 826.00 1180
991.20 944.00 1298.00 450.00 826.00 1180
991.20 944.00 1298.00 1,500.00 826.00 1180

991.20 944.00 1298.00 450.00 826.00 1180

991.20 944.00 1298.00 450.00 826.00 1180

1,000.00
850.00
748.36 712.72 979.99 450.00 623.63 890.9

150.00
100.00
150.00
150.00
150.00
80.00
 CODIGO DESCRIPCIÓN

001000 USO DE ARCO EN C

001001 USO DE TORRE LAPAROSCOPICA
001002 USO DE TORRE ARTROSCOPIA
001003 USO DE TORRE CISTOSCOPIA
001004 SIERRA NEUMATICA
001005 ECOGRAFO
001006 HOJA DE SHAVER
001007 HEMOLOCK
001008 LIGASURE
001009 TACKER
001010 MONITOREO FETAL
001211 ELECTROCAUTERIO. POR VEZ.(MONO O BIPOLAR)INCLUYE PLACA Y PUNTA
001215 INCUBADORA POR DIA
001217 MONITOR CARDIACO POR HORA O VEZ. EXCEPTO CI Y CE
001221 RESPIRADOR POR DIA. EXCEPTO CI Y CE
001222 [Link] Y CINEANGIOGRAFICO
001223 ALQUILER DE SET INSTRUMENTAL
121956 MONITOREO NEUROLOGICO INTRAOPERATORIO
360001 USO DE INTENSIFICADOR - SALA DE OPERACIONES Y/O TÓPICO
360002 SET DE OSTEOTOMO DE GANZ
360003 SEPARADOR OSEO
Particular Tarifa PLAN IGS PLAN CARE
Convenio
500.00 500.00 500.00 500.00
500.00 500.00 500.00 500.00
500.00 500.00 500.00 500.00
500.00 500.00 500.00 500.00
450.00 450.00 450.00 450.00
500.00 500.00 500.00 500.00
150.00 150.00 150.00 150.00
240.00 240.00 240.00 240.00
750.00 750.00 750.00 750.00
130.00 130.00 130.00 130.00
250.00 250.00 250.00 250.00
100.00 100.00 100.00 100.00
0.00 0.00 0.00 0.00
50.00 50.00 50.00 50.00
100.00 100.00 100.00 100.00
1,400.00 1,400.00 1,400.00 1,400.00
2,500.00 2,500.00 2,500.00 2,500.00
7,200.00 7,200.00 7,200.00 7,200.00
250.00 250.00 250.00 250.00
2,400.00 2,400.00 2,400.00 2,400.00
700.00 700.00 700.00 700.00
 Codigo Descripción Total Total
CEQUI001 TIEMPO DE USO DE QUIROFANO ENTRE 2H Y 2:30H 620.00 CENTRO QUIRURGICO 620.00
CEQUI002 TIEMPO DE USO DE QUIROFANO HASTA 1 HORA 275.00 CENTRO QUIRURGICO 275.00
CEQUI003 TIEMPO DE USO DE QUIROFANO ENTRE 1H Y 1:30 H 390.00 CENTRO QUIRURGICO 390.00
CEQUI004 TIEMPO DE USO DE QUIROFANO ENTRE 1:30H Y 2H 500.00 CENTRO QUIRURGICO 500.00
CEQUI005 TIEMPO DE USO DE QUIROFANO ENTRE 2:30H Y 3H 730.00 CENTRO QUIRURGICO 730.00
CEQUI006 TIEMPO DE USO DE QUIROFANO ENTRE 3H Y 3:30H 850.00 CENTRO QUIRURGICO 850.00
CEQUI007 TIEMPO DE USO DE QUIROFANO ENTRE 3:30H Y 4H 960.00 CENTRO QUIRURGICO 960.00
CEQUI008 TIEMPO DE USO DE QUIROFANO ENTRE 4H Y 4:30H 1,080.00 CENTRO QUIRURGICO 1,080.00
CEQUI009 TIEMPO DE USO DE QUIROFANO ENTRE 4:30H Y 5H 1,150.00 CENTRO QUIRURGICO 1,150.00
CEQUI010 INSTRUMENTISTA Y/O CIRCULANTE HASTA 1 HORA 33.00 CENTRO QUIRURGICO 33.00
CEQUI011 INSTRUMENTISTA Y/O CIRCULANTE ENTRE 1H Y 1:30 H 38.00 CENTRO QUIRURGICO 38.00
CEQUI012 INSTRUMENTISTA Y/O CIRCULANTE ENTRE 1:30H Y 2H 44.00 CENTRO QUIRURGICO 44.00
CEQUI013 INSTRUMENTISTA Y/O CIRCULANTE ENTRE 2H Y 2:30H 50.00 CENTRO QUIRURGICO 50.00
CEQUI014 INSTRUMENTISTA Y/O CIRCULANTE ENTRE 3H Y 3:30H 60.00 CENTRO QUIRURGICO 60.00