Page 1
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
Insumos0MM END CAP REF. 14-444180 3279438 93.536 93.536 93.536
Insumos10 X15CM LP PROGRIP ANTMCL MESH LTX1 REF. LPG1510AL 3220109 204.204 204.204 204.204
Insumos10 X15CM LP PROGRIP ANTMCL MESH RTX1 REF. LPG1510AR 3220108 204.204 204.204 204.204
Insumos12MM STEPPED PEANUT REF-24612 3979605 387.242 387.242 387.242
Insumos12MM X 10MM END CAP 14-444182 3279276 93.536 93.536 93.536
Insumos16MM ARCHED PEANUT PLATE REF-24636 3979607 387.242 387.242 387.242
Insumos16MM STEPPED PEANUT PLATE 3979401 892.633 892.633 892.633
Insumos2.7MM PERI LOC VLP TORNILLO CORTICAL AUTORR REF. 71823030 3270844 53.969 53.969 53.969
Insumos2.7MM PERI LOC VLP TORNILLO CORTICAL AUTORR. REF. 71823055 3270843 53.969 53.969 53.969
Insumos2.7MM PERI LOC. TORNILLO CORTICAL AUTORROSCANTE 12M REF. 73823012 3279348 89.399 89.399 89.399
Insumos20100403 WORKSTATION DISPENSING BINS CAT. HS23401 1 MODULO DIMENSIONES 180 X 175 X 235 #LAB3900524 173.369 173.369 173.369
Insumos2010403 CUBETA CON DOS PATAS MARCA DELTALAB CAT. 19353 ( RACK 4 UNIDADES ) #LAB 3900521 141.431 141.431 141.431
Insumos2010403 FRASCO LAVADOR DE OJOS COMPLETO CAT HS1019B MARCA HEATHROW SCIENTIFIC #LAB3900523 71.911 71.911 71.911
Insumos3.0MM X 98MM BEAD TIP GUIDE WIRE REF. 27922 3279370 156.572 156.572 156.572
Insumos3.5MM LOC VLP TORNILLO CORTICAL AUTORR REF. 71821310 3270842 53.969 53.969 53.969
Insumos3.5MM PERI LOC VLP TORNILLO DE BLOQUEO AUTORR REF. 71821210 3270847 117.877 117.877 117.877
Insumos3.5MM PERI LOC. VLP PLACA BLOQ PERONE REF. 72822005 3270840 952.952 952.952 952.952
Insumos3.5MM PERI LOC. VLP TORNILLO CORTICAL AUTORR REF. 71821312 3270841 53.969 53.969 53.969
Insumos3.5MM PLACA DE RECONSTRUCCION BLOQ. 4 ORIF. REF. 71822604 3279347 571.771 571.771 571.771
Insumos3.5MM PLACA DE RECONSTRUCCION BLOQ. 6 ORIF. REF. 71822606 3279346 510.510 510.510 510.510
Insumos3.5MM VLP FOOT TORNILLO DE BLOQUEO AUTORR REF. 71821212 3270846 117.877 117.877 117.877
Insumos3.5MM X 24MM TORNILLO BLOQUEADO REF. 37724 3279433 55.700 55.700 55.700
Insumos3.5MM X 30MM TORNILLO BLOQUEADO REF. 37730 3279434 51.286 51.286 51.286
Insumos3.5MM X 32MM TORNILLO BLOQUEADO REF. 37732 3279435 51.286 51.286 51.286
Insumos32MM PEANUT SCREW REF. 24532 3979400 100.657 100.657 100.657
Insumos32MM PEANUT SCREW REF. 24732 3979399 100.657 100.657 100.657
Insumos4 ORIF.REF.241840 3700299 169.830 169.830 169.830
Insumos4.0X12MMROSCA 16 (ROSCA CORTA)REF.207012 3700293 10.721 10.721 10.721
Insumos4.0X14MMROSCA 16 (ROSCA CORTA)REF.207014 3700294 10.721 10.721 10.721
Insumos4.0X16MMROSCA 16 (ROSCA CORTA)REF.207016 3700295 10.721 10.721 10.721
Insumos4.0X18MMROSCA 16 (ROSCA CORTA)REF.207018 3700296 10.721 10.721 10.721
Insumos4.0X20MMROSCA 16 (ROSCA CORTA)REF.207020 3700297 10.721 10.721 10.721
Insumos4.0X24MMROSCA 16 (ROSCA CORTA)REF.207024 3700298 10.721 10.721 10.721
Insumos4.0X60MMROSCA 32 (HASTA LA CABEZA)REF.206060 3700292 13.784 13.784 13.784
Insumos40MM PEANUT SCREW REF-24740 3979606 100.657 100.657 100.657
Insumos5.0MM PERI LOC VLP TORNILLO ESPONJOSO R.COMPLETA REF. 71822040 3270845 53.969 53.969 53.969
InsumosABDUCTOR COJIN / HOMBRO 3210054 155.101 155.101 155.101
InsumosABDUCTOR DE CADERA 3211050 155.101 155.101 155.101
InsumosABDUCTOR HOMBRO 3210056 66.001 66.001 66.001
InsumosABSOBATACK DE 5MM DESECHABLE REF. ABSTACK30 3979567 391.391 391.391 391.391
InsumosAC SCREEN I Y II REACTIVO #LAB 3290400 152.564 152.564 152.564
InsumosAC. NALIDIXICO (NA) 30UG 250DISCOS ( MV 31000367 ) 3979520 41.234 41.234 41.234
InsumosACCU-CHECK PERFOR.NANO KIT 3320089 40.082 40.082 40.082
InsumosACCU-CHEK PERFORMA GLUCOSA * 50 3290202 37.905 37.905 37.905
InsumosACCUTREND CHOLESTEROL REF. 11418262 3979364 135.521 135.521 135.521
InsumosACCUTREND TRICLYCERIDES REF. 11538144016 3979365 135.521 135.521 135.521
InsumosACEITE EMULSIONADO 3260001 1.910 1.910 1.910
InsumosACEITE INMERSION W * 1155770100 #LAB ( MV 31000381 ) 3290035 157.473 157.473 157.473
InsumosACEITE PARAFINA 125 ML(70100) 3290134 46.441 46.441 46.441
InsumosACETONA 125 CC (FRASCOS) 3370011 3.246 3.246 3.246
InsumosACIDO URICO (MV 31000007 ) #LAB 3290757 131.350 131.350 131.350
InsumosACIDO VALPROICO ( MV 31000569 ) #LAB 3290829 679.764 679.764 679.764
InsumosACTI V.A.C. 300ML CANISTER WHIT GEL (REF. M8275058/10) 3000230 261.800 261.800 261.800
InsumosADAPTADOR HUDSON C/TUBO CORRUGADO * 1 3070035 2.309 2.309 2.309
InsumosADAPTADOR DE TITANIO 2 PIEZAS REF. 5C4129 3979396 461.043 461.043 461.043
InsumosADAPTADOR ENDO.TRAQ. RECTO REF 1669 3070047 5.148 5.148 5.148
InsumosADAPTADOR ENDOTRAQUEAL CODO REF 1624 3070076 10.168 10.168 10.168
InsumosADAPTADOR INH.22MM HUDSON RCI(HS1659) 3070110 8.796 8.796 8.796
InsumosADAPTADOR LUER ADAPTER REF.367290 3090005 661 661 661
InsumosADAPTADOR T HUDSON *REF-1077. 3070005 1.859 1.859 1.859
InsumosADHESIVO CUTANEO SAUER 5001 ( ESTUCHES) 3320066 15.059 15.059 15.059
InsumosAEROCAMARA ADULTO UNIVERSAL/PED/AD. 3320073 7.326 7.326 7.326
InsumosAEROCAMARA AEROFACIDOSE /LACTANTE / NIÑO. 3320036 13.614 13.614 13.614
InsumosAFP PAQ REACTIVO ( MV 31000602 ) #LAB 3290813 531.781 531.781 531.781
InsumosAGAR GELOSA SS PLACA #LAB 3290050 80.896 80.896 80.896
InsumosAGAR MC CONKEY PLACA #LAB 3290049 80.896 80.896 80.896
InsumosAGAR MUELLER HINTON 5%SCORDERO PLACA * #LAB 3290052 80.896 80.896 80.896
InsumosAGAR BILIS ESCULINA TUBO #LAB 3290322 38.877 38.877 38.877
InsumosAGAR CHOCOLATE + POLVCA PLACA * 50 #LAB 3290053 80.896 80.896 80.896
ARANCEL 2016
INSUMOS
Page 2
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosAGAR CITRATO TUBO *30 #LAB 3290292 42.765 42.765 42.765
InsumosAGAR COLUMBIA (COD. 1.10455.0500)#LAB 3290466 179.804 179.804 179.804
InsumosAGAR COLUMBIA + 5% S.CORDERO PLACA * 50 #LAB 3290048 80.896 80.896 80.896
InsumosAGAR CROMO CANDIDA 8172#LAB 3090012 53.132 53.132 53.132
InsumosAGAR DNASA CAJA XPLACAS 5CM/ REF: 8192 #LAB 3290626 44.061 44.061 44.061
InsumosAGAR DUO MAC CONKEY / SANGRE 8231 #LAB 3290510 63.617 63.617 63.617
InsumosAGAR DUO MACCOKEY/ SS 8291#LAB #LAB 3290504 33.903 33.903 33.903
InsumosAGAR LIA TUBO * 30 #LAB 3290293 42.765 42.765 42.765
InsumosAGAR MAC CONKEY ( COD. 11402310020 )#LAB 3290493 31.612 31.612 31.612
InsumosAGAR MACCONKEY (COD.1.05465.0500)#LAB 3290465 94.248 94.248 94.248
InsumosAGAR MC CONKEY REF-43141 (MV 31000273)#LAB 3290734 38.948 38.948 38.948
InsumosAGAR MIO TUBO * 30 #LAB 3290294 42.765 42.765 42.765
InsumosAGAR MUELLER HINTON ( COD. 11402410020 )#LAB 3290495 31.612 31.612 31.612
InsumosAGAR MUELLER HINTON PLACA * 50 8031 #LAB 3290051 80.896 80.896 80.896
InsumosAGAR MUELLER HINTON X20PLACAS REF-43301(MV 31000274 ) #LAB 3290735 61.497 61.497 61.497
InsumosAGAR MUELLER-HINTON ( COD.1.10414.0001) MERCK#LAB 3290463 42.215 42.215 42.215
InsumosAGAR PLACA SANGRE 5% CORDERO CL11402030020#LAB 3900384 40.470 40.470 40.470
InsumosAGAR SABU DEX TUBO * 16 #LAB 3290340 35.699 35.699 35.699
InsumosAGAR SANGRE CORDERO REF-43041 X20 PLACAS (MV31000272) #LAB 3290733 38.948 38.948 38.948
InsumosAGAR SS ( COD. 11402330020 )#LAB 3290494 32.987 32.987 32.987
InsumosAGAR TELURITO TUBO * #LAB 3290358 31.612 31.612 31.612
InsumosAGAR TSI TUBO * 30 #LAB 3290291 42.765 42.765 42.765
InsumosAGAR VRE PLACA * #LAB 3290357 53.015 53.015 53.015
InsumosAGENTE ESTERILIZADOR CARTRIDGE 530300SA10 X 15 UN 3040039 78.147 78.147 78.147
InsumosAGUA OXIGENADA 500 CC * FRASCO 3300020 1.573 1.573 1.573
InsumosAGUA PEPTONA (TAMPONADA) REF-1072280500 3290628 107.537 107.537 107.537
InsumosAGUA PEPTONADA 72280500 #LAB 3290330 78.387 78.387 78.387
InsumosAGUJA GUIA 1.6MMX150MM (14-401440) 3279080 114.229 114.229 114.229
InsumosAGUJA INYECTOTERAPIA COLON DESECH.230 CM REF-ET2522-G4 ENDO-FLEX 3080078 46.731 46.731 46.731
InsumosAGUJA KIRSCHNER L 1,0 X 280 292.110 3270133 8.256 8.256 8.256
InsumosAGUJA ( OFTALMOLOGIA ) 3900392 10.341 10.341 10.341
InsumosAGUJA ( OR-04-13715 ) 3290500 98.175 98.175 98.175
InsumosAGUJA 1.1 X 100MM TROCAR KIRSCHNER MEDARTIS REF. A-5040.10/1 3900497 10.959 10.959 10.959
InsumosAGUJA 1.6 REF. A-5040.41/1 3279356 47.648 47.648 47.648
InsumosAGUJA 1.6 X 150MM TROCAR KIRSCHNER RE. 71161016 ( HELICO 41-3202-1615 ) 3279420 26.504 26.504 26.504
InsumosAGUJA 19G X 1 1/2 * 100 U."B-D" 3010026 228 228 228
InsumosAGUJA 2.0 X 150MM TROCAR KIRSCHNER REF. 71161020 ( HELICO 41-3202-2015 ) 3279421 27.840 27.840 27.840
InsumosAGUJA 21G X 1 * 100 U."B-D" 3010027 190 190 190
InsumosAGUJA 21G X 1 1/2 * 100 U."B-D" 3010032 497 497 497
InsumosAGUJA 23G X 1 * 100 U."B-D" 3010028 161 161 161
InsumosAGUJA 25 X 1 3010064 190 190 190
InsumosAGUJA 25G X 5/8 * 100 U."B-D" 3010029 144 144 144
InsumosAGUJA 27G X 1/2 * 100 U."B-D" 3010031 170 170 170
InsumosAGUJA 30 X 1/2 3290559 105 105 105
InsumosAGUJA ASPIRACION BALON GASTRICO *5U DESE 3330026 124.011 124.011 124.011
InsumosAGUJA BIOPSIA 18FR X 16CM REF. # ACN1816MF 3010061 82.467 82.467 82.467
InsumosAGUJA BIOPSIA 18FR X 20CM REF.765018200 3010060 42.693 42.693 42.693
InsumosAGUJA BIOPSIA ACN1416MF REF.MDACN1416MF 3010075 60.723 60.723 60.723
InsumosAGUJA BIOPSIA 18G (1.2MM) X 20CM L. MDACN1820MF 3010072 82.467 82.467 82.467
InsumosAGUJA BIOPSIA MEDULA OSEA *DBMNJ1104TL 3010065 122.456 122.456 122.456
InsumosAGUJA BL 216 G 3010034 2.744 2.744 2.744
InsumosAGUJA CARPULE 27G LONG. 3010009 530 530 530
InsumosAGUJA CARPULE 30G 3010066 556 556 556
InsumosAGUJA CHIVA DE 22G X 20CM REF. 090010 3979419 51.051 51.051 51.051
InsumosAGUJA CON PUNTA BROCA 3279200 51.051 51.051 51.051
InsumosAGUJA CORTA APLIC. CONCEN. PLAQUETARIO 3330039 167.530 167.530 167.530
InsumosAGUJA DE HIDROSECCION 3900386 10.341 10.341 10.341
InsumosAGUJA DE KIRSCHNER 0.8*150MM (292.090) 3010053 21.725 21.725 21.725
InsumosAGUJA DE KIRSCHNER 1.6*280MM (292.180) 3010052 14.157 14.157 14.157
InsumosAGUJA ESPINAL 15/18//5MM " NUCLEOLISIS ( S-1505-18) 3080053 196.350 196.350 196.350
InsumosAGUJA ESPINAL REF.408360 18GA 1.2 X 152MM 3080064 8.116 8.116 8.116
InsumosAGUJA FISTULA ARTERIO-VENOSA 16G X 1 162530BC 3080054 2.583 2.583 2.583
InsumosAGUJA GUIA PUNTA ROSCA 1.25MM (292.620) 3270265 111.664 111.664 111.664
InsumosAGUJA GUIA 1.3/140MM 128047 3270780 29.729 29.729 29.729
InsumosAGUJA GUIA 1.6MMX150MM 14-4011440 3270800 85.548 85.548 85.548
InsumosAGUJA GUIA 20,X230MM (PIMET) 3270349 33.249 33.249 33.249
InsumosAGUJA GUIA 3.2 X 300MM * 357.630 3270330 201.272 201.272 201.272
InsumosAGUJA GUIA 3MMX1000MM (71631626) 3270734 291.550 291.550 291.550
InsumosAGUJA GUIA D.4 MM. 351.060 3270646 74.417 74.417 74.417
Page 3
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosAGUJA GUIA DHS/DCS 338.000 3010051 58.316 58.316 58.316
InsumosAGUJA GUIA PUNTA ROSCA 3.2MM REF. 71674130 3279340 132.545 132.545 132.545
InsumosAGUJA GUIA PUNTA TROCAR D1.6MM * 02.226.001 3270271 110.467 110.467 110.467
InsumosAGUJA INFUSION INTRAOSEA CAL. 15.53 (G 10722) 3010069 145.299 145.299 145.299
InsumosAGUJA INFUSION INTRAOSEA 18G(OSTEOCLISIS )(C-DIN-18-3.0-T45 ; G04431) 3010070 145.299 145.299 145.299
InsumosAGUJA INSULINA 31G X 5/16 3150017 478 478 478
InsumosAGUJA KIRCHNER 1.6 MM REF 144256 3270939 16.697 16.697 16.697
InsumosAGUJA KIRCHNER 1.6MM (KW062SS ) 3280115 19.524 19.524 19.524
InsumosAGUJA KIRCHNER D 1.25 L 150 MM 3270181 8.980 8.980 8.980
InsumosAGUJA KIRSCHNER 1.6MM ( 004-0310-016) 3279149 25.133 25.133 25.133
InsumosAGUJA KIRSCHNER 2.5 L280 292.260 3279367 22.054 22.054 22.054
InsumosAGUJA KIRSCHNER 3LX280 292.310 3279368 19.897 19.897 19.897
InsumosAGUJA KIRSCHNER 0.8X 15MM * LX128S 3270374 50.372 50.372 50.372
InsumosAGUJA KIRSCHNER 1 4 LARGO 80 REF. NK-0014-08 3279205 8.168 8.168 8.168
InsumosAGUJA KIRSCHNER 1.00 MM L.150MM * 292.100 3270149 11.912 11.912 11.912
InsumosAGUJA KIRSCHNER 1.25*280 MM 292.130 3270138 15.527 15.527 15.527
InsumosAGUJA KIRSCHNER 1.25/150MM 71161012 3270781 23.436 23.436 23.436
InsumosAGUJA KIRSCHNER 1.4 150MM 292.140 3270196 13.493 13.493 13.493
InsumosAGUJA KIRSCHNER 1.4 LARGO 150 NK-0014-15 3279187 8.168 8.168 8.168
InsumosAGUJA KIRSCHNER 1.4 LARGO 80 REF NK-0014-08 3279179 21.991 21.991 21.991
InsumosAGUJA KIRSCHNER 1.40* 280 MM 292.150 3270136 18.922 18.922 18.922
InsumosAGUJA KIRSCHNER 1.6 L150. 3279207 8.168 8.168 8.168
InsumosAGUJA KIRSCHNER 1.6/150MM 292.160 3270782 23.586 23.586 23.586
InsumosAGUJA KIRSCHNER 1.8 150MM 292.170 3270198 20.617 20.617 20.617
InsumosAGUJA KIRSCHNER 2.0 X 228 MM 71173361 3279192 15.239 15.239 15.239
InsumosAGUJA KIRSCHNER 2.0/150MM (7161020) 3279255 30.623 30.623 30.623
InsumosAGUJA KIRSCHNER D.2.00 MM.L.150 MM 3270150 15.531 15.531 15.531
InsumosAGUJA KIRSCHNER D.2.50MM.L 150MM (292.25 3270224 14.822 14.822 14.822
InsumosAGUJA KIRSCHNER D.3.00MM.L.150MM (292.300) 3270232 17.547 17.547 17.547
InsumosAGUJA KIRSHNER GUIA PUNTA ROSCA 8670001 3279115 145.299 145.299 145.299
InsumosAGUJA LIMPIEZA DIAM.1.25 MM 319.380 3270710 160.182 160.182 160.182
InsumosAGUJA MULTIPLE 21G X 1 1/2 REF.360213 3290213 414 414 414
InsumosAGUJA MULTIPLE 22G X 1 REF- 360210 3290214 424 424 424
InsumosAGUJA NITINOL * CM 7013 3270384 117.810 117.810 117.810
InsumosAGUJA PARA BIOPSIA MEDULA OSEA 11G X10 CM REF. MDDBMNJ1104TL 3010077 130.867 130.867 130.867
InsumosAGUJA PERCUTANEA 18GX7 CENCOMEX REF. SDN-18-7.0 REF G00166 3020028 18.326 18.326 18.326
InsumosAGUJA PUNTA LAPIZ 25GX4 11/16 409442 (119 MM) REF ANEAGU006 3979385 10.996 10.996 10.996
InsumosAGUJA PUNTA ROSCA 2.5 P/IMPLANTES DHS (REF. 338.000) 3700419 24.298 24.298 24.298
InsumosAGUJA PUNTA ROSCA 292.650 3279112 67.544 67.544 67.544
InsumosAGUJA PUNTA ROSCA 4REF.292060 3700410 2.382 2.382 2.382
InsumosAGUJA RESERVORIO/SURECAN 90-AESCULAP 3010059 23.562 23.562 23.562
InsumosAGUJA STIMUPLEX ULTRA 50MM-22G 4894502U 3010071 29.780 29.780 29.780
InsumosAGUJA STIMUPLEX G-21*4 " A 100MM REF 4894260 3010049 24.003 24.003 24.003
InsumosAGUJA STIMUPLEX G-22* A 50MM REF 4894502 3010048 10.891 10.891 10.891
InsumosAGUJA STIMUPLEX ULTRA 30AX80MMX22GX3 REF 4894279U 3979336 29.780 29.780 29.780
InsumosAGUJA SUTURA E-530(E.5)* 12U"PRIMA" 3010025 1.962 1.962 1.962
InsumosAGUJA SUTURA G-212-10 * 12 UNIDADES 3010019 2.604 2.604 2.604
InsumosAGUJA SUTURA G-212-12 * 12 UNIDADES 3010020 2.073 2.073 2.073
InsumosAGUJA SUTURA G-212-14 * 12 UNIDADES 3010021 2.545 2.545 2.545
InsumosAGUJA SUTURA G-212-9 * 12 UNIDADES 3010018 2.609 2.609 2.609
InsumosAGUJA SUTURA G-312/15 3010040 2.062 2.062 2.062
InsumosAGUJA SUTURA G-312/6 3010043 1.689 1.689 1.689
InsumosAGUJA SUTURA G-812-3 * 12 "ACUFIRM" 3010016 1.224 1.224 1.224
InsumosAGUJA SUTURA G-812-4 * 12 " ACUFIRM" 3010045 1.224 1.224 1.224
InsumosAGUJA SUTURA G-812-6 * 12 " ACUFIRM" 3010041 1.224 1.224 1.224
InsumosAGUJA SUTURA G-812-8 * 12 "ACUFIRM" 3010012 1.224 1.224 1.224
InsumosAGUJA SUTURA GE-212-6 * 12 UNIDADE 3010017 2.150 2.150 2.150
InsumosAGUJA SUTURA GE-TRIANG.Nø1 OJO RESORTE 3010023 1.224 1.224 1.224
InsumosAGUJA SUTURA GE-TRIANG.Nø2 OJO RESORTE 3010024 1.224 1.224 1.224
InsumosAGUJA SUTURA GE-TRIANG.Nø7 *OJO RESORTE 3010055 979 979 979
InsumosAGUJA SUTURA G-TRIANG Nø3 OJO RESORTE 3010015 3.440 3.440 3.440
InsumosAGUJA SUTURA G-TRIANG Nø4 *OJO RESORTE 3010044 3.440 3.440 3.440
InsumosAGUJA SUTURA G-TRIANG.Nø5 *OJO RESORTE 3010054 3.058 3.058 3.058
InsumosAGUJA SUTURA PB (1) * 12U ARTEQUIM 3010022 3.057 3.057 3.057
InsumosAGUJA SUTURA PB (2) * 12U ARTEQUIM 3010007 3.057 3.057 3.057
InsumosAGUJA SUTURA PB (3) * 12U ARTEQUIM 3010008 3.057 3.057 3.057
InsumosAGUJA SUTURA PB (4) * 12U ARTEQUIM 3010010 3.057 3.057 3.057
InsumosAGUJA SUTURA PB (5) 3010042 3.057 3.057 3.057
InsumosAGUJA SUTURA PB (6) * 12U ARTEQUIM 3010006 23.562 23.562 23.562
Page 4
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosAGUJA SUTURA PB (7) 3010014 3.057 3.057 3.057
InsumosAGUJA SUTURA PB (9) 3010046 1.270 1.270 1.270
InsumosAGUJA ULTRA VERRES 14G X 120 MM REF. 60-6050-001/PS3700 3220011 49.088 49.088 49.088
InsumosAIRTRAQ *ADULTO EXXIMED ( LARI-A011 ) 3900399 196.350 196.350 196.350
InsumosAIRTRAQ ADULTO-PEQUEÑO ( LARI-A021 ) 3900413 212.713 212.713 212.713
InsumosALAMBRE ACERO B.D. 0,3 MM ANILLO A 10M ( KY003S ) 3200015 26 26 26
InsumosALAMBRE ACERO B.D. 0,7MM ANILLO A 10M ( KY007S ) 3200016 52 52 52
InsumosALAMBRE CERCL. B. D 1.0 MM ANILLO A 10M (KY010S) 3200013 196 196 196
InsumosALAMBRE CERCL. B.D 0 8 MM ANILLO A 10M (KY008S) 3200012 79 79 79
InsumosALAMBRE CERCL.B.D 0. 6 MM ANILLO A 10M (KY006S) 3200014 15 15 15
InsumosALAMBRE CERCL.B.D 1.5 MM ANILLO A 10M (KY015S) 3200071 157 157 157
InsumosALARGADOR ARTERIAL (LINEA INFUS. 150CM) 3020017 4.477 4.477 4.477
InsumosALBUMINA ( MV 31000027 ) #LAB 3290777 109.461 109.461 109.461
InsumosALCOHOL /JABON GEL BOLSA 800ML 3030086 10.663 10.663 10.663
InsumosALCOHOL 70º 125 CC FRASCO 3330048 1.914 1.914 1.914
InsumosALCOHOL 500 CC 70§ * FRASCO * HOFFMANN 3300005 4.653 4.653 4.653
InsumosALCOHOL 70§ * 1 LITRO (F.E.12) 3300015 6.697 6.697 6.697
InsumosALCOHOL ABSOLUTO 5 ML *1 AMPOLLA 3300004 12.875 12.875 12.875
InsumosALCOHOL EN ALIENTO REF. DAL-702 #LAB 3979552 169.646 169.646 169.646
InsumosALCOHOL GEL BOLSA 1000ML 3300012 30.096 30.096 30.096
InsumosALCOHOL GEL DISPENSADOR PORTATIL 340ML 3030053 8.828 8.828 8.828
InsumosALCOHOL GEL SAFE PRO LT REF AT105 3030074 7.377 7.377 7.377
InsumosALCOHOL ISOPROPILICO 250ML 3010078 7.998 7.998 7.998
InsumosALCOHOL PREP * TOALLITA CON ALCOHOL 3030039 79 79 79
InsumosALCOHOL X 125 CC 95* 3300013 1.179 1.179 1.179
InsumosALERGENO AJO 3290467 14.013 14.013 14.013
InsumosALERGENO ALAMO 3290198 14.013 14.013 14.013
InsumosALERGENO ALGODON 3290468 28.786 28.786 28.786
InsumosALERGENO ALMEJAS 3290469 14.013 14.013 14.013
InsumosALERGENO ALMENDRA 3290471 28.786 28.786 28.786
InsumosALERGENO ALTERNARIA 3290470 37.488 37.488 37.488
InsumosALERGENO AROMO 3290199 13.222 13.222 13.222
InsumosALERGENO ASPERGILLUS FUMIGATUS(HONGOS) 3290472 14.013 14.013 14.013
InsumosALERGENO BERMUDA (CYNODON-PASTO COMUN) 3290473 39.323 39.323 39.323
InsumosALERGENO CACAO ( CHOCOLATE) 3290474 28.786 28.786 28.786
InsumosALERGENO CANDIDA 3290194 28.786 28.786 28.786
InsumosALERGENO CASEINA (PROTEINA LECHE) 3290475 14.013 14.013 14.013
InsumosALERGENO CHORITO 3290635 38.485 38.485 38.485
InsumosALERGENO CIPRES 3290195 40.620 40.620 40.620
InsumosALERGENO CLARA HUEVO 3290476 14.013 14.013 14.013
InsumosALERGENO D FARINAE 3290477 40.613 40.613 40.613
InsumosALERGENO D PTERONYSSINUS 3290478 40.613 40.613 40.613
InsumosALERGENO DE ABEDUL 2 CC 3290168 40.620 40.620 40.620
InsumosALERGENO DE ALTERNARIA * 2 CC 3290169 40.613 40.613 40.613
InsumosALERGENO DE ASPERGILLIUS * 2 CC 3290170 18.174 18.174 18.174
InsumosALERGENO DE BALLICA * 2 CC 3290171 37.488 37.488 37.488
InsumosALERGENO DE CASPA DE CABALLO 3290172 40.613 40.613 40.613
InsumosALERGENO DE CASPA DE GATO * 2 CC 3290173 40.613 40.613 40.613
InsumosALERGENO DE CASPA DE PERRO * 2 CC 3290174 40.613 40.613 40.613
InsumosALERGENO DE COIRON * 2 CC 3290001 37.437 37.437 37.437
InsumosALERGENO DE DIENTE DE LEON * 2 CC 3290176 39.323 39.323 39.323
InsumosALERGENO DE HORMODENDRO * 2 CC 3290177 13.222 13.222 13.222
InsumosALERGENO DE PASTO OVILLO * DACTYLIS 3290178 40.603 40.603 40.603
InsumosALERGENO DE PENICILLIUM * 2 CC 3290179 13.222 13.222 13.222
InsumosALERGENO DE PLUMA GANSO* 2 CC 3290180 14.013 14.013 14.013
InsumosALERGENO DE ROBLE * 2 CC 3290181 13.222 13.222 13.222
InsumosALERGENO DE ROMAZA * 2 CC 3290182 40.603 40.603 40.603
InsumosALERGENO DE SIETE VENAS * 2 CC 3290183 40.620 40.620 40.620
InsumosALERGENO DERMATOFAGOIDES 3290193 31.416 31.416 31.416
InsumosALERGENO DERMATOFAGOIDES PTERONYSSINUS 3290175 34.034 34.034 34.034
InsumosALERGENO DURAZNO CASCARA 3290479 28.786 28.786 28.786
InsumosALERGENO FRUTILLA 3290480 14.013 14.013 14.013
InsumosALERGENO HARINA TRIGO 3290481 14.013 14.013 14.013
InsumosALERGENO KIWI 3290482 14.013 14.013 14.013
InsumosALERGENO LANA* 2CC 3290429 39.323 39.323 39.323
InsumosALERGENO LATEX 3290483 37.488 37.488 37.488
InsumosALERGENO MANI 3290484 14.013 14.013 14.013
InsumosALERGENO MANZANA CASCARA 3290575 32.339 32.339 32.339
InsumosALERGENO MEZCLA DE MARISCOS 3290579 90.745 90.745 90.745
Page 5
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosALERGENO MEZCLA DERMATOFAGOIDES 3290485 40.613 40.613 40.613
InsumosALERGENO PALTA 3290486 39.323 39.323 39.323
InsumosALERGENO PASTO AZUL 3290200 40.603 40.603 40.603
InsumosALERGENO PESCADO BLANCO 3290487 14.013 14.013 14.013
InsumosALERGENO PINO 3290196 13.222 13.222 13.222
InsumosALERGENO PLATANO 3290197 37.479 37.479 37.479
InsumosALERGENOS YEMA DE HUEVO 3290558 16.035 16.035 16.035
InsumosALGISITE AG APOSITO 10 X 10 3030065 32.936 32.936 32.936
InsumosALGODON CARDE * 1 KILOGRAMO 3290192 24.086 24.086 24.086
InsumosALGODON HIDROFILO PRENSADO * 1.000 G 3030007 23.072 23.072 23.072
InsumosALGODON PRENSADO 50 GRMS. 3030078 701 701 701
InsumosALGODON PRENSADO X 100 250GR. 3030025 2.541 2.541 2.541
InsumosAMIKACINA CLSI (AK) 30UG 250 DISCOS CT 107B ( MV 31000300 ) 3979504 41.234 41.234 41.234
InsumosAMILASA ( MV 31000008 ) #LAB 3290758 88.358 88.358 88.358
InsumosAMNIOFILM TALLA AC ( MEMBRANA CRIOPRESERVADA TAMAÑO 5 X 5CM ) 3979604 569.415 569.415 569.415
InsumosAMO RAPID TEST REF. AMP-200#LAB 3290530 137.445 137.445 137.445
InsumosAMONIO CAJA ( MV 31000236 ) #LAB 3290787 204.695 204.695 204.695
InsumosAMOXICILINA ( AML ) 10UG 250 DISCOS MV 31000364 3299544 35.343 35.343 35.343
InsumosAMPOULE ADAPTER COBAS B221 3066762001 #LAB 3300038 137.747 137.747 137.747
InsumosANCLA JUGGERKNOT PRECARGADA REF. 912030 3279233 277.505 277.505 277.505
InsumosANCLA SUTURA TI-SCREW 5.0 MM * BIOMET 3270009 387.374 387.374 387.374
InsumosANCLA TI SCREW 3.0MM C/ 1 SUTURA MAXBRIE(902570) 3270217 294.377 294.377 294.377
InsumosANCLA TI-SCREEW 5.0MM C/2 SUTURAS MAXBRIED(902571) 3270605 310.228 310.228 310.228
InsumosANDADOR ARTICULADO 3210034 132.002 132.002 132.002
InsumosANFETAMINA ( AMP ) REF. 602520 #LAB 3290744 168.861 168.861 168.861
InsumosANILLO ENDOCAPSULAR OFTALMOLOGICO 3979375 428.999 428.999 428.999
InsumosANILLOS SILASTICOS * 50 UN (REF-26173R) 3330003 9.514 9.514 9.514
InsumosANTI ESTREPTOLISINA (ASO) 300DET. ( MV 31000555 ) 3299546 931.877 931.877 931.877
InsumosANTI HBS CUANTITATIVO REACTIVO ( MV 31000611 ) #LAB 3290820 503.638 503.638 503.638
InsumosANTI HCV PAQ DE RACTIVO ( MV 31000610 ) #LAB 3290819 507.400 507.400 507.400
InsumosANTI HIV 1+2 PAQ DE REACTIVO ( MV 31000609 ) #LAB 3290818 422.833 422.833 422.833
InsumosANTI TG COD 30462 CAJA ( MV 31000651 ) VIDAS ANTI-TG#LAB 3290828 434.791 434.791 434.791
InsumosANTI TIPO COD 30461 CAJA ( MV 31000650 ) #LAB 3290827 434.791 434.791 434.791
InsumosANTICOAG.EF GLIC.(FLUORURO EDTA)350504 3290142 25.976 25.976 25.976
InsumosANTI-D OPTIMUN 3290749 58.905 58.905 58.905
InsumosANTIFAZ FOTOTERAPIA 3320040 7.624 7.624 7.624
InsumosANTIGENO PARA BRUSELA ABORTUS FA002 #LAB 3290161 40.880 40.880 40.880
InsumosAPI 20 E 25 GALERIAS(20100) #LAB 3290129 230.607 230.607 230.607
InsumosAPI 20 E 25STRIPS REF 20100 MV 31000510 #LAB 3900519 329.266 329.266 329.266
InsumosAPI 20 NE 25 GALERIAS(20050) #LAB 3290131 472.503 472.503 472.503
InsumosAPI 20E 20120 KIT REVELADOR #LAB 3290332 93.274 93.274 93.274
InsumosAPI STAPH 25 GALERIAS 20500 #LAB 3290154 472.634 472.634 472.634
InsumosAPI STREP 25 GALERIAS(20600) #LAB 3290133 425.736 425.736 425.736
InsumosAPI WEB STAND ALONE CODIGO 40012 #LAB 3290566 326.082 326.082 326.082
InsumosAPOSITO INTRASITE CONFORMABLE (555-00340) 3030058 16.732 16.732 16.732
InsumosAPOSITO ABSORBENTE R.O.*PAQUETE 3030018 5.962 5.962 5.962
InsumosAPOSITO ACTICOAT 10X10 *UNIDAD* 3030077 81.843 81.843 81.843
InsumosAPOSITO ACTICOAT 10X20 CMS 037-03563 3030082 108.346 108.346 108.346
InsumosAPOSITO ACTICOAT 5X5 3030069 45.062 45.062 45.062
InsumosAPOSITO ALLEVYN NO ADHESIVO 10X10 R-66007637 3030060 21.714 21.714 21.714
InsumosAPOSITO ALLEVYN HEEL TALON / CODOS #66007630 3030057 31.557 31.557 31.557
InsumosAPOSITO ALLEVYN NO ADHESIVO 10 X 20CM #66007335 3330059 37.322 37.322 37.322
InsumosAPOSITO ALLEVYN SACRUM ADHESIVO 17 X 17CM #66000700 3030059 38.088 38.088 38.088
InsumosAPOSITO AQUACEL HIDROFIBRA AG 10 X 10 CM 3030076 27.182 27.182 27.182
InsumosAPOSITO ASKINA HIDROCOLOIDE 10 X 10 CM 3170055 6.205 6.205 6.205
InsumosAPOSITO BACTIGRAS 10X10CMS 037-04182 3030084 4.377 4.377 4.377
InsumosAPOSITO BACTIGRAS 5X5CMS 037-04181 3030083 1.944 1.944 1.944
InsumosAPOSITO BIOPIEL 3030085 50.006 50.006 50.006
InsumosAPOSITO CUTIMED SILTEC 10X20 CM BSN-0073( FE. 10 ) 3040047 22.630 22.630 22.630
InsumosAPOSITO ESPUMA HIDROF. 20X20 (55588B) 3170082 41.234 41.234 41.234
InsumosAPOSITO ESPUMA HIDROF. C/B ADH. 15X15CM (55566B) 3170081 22.449 22.449 22.449
InsumosAPOSITO ESPUMA HIDROFILICA 10X10 (ASKINA FOAM) 3170080 12.828 12.828 12.828
InsumosAPOSITO ESTERIL 12.5*22.5 7196 (FAC.EMP. 36 UNI X CAJA) 3030030 1.100 1.100 1.100
InsumosAPOSITO ESTERIL 20*25 CM.KENDALL (7198) 3030037 1.145 1.145 1.145
InsumosAPOSITO MULTIUSO*PAQUETE * 20 UNIDADES 3260011 9.463 9.463 9.463
InsumosAPOSITO NO ESTERIL 10 X 10 CM REF. GTE1410 CJ X 500UN 3331033 225 225 225
InsumosAPOSITO OPSITE POST OP.(15,5*8,5CM) * 20 3030003 5.720 5.720 5.720
InsumosAPOSITO OPSITE SPRAY *110ML(C.4976)* 1 U 3030013 32.071 32.071 32.071
InsumosAPOSITO PRIMAPORE 10X8 CMS 037-02983 3030071 1.259 1.259 1.259
Page 6
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosAPOSITO PRIMAPORE 15X8 CMS 037-04188 3030080 4.335 4.335 4.335
InsumosAPOSITO PRIMAPORE 20X10 CMS 037-04189 3030081 5.790 5.790 5.790
InsumosAPOSITO PRIMAPORE 6X8,3 CMS 037-00692 3030079 2.062 2.062 2.062
InsumosAPOSITO QUEMADO 20X25 ESTERIL 3030066 2.409 2.409 2.409
InsumosAPOSITO QUEMADO 40X40 ESTERIL 3030067 3.758 3.758 3.758
InsumosAPOSITO QUEMADO* 30X34* / *34 X 34* ESTERIL 3030015 3.770 3.770 3.770
InsumosAPOSITO TEGA HIDROCOLOIDE 17 X 16 SACRO 3170070 34.944 34.944 34.944
InsumosAPOSITO VISULIN ( ADHESIVO TRANSPARENTE 15 X 26 CM ) 3331004 4.418 4.418 4.418
InsumosAPOSITO/TEGA+PAD(9*25 CM) 3591 ( MV 50009687 ) 3030004 10.693 10.693 10.693
InsumosARANDELA WASHERLOC 16MM BIOMET 3270018 484.136 484.136 484.136
InsumosARANDELA (PIMET) 3270348 11.781 11.781 11.781
InsumosARANDELA 3.5MM BAJO PERFIL REF. 131218000 3279555 88.943 88.943 88.943
InsumosARANDELA 7.0MM 71143107 3270776 36.621 36.621 36.621
InsumosARANDELA DIAM.13MM P/TORN.GRANDE 219.990 3270002 31.154 31.154 31.154
InsumosARANDELA DIAM.7 0MM P/TORN.CHICO 219.980 3270112 26.573 26.573 26.573
InsumosARANDELA PEQUEÑO FRAGMENTO * 7.0 MM 3270312 60.869 60.869 60.869
InsumosARANDELA PLANA 3.5/4.0 REF. 14460 3279604 28.148 28.148 28.148
InsumosARANDELA TORNILLO 4.5 / 7.3 REF. 219.990 3279181 17.524 17.524 17.524
InsumosARANDELA TORNILLO AO P/TORNILLO CORTICALES 4.5 ( REF. 219.990 ) 3700412 10.329 10.329 10.329
InsumosARANDELA WASHERLOC 14MM REF-908434 3270606 298.456 298.456 298.456
InsumosARANDELA WASHERLOC 16MM 908469 3270632 459.163 459.163 459.163
InsumosARANDELA WASHERLOC 18MM REF.908468 3270854 298.456 298.456 298.456
InsumosARANDELAS REF. 71143107 3279515 36.621 36.621 36.621
InsumosARNES DE MASCARA PERFOMAX CODIGO 1051816 3900439 67.544 67.544 67.544
InsumosARTHROCARE CERVICAL DESECH.(SDC01-01) 3270616 3.743.740 3.743.740 3.743.740
InsumosARTHROCARE LUMBAR DESECH.K7920-01( REF-16358) * HELICO 3270399 3.131.128 3.131.128 3.131.128
InsumosARTICULO PENDIENTE PABELLON 3380238 0 0 0
InsumosASA BACTERIOLOGICA MANGO LH 300 3290159 43.633 43.633 43.633
InsumosASA BACTERIOLOGICA MANGO LS 200 3290160 34.829 34.829 34.829
InsumosASA CALIBRADA REF-ASA 1UL (MV 31000104)#LAB 3290741 7.330 7.330 7.330
InsumosASA COLPOSCOPIA 12 X 24MM * 9006125 3330045 106.029 106.029 106.029
InsumosASA OCTOGONAL C/MALLA 4CMX5.5CM X2.5X230CM REF-715050 3330069 166.243 166.243 166.243
InsumosASA OVAL C/MALLA ROTH NET 230CM LARGO REF.711052 ( #KIT PARA CUERPOS EXTRAÑOS ) 3979543 157.473 157.473 157.473
InsumosASA POLIPECTOMIA 25MM * SD-210U-25 3330046 58.905 58.905 58.905
InsumosASA POLIPECTOMIA ROTABLE MINI OVAL REF-711121 3330072 71.079 71.079 71.079
InsumosASAS DE AMIGDALAS 50 X 30 OM 758 3330002 5.236 5.236 5.236
InsumosASKINA CUERDA * CAJA 5 UNIDADES 3030019 9.578 9.578 9.578
InsumosASSY PEINE 2000 3270714 12.315 12.315 12.315
InsumosAST-N249 TEST KIT REF. 3979593 #LAB 3979593 259.653 259.653 259.653
InsumosAST-N250 TEST KIT 20 CARDS REF. 413573 #LAB 3979599 256.171 256.171 256.171
InsumosAST-P618 TEST KIT REF. 410806 #LAB 3979592 259.653 259.653 259.653
InsumosATTEST AUTOCLAVE LECTURA RAPIDA 1292 (CAJA) ( MV 50000788 ) 3040026 490.265 490.265 490.265
InsumosATTEST OX.ETILENO LECTURA RAPIDA 1294 (CAJAX50U.) 3040004 637.548 637.548 637.548
InsumosAUDIFONO 1 3280050 204.970 204.970 204.970
InsumosAUDIFONO 2 3280124 572.688 572.688 572.688
InsumosAUDIFONO 3 3280125 836.551 836.551 836.551
InsumosAUDIFONO AUDEO SMART IX LOANER 3280027 2.464.770 2.464.770 2.464.770
InsumosAUDIFONO CERTÉNA 10 CIC P 3280022 994.840 994.840 994.840
InsumosAUDIFONO CERTÉNA M 3280024 777.546 777.546 777.546
InsumosAUDIFONO INTRACANAL CERTENA 3280045 795.795 795.795 795.795
InsumosAUDIFONO LAB-001 MOLDE BIOPOR 3280032 48.510 48.510 48.510
InsumosAUDIFONO MILO PLUS MICRO EN OD 3280047 909.150 909.150 909.150
InsumosAUDIFONO MILO PLUS SP EN OI 3280048 922.350 922.350 922.350
InsumosAUDIFONO PHONAK CERTERA 377043 3280038 727.650 727.650 727.650
InsumosAUDIFONO PHONAK EXTRA 3280039 611.469 611.469 611.469
InsumosAUDIFONO PHONAK EXTRA 3280040 658.348 658.348 658.348
InsumosAUDIFONO PHONAK INTRACANAL MICRO CERTERA 3280019 1.626.569 1.626.569 1.626.569
InsumosAUDIFONO PHONAK MODELO CERTENA 13 FS 3280021 858.165 858.165 858.165
InsumosAUDIFONO PHONAK MODELO CERTENA M 3280016 720.103 720.103 720.103
InsumosAUDIFONO PHONAK MODELO MEDIA 3280020 36.961 36.961 36.961
InsumosAUDIFONO PHONAK MODELO MICRO CERTENA 3280037 826.634 826.634 826.634
InsumosAUDIFONO PHONAK MODELO MILO 3280035 1.413.257 1.413.257 1.413.257
InsumosAUDIFONO PHONAK MODELO MILO PLUS Y TOMA DE MOLDE 3280029 422.153 422.153 422.153
InsumosAUDIFONO PHONAK MODELO NAIDA 3280030 943.637 943.637 943.637
InsumosAUDIFONO PHONAK MODELO OK 3280028 567.874 567.874 567.874
InsumosAUDIFONO PHONAK MODELO OK PLUS 3280031 405.463 405.463 405.463
InsumosAUDIFONO PHONAK MODELO UNA 3280017 507.238 507.238 507.238
InsumosAUDIFONO PHONAK MODELO UNA SP 3280034 495.000 495.000 495.000
InsumosAUDIFONO PHONAK MODELO VERSATA 3280036 1.303.087 1.303.087 1.303.087
Page 7
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosAUDIFONO PHONAK UNA M ( CORPORACION ) 3280025 474.513 474.513 474.513
InsumosAUDIFONO PHONAK UNA SP ( CORPORACION ) 3280026 474.513 474.513 474.513
InsumosAUDIFONO PHONONAK MODELO UNA M S/N 3280033 538.231 538.231 538.231
InsumosAUDIFONO SOLO T+ 311 DWDRC 3280023 531.300 531.300 531.300
InsumosAUTOSONIX ULTRASHEARS COD 012033 #CN 3220053 458.150 458.150 458.150
InsumosAUTOSUTURA TA 3048S 3200068 305.979 305.979 305.979
InsumosAUTOSUTURA TA 45-48S 3220063 314.160 314.160 314.160
InsumosAUTOSUTURA TA 6048 S 3220066 427.606 427.606 427.606
InsumosAUTOTROL TS NIVEL 1 3321223001 #LAB 3290110 417.535 417.535 417.535
InsumosAUTOTROL TS NIVEL 2 *3321231001 #LAB 3290440 417.535 417.535 417.535
InsumosAUTOTROL TS NIVEL 3 * 3321240001 #LAB 3290441 417.535 417.535 417.535
InsumosAVELLANADOR CANULADO PEQ. 310.850 3270700 535.505 535.505 535.505
InsumosAZITHROMYZIN ( AZM ) ( MV 31000365 ) 3979518 40.775 40.775 40.775
InsumosBACT/ALERT PLUS AEROBICO ADULTO #LAB (CAJA X 100 UNID.) 3330077 717.463 717.463 717.463
InsumosBAJADA AMBAR PRIMARY (BOMBA XL)L218A52 (MV50000092) 3050001 25.391 25.391 25.391
InsumosBAJADA ENTERAL VARIOLINE REF 7751849 3979376 10.996 10.996 10.996
InsumosBAJADA P/HIDRODISECTOR 5202700*DESECHABL 3220020 88.632 88.632 88.632
InsumosBAJADA PRIMARY STANDARD * 48*BOMBA XL(12538028L)(MV50008490) 3050009 28.634 28.634 28.634
InsumosBAJADA SAPPHIRE C/ FILTRO REF-AP206 / (MV 50001002) 3050015 23.363 23.363 23.363
InsumosBAJADA SAPPHIRE C/ FOTOPROTECCION REF - AP504- 5616336 (MV 50001000) 3050013 47.124 47.124 47.124
InsumosBAJADA SAPPHIRE EPIDURAL REF - AP402-5616339 (MV 50001001) 3050014 47.124 47.124 47.124
InsumosBAJADA SAPPHIRE SIN FILTRO AP403 5616346 (MV 50009759) 3050016 47.124 47.124 47.124
InsumosBAJADA SECUNDARIA 50CC / XL(00FO5661)(MV50008955) 3050011 5.498 5.498 5.498
InsumosBAJADA TAXOL PLUMSET-14253-28- (P317) MV 50009536 3050010 41.234 41.234 41.234
InsumosBAJALENGUA MADERA * 100 UNIDADES 3320017 3.829 3.829 3.829
InsumosBALON DILATADOR OLYMPUS WA95048A 3220096 412.040 412.040 412.040
InsumosBALON ANGIOPLASTIA MERCURY Y NC MERCURY ( VOYAGER ) 3979407 477.327 477.327 477.327
InsumosBALON B1B 20MM X 5 CM REF. BB032 3979562 1.354.815 1.354.815 1.354.815
InsumosBALON DE ACALASIA 30MM Y 90FR 8CM LONG CATETER 75CM REF. WCAB-30 3979499 882.266 882.266 882.266
InsumosBALON DE DILATACION ENTERAL REF. HBD-W-12-13.5-15 3220110 478.112 478.112 478.112
InsumosBALON DE EXTRACCION 200CM * 7MM GUIA 0.035 REF. GF135716 3979527 255.255 255.255 255.255
InsumosBALON DILATACION ESOFAGICA *ECL 18X8 ELIMINAR 3220069 412.335 412.335 412.335
InsumosBALON DILATADOR URETERAL 6MM 4CM REF. 996604 3979574 517.055 517.055 517.055
InsumosBALON INTRAGASTRICO ORBERA (B-50000) APOLLO ENDOSURGERY 3950004 1.141.250 1.141.250 1.141.250
InsumosBALON VENOGRAMA 3900509 229.075 229.075 229.075
InsumosBALSAMO /SACHET 3260021 524 524 524
InsumosBANDA GASTRICA LAP BAND SURMEDICAL 3220046 2.485.791 2.485.791 2.485.791
InsumosBANDA SILICONA NØ40 S5.1000 3270129 43.554 43.554 43.554
InsumosBARRA CARBON LX261 3270452 68.723 68.723 68.723
InsumosBARRA CARBON LX406 3270453 68.723 68.723 68.723
InsumosBARRA CARBON LX407 3270454 76.577 76.577 76.577
InsumosBARRA LX401 3270451 53.015 53.015 53.015
InsumosBARRA DE CARBON S/C 3270455 68.723 68.723 68.723
InsumosBARRA TITANIO 5.5X500 (124.521) MED. 3279297 316.516 316.516 316.516
InsumosBARRA 300MM/CARBON (14175) 3270230 185.606 185.606 185.606
InsumosBARRA 350MM CARBON(14180) 3270229 138.173 138.173 138.173
InsumosBARRA 400MM CARBON ( 14185 ) 3270716 192.423 192.423 192.423
InsumosBARRA 40MM SEMICURVA REF. 14E253 3280126 95.244 95.244 95.244
InsumosBARRA 80 MM REF. 10I106 3700435 103.974 103.974 103.974
InsumosBARRA CONEXION 5.0MM X150 MM L.393.910 3270633 36.744 36.744 36.744
InsumosBARRA CROSS LINK ( 6902530 ) 3270427 294.525 294.525 294.525
InsumosBARRA CURVA 6.0 X 1.40 12A147 3700447 103.974 103.974 103.974
InsumosBARRA CURVA 6.0 X 100 (REF. 12A171) 3700544 199.950 199.950 199.950
InsumosBARRA CURVA 6.0 X 60MM REF 12A154 3700440 103.974 103.974 103.974
InsumosBARRA CURVA 6.0 X L70 3700445 93.594 93.594 93.594
InsumosBARRA CURVA 70 MM REF. 12A160 3979444 103.974 103.974 103.974
InsumosBARRA CURVADA 50 MM 3900528 93.594 93.594 93.594
InsumosBARRA ELLIPSE REF. 182.804 3279487 359.975 359.975 359.975
InsumosBARRA PRE CURVADA 5 5X40 (124.640 ) 3279327 113.392 113.392 113.392
InsumosBARRA PRE CURVADA 5.5X50MM REF. 8690050 3279512 123.909 123.909 123.909
InsumosBARRA PRE CURVADA 5.5X60 MM REF. 8690060 3279507 123.909 123.909 123.909
InsumosBARRA PRE-CURVADA 5 5X 35 (124.635 ) 3279326 304.343 304.343 304.343
InsumosBARRA PRECURVADA 5 5X55 ( 124.655 ) 3279329 304.343 304.343 304.343
InsumosBARRA PRECURVADA 5 5X65 (124.665 ) 3279330 304.343 304.343 304.343
InsumosBARRA PRECURVADA 5 5X75 ( 124.675 ) 3279331 304.343 304.343 304.343
InsumosBARRA PRECURVADA 5 5X85 (124.685 ) 3279332 337.068 337.068 337.068
InsumosBARRA PRECURVADA 5.5X45 (124.645 ) 3279328 112.312 112.312 112.312
InsumosBARRA PRE-CURVADA 5.5X45MM 8672045 3279116 474.513 474.513 474.513
InsumosBARRA PRECURVADA REVERE 5.5X55MM 3279159 215.985 215.985 215.985
Page 8
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosBARRA PRECURVADA TITANIO REVERE 5.5 X 40 3279195 112.312 112.312 112.312
InsumosBARRA RECTA 5 5 X 125 (124.512 ) 3279323 111.265 111.265 111.265
InsumosBARRA RECTA 5 5X 75 ( 124.575 ) 3279320 304.343 304.343 304.343
InsumosBARRA RECTA 5 5X150 (124.515) 3279324 304.343 304.343 304.343
InsumosBARRA RECTA 5 5X65 ( 124.565 ) 3279319 316.516 316.516 316.516
InsumosBARRA RECTA 5 5X85 ( 124.585 ) 3279321 304.343 304.343 304.343
InsumosBARRA RECTA 5.5X100 (124.510 ) 3279322 93.594 93.594 93.594
InsumosBARRA RECTA 5.5X200 ( 124.517) 3279325 316.516 316.516 316.516
InsumosBARRA RECTA 5.5X45 (124.545) 3279317 93.594 93.594 93.594
InsumosBARRA RECTA 5.5X55 ( 124.555) 3979318 304.343 304.343 304.343
InsumosBARRA RECTA 6.0 X L60 3700448 103.974 103.974 103.974
InsumosBARRA RECTA TITANIO REVERE 3279209 68.068 68.068 68.068
InsumosBARRA REVERE PRECURVADA 5.5 X 45 MM 3279224 112.312 112.312 112.312
InsumosBARRA REVERE PRECURVADAS 5.5 X 35M 3279257 112.312 112.312 112.312
InsumosBARRA REVERE RECTAS 5.5 X 45MM REF. 124.543 3279227 68.068 68.068 68.068
InsumosBARRA SEMICURVA DE 50 MM REF. 12A152 3700444 103.974 103.974 103.974
InsumosBARRA TITANIO 5 5X500MM (855-100) 3279068 157.080 157.080 157.080
InsumosBARRA TITANIO 5.5 X40MM (855-040) 3279138 157.080 157.080 157.080
InsumosBARRA VERTEX 3 2 X 240 MM (6900240) 3270730 643.046 643.046 643.046
InsumosBARRA VERTEX 3.2 X 40 MM ( 6900040 ) 3270429 179.988 179.988 179.988
InsumosBARRAS RECTAS 40MM 3270952 93.594 93.594 93.594
InsumosBASTON ALUMINIO CODERA / MOVIL (CANADIENSE ) 3211001 34.847 34.847 34.847
InsumosBATA QUIRURGICA " M " DESECH. REF-3106 3230021 11.216 11.216 11.216
InsumosBATA QUIRURGICA "L" REF-3107 3230024 12.178 12.178 12.178
InsumosBATA QUIRURGICA XL DES. * 3108 * 30 ( MV 50002254 ) 3230007 22.305 22.305 22.305
InsumosBATERIA ALERGENOS CLINICA SERVET 3290591 1.092.650 1.092.650 1.092.650
InsumosBATERIA ALERGENOS FASA 3290636 1.562.632 1.562.632 1.562.632
InsumosBATERIA DE ALERGENOS FASA (2) 3290637 13.860 13.860 13.860
InsumosBATERIA PARA ACCUTREND SENSOR 3320003 18.514 18.514 18.514
InsumosBEAD TIP GUIDEWIRE 2.6MM X 80CM 3700424 265.683 265.683 265.683
InsumosBENZODIACEPINAS EN ORINA 25 DET. REF 03-3143 #LAB 3299551 72.159 72.159 72.159
InsumosBENZODIAZEPINAS ( BZO ) REF. 602560 #LAB 3290745 168.861 168.861 168.861
InsumosBERIPLAST ADHESIVO FIBRINA 1 ML 3180118 502.656 502.656 502.656
InsumosBIGOTERA PED."HUDSON"(CAN.NASAL PE)REF:1826 3160004 6.922 6.922 6.922
InsumosBIGOTERAS ADULTO * (REF.1104) 3160003 2.011 2.011 2.011
InsumosBILIRRUBINA CONJUGADA /NO CONJUGADA ( BUBC ) ( MV 31000010 ) #LAB 3290760 39.404 39.404 39.404
InsumosBILIRRUBINA TOTAL ( TBIL ) ( MV 31000009 ) #LAB 3290759 131.350 131.350 131.350
InsumosBIN GUIDE WIRE REF-24415 3979608 119.951 119.951 119.951
InsumosBIOCURE COLONIA 3979326 4.991 4.991 4.991
InsumosBIOENZIM BAJA ESPUMA P/LAVADO EN MAQUINA Y MANUAL 5LT 3900448 117.025 117.025 117.025
InsumosBIOMATERIAL KRYP-X-10 ML (HELICO) 3270444 1.458.877 1.458.877 1.458.877
InsumosBIONEXIA FOBPLUS X25 TEST REF- 410594 (MV 31000214)#LAB 3290732 92.984 92.984 92.984
InsumosBISTURI OFTALMICO 15 1 3279357 31.979 31.979 31.979
InsumosBLOQUEADOR CRIMP PISCIS REF. 66PSC20 3900401 318.480 318.480 318.480
InsumosBLOQUEO EXTRA CRIMP FLAT 3279135 217.621 217.621 217.621
InsumosBOLSA ASPIRACION 1500CC 3240026 8.896 8.896 8.896
InsumosBOLSA ASPIRACION 3000 CC QUICK FIT REF. 7H3004 3244061 9.299 9.299 9.299
InsumosBOLSA BSS OFTALMOLOGÍA 3331001 24.641 24.641 24.641
InsumosBOLSA COLOST.CERRADA 57MM (CONVATEC) ( 580-00570) 3240019 3.863 3.863 3.863
InsumosBOLSA COLOSTOMIA ABIERTA 62 MM (B.BRAUN)REF F2476 3240008 8.561 8.561 8.561
InsumosBOLSA COLOSTOMIA CERRADA 62 MM (B.BRAUN) REF 2466 3240007 7.107 7.107 7.107
InsumosBOLSA DE PLASMA T600 TERUMO*25* 3020046 8.901 8.901 8.901
InsumosBOLSA DE SANGRE TRIPLE GRIFOLS 1L GO721111 3979498 34.132 34.132 34.132
InsumosBOLSA DE SANGRE TRIPLE REF. PB-3CD456ZOY X 4 UN 3020050 23.562 23.562 23.562
InsumosBOLSA DE SANGRE TRIPLE TOP TOP CAJA POR 30 BOLSAS 3979436 12.678 12.678 12.678
InsumosBOLSA DRENAJE 600ML REF-46710 3240025 182.331 182.331 182.331
InsumosBOLSA DRENAJE CATETER NEFROSTOMIA * 600ML 3240018 53.187 53.187 53.187
InsumosBOLSA DRENAJE REEMPLAZO REF. IN-INS-8700 3979582 95.870 95.870 95.870
InsumosBOLSA DRENAJE VENTRICULAR VENT REF. NL850500 3900435 371.628 371.628 371.628
InsumosBOLSA EXTRACTORA ORGANOS 125MM X 175MM PS3401 3979379 66.759 66.759 66.759
InsumosBOLSA FRIO / CALOR 3320048 11.362 11.362 11.362
InsumosBOLSA HIELO OCULAR * 1 U 3320022 18.342 18.342 18.342
InsumosBOLSA HIELO PERINEAL * 1 U 3320021 9.074 9.074 9.074
InsumosBOLSA P/ORDENADORA DE COMPRESAS 3240001 1.702 1.702 1.702
InsumosBOLSA SIST.DRENAJE EXTERNO BECKER REF- 46128 ( MEDTRONIC) 3240021 573.833 573.833 573.833
InsumosBOLSA TRANSPARENTE POLIET. L/LATEX ESTERIL 100X200CMS/CAJA *F.E CJX100UNID.* 3979614 7.330 7.330 7.330
InsumosBOLSA TRANSPARENTE POLIET. L/LATEX ESTERIL 20X30CMS/CAJA *F.E CJX250UNID.* 3979612 2.327 2.327 2.327
InsumosBOLSA TRANSPARENTE POLIET. L/LATEX ESTERIL 60X90CMS/CAJA *F.E CJX200UNID.* 3979613 4.418 4.418 4.418
InsumosBOLSA UROSTOMIA TRANSP. 45MM CV402550 3240022 12.796 12.796 12.796
Page 9
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosBONEFUSE PUTTY 10 CC ( REF. T851100 ) 3979521 704.504 704.504 704.504
InsumosBOQUILLA CON. C/R P/CLAVO FEMUR 9-12 MM 355.530 3270648 596.380 596.380 596.380
InsumosBOQUILLA CON. C/R C/CLAVO FEMUR 13-16MM 355.540 3270647 484.759 484.759 484.759
InsumosBOQUILLA CON.C/R P/TIBIA 1014 MM 355.440 3270649 630.680 630.680 630.680
InsumosBOQUILLA DESECHABLE P/ESPIROMETRO * UD 3160018 988 988 988
InsumosBOTA C/ FLEXO ESTENSOR Y GRADUACION 3211055 161.698 161.698 161.698
InsumosBOTA FIJA "L" 3211043 70.564 70.564 70.564
InsumosBOTA FIJA "M" 3211042 85.433 85.433 85.433
InsumosBOTA FIJA "S" 3211041 81.108 81.108 81.108
InsumosBOTA FIJA XL. 3210045 192.502 192.502 192.502
InsumosBOTELLA BSS 3900385 44.506 44.506 44.506
InsumosBOTON GASTROSTOMIA *24F X 2.5 CM* REF 35-2425 3170075 510.510 510.510 510.510
InsumosBOTON GASTROSTOMIA 24F X 3.4CM 3170076 412.335 412.335 412.335
InsumosBRACE ORTOPEDICO HUMERO. (ORTHOMED) 3900389 229.075 229.075 229.075
InsumosBRANULA 14G * 2 1/4" JELCO PLUS (7068) 3060012 2.297 2.297 2.297
InsumosBRANULA 16G * 1 1/4" JELCO PLUS (7061) 3060001 2.297 2.297 2.297
InsumosBRANULA 18G * 1 1/4" JELCO PLUS 3060008 2.304 2.304 2.304
InsumosBRANULA 20G * 1 1/4" JELCO PLUS (7066) 3060009 2.655 2.655 2.655
InsumosBRANULA 22G * 1" JELCO PLUS (7060) 3060010 2.655 2.655 2.655
InsumosBRANULA 24G * 3/4" JELCO PLUS (7063) 3060011 2.304 2.304 2.304
InsumosBRAZALETE ROJO ADULTO (ALERGIA -055-03437) 3320078 393 393 393
InsumosBRAZALETE PEDIATRICO (C) 05502829 * 100 UNIDADES 3320072 425 425 425
InsumosBRAZALETE PEDIATRICO (R) 05502828 * 100 UNIDADES 3320005 425 425 425
InsumosBRAZALETE TRANSP.ADULTO * 100 UNIDADES 3320004 399 399 399
InsumosBREATHSCAN - GLOBAL PARTNERS 3290594 13.200 13.200 13.200
InsumosBROCA 1.0X76MM REF. A-3130 3280067 109.087 109.087 109.087
InsumosBROCA 1.2 X 81MM TOPE 25MM AO MEDARTIS REF. A-3230 3280118 125.602 125.602 125.602
InsumosBROCA 2.0 MM ANCLAJE RAPIDO P/MOTOR A.O 3270346 189.281 189.281 189.281
InsumosBROCA 4.5MM PARA TOGGLELOC REF-904760 3270241 455.658 455.658 455.658
InsumosBROCA ACETABULAR 3.2X20MM RINGLOC REF. 31-323220 3279304 121.272 121.272 121.272
InsumosBROCA ANCLAJE 3270147 188.103 188.103 188.103
InsumosBROCA CANULADA 2.7/1.35 MM 4 A. 310.670 3270698 526.650 526.650 526.650
InsumosBROCA CANULADA 3.5/1.35 MM 4 A. 310.680 3270699 526.650 526.650 526.650
InsumosBROCA D3.2 / 1.7MM CANULADA * 03.226.039 3330008 375.539 375.539 375.539
InsumosBROCA PASA INJERTO C/OJAL ESTERIL REF. 909540 3279396 118.450 118.450 118.450
InsumosBROCA PASA INJERTO CON OJAL ( REF-909640) 3270162 67.013 67.013 67.013
InsumosBUBC X300 ( MV 31000184 ) #LAB 3979564 147.263 147.263 147.263
InsumosBUZO DESECHABLE A-70 FORMATO XL REF. 30193251 3979428 22.678 22.678 22.678
InsumosBZD RAPID TEST REF. BZD-200#LAB 3290529 137.445 137.445 137.445
InsumosC3 ( MV 31000560 ) #LAB 3290793 446.225 446.225 446.225
InsumosC4 ( MV 31000561 ) #LAB 3290794 446.225 446.225 446.225
InsumosCA 125 ( MV 31000607 ) #LAB 3290817 597.765 597.765 597.765
InsumosCABESTRILLO L C/BROCHE 3210037 8.461 8.461 8.461
InsumosCABESTRILLO M C/BROCHE 3210036 4.438 4.438 4.438
InsumosCABESTRILLO PEDIATRICO 3210025 7.802 7.802 7.802
InsumosCABESTRILLO S C/BROCHE 3210035 9.367 9.367 9.367
InsumosCABEZA "S" 32 MM 30.32.05 HELICO 3270206 707.090 707.090 707.090
InsumosCABEZA ACERO R.M D-32MM 230.400 3280043 344.884 344.884 344.884
InsumosCABEZA BFH METAL METAL 46MM X 3.5 "L" TOTAL CONSERV. 3279466 2.200.894 2.200.894 2.200.894
InsumosCABEZA BFH METAL METAL 48 MM 0 M TOTAL CONSERVE REF. 3801-4800 3279182 3.023.201 3.023.201 3.023.201
InsumosCABEZA BFH METAL METAL 50MM REF. 3801-5004 3270826 1.310.045 1.310.045 1.310.045
InsumosCABEZA CERAMICA R.M. DIAM.28MM. REF. 5.30.011L 3279365 636.266 636.266 636.266
InsumosCABEZA DE ACERO R.M. DIAM 32MM REF 2.30.402 3280132 344.884 344.884 344.884
InsumosCABEZA DE ACERO R.M. DIAM. 32 "S" REF 2.30.400 3280055 344.884 344.884 344.884
InsumosCABEZA DE FEMUR 620100 HELICO 3270211 2.235.195 2.235.195 2.235.195
InsumosCABEZA DE PERCUSION 355.180 3270650 184.141 184.141 184.141
InsumosCABEZA FEMORAL032MM 3280041 981.750 981.750 981.750
InsumosCABEZA MEDIUM ACERO 36 MM (128-836/02) 3270741 579.199 579.199 579.199
InsumosCABEZA MODULAR 28 MM * 6 3270027 371.413 371.413 371.413
InsumosCABEZA MODULAR 28MM STD REF. 163662 3279301 304.031 304.031 304.031
InsumosCABEZA MODULAR 32MM + 3 REF. 163670 3279342 304.031 304.031 304.031
InsumosCABEZA MODULAR 32MM STDR 3279132 383.884 383.884 383.884
InsumosCABEZA MODULAR COTILO 38 MM 3270175 687.581 687.581 687.581
InsumosCABEZA REPOSICION ANG.352.055 3270651 110.506 110.506 110.506
InsumosCABEZA RM METAL METAL 3270026 636.266 636.266 636.266
InsumosCABEZA SMALL DE ACERO 36MM LINK-4 REF. 128-836/01 3280060 891.076 891.076 891.076
InsumosCABEZAL FRES. INTRAM. SYNREAM D 11.5 MM 352.115 3270665 202.862 202.862 202.862
InsumosCABEZAL FRES. INTRAM. SYNREAM D.12MM 352.120 3270655 202.862 202.862 202.862
InsumosCABEZAL FRES. INTRAM.SYBREAM D17.5 MM 352.175 3270652 212.385 212.385 212.385
Page 10
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCABEZAL FRES. INTRAM.SYNREAM D.11 MM 352.110 3270654 193.405 193.405 193.405
InsumosCABEZAL FRES.INTRAM. SYNREAM D 10.5 MM 352.105 3270664 193.405 193.405 193.405
InsumosCABEZAL FRES.INTRAM. SYNREAM D 12.5 MM 352.125 3270666 202.862 202.862 202.862
InsumosCABEZAL FRES.INTRAM. SYNREAM D.13.5 352.135 3270657 202.862 202.862 202.862
InsumosCABEZAL FRES.INTRAM. SYNREAM D.16 MM 352.160 3270660 212.385 212.385 212.385
InsumosCABEZAL FRES.INTRAM. SYNREAM D.18 MM 352.180 3270672 212.385 212.385 212.385
InsumosCABEZAL FRES.INTRAM. SYNREAM D.9.5 352.095 3270663 193.405 193.405 193.405
InsumosCABEZAL FRES.INTRAM. SYNREAMD.13 MM 352.130 3270656 202.862 202.862 202.862
InsumosCABEZAL FRES.INTRAM.D.10 MM 352.100 3270653 193.405 193.405 193.405
InsumosCABEZAL FRES.INTRAM.SYNREAM D 14.5 MM 352.145 3270667 212.385 212.385 212.385
InsumosCABEZAL FRES.INTRAM.SYNREAM D. 15.5 MM 352.155 3270668 212.385 212.385 212.385
InsumosCABEZAL FRES.INTRAM.SYNREAM D.14 MM 352.140 3270658 202.862 202.862 202.862
InsumosCABEZAL FRES.INTRAM.SYNREAM D.15MM 352.150 3270659 335.486 335.486 335.486
InsumosCABEZAL FRES.INTRAM.SYNREAM D.17MM 352.170 3270661 212.385 212.385 212.385
InsumosCABEZAL FRES.INTRAM.SYNREAM D.8.5 MM 352.085 3270670 193.405 193.405 193.405
InsumosCABEZAL FRES.INTRAM.SYNREAM D.9 MM 352.090 3270662 193.405 193.405 193.405
InsumosCABEZAL FRES.INTRAM.SYNREAMD 16.5 MM 352.165 3270669 212.385 212.385 212.385
InsumosCABEZAL REPOS.RECTA 352.050 3270671 147.302 147.302 147.302
InsumosCABLES Y FIJADOR CROMO COBALTO 3270233 511.348 511.348 511.348
InsumosCAGE CERVICAL 12X14X4 CODIGO CP0412 3279489 800.224 800.224 800.224
InsumosCAGE CERVICAL 12X14X5 ( REF. CPO512 ) 3279595 800.224 800.224 800.224
InsumosCAGE CERVICAL C7 4 X 12 REF. 12-A-500 3070132 720.925 720.925 720.925
InsumosCAGE CERVICAL COLONIAL 5 3279360 816.816 816.816 816.816
InsumosCAGE CERVICAL COLONIAL 6 3279359 816.816 816.816 816.816
InsumosCAGE CERVICAL DE PEEK 12.5X14X4MM 70-7406 3279107 942.480 942.480 942.480
InsumosCAGE CERVICAL INTERVERTEBRAL SPACER 3279564 935.935 935.935 935.935
InsumosCAGE CERVICAL MEDYSSEY 12X14X4( 14D1172 ) 3279528 720.925 720.925 720.925
InsumosCAGE COLONIAL 5MM REF. 365.405 3279425 816.816 816.816 816.816
InsumosCAGE COLONIAL REF. 365.505 3270815 816.816 816.816 816.816
InsumosCAGE CORNESTONE 14X11 (REF-6272114) 3270446 1.095.640 1.095.640 1.095.640
InsumosCAGE CORNESTONE 14X11 (REF-6272414) 3279152 1.143.562 1.143.562 1.143.562
InsumosCAGE CORNESTONE PEEK ( REF365.406) 3270610 1.079.925 1.079.925 1.079.925
InsumosCAGE LUMBAR DE PEEK CAPSTONE 32X8MM 2960832 3279120 1.924.230 1.924.230 1.924.230
InsumosCAGE SIGNATURE TLIF REF. 368.307 3279465 1.514.513 1.514.513 1.514.513
InsumosCAJA PLACAS TEE Y GRAPAS 2230-09 3270456 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS ACCESORIO 100-01 3270462 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS ACCESORIO 100-03 3270463 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS IMPACTOR KX-517 3270464 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS KX-500 2 0 CM 3270457 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS KX-501 2 5 CM 3270458 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS KX-502 3270459 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS KX-503 3270460 47.124 47.124 47.124
InsumosCAJA PLACAS TEE Y GRAPAS KX-504 3270461 47.124 47.124 47.124
InsumosCAJA PARA ALMACENAMIENO PARA TUBOS MICROCENTRIFUGA REF. T330-64 #LAB 3979314 37.307 37.307 37.307
InsumosCAJA PLACA T 9 HOYOS LM-173 3270071 196.134 196.134 196.134
InsumosCAJA PLACA T SEMI TUBO LM-328 3270072 156.346 156.346 156.346
InsumosCAJA PLASTICA "TAPA NEGRA"* 30 G 3290164 818 818 818
InsumosCAL SODADA MX00001 DRAGERSORB 800 PLUS 4.1 KG 3120024 74.613 74.613 74.613
InsumosCALCIO ( MV 31000011 ) #LAB 3290761 131.350 131.350 131.350
InsumosCALDO SELENITO-CISTINA REF-107790500 3290629 188.129 188.129 188.129
InsumosCALDO SELENITO-CISTINA107709500 #LAB 3290509 211.767 211.767 211.767
InsumosCALDO TIOGLICOLATO P/MICROBIOLOGIA REF- 1081900500 3290630 174.791 174.791 174.791
InsumosCALIBRACION C3 3144038001 #LAB 3290109 201.563 201.563 201.563
InsumosCALIBRACION SOL. C1 3144046001 PACK #LAB 3290107 201.563 201.563 201.563
InsumosCALIBRACION SOL. C2 3144020001 PACK #LAB 3290108 201.563 201.563 201.563
InsumosCALIBRADOR CEFAS HBA1C C111/C501 4528417 #LAB 3290352 381.685 381.685 381.685
InsumosCALIBRADOR FACTOR REUMATOIDEO #LAB 3290301 336.956 336.956 336.956
InsumosCALIBRADOR FAS PROT. 5*1 ML 11355279216 #LAB 3290152 558.599 558.599 558.599
InsumosCALIBRADOR HDL-LDL 99521230 #LAB 3290319 136.848 136.848 136.848
InsumosCALSET FERRITINA REF-3737586190#LAB 3290621 193.161 193.161 193.161
InsumosCAMISA TRAQUEOSTOMIA N° 10 COD. 100/850/100 3070129 46.731 46.731 46.731
InsumosCAMISA VACCUTAINER (PRONTO HOLDER REF.3 ( MV 50009704 ) 3290215 2.723 2.723 2.723
InsumosCAMISA DE TROCAR DE 12MM REF. ONBFCA12ST 3220114 23.824 23.824 23.824
InsumosCAMISA DE TROCAR DE 5MM ONBFCA5ST 3220116 23.824 23.824 23.824
InsumosCAMISA TRAQUEOST. N° 7.0 3070101 26.023 26.023 26.023
InsumosCAMISA TRAQUEOSTOMIA 7.5 3070092 26.023 26.023 26.023
InsumosCAMISA TRAQUEOSTOMIA 8.0 3070093 26.023 26.023 26.023
InsumosCAMISA TRAQUEOSTOMIA 8.5 3070094 26.023 26.023 26.023
InsumosCAMISA TRAQUEOTOMIA 9.0 3070095 26.023 26.023 26.023
Page 11
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCAMPO QUIRURGICO P/CRANEOTOMIA 17E911 3230010 58.787 58.787 58.787
InsumosCANASTILLO CORPECTOMIA REF-905-1620 3279069 1.021.020 1.021.020 1.021.020
InsumosCANASTILLO DORMIA DESECHABLE GIRATORIA REF. 711141 ( #KIT PARA CUERPOS EXTRAÑOS ) 3979544 166.505 166.505 166.505
InsumosCANASTILLO GIRATORIO DE 8 ALAMBRES REF. FG-V421PR 3979549 269.212 269.212 269.212
InsumosCANULA C/ROSCA 70 MM REF.9704 3070111 121.069 121.069 121.069
InsumosCANULA COSMAN 15 CM RECTA REF. CC151020 3070114 106.225 106.225 106.225
InsumosCANULA COSMAN 5CM CURVA RFK-C5422S 3070131 129.202 129.202 129.202
InsumosCANULA COSMANN 15CM CURVA REF-C151020S 3070119 137.547 137.547 137.547
InsumosCANULA DE ACCESO STABILIT INTRODUCER REF 1488 3979494 325.025 325.025 325.025
InsumosCANULA DESECHABLE AQUALOC 5X8.5 900366 3279168 68.638 68.638 68.638
InsumosCANULA DESECHABLE AQUALOC 7 X 75 REF. 900360 3279235 68.638 68.638 68.638
InsumosCANULA DESECHABLE AQUALOC 7 X 85 REF. 900364H 3279363 67.668 67.668 67.668
InsumosCANULA DESECHABLE AQUALOC 8.5X75 REF. 900363 3279362 69.623 69.623 69.623
InsumosCANULA DISCOGRAFIA CC20520 3279529 59.730 59.730 59.730
InsumosCANULA FLEXTRODE 15 CM REF. FLEX-C15 3979449 403.643 403.643 403.643
InsumosCANULA GUIA FRESADO ANCLA JUGGERKNOT REF. 912040 3279234 298.048 298.048 298.048
InsumosCANULA IRRIGACION OFTALMOLOGIA 3331009 11.001 11.001 11.001
InsumosCANULA MAYO "HUDSON" 110MM (REF-1166) 3070118 5.678 5.678 5.678
InsumosCANULA MAYO "HUDSON"(3)80MM * 6(R.1168) 3070006 5.623 5.623 5.623
InsumosCANULA MAYO "HUDSON"(4)100MM*6(R.1167) 3070007 6.283 6.283 6.283
InsumosCANULA MAYO HUDSON (0) 55MM (R.1171) 3070080 5.184 5.184 5.184
InsumosCANULA MAYO HUDSON (1) 60 MM (R.1170) 3070078 5.959 5.959 5.959
InsumosCANULA MAYO HUDSON (2) 70MM ( R.1169) 3070077 6.042 6.042 6.042
InsumosCANULA MAYO HUDSON (3.5 )90 MM ( R. 1164 3070073 6.283 6.283 6.283
InsumosCANULA MAYO HUDSON (6) 120 MM ( R.1165) 3070048 5.184 5.184 5.184
InsumosCANULA N°23 3331019 8.885 8.885 8.885
InsumosCANULA N°27 3331003 12.320 12.320 12.320
InsumosCANULA N°30 3979587 12.320 12.320 12.320
InsumosCANULA P/DILATING TIP REF TR-06L 3979345 29.916 29.916 29.916
InsumosCANULA TRAQUEOTOMIA C/BALON 9.5 3070012 87.965 87.965 87.965
InsumosCANULA TRAQUEOTOMIA C/BALON Y CAMISA # 7.0 MM 3070074 88.405 88.405 88.405
InsumosCANULA TRAQUEOTOMIA 7.5 S/B SIMPLE 3070100 43.960 43.960 43.960
InsumosCANULA TRAQUEOTOMIA 9.0 S/B SIMPLE 3070011 112.489 112.489 112.489
InsumosCANULA TRAQUEOTOMIA C/BALON 10.0REF-9722001 ( CENCOMEX REF. 100/800/100) 3070127 73.435 73.435 73.435
InsumosCANULA TRAQUEOTOMIA C/BALON Y CAMISA # 7.5 MM 3070046 87.965 87.965 87.965
InsumosCANULA TRAQUEOTOMIA C/BALON Y CAMISA # 8.0 MM 100/800/080 3070091 87.965 87.965 87.965
InsumosCANULA TRAQUEOTOMIA C/BALON Y CAMISA # 8.5 MM. REF.100/810/085 3070001 102.801 102.801 102.801
InsumosCANULA TRAQUEOTOMIA C/BALON Y CAMISA # 9.0 MM 100/810/090 3070064 87.965 87.965 87.965
InsumosCANULA TRAQUEOTOMIA N° 10 COD 100/810/100 3070128 96.212 96.212 96.212
InsumosCANULA YANKAUER ADULTO 3070044 5.655 5.655 5.655
InsumosCAP PRECARGADO CON CLIP DE PUNTA DE 9.5MM - 1MM DIAM. (REF. 100.10 OVESCO) 3950003 649.133 649.133 649.133
InsumosCAPILARES HEMATOCRITO.CON HEPARINA. 3290184 10.011 10.011 10.011
InsumosCAPSULA ENDOSCOPICA PARA INTESTINO SERIE DME-HSC-T REF. SB3 3979541 783.437 783.437 783.437
InsumosCARDIAC TROPONINA T 4877772190 #LAB 3290491 245.752 245.752 245.752
InsumosCARGA 60MM BLANCA REF-ECR60W #CONSIG. 3230096 221.221 221.221 221.221
InsumosCARGA 60MM VERDE REF-ECR60G #CONSIG. 3230097 221.221 221.221 221.221
InsumosCARGA GIA 80-3.8 REF. GIA8038L #CN 3220086 161.662 161.662 161.662
InsumosCARPETERO AGUJA GENERAL DOBLE EMPAQUE ESTERIL (#U.4) 3979327 35.029 35.029 35.029
InsumosCARTRIDGE STERI-GAS 4-100 * 12 U ( MV 50005126 ) 3040015 430.095 430.095 430.095
InsumosCASQUILLO GUIA LS-110 3270465 199.459 199.459 199.459
InsumosCASQUILLO CIERRE P/TUBOS FIJADOR EXTERNO REF. 394.970 3279105 9.759 9.759 9.759
InsumosCASQUILLO TENSOR P/ROTULA-ABIERTA-AJUSTABLE (REF. 393.972) 3230087 81.001 81.001 81.001
InsumosCASSETTE CHAGAS KIT 50 DTS#LAB 3020042 261.800 261.800 261.800
InsumosCASSETTE HIV I Y II MARCA SMARTEST ORGENICS ISRAEL( 25 DETS.)#LAB 3020041 153.153 153.153 153.153
InsumosCATETER 5 FR CURVA H1 3080032 83.500 83.500 83.500
InsumosCATETER 5 FR, CURVA MANI 3080033 82.675 82.675 82.675
InsumosCATETER ABLACION ALCATH BLACK TC FULLCIRCLE REF. 03120472 3900493 1.315.545 1.315.545 1.315.545
InsumosCATETER ABLACION ALCATH BLUE TC LT FULLCIRDE 3900451 1.225.224 1.225.224 1.225.224
InsumosCATETER ALTO FLUJO CAVH 8FX15 TRAY632 3080046 124.019 124.019 124.019
InsumosCATETER ARTERIAL ARTERIOFIX G20*80MM 3020025 43.066 43.066 43.066
InsumosCATETER ARTERIAL FEMORAL ARTERIOFIX G20*160MM 3020047 32.071 32.071 32.071
InsumosCATETER C2 AB5510GM 3979324 163.772 163.772 163.772
InsumosCATETER DE DIAGNOSTICO MULTICATH 4J SP 100CM 5F 2/5 2MM 3900443 336.937 336.937 336.937
InsumosCATETER DIAGNOSTICO MULTICATH 4C 5F 2-5-2MM 3900442 336.937 336.937 336.937
InsumosCATETER DIALISIS DOBLE LUMEN REF. CV-12122-F 3080014 95.190 95.190 95.190
InsumosCATETER DOBLE (J) 7 FR 26 CM REF # 334200 3080009 113.883 113.883 113.883
InsumosCATETER DOBLE (J) 5.0 FR 25CM REF # 4430930 3080008 132.572 132.572 132.572
InsumosCATETER DOBLE J 0.35X260 JOHNSON 502455 3080040 267.281 267.281 267.281
InsumosCATETER DOBLE (J) 7.5 FR 25CM REF # 4431111 BRAUN 3080006 134.853 134.853 134.853
Page 12
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCATETER DOBLE J 6.0 ( REF. 4431057 ) 3080056 69.377 69.377 69.377
InsumosCATETER DOBLE LUMEN PERM CATH 36 CM 3080043 310.888 310.888 310.888
InsumosCATETER EMBOLEC."FOGARTY" 3 FR * 80 3080015 76.577 76.577 76.577
InsumosCATETER EMBOLEC."FOGARTY" 4 FR 3080012 106.029 106.029 106.029
InsumosCATETER EMBOLECTOMIA FOGARTY 6 FR 3080044 76.577 76.577 76.577
InsumosCATETER EPIDURAL 16G 3080041 15.467 15.467 15.467
InsumosCATETER EPIDURAL TRANSP. PERIFIX 16G*80MM(4513258) 3080011 11.912 11.912 11.912
InsumosCATETER I.V. 20G * 1 3/4 JELCO (4039-7069) 3060013 2.297 2.297 2.297
InsumosCATETER LICOX C/BOLT 2 VIAS * ( IP2P ) (REFRIGERAR) 3080051 1.546.411 1.546.411 1.546.411
InsumosCATETER MISSOURI ADULTO IZ REF. 8888-413401 3979394 576.304 576.304 576.304
InsumosCATETER PERCUTANEO DRUM 3020036 37.019 37.019 37.019
InsumosCATETER PERIDURAL PERIFIX CAT SOFT G18 3080029 44.217 44.217 44.217
InsumosCATETER PERIFIX ONE(REF- 4513258C) 3080063 15.119 15.119 15.119
InsumosCATETER PRESEP P/OXIMETRIA 8.5FR 20CM REF 881168 3080065 359.975 359.975 359.975
InsumosCATETER PRESION INTRACRANEANA (PIC CAPTOR SUBDURAL AD.)CAT001 3080047 240.496 240.496 240.496
InsumosCATETER RESERV. IMPLANTOFIX*04430425 3060014 324.281 324.281 324.281
InsumosCATETER SWAN GANZ 7.5 FR. 5 LUMEN ARROW AH-05050-H 3080062 241.183 241.183 241.183
InsumosCATETER TORAXICO RECTO 20 FR SIN TROCAR 3080042 16.232 16.232 16.232
InsumosCATETER TORAXICO RECTO 24 FR SIN TROCAR 3080016 22.908 22.908 22.908
InsumosCATETER TORAXICO RECTO 28 FR SIN TROCAR 3080017 18.693 18.693 18.693
InsumosCATETER TORAXICO RECTO 32 FR SIN TROCAR 3080025 16.232 16.232 16.232
InsumosCATETER TROCAR TORAXICO 16 FR REF-8888561035 3080067 27.489 27.489 27.489
InsumosCATETER TROCAR TORAXICO 20 FR. REF. 561043 3080061 29.780 29.780 29.780
InsumosCATETER TROCAR TORAXICO 24 FR 3080022 29.235 29.235 29.235
InsumosCATETER TROCAR TORAXICO 28 FR 3080023 26.916 26.916 26.916
InsumosCATETER TROCAR TORAXICO 32 FR 3080021 27.636 27.636 27.636
InsumosCATETER UMBILICAL 3.5 FR UN LUMEN 3170033 16.237 16.237 16.237
InsumosCATETER URETERAL ABIERTO 5 FRX70 CM REF 139005 3080071 47.615 47.615 47.615
InsumosCATETER URETERAL ABIERTO 6 FR X 70 CM REF 139006 3080069 49.088 49.088 49.088
InsumosCATETER URETERAL CILIND. * 3 FR/70 CM 3080028 25.152 25.152 25.152
InsumosCATETER URETERAL CILIND.5CH 70CM.REF:223606 3080004 27.443 27.443 27.443
InsumosCATETER URETERAL CILIND.6CH 70CM(86517 3080005 20.892 20.892 20.892
InsumosCATETER VENOSO CENTRAL PERIFERICO MORPHEUS 6 FR PICC ANGIODINAMICS REF. AG-121028063979410 278.163 278.163 278.163
InsumosCATETER VENOSO CENTRAL PERIFERICO MORPHEUS 7 FR PICC ANGIODINAMICS REF. AG-121028073979411 278.163 278.163 278.163
InsumosCATETER VENOSO CENTRAL TRIO CV-25703-E 3020002 71.471 71.471 71.471
InsumosCATETER VENOSO CENTRAL-NEO-NATAL ( ES 04522 G-22 ) 11CM LARGO 3020045 62.007 62.007 62.007
InsumosCATETER VENTILACION MANUJET 13G ADULTO REF. VB30020131 3979538 70.686 70.686 70.686
InsumosCATETER VENTILACION MANUJET 14G NIÑO REF. VB30020141 3979537 70.686 70.686 70.686
InsumosCATETER VENTILACION MANUJET 16G BEBE REF. VB30020181 3979536 70.686 70.686 70.686
InsumosCATETER VENTRICULAR TRANSLUCIDO REF 27703 3330021 476.640 476.640 476.640
InsumosCATETER VENTRICULAR TRAUMACAT REF. IN-INS-8420 3979580 427.143 427.143 427.143
InsumosCATGUT CROMADO 1 C/A * 24 SB(915-T) 3180015 7.184 7.184 7.184
InsumosCATGUT CROMADO 1 S/A STD*36 SB(S115SH) 3180020 8.357 8.357 8.357
InsumosCATGUT CROMADO 2/0 C/A G123T G.I./CC24220/GG123 COVIDIEN 3180002 5.781 5.781 5.781
InsumosCATGUT CROMADO 2/0 S/A STD*36 SB(S113SH) 3180021 4.919 4.919 4.919
InsumosCATGUT CROMADO 3/0 C/A * 24 SB(G-122-T) (MV 50004795) 3180001 5.681 5.681 5.681
InsumosCATGUT CROMADO 4/0 C/A * 24 SB(U203T) 3180017 7.583 7.583 7.583
InsumosCATGUT CROMADO 5/0 C/A * 24 SB(U202T)URO 3180018 10.723 10.723 10.723
InsumosCATGUT SIMPLE 0 C/A * 24 UN. 844 T /CG844 COVIDIEN MV3180094 3180094 7.556 7.556 7.556
InsumosCATGUT SIMPLE 0 C/A 854 T 3180099 8.200 8.200 8.200
InsumosCATGUT SIMPLE 0 C/A SH G.I*24SB(G324T) 3180023 5.398 5.398 5.398
InsumosCATGUT SIMPLE 0 C/A(KIT OBST.) KO110 COVIDIEN 3180144 16.755 16.755 16.755
InsumosCATGUT SIMPLE 0 C/A(KIT OBST.)*12(K0105G)MV50003124 3180022 24.609 24.609 24.609
InsumosCATGUT SIMPLE 1 C/A 845 T 3180006 6.529 6.529 6.529
InsumosCATGUT SIMPLE 1 S/A * 36 SB(S105SH)/G205 COVIDIEN 3180031 5.764 5.764 5.764
InsumosCATGUT SIMPLE 2/0 C/A * 24 SB(843T)( MV 50004800) 3180025 7.184 7.184 7.184
InsumosCATGUT SIMPLE 2/0 C/A SH G.I*24 SB(G323T ELIM 3180024 5.702 5.702 5.702
InsumosCATGUT SIMPLE 3/0 C/A CUT *(H122-T) 24SB 3180003 8.639 8.639 8.639
InsumosCATGUT SIMPLE 3/0 C/A HR 26 3180005 6.980 6.980 6.980
InsumosCATGUT SIMPLE 3/0 C/A SH G.I*24 SB(G322T ( MV 50004802 ) 3180026 5.596 5.596 5.596
InsumosCATGUT SIMPLE 3/0 S/A * 36 SB(S102SH) ELIM 3180034 5.372 5.372 5.372
InsumosCATGUT SIMPLE 4/0 C/A G.I*24SB(G319T) 3180027 6.025 6.025 6.025
InsumosCATGUT SIMPLE 4/0 S/A * 36 SB(S101SH) 3180035 4.712 4.712 4.712
InsumosCATGUT SIMPLE 5/0 C/A 24 SB (U208-T) URO ( MV 50007751 ) 3180028 9.443 9.443 9.443
InsumosCATGUT SIMPLE 6/0 OFT * 12 SB(1735G) 3180029 46.452 46.452 46.452
InsumosCATTETER GUIA 6FR AL-1 3979409 252.915 252.915 252.915
InsumosCAVILON PROTECTOR CUTANEO REF 3343E 3320050 9.331 9.331 9.331
InsumosCD CONTROL PLUS 3000/RUBY 12X2.5ML REF-8H59-01 #LAB ( MV 31000653 ) 3290728 579.193 579.193 579.193
InsumosCD LIMP.ENZIMATICO 2X50ML REF-99644-H1 ( MV 31000647 ) #LAB 3290729 436.663 436.663 436.663
Page 13
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCD RUBY DILUENT/SHEAT 20L REF-1H73-01 ( MV 31000645 ) #LAB 3290727 177.220 177.220 177.220
InsumosCD RUBY LISANTE HGB/NOC 4L REF-03H80-02 ( MV 31000644 ) #LAB 3290726 194.923 194.923 194.923
InsumosCD RUBY WBC LYSE 4L REF-8H52-01 (MV 31000643 ) #LAB 3290725 298.207 298.207 298.207
InsumosCEA PAQ DE REACTIVO ( MV 31000603 ) #LAB 3290814 554.116 554.116 554.116
InsumosCEFALOTINA CLSI (KF) 30UG 250 DISCOS CT 10B ( MV 31000297 ) 3979502 41.234 41.234 41.234
InsumosCEFALOTINA CLSI (KF) 30UG 250 DISCOS CT10B MV 31000298 3299543 35.343 35.343 35.343
InsumosCEFAZIDIMA (CAZ) 30UG 250 DISCOS (MV 31000358 ) 3979515 41.234 41.234 41.234
InsumosCEFEPIME (FEP) 30UG 250 DISCOS CT771B ( MV 31000306 ) 3979509 41.234 41.234 41.234
InsumosCEFOTAXIME ( CTX ) 30UG 250CT 166B ( MV 31000299 ) 3979503 41.234 41.234 41.234
InsumosCEFOXITIN CLSI ( FOX) 30UG 250 DISCOS ( MV 31000356 ) 3979513 40.775 40.775 40.775
InsumosCEFTRIAXONA (CRO) 30UG 250 DISCOS CT417B MV 31000688 3299545 35.343 35.343 35.343
InsumosCELL WASH SOLUTION 2 ( COD. 04880307190 )#LAB 3300029 429.928 429.928 429.928
InsumosCELLPACK 20 LTS * 4558863001 #LAB 3290031 456.435 456.435 456.435
InsumosCEMENTO CON ANTIBIOTICO 3330014 303.479 303.479 303.479
InsumosCEMENTO OPACITY REF. T040320Z 3979424 145.189 145.189 145.189
InsumosCEMENTO ORTOP.(HV-R) CIFOPLASTIA(C01B) 3270612 298.887 298.887 298.887
InsumosCEMENTO OSEO BIOABSORVIBLE 3270159 521.103 521.103 521.103
InsumosCEMENTO OSEO REFOBACIN PLUS ( 3020830401 ) 3279127 136.098 136.098 136.098
InsumosCEPILLO DENTAL 3260014 3.286 3.286 3.286
InsumosCERA PARA HUESOS 2,5 G * 12 SB (W31G) ( MV 50004805 ) 3180036 12.898 12.898 12.898
InsumosCERTOFIX DUO 14G/18G -HF V720 3020014 74.413 74.413 74.413
InsumosCERTOFIX G16 MONO S 330 3020012 36.560 36.560 36.560
InsumosCERTOFIX G22 MONO S 110 PEDIATRICO 3020013 67.285 67.285 67.285
InsumosCERTOFIX TRIO S720, F716/18/18X20 CM 3020015 48.679 48.679 48.679
InsumosCERVIX-SET 907145 3180011 41.752 41.752 41.752
InsumosCFAS PAC REF. 3555941190 #LAB 3290622 337.473 337.473 337.473
InsumosCHLAM TULIP #LAB 3290598 42.804 42.804 42.804
InsumosCHOCOLATE POLYVITEX*20PLACAS REF-43101(MV 31000275)#LAB 3290736 38.948 38.948 38.948
InsumosCHROMID CANDIDA 20 PLATES REF. 43631 MV 31000278 #LAB 3900514 102.495 102.495 102.495
InsumosCHROMO ID VRE X20 REF-43004 (MV 31000508)#LAB 3290739 120.535 120.535 120.535
InsumosCIDEX CINTA DE PRUEBA OPA 60 X 2 (20392) ELIMINAR 3040031 261.146 261.146 261.146
InsumosCIDEX OPA * BIDON 3,78 LTS (20391)(MV 50007738) 3040030 105.244 105.244 105.244
InsumosCIDEZYME DETERGENTE ENZYMATICOBIDON 1LT. ( 2258 ) 3900398 46.511 46.511 46.511
InsumosCIFOPLASTIA JERINGA/ P/INFLAR BALON (A081) 3270615 199.252 199.252 199.252
InsumosCINTA ALUMINIO * 10 MTS 3040002 26.450 26.450 26.450
InsumosCINTA AUTOCLAVE 19* 48 COD.1222/1322-18 *1 ROLLO ( MV 50004695 ) 3040005 22.091 22.091 22.091
InsumosCINTA CONTROL QUIMICO PLASMA (12 ROLLOS) (REF. 80B2658) 3040056 23.353 23.353 23.353
InsumosCINTA IMPRESORA H-917 11907735001 3120014 123.418 123.418 123.418
InsumosCINTA OXIDO ETILENO REF 1224-6 3040020 39.928 39.928 39.928
InsumosCINTA PH LABORATORIO * 09526.003 1-10#LAB 3290448 97.547 97.547 97.547
InsumosCINTA TARTAN 200 * 18 MM CIERRE PAQUETES 3040025 3.723 3.723 3.723
InsumosCINTAS QUIMICAS PLASMA 5000HTO48 3040042 86.355 86.355 86.355
InsumosCIPROFLOXACINO (CIP) 5UG 250 DISCOS CT425B ( MV 31000303 ) 3979506 41.234 41.234 41.234
InsumosCIRCUITO ANESTESIA ADULTO CON ACCE- REF CAI-001 SET COMPLETO 3090004 25.054 25.054 25.054
InsumosCIRCUITO ANESTESIA ADULTO SIN ACCE CAI-031 3090010 10.308 10.308 10.308
InsumosCIRCUITO ANESTESIA PEDIATRICO SET COMPLETO REF 8081 3090003 25.054 25.054 25.054
InsumosCIRCUITO BIPAP DESECHABLE C/PUERTO EXHALATORIO REF 582072/1065832 3900438 47.301 47.301 47.301
InsumosCIRCUITO DES. NEO PUFF S/MASCARA FP900RD010 3090011 23.549 23.549 23.549
InsumosCIRCUITO IRRIGACION ARTROSCOPIA LP150/69 3010013 21.462 21.462 21.462
InsumosCIRCUITO JACKSON REES C/V BOLSA 0.5 DES( 3090006 32.153 32.153 32.153
InsumosCIRCUITO JACKSON REES C/V BOLSA 1 LT DES REF 354007 3090007 40.900 40.900 40.900
InsumosCISTOFIX 10 FR X 650MM CMAG.PUNC.VESICAL)*1 3010033 63.617 63.617 63.617
InsumosCISTOFIX 15 FR X 650MM REF:4440153 3010056 65.581 65.581 65.581
InsumosCITROSTERIL LT.( ACIDO CITRICO) DESINF. 3300036 102.102 102.102 102.102
InsumosCK CREATINKINASA ( MV 31000013 ) #LAB 3290763 80.229 80.229 80.229
InsumosCK CREATINKINASA 300DET (MV31000551) 3290847 222.857 222.857 222.857
InsumosCK MB ( MV 31000014 ) #LAB 3290764 110.113 110.113 110.113
InsumosCLAMP RAPIDO A TORNILLO ( 14605 ) 3270717 1.123.352 1.123.352 1.123.352
InsumosCLAMP RAPIDO A TORNILLO6MM SL 3270231 536.932 536.932 536.932
InsumosCLAMPS UMBILICAL * 50 UNIDADES 3320008 597 597 597
InsumosCLARITROMICINA 5UG 250DISCOS ( MV 31000366 ) 3979519 41.234 41.234 41.234
InsumosCLAVIJA 2.2MM X 18MM (REF. 131227018) 3279630 88.519 88.519 88.519
InsumosCLAVIJA 2.2MM X 22MM (REF 131227022) 3279460 88.519 88.519 88.519
InsumosCLAVIJA 2.2MM X 24MM (REF 131227024) 3279461 88.519 88.519 88.519
InsumosCLAVO KIRSCHNER 1.6 150MM 292.160 3270197 12.485 12.485 12.485
InsumosCLAVO KIRSCHNER 2.00 150MM 292.200 3270199 12.187 12.187 12.187
InsumosCLAVO STEINMANN KX-250 3270466 49.480 49.480 49.480
InsumosCLAVO STEINMANN KX-255 3270467 49.480 49.480 49.480
InsumosCLAVO STEINMANN KX-260 3270468 49.480 49.480 49.480
Page 14
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCLAVO UFN P/FEMUR 11 X 420MM TITANIO 3270040 958.761 958.761 958.761
InsumosCLAVO CADERA DHS 85MM 280.850 3270127 266.741 266.741 266.741
InsumosCLAVO CADERA DHS 90MM 280.900 3270431 190.132 190.132 190.132
InsumosCLAVO CADERA DHS 100 MM 280.000 3270178 214.048 214.048 214.048
InsumosCLAVO CADERA DHS 65 MM 280.650 3270679 266.741 266.741 266.741
InsumosCLAVO CANULADO TROCANTEREO 10.0MM REF 456.355 3270793 2.613.820 2.613.820 2.613.820
InsumosCLAVO DE CADERA DHS 105 MM 280.050 3270683 267.560 267.560 267.560
InsumosCLAVO DE CADERA DHS 110 MM 280.100 3270684 267.560 267.560 267.560
InsumosCLAVO DE CADERA DHS 115 MM 280.150 3270685 267.560 267.560 267.560
InsumosCLAVO DE CADERA DHS 50MM 280.501 3270689 267.560 267.560 267.560
InsumosCLAVO DE CADERA DHS 55 MM 280.550 3270690 266.741 266.741 266.741
InsumosCLAVO DE CADERA DHS 60 MM 280.600 3270691 266.741 266.741 266.741
InsumosCLAVO DE CADERA DHS 70 MM 280.700 3270680 266.741 266.741 266.741
InsumosCLAVO DE CADERA DHS 75 MM 280.750 3270681 266.741 266.741 266.741
InsumosCLAVO DE CADERA DHS 80MM 280.800 3270682 266.741 266.741 266.741
InsumosCLAVO DE CADERA DHS 95 MM 280.950 3900393 213.393 213.393 213.393
InsumosCLAVO ENDOMEDULAR 12 X 330MM TIBIA UNIVE 3270220 524.714 524.714 524.714
InsumosCLAVO FEMORAL TROCH DER. 9.0MM X 34CM 14-443234 3279273 665.302 665.302 665.302
InsumosCLAVO FEMORAL TROCH DER. 9.0MM X 36CM REF 14-442236 3279436 665.302 665.302 665.302
InsumosCLAVO FEMORAL TROCH IZQ. 10.5MM X34CM 14-443334 3279269 665.302 665.302 665.302
InsumosCLAVO FEMUR 11 X 360 ( COD. 274.110 ) 3279091 522.890 522.890 522.890
InsumosCLAVO HUMERAL 7X270MM REF. 18300727S 3331020 831.451 831.451 831.451
InsumosCLAVO HUMERAL RETROGRADO TITANIO 3270029 789.641 789.641 789.641
InsumosCLAVO HUMERAL UHN 240 X 6.7 MM TITANIO 3331008 1.021.006 1.021.006 1.021.006
InsumosCLAVO HUMERAL UHN 250X 6.7MM TITANIO 462.625 3270798 1.083.523 1.083.523 1.083.523
InsumosCLAVO HUMERAL UHN 250X6.7 MM TITANIO 3331006 1.021.006 1.021.006 1.021.006
InsumosCLAVO HUMERO LARGO ANGULADO 8/7.0MM X 240MM REF. 71770824 3270851 1.524.732 1.524.732 1.524.732
InsumosCLAVO KICHNER L 150MM / 1.25 MM 292.120 3270727 9.163 9.163 9.163
InsumosCLAVO KICHNER L150MM /1.4 292.140 3270724 10.079 10.079 10.079
InsumosCLAVO KICHNER (LARGO) 3,0 MM 3270141 18.174 18.174 18.174
InsumosCLAVO KICHNER L 400MM / 2.5MM 292.280 3270725 32.071 32.071 32.071
InsumosCLAVO KICHNER L150MM / 3.0 MM 292.300 3270726 13.286 13.286 13.286
InsumosCLAVO KIRSCHNER 2,0 X 280MM 292.210 3270124 18.850 18.850 18.850
InsumosCLAVO KIRSCHNER L 2 0 X 15 LX-020 3270139 14.093 14.093 14.093
InsumosCLAVO KIRSCHNER 1.25* L150 292.120 3270135 13.799 13.799 13.799
InsumosCLAVO KIRSCHNER L 0 8 X 15 LX-128 3270134 16.467 16.467 16.467
InsumosCLAVO KIRSCHNER (LARGO) 2,5 MM LX 25 3270140 14.362 14.362 14.362
InsumosCLAVO KIRSCHNER 1 6 X 150MM LX136S 3270137 50.372 50.372 50.372
InsumosCLAVO KIRSCHNER 1. 0 X 150MM LX130S 3290508 50.372 50.372 50.372
InsumosCLAVO KIRSCHNER 1.2MM X 15CM REF. LX132S 3700420 21.271 21.271 21.271
InsumosCLAVO KUNTSCHER FEMUR B 8 * 310 KC-331 3270074 41.408 41.408 41.408
InsumosCLAVO KUNTSCHER HUMERO B 8 * 210 KC-321 3270073 41.921 41.921 41.921
InsumosCLAVO P/FÉMUR 11X300MMREF.274180 3700380 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 11X340MMREF.274100 3700381 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 12X340MMREF.274200 3700382 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 12X360MMREF.274210 3700383 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 12X380MMREF.274220 3700384 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 12X400MMREF.274230 3700385 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 12X420MMREF.274240 3700386 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 13X340MMREF.274300 3700387 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 13X360MMREF.274310 3700388 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 13X380MMREF.274320 3700389 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 13X400MMREF.274330 3700390 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 13X420MMREF.274340 3700391 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 14X340MMREF.274400 3700392 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 14X360MMREF.274410 3700393 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 14X380MMREF.274420 3700394 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 14X400MMREF.274430 3700395 38.169 38.169 38.169
InsumosCLAVO P/FÉMUR 14X420MMREF.274440 3700396 38.169 38.169 38.169
InsumosCLAVO P/TIBIA 11X285MMREF.251280 3700397 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 11X300MMREF.251300 3700398 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 11X315MMREF.251310 3700399 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 11X330MMREF.251330 3700400 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 11X345MMREF.251340 3700401 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 11X360MMREF.251360 3700402 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 11X380MMREF.251380 3700403 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 12X300MMREF.252300 3700404 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 12X315MMREF.252310 3700405 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 12X330MMREF.252330 3700406 35.225 35.225 35.225
Page 15
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCLAVO P/TIBIA 12X345MMREF.252340 3700407 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 12X360MMREF.252360 3700408 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 12X380MMREF.252380 3700409 35.225 35.225 35.225
InsumosCLAVO P/TIBIA 9*345 MM 279.640 3270223 567.886 567.886 567.886
InsumosCLAVO P/TIBIA S/FRESADO 279.570 3270031 595.448 595.448 595.448
InsumosCLAVO PERITROCANTERICO EXTRA CORTO 11MM X 17CM (REF. 28821) 3279627 1.018.122 1.018.122 1.018.122
InsumosCLAVO STEIMANN D.5L175 293.510 3979555 27.738 27.738 27.738
InsumosCLAVO TIBIAL 11.5 MMX 30 CM (71655230 ) 3270737 1.876.582 1.876.582 1.876.582
InsumosCLAVO TIBIAL 10.5 MM X 34 CM REF 40634 3279596 576.909 576.909 576.909
InsumosCLAVO TIBIAL 12MM X 32CM 3700422 576.464 576.464 576.464
InsumosCLAVO TIBIAL 9MM X 34CM REF. 40334 3279611 607.994 607.994 607.994
InsumosCLAVO TIBIAL CANULADO 9 X 360MM * 04.004.352 3270325 2.093.553 2.093.553 2.093.553
InsumosCLAVO TIVIAL 10.5MM X 29CM REF. 40629 3700450 607.994 607.994 607.994
InsumosCLAVOGAMMA TROC 130 180MM0MM REF. 41301180S 3270906 817.327 817.327 817.327
InsumosCLEAN CELL ELECSYS 2L * 2 COD 4880293190 #LAB 3290234 262.296 262.296 262.296
InsumosCLEAN SOLUTION COBAS C111 04774248 3290533 170.432 170.432 170.432
InsumosCLEANCELL COBAS 41111662970122 #LAB 3290362 184.039 184.039 184.039
InsumosCLINDAMICINA (DA ) 2UG 250 DISCOS ( MV 31000362 ) 3979517 41.234 41.234 41.234
InsumosCLIP 7 MM 135 ° MODEL HX-610-135 3010067 59.058 59.058 59.058
InsumosCLIPERA DESECHABLE OLYMPUS REF.HX-201LR-135-A ELIMINAR 3900416 144.514 144.514 144.514
InsumosCLIPS PARA ANEURISMA PERM 11 MM REF FT 759 3270918 458.150 458.150 458.150
InsumosCLIPS PARA ANEURISMAS PERM 11MM REF. FT 760 3270917 327.250 327.250 327.250
InsumosCLIPS TITANIO SMALL 20 CATRIDGE X 6 CLIPS ( REF. PL 565 T ) CAROTIDA 3979332 26.180 26.180 26.180
InsumosCLORANFENICOL CLSI (C) 30UG 250 DISCOS REF. CT13B #LAB 3290283 35.343 35.343 35.343
InsumosCLORHEXIDINA 2% TINTURA 125CC 3979577 8.252 8.252 8.252
InsumosCLOROHEX 2% 1LITRO CREMOSO PABELLON 3300010 38.869 38.869 38.869
InsumosCLOROHEX 0.5% TINTURA 150ML 3300025 7.121 7.121 7.121
InsumosCLOROHEX JABON CREMOSO 2% BOLSA 1000ML 3300011 14.868 14.868 14.868
InsumosCLOROHEXIDINA SOL. 2 % 500 ML.DIVERSEY 3300019 25.374 25.374 25.374
InsumosCLORURO ( CL ) ( MV 31000016 ) #LAB 3290766 109.461 109.461 109.461
InsumosCLORURO DE ETILO SPRAY * 12 UN 3370003 25.656 25.656 25.656
InsumosCLOXACILINA ( OB ) 5UG 250 DISCOS CT16B ( MV 31000733 ) 3299542 35.343 35.343 35.343
InsumosCOCAINA ( COC ) REF. 602510 #LAB 3290746 126.646 126.646 126.646
InsumosCOJIN ABDUCTOR ( PIERNA ) 3210083 34.893 34.893 34.893
InsumosCOJIN ANTIESCARAS/ 3210060 15.750 15.750 15.750
InsumosCOLESTEROL ( MV 31000031 ) #LAB 3290781 131.350 131.350 131.350
InsumosCOLINESTERASA 90 DET ( MV 31000526 ) #LAB 3290838 377.876 377.876 377.876
InsumosCOLLAR CERVICAL ATLAS " S" 3210068 203.500 203.500 203.500
InsumosCOLLAR CERVICAL # 2 "PEDIATRICO" EXTRICACION 3210087 32.071 32.071 32.071
InsumosCOLLAR CERVICAL # 4 "MEDIUM" EXTRICACION 3210029 49.343 49.343 49.343
InsumosCOLLAR CERVICAL # 6 "LARGE" EXTRICACION 3210028 13.090 13.090 13.090
InsumosCOLLAR CERVICAL BLANDO "L" 3210031 16.106 16.106 16.106
InsumosCOLLAR CERVICAL BLANDO "M" 3210027 8.948 8.948 8.948
InsumosCOLLAR CERVICAL BLANDO "S" 3210030 8.561 8.561 8.561
InsumosCOLLAR CERVICAL BLANDO XS /UNIDAD 3210049 6.005 6.005 6.005
InsumosCOLLAR CERVICAL MIAMI J TALLA UNICA ADEVANCE (S*M*L) 3211076 190.369 190.369 190.369
InsumosCOLLAR CERVICAL MIAMI-J- TALLA "L" 3211075 238.699 238.699 238.699
InsumosCOLLAR CERVICAL MIAMI-J- TALLA "M" 3211064 127.600 127.600 127.600
InsumosCOLLAR CERVICAL MIAMI-J- TALLA "S" 3210065 124.124 124.124 124.124
InsumosCOLLAR PHILADELPHIA S 3210080 54.978 54.978 54.978
InsumosCOLLAR PHILADELPHIA "L" (CERVICAL)*1 3210023 58.638 58.638 58.638
InsumosCOLLAR PHILADELPHIA XL 3210081 60.719 60.719 60.719
InsumosCOLLAR PHILADELPHIA"MEDIUM"(CERVICAL)*1 3210022 57.265 57.265 57.265
InsumosCOLLERA OIDO PAPARELLA (I) SILICONE REF..23- 50700 I 3330012 33.111 33.111 33.111
InsumosCOLLERA OIDO PAPARELLA (II) SILICONE REF..23- 50710 #OIDO 3330010 33.111 33.111 33.111
InsumosCOLLERA OIDO DONALSON REF. 1013021 3330060 41.783 41.783 41.783
InsumosCOLLERA OIDO SHEPARD 23-40101 3330006 33.106 33.106 33.106
InsumosCOLLERA OIDO TUBO VENTILACION EN T * REF..24751 #OIDO 3330007 37.687 37.687 37.687
InsumosCOLOR GRAM 2,R3 DECOLORANTE #LAB ( MV 31000222 ) 3299536 194.118 194.118 194.118
InsumosCOMBI-TROL PLUS B NIVEL 1 3321193001 #LAB 3290534 344.643 344.643 344.643
InsumosCOMBI-TROL PLUS B NIVEL 2 3321207001 #LAB 3290535 344.643 344.643 344.643
InsumosCOMBI-TROL PLUS B NIVEL 3 3321215001 #LAB 3290536 344.643 344.643 344.643
InsumosCOMP ACETAB MLRY-HD 3 HOLE 50MM L23 REF. 13-104150 3279300 902.192 902.192 902.192
InsumosCOMP. FEMORAL 65 MM AGC REF. 155423 3279490 693.407 693.407 693.407
InsumosCOMP. FEMORAL 70MM AGC REF. 155424 3279631 736.935 736.935 736.935
InsumosCOMP. FEMORAL 70MM AGC-PS (155444) 3279124 768.862 768.862 768.862
InsumosCOMP. FEMORAL 75MM AGC REF. 155425 3279386 713.943 713.943 713.943
InsumosCOMP. FEMORAL UNICONDILAROXFORD PEQUEÑO 3900420 963.194 963.194 963.194
InsumosCOMP. PATELAR 1 PEG MEDIANO 34MM 3279387 116.829 116.829 116.829
Page 16
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCOMP. PATELAR 1 PEG PEQ. 31MM ( 11-150826 ) 3279126 179.736 179.736 179.736
InsumosCOMP. TIBIAL AGC V2 10 X 67MM REF. 158481 3279491 699.336 699.336 699.336
InsumosCOMP. TIBIAL AGC V2 12X71MM 3279125 664.706 664.706 664.706
InsumosCOMP. TIBIAL AGC V2 8X75MM REF. 158500 3279385 664.706 664.706 664.706
InsumosCOMPONENTE ACETABULAR BIOMET 3280004 770.836 770.836 770.836
InsumosCOMPONENTE FEMORAL KFTCNP2L 3270015 1.470.597 1.470.597 1.470.597
InsumosCOMPOSI 30 REF. 905211 3279531 362.360 362.360 362.360
InsumosCOMPOSITCP 30 8X30MM INT SCREW 905214 3279111 677.383 677.383 677.383
InsumosCOMPOSITICP 60 10X35MM INT SCREM REF. 905262 3270835 431.315 431.315 431.315
InsumosCOMPOSITICP 60 9X30MM INT SCREW 905257 3279228 431.315 431.315 431.315
InsumosCOMPRESA PRELAVADA * 800 3260022 1.508 1.508 1.508
InsumosCOMPRESOR RADIAL 3979405 94.382 94.382 94.382
InsumosCONECTOR Y AC-10 3090008 5.618 5.618 5.618
InsumosCONECTOR AC-3 RECTO 47MM *8 U 3090002 2.739 2.739 2.739
InsumosCONECTOR AC-6 RECTO 7-10M SC 75111 3020048 2.445 2.445 2.445
InsumosCONECTOR ADAPTER CABLE DIAGNOSTICO MPK-4-R( #U.15) 3900444 493.493 493.493 493.493
InsumosCONECTOR AJUSTABLE 29-33 ( 124.912 ) 3279333 350.550 350.550 350.550
InsumosCONECTOR AJUSTABLE 38-51 (124.914 ) 3279335 350.550 350.550 350.550
InsumosCONECTOR AJUSTABLE 68-81 (124.917 ) 3279338 350.550 350.550 350.550
InsumosCONECTOR AJUSTABLE 33-41 ( 124.913 ) 3279334 350.550 350.550 350.550
InsumosCONECTOR AJUSTABLE 48-61 (124.915 ) 3279336 350.550 350.550 350.550
InsumosCONECTOR AJUSTABLE 78-91 (124.918 ) 3279339 350.550 350.550 350.550
InsumosCONECTOR AJUSTBLE 58-71 8124.916 ) 3279337 350.550 350.550 350.550
InsumosCONECTOR AZUL 011- C1000G 3020020 5.629 5.629 5.629
InsumosCONECTOR MACHO MACHO 5208000 3020030 4.712 4.712 4.712
InsumosCONECTOR MASCARILLA 2 MT "HUDSON" REF: 1115 3160012 2.910 2.910 2.910
InsumosCONECTOR MDI USIN001 3170085 18.326 18.326 18.326
InsumosCONECTOR NIPLE 3160014 3.699 3.699 3.699
InsumosCONECTOR PK-111/ BIOTRONIK REF. 08087850 3900494 621.775 621.775 621.775
InsumosCONECTOR SWIVEL CODO GIRATORIOC/TAPA VOLKER BERTRAM REF.VB6060005; 3070075 19.755 19.755 19.755
InsumosCONECTOR Y AC 9 3090001 4.500 4.500 4.500
InsumosCONFORMADOR OCULAR COD. 9548 3280011 105.601 105.601 105.601
InsumosCONO PROTECTOR OCULAR 3260027 5.498 5.498 5.498
InsumosCONTADOR MAGNETICO AGUJAS 31142196 * 3320047 6.283 6.283 6.283
InsumosCONTIPLEX SET TUOHY G-18 * 1.5 331695 3080031 87.965 87.965 87.965
InsumosCONTIPLEX SET TUOHY ULTRAG G18X2" REF 331691NC 3080070 106.029 106.029 106.029
InsumosCONTROL CARDIAC PRO BNP 4890493190 #LAB 3290538 101.929 101.929 101.929
InsumosCONTROL CARDIAC TROP T 4890515190 #LAB 3290488 118.116 118.116 118.116
InsumosCONTROL DADE CITROL 2 PLASMA P COAG.#LAB 3290365 376.730 376.730 376.730
InsumosCONTROL E- CHECK * 3539628001 #LAB 3290387 600.245 600.245 600.245
InsumosCONTROL EIGHTCHECK NORMAL 4420845001 #LAB 3290126 529.466 529.466 529.466
InsumosCONTROL IMX HIV 1/2 COD.8C98012 #LAB 3290241 203.386 203.386 203.386
InsumosCONTROL INTEGRADO AUTOCLA * 100 UN1243B ( 50008576 ) 3040027 70.011 70.011 70.011
InsumosCONTROL NEGATIVO * 2 CC #LAB 3290166 28.786 28.786 28.786
InsumosCONTROL NORMAL HBA1C C111/C501 207648333 #LAB 3290353 461.609 461.609 461.609
InsumosCONTROL POSITIVO * 2 CC #LAB 3290167 16.847 16.847 16.847
InsumosCONTROL PRECICONTROL CC MULTI 1 NORMAL 5117003190 #LAB 3290547 229.304 229.304 229.304
InsumosCONTROL PRECICONTROL TYRO AB 5042666191 #LAB 3290498 441.788 441.788 441.788
InsumosCONTROL QUIMICO INTERNO PARA PLASMA (REF. CFQ261) 3040057 125.664 125.664 125.664
InsumosCONTROL SET FR II 3005496122 #LAB 3290150 369.177 369.177 369.177
InsumosCONTROL TEST M * 11379194 #LAB 3290390 114.990 114.990 114.990
InsumosCOPA BIO-CLAD HI-W 32MM X 51RM 3279133 478.895 478.895 478.895
InsumosCOPA BIO-CLAD HI-W 32MM X 51RM REF. 163481 3279341 258.849 258.849 258.849
InsumosCOPA BIPOLAR48MM OD 32MM ID 3270286 1.516.334 1.516.334 1.516.334
InsumosCOPA TM CLUSTER 52MM (REF-62020522) 3270420 3.957.466 3.957.466 3.957.466
InsumosCOQ-C ( 2 X 10 ML. ) 3020038 155.509 155.509 155.509
InsumosCORCHETERA PIEL 365MM REFELX ONE 3279128 41.234 41.234 41.234
InsumosCORIS ADENO RESPI-STRIP REF. K-1509 ( MV 31000133 ) #LAB 3290750 327.250 327.250 327.250
InsumosCORNESTONE 5X14X11MM REF 6272415 3279510 991.087 991.087 991.087
InsumosCORQC KIT CONTROL DE CALIDAD #LAB 3280139 195.859 195.859 195.859
InsumosCORSET HIPERT. O DE JEWET 3210066 402.599 402.599 402.599
InsumosCORSET JEWETT / ORTHOMED 3210098 314.600 314.600 314.600
InsumosCORSET DE HIPEREXTENSION 3210095 327.250 327.250 327.250
InsumosCORSET ESPALDILLERA 3210096 68.750 68.750 68.750
InsumosCORSET/ THEO S/ M /XL 3210039 329.999 329.999 329.999
InsumosCORTADORA LINEAL GIA 60-38S 3220062 247.199 247.199 247.199
InsumosCORTADORA LINEAL GIA 80-38 S 3220060 287.980 287.980 287.980
InsumosCORTADORA LINEAL GIA 8048 S DESECH 3220018 235.620 235.620 235.620
InsumosCORTAUÑAS / LIMA DE UÑAS 3260012 3.439 3.439 3.439
Page 17
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosCORTISOL PAQ DE REACTIVO ( MV 31000620 ) #LAB 3290822 568.437 568.437 568.437
InsumosCOTILO 48 PARA CABEZA 42 CONSERVE REF. 38024248 3280046 2.153.978 2.153.978 2.153.978
InsumosCOTILO 52 PARA CABEZA 46 CONSERVE REF. 38024652 3280044 2.153.978 2.153.978 2.153.978
InsumosCOTILO 54 PARA CABEZA 48REF.38024854 3270025 2.319.668 2.319.668 2.319.668
InsumosCOTILO DINASTY 52 MM (DSBFGD52) 3270743 3.000.232 3.000.232 3.000.232
InsumosCOTILO RM PRESSFIT VITAMINA E PE 50/32 MM REF 52.34.0053 3280131 1.167.366 1.167.366 1.167.366
InsumosCOTILO SELEXYS PC 52/FF (REF. 55.41.0052) 3270993 1.682.101 1.682.101 1.682.101
InsumosCOTILO SELEXYS PC 54/GG (REF. 55.41.0054) 3270980 1.267.426 1.267.426 1.267.426
InsumosCOTILO SELEXYS TPS 44MM REF. 55.40.0054 3270331 1.092.779 1.092.779 1.092.779
InsumosCOTILO SELEXYS TPS 52 MM FF REF 55.40.0052 3280053 1.014.724 1.014.724 1.014.724
InsumosCOTILO SELEXYS TPS 58MM II REF. 55.40.0058 3280058 1.014.724 1.014.724 1.014.724
InsumosCOTONITOS CAJA 3320027 2.337 2.337 2.337
InsumosCOTTONOIDE CODMAN 1/2" X 1/2" REF 80 - 1400 3180037 23.595 23.595 23.595
InsumosCOTTONOIDE CODMAN 1/2" X 2 / 12X55MM REF 80-1406 3320034 25.056 25.056 25.056
InsumosCOTTONOIDE CODMAN 3/4" X 3/4"REF 80-1401 3330011 26.159 26.159 26.159
InsumosCREATININA ( MV 31000012 ) #LAB 3290762 131.350 131.350 131.350
InsumosCRHOM GARDNERELLA COD 43411 CAJA X 20 PLACAS ( MV 31000328 ) #LAB# 3979548 113.636 113.636 113.636
InsumosCRIOTUBOS 1.2ML SS LIPSEAL T309-1A#LAB 3300041 77.755 77.755 77.755
InsumosCRIOTUBOS 2.0 T309-2A #LAB 3300049 88.358 88.358 88.358
InsumosCRISTAL VIOLETA (2 LT) 55545 #LAB 3290841 184.873 184.873 184.873
InsumosCROSS LINK 45-65 (REF. 5570) 3700546 460.441 460.441 460.441
InsumosCROSS LINK SMALL ( 6902525 ) 3270428 507.238 507.238 507.238
InsumosCROSS LINKTELESCOPICO ( 811-321) 3270621 404.481 404.481 404.481
InsumosCROSSLINK 45-65 REF. 13E212 3700439 337.617 337.617 337.617
InsumosCROSSLINK DINAMICO 36-39MM X 10 REF. 8115536 3279508 800.497 800.497 800.497
InsumosCROSSLINK REF. 13E211 3700436 337.617 337.617 337.617
InsumosCRYOBANK PERLAS COPANCRYO/M#LAB 3290503 144.317 144.317 144.317
InsumosCRYOBANK PERLAS ROJAS 20 VIALES(COPANCRYO)#LAB 3290456 137.445 137.445 137.445
InsumosCRYOSTORE 2ML T314-281#LAB 3300050 33.380 33.380 33.380
InsumosCUADROS CLINICOS DESECHABLES 3260010 1.865 1.865 1.865
InsumosCUBETA DE CO2 ADULTO REF. MP01062 3979392 41.234 41.234 41.234
InsumosCUBETAS DE COMPOLAB KIT POR 100 CUBETAS #LAB 3979435 327.250 327.250 327.250
InsumosCUBETAS PARA COBAS C111 (4357108001)#LAB 3900377 349.775 349.775 349.775
InsumosCUBIERTA ESTERIL MESA ARSENALERA 2X2 MT 3230009 7.435 7.435 7.435
InsumosCUBRECALZADO DESECHABLE * CAJA 3230008 56.942 56.942 56.942
InsumosCUBREOBJETO 18 X 18 ( CAJAX10) REF-1051850 (MV30001039) #LAB 3290302 54.978 54.978 54.978
InsumosCUBREOBJETO 22*22 MM (MV 30001032) #LAB 3290043 62.832 62.832 62.832
InsumosCUBREOBJETOS 20X20 X200 REF-HH10520520 ( 31000102)#LAB 3290740 12.828 12.828 12.828
InsumosCUCHILLETE * OFTALMOLOGÍA 3250005 31.979 31.979 31.979
InsumosCUCHILLETE 15° 3250010 38.026 38.026 38.026
InsumosCUCHILLETE CRESCENT REF PE 3720A 3250007 58.905 58.905 58.905
InsumosCUHILLETE 15º( KNIVES-MICRO 15.0) 3320074 26.950 26.950 26.950
InsumosCUÑA ENOFTALMICA COD.9541 3280009 539.000 539.000 539.000
InsumosCUPULA WAGNER TITANIO NO CEMENTADA 60 MM 3270208 960.430 960.430 960.430
InsumosCURETA DE LATIRUD 8MM.TIP(A11B) 3270614 325.433 325.433 325.433
InsumosCUTIMED SORBAC MALLA 7 X 9 3030064 20.609 20.609 20.609
InsumosCUTTER 3.0 UNHOODED BUR 275.831.000 DE (#U.3) 3350009 71.271 71.271 71.271
InsumosCUTTER AGGRES PLUS 5.0 MM REF.275-554-000 DES(#U.3) 3350007 66.519 66.519 66.519
InsumosCUTTER BARREL BUR 5M 275.959.000DESECH(#U.3) 3350010 99.785 99.785 99.785
InsumosCUTTER CUDA 42 MM C9254 *(#U.1) 3270252 235.620 235.620 235.620
InsumosCUTTER FULL R 5 M 275752/275552*(#U.3)DESECH 3350006 69.096 69.096 69.096
InsumosCUTTER FULL RAD 42 MM 9247A *(#U.1) 3270250 235.620 235.620 235.620
InsumosCUTTER GATOR 42 MM 9263A *(#U.1) 3270251 235.620 235.620 235.620
InsumosCUTTER OVAL 40MM H9101 *(#U.1) 3270253 235.620 235.620 235.620
InsumosCUTTER PEAR BUR 5M 275.853.000 DESECHA(#U.3) 3350008 99.785 99.785 99.785
InsumosCUTTER RESECTOR 4.0 M M REF.# 275-542-000 DESECHABLE 3350002 106.909 106.909 106.909
InsumosCUTTER TOMCAT 4.0 M M REF.275-545-000 DESECHABLE 3350005 103.575 103.575 103.575
InsumosCVC 1 LUMEN 4 FR X 50CM REF. PR005041 3979402 229.075 229.075 229.075
InsumosDACRON POLYESTER 5/0 3180100 64.093 64.093 64.093
InsumosDELANTAL QUIRURGICO REFORZADO GH07-30XL 3230023 29.945 29.945 29.945
InsumosDESCARBONIZANTE ASEPTI WASH * BIDON 3300022 88.789 88.789 88.789
InsumosDESCENSOR DE NUDOS REF-174510* 5 USOS* 3330049 22.894 22.894 22.894
InsumosDESFIBRILADOR BICAMERAL IFORIA 5DR-T/BIOTRONIK REF 390115 3331036 13.312.530 13.312.530 13.312.530
InsumosDESINFECTANTE RAPICIDE OPA-28 /BIDON REF-ML02-0132 3040051 157.041 157.041 157.041
InsumosDESINFECTANTE TRIENZIMATICO 3E-ZIME 4 LT. 3300031 107.443 107.443 107.443
InsumosDESODORANTE ANT. 3220056 6.885 6.885 6.885
InsumosDESTORNILLADOR HEXAG. CANULADO PEQ. 314.290 3270708 678.703 678.703 678.703
InsumosDETERGENTE ALCALINO MEDI PH SAFE 5 LT 3300032 136.687 136.687 136.687
InsumosDETERGENTE ALKAZYME NO COMPRAR 3300023 27.031 27.031 27.031
Page 18
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosDETERGENTE BIOENZIMATICO BAJA ESPUMA DESINCRUSTANTE 3300028 79.325 79.325 79.325
InsumosDHDL ( MV 31000034 ) #LAB 3290783 419.423 419.423 419.423
InsumosDIFEXON ESPUMANTE 10% * 1 LT 3300006 19.640 19.640 19.640
InsumosDIFEXON SOL.10% X30ML/FRASCO 3320087 14.917 14.917 14.917
InsumosDIMERO - D REACTIVO 12241528196 3290156 32.039 32.039 32.039
InsumosDIRUI TIRAS ORINA 10 PARAMETROS ( MV 31000648 ) REF. H10-800 #LAB 3290826 558.027 558.027 558.027
InsumosDISCO CERVICAL 6 X 12MM * COD 6971260 3270357 3.711.015 3.711.015 3.711.015
InsumosDISCO CERVICAL PRODISC C * SSC355H * HELICO 3270386 3.575.001 3.575.001 3.575.001
InsumosDISCO CERVICAL SPINAL KINETICS M6 REF-CDM 25 HECA 3270950 4.553.562 4.553.562 4.553.562
InsumosDISCO COLOSTOMÍA 45MM(CONVATEC) 3320082 12.370 12.370 12.370
InsumosDISCO COLOSTOMIA 62 MM. BS2 BRAUN MEDICAL 3320026 15.119 15.119 15.119
InsumosDISCOS INTERMEDIOS LX440 3270469 32.071 32.071 32.071
InsumosDISCOS INTERMEDIOS LX442 3270470 53.015 53.015 53.015
InsumosDISCOS INTERMEDIOS LX444 3270471 53.015 53.015 53.015
InsumosDISCOS INTERMEDIOS LX446 3270472 53.015 53.015 53.015
InsumosDISCOS INTERMEDIOS LX448 3270473 53.015 53.015 53.015
InsumosDISCOS INTERMEDIOS LX450 3270474 53.015 53.015 53.015
InsumosDISKIT COMPLETO ( INSTRUMED) 3270758 726.495 726.495 726.495
InsumosDISPOSITIVO INTRAUTERINO 3320055 56.500 56.500 56.500
InsumosDISPOSITIVO P/BIOPSIA(F05A) 3270613 215.853 215.853 215.853
InsumosDISPOSITIVO TEST IND.BZO REF- DBZ-114BZO /CAJAX40 *UNID* 3290625 151.739 151.739 151.739
InsumosDISTRACTOR PIN CASPAR 12MM REF-875-087 3270359 170.170 170.170 170.170
InsumosDISTRACTOR PIN CASPAR 14MM REF-875-088 3270358 170.170 170.170 170.170
InsumosDLDL RGT PACK BX6/1001 (MV 31000572 ) #LAB 3290830 679.764 679.764 679.764
InsumosDORMIA ZERO TIP 3.OF 1.00MM X 90CM REF. 390-102 3170079 654.500 654.500 654.500
InsumosDRENAJE BILIAR DS 503 ( INMED REF. BOT004 ) 3240013 18.038 18.038 18.038
InsumosDRENAJE BLAKE CIRCULAR 10FR C/TROCAR REF.2227 3979596 71.275 71.275 71.275
InsumosDRENAJE BLAKE PLANO 10MM REF.2213 3979597 71.275 71.275 71.275
InsumosDRENAJE BLAKE PLANO 7MM C/TROCAR REF 2212 3979598 71.275 71.275 71.275
InsumosDRENAJE HEMO SUC FR14 400CC REF. HET020 3100012 18.326 18.326 18.326
InsumosDRENAJE HEMO SUC FR18 400CC REF. HET023 3100013 16.829 16.829 16.829
InsumosDRENAJE JACKSON PRATT C/RESERV 4MM(NET001) 3100005 47.124 47.124 47.124
InsumosDRENAJE JACKSON PRATT C/RESERV 7 MM NEUR 3100004 47.124 47.124 47.124
InsumosDRENAJE JACKSON PRATT C/RESERV.10MM NEUR ( INMED REF. NET007 ) 3100007 65.974 65.974 65.974
InsumosDRENAJE MEGAVAC 10 HEMOSUK HET018 3100008 16.755 16.755 16.755
InsumosDRENAJE MEGAVAC 15 * 600 CC HEMOSUK HET010 3100010 16.755 16.755 16.755
InsumosDRENAJE MEGAVAC 9FR. HEMOSUK HET017 3100011 16.755 16.755 16.755
InsumosDRENAJE MEGAVAC HEMOSUK 12 FR-HETO.19 DESECHAB ( INMED REF. HET019 ) 3100002 18.326 18.326 18.326
InsumosDRENAJE TORAX * 1 U ( ACQUA SEAL ) 3100006 113.490 113.490 113.490
InsumosDRUG RAPIDCARD (AMP-BZD-COC-MOR-THC-MDMA) X25DET REF CZ-121116-1#LAB 3979377 564.506 564.506 564.506
InsumosDSPBLE PURSTRING*65 INSTR (REF. 020242) JARETERO 3979451 229.075 229.075 229.075
InsumosDTIBC KIT CAPTACION TOTAL DE HIERRO (MV 31000554 ) #LAB 3290792 604.365 604.365 604.365
InsumosDUET TRS 60-4.8MM DUET6048 #CN 3220082 489.239 489.239 489.239
InsumosDUOVISC * OFTALMOLOGIA (HEALON) 3330028 208.786 208.786 208.786
InsumosDURAGEN PLUS 2.5 X 7.5CM 3900414 549.780 549.780 549.780
InsumosDURAGEN PLUS 5CM X 5 CM DP-1022-1 (CONSIG) 3900423 359.975 359.975 359.975
InsumosDURAGEN PLUS 7.5 X 7.5 CM. 3900426 1.330.468 1.330.468 1.330.468
InsumosDURASEAL 3ML * SELLANTE DURAMADRE (COLUMNA ) REF.20-4003-1 3180127 766.747 766.747 766.747
InsumosDURASEAL 5 ML ( CRANEO)REF-DSD5005 SELLANTE DE DURAMADRE 3900424 638.956 638.956 638.956
InsumosDVR ANATOMIC EXT LEFT REF. DVRAXL 3280109 368.190 368.190 368.190
InsumosDVR CROSSLOCK EPACK REF, 811811040 3290842 1.329.691 1.329.691 1.329.691
InsumosDVR CROSSLOCK EPACK REF. 811813050 3280106 1.368.847 1.368.847 1.368.847
InsumosDVR CROSSLOCK REF 81811050 3290845 1.368.847 1.368.847 1.368.847
InsumosDVR E-PACK MINI LOCKED PLATE LEFT REF. 811822040 3280136 1.329.691 1.329.691 1.329.691
InsumosDVR EPACK WIDE LOCK PLT L REF 811823050 3280121 1.368.847 1.368.847 1.368.847
InsumosDVR EPAK LOCK PLT L REF. 811812050-40 3280101 1.362.245 1.362.245 1.362.245
InsumosDVR EPAK LONG LOCK PLT L REF. 811822090 3979437 1.368.847 1.368.847 1.368.847
InsumosDVR EPAK LONG LOCK PLT R REF 811812090 3280107 2.105.919 2.105.919 2.105.919
InsumosDVR EPAK MEDIUM LOCK PLT R REF. 811812060 3979450 1.329.691 1.329.691 1.329.691
InsumosDVR E-PAK MINI LOCKED PLATE LEFT REF. 811822050 3279451 1.362.245 1.362.245 1.362.245
InsumosDVR PLATE TEMPLATE SET STE REF. 212000010 3280102 138.889 138.889 138.889
InsumosDYNALUBE LUBRICANTE 2.7G SACHET./CJX*144* 3979340 1.250 1.250 1.250
InsumosEEA 21MM USE STAPLER REF. EEA21#CN 3220107 561.561 561.561 561.561
InsumosEEA 33MMSING USE STAPLER REF. EEA33 #CN 3220090 561.561 561.561 561.561
InsumosEGIA 60 ARTIC EXTRA THICK SULU (EGIA60AXT) #CO 3220118 431.970 431.970 431.970
InsumosELASTIC LSM 5MM SHARP HOOK 88 PACK) REF. 3311-8G 3979569 179.660 179.660 179.660
InsumosELASTICO SILICONA SURGICAL LOOP AZUL 2. 3330043 9.736 9.736 9.736
InsumosELASTICO SILICONA SURGICAL LOOP ROJO 1. 3330042 9.736 9.736 9.736
InsumosELECSYS ANTI CCP REF-5031656190 #LAB 3290624 1.346.077 1.346.077 1.346.077
Page 19
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosELECSYS ANTI HCV II 100DET. REF-6368921190 #LAB 3290580 735.645 735.645 735.645
InsumosELECSYS BRAHMS PROCALCITONINA 100 TEST REF. 5056888200 #LAB 3290592 1.957.036 1.957.036 1.957.036
InsumosELECSYS CALSET ANTI TG 6368603190 #LAB 3290525 169.073 169.073 169.073
InsumosELECSYS CALSET ANTI TPO 6472931190 #LAB 3290526 169.073 169.073 169.073
InsumosELECSYS CALSET PTH 11972219122 #LAB 3290600 170.165 170.165 170.165
InsumosELECSYS FERRITINA *100 DET* REF-3737551190#LAB 3290620 598.357 598.357 598.357
InsumosELECSYS PARATHORMONA PTH 11972103122 #LAB 3290599 442.649 442.649 442.649
InsumosELECTROBISTURI LAPIZ (E2515) KENDALL 3320018 13.875 13.875 13.875
InsumosELECTRODO 5 CM TCD5 COSMAN 3070130 362.406 362.406 362.406
InsumosELECTRODO ASA REF. E1561 3900467 60.562 60.562 60.562
InsumosELECTRODO ASA REF. E1562 3900464 58.002 58.002 58.002
InsumosELECTRODO ASA REF. E1564 3900465 63.087 63.087 63.087
InsumosELECTRODO ASA REF. E1567 3900466 33.380 33.380 33.380
InsumosELECTRODO AURIC. ACTIVO SOLIA S 53 MRI / BIOTRONIK 3900430 916.300 916.300 916.300
InsumosELECTRODO AURICULAR ACT. S 53 ( DIF.) 3900382 229.075 229.075 229.075
InsumosELECTRODO AURICULAR ACTIVO S53/BIOTRONIK 3900428 587.087 587.087 587.087
InsumosELECTRODO AURICULAR PASIVO SELOX JT53 BIOTRONIK 3900409 481.058 481.058 481.058
InsumosELECTRODO AURICULAR REF. 4076 3900534 579.233 579.233 579.233
InsumosELECTRODO AURICULAR SETROX S 53 S/N 29335822 3900505 782.782 782.782 782.782
InsumosELECTRODO CLORO * 3246353001 3900380 722.501 722.501 722.501
InsumosELECTRODO COSMAN 15 CM TCD-15 3070115 385.438 385.438 385.438
InsumosELECTRODO DE SENO CORONARIO COROX OTW 75BP S/N 25084811 3900506 1.309.000 1.309.000 1.309.000
InsumosELECTRODO END EF VAPOR 225303 DESECHA 3U 3360001 214.401 214.401 214.401
InsumosELECTRODO ENDOCAVITARIO MARCAPASO BIOTRONIK 3330032 985.092 985.092 985.092
InsumosELECTRODO ENDOCAVITARIO VENTRICULAR SELOX ST/60 BIOTRONIX 3900387 481.058 481.058 481.058
InsumosELECTRODO LINOX SMART PROMRI SD 65-16 BIOTRONIK REF. 377169 3331034 2.061.675 2.061.675 2.061.675
InsumosELECTRODO MARCAPASO ADULTO PRIMEDIC 3120017 130.640 130.640 130.640
InsumosELECTRODO P/LAPAROSCOPIA WIRW-L-HOOK (E-2773-36) 3230019 102.102 102.102 102.102
InsumosELECTRODO PARA VDD SOLOX SLX 65/14-BP 3900441 544.544 544.544 544.544
InsumosELECTRODO PEDIATRICO ECG T.M. *31447793 3120018 537 537 537
InsumosELECTRODO POTASIO * 10825441001 3900378 843.822 843.822 843.822
InsumosELECTRODO RESONANCIA 17000C-050/ REF 4000003 3120020 668 668 668
InsumosELECTRODO SAFIO S53 COMPATIBLE RESONANCIA REF. 370945 3331035 569.415 569.415 569.415
InsumosELECTRODO SODIO * 10825468001 3900379 843.822 843.822 843.822
InsumosELECTRODO TERMINAL FLEX 225324 DESECH 3U 3360004 273.552 273.552 273.552
InsumosELECTRODO TRIANG. TRUCONE 15X30MM REF- 9006145 3220106 109.956 109.956 109.956
InsumosELECTRODO VENTR. PASIVO SOLIA T 60 MRI / BIOTRONIK 3900431 916.300 916.300 916.300
InsumosELECTRODO VENTRICULAR REF. 4074 3900533 579.233 579.233 579.233
InsumosELECTRODO VENTRICULAR PASIVO SELOX ST 60 3900530 641.410 641.410 641.410
InsumosELECTRODO VENTRICULAR PASIVO SELOX ST 60/BIOTRONIK 3900455 461.423 461.423 461.423
InsumosELECTRODOS / UCI / ECG.ADULTO 2249 * 50 U ( MV 50009688 ) 3120013 2.038 2.038 2.038
InsumosELECTRODOS P/ECG ADULTO"2223 Y 2228 * 50 UN. ( MV 50002476 ) 3120002 636 636 636
InsumosELECTRO-MANGO COAG 12 F.LARGO E 2612-6 3070099 62.832 62.832 62.832
InsumosELECTRO-MANGO COAG.ASPIR. 10 FR LARGO E 3310 3070097 40.483 40.483 40.483
InsumosELECTRO-MANGO COAGUL. 8FR. (REF -E2608-6 ) 3070117 51.051 51.051 51.051
InsumosELEMENTO TENSOR LX420 3270475 188.496 188.496 188.496
InsumosELEMENTO TENSOR LX421 3270476 161.007 161.007 161.007
InsumosELEMENTO TENSOR LX422 3270477 164.934 164.934 164.934
InsumosELEMENTO TENSOR LX425 3270478 188.496 188.496 188.496
InsumosELEMENTO TENSOR LX430 3270479 180.642 180.642 180.642
InsumosELEMENTO TENSOR LX475 3270532 897.320 897.320 897.320
InsumosELEMENTO TENSOR LX476 3270480 294.525 294.525 294.525
InsumosEND CAP 0MM REF. 14-441280 3700423 89.939 89.939 89.939
InsumosEND CAP STANDARD REF. 17220003S 3290560 50.030 50.030 50.030
InsumosEND CAP. 5MM REF. 14-441281 3700452 78.654 78.654 78.654
InsumosENDO BABCOCK ROTAT. 10MM 10BB*(#U.3)DESECHAB 3220006 172.925 172.925 172.925
InsumosENDO CATCH 15MM 3330035 153.399 153.399 153.399
InsumosENDO CLIP 10MM REF-176657 3230088 255.255 255.255 255.255
InsumosENDO GIA ROTICULADOR 60 2,5 S REF 30457 #CN 3220112 221.221 221.221 221.221
InsumosENDO RETRACT 10 MM 174311 ESOF*4U DESECH 3220010 165.637 165.637 165.637
InsumosENDO RETRACT HEPATICO 176647) DESECHAB 3220015 429.516 429.516 429.516
InsumosENDOBAG 5X8 REF-25040 3230089 90.648 90.648 90.648
InsumosENDOCLINCH 5 MM TYCO (REF. 174317) #CN 3330033 186.533 186.533 186.533
InsumosENDOCORTADORA POWER ECHELON REF-PLE60A *DESECHABLE*#CONSIG. 3230095 476.476 476.476 476.476
InsumosENDOGIA 4 HANDLE STANDAD EGIAUSTND #CN #U.2# 3220091 178.679 178.679 178.679
InsumosENDOGIA UNIVERSAL EGIAUXL(#U.2) 3220029 206.168 206.168 206.168
InsumosENDOGIA UNIVERSAL ARTICULADA COD30449( #U.2) 3220025 357.357 357.357 357.357
InsumosENDOGRAPADORA HERNIA AUT.(EMS)*1UDESECHA 3190003 526.912 526.912 526.912
InsumosENDOLOOP EJ10C (VICRYL 0 -18" 45CM) 3220071 117.676 117.676 117.676
Page 20
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosENDOPATH ETS 45 REF. TR45G 3979349 340.340 340.340 340.340
InsumosENDOPATH TROCAR EXCELL 15MM.REF-B15LT#CONSIGN. 3190024 245.438 245.438 245.438
InsumosENDOPATH TROCAR EXCELL REF. B12LT *#CONSIGN. *DESECH 3190001 102.102 102.102 102.102
InsumosENVASE DEPOSICION-HECES C/CUCH.30 ML MV 50008870 3290245 1.309 1.309 1.309
InsumosENVASE ESTERIL P/MUESTRA ORINA 150 ML ( MV 30001030 ) 3290211 1.139 1.139 1.139
InsumosENVASE NO ESTERIL P/MUESTRAS 150ML REF. KA-5640-03 3290844 733 733 733
InsumosENVASE PLASTICO P/ORINA 24HR * 2.7 LT 3290246 14.661 14.661 14.661
InsumosEOSINA AZUL DE METILENO SOLUC. MAY -GRUNWALD (COD.CL11014241022/1) MERCK#LAB 3290464 107.180 107.180 107.180
InsumosE-POLY 36MM +3 HIWALL LNR SZ23 REF. EP-108323 3279302 470.694 470.694 470.694
InsumosEQUIPO ACTIVAC (REF. 34000R) 3000227 5.890.500 5.890.500 5.890.500
InsumosEQUIPO FLEBOCLISIS /ADM.SUERO 12672-28 L3-9 * 48 (MV50009453) 3050006 4.254 4.254 4.254
InsumosEQUIPO MICROGOTEO C/VALVULA *4037014/MG-0130CV 3050005 9.071 9.071 9.071
InsumosEQUIPO TRACCION ADULTO 3210032 165.001 165.001 165.001
InsumosEQUIPO TRANSF.SANGRE ADULTO TB*U800B * 50 3020027 5.995 5.995 5.995
InsumosEQV.COD ESTERIL 718000 4.5MM L-D (71820013) 3279254 1.960.358 1.960.358 1.960.358
InsumosERITROMICINA (E) 15UG 250 DISCOS 3979516 40.775 40.775 40.775
InsumosERTAPENEM 10UG 250DISCOS ( MV 31000307 ) 3299548 35.343 35.343 35.343
InsumosESCAFANDRA CON VISOR * BIOMET 3230017 167.593 167.593 167.593
InsumosESCAFANDRA CON VISOR OXIGEN REF. 60200 3279493 63.640 63.640 63.640
InsumosESCAFANDRA CORTA CON VISOR (SA-500/US ) 3279130 138.792 138.792 138.792
InsumosESCOBILLA ESPONJA P/LAVADO 3330005 1.833 1.833 1.833
InsumosESPACIADOR INTERESPINOSO PISCIS REF. 66PSC108P 3900400 3.534.300 3.534.300 3.534.300
InsumosESPALDILLERA DORSO LUMBAR 3210090 57.199 57.199 57.199
InsumosESPATULAS PARA PAP 3290201 16.554 16.554 16.554
InsumosESTILETE INTUBACION ADULTO 14FR REF. 85865 3160016 13.090 13.090 13.090
InsumosESTRADIOL PAQ REACTIVO ( MV 31000593 ) #LAB 3290807 481.143 481.143 481.143
InsumosESTUCHE PENEAL * L (30) 3130015 2.419 2.419 2.419
InsumosESTUCHE PENEAL * M (30) 3130014 2.419 2.419 2.419
InsumosESTUCHE PENEAL* S ( 30) 3130016 2.414 2.414 2.414
InsumosETER ETILICO REF. 981808 #LAB# X800ML 3979418 49.088 49.088 49.088
InsumosETHIBOND 2/0 B523T *24U* 3180143 18.899 18.899 18.899
InsumosETHIBOND EXTRA 0 CT-1 * 36 SB (B424H) 3180038 16.467 16.467 16.467
InsumosETHIBOND EXTRA 1 CT-1 * 36 SB (X425H) 3180039 17.012 17.012 17.012
InsumosETHILON 10/0 W1770 OFTALMOLOGICO 3180008 70.156 70.156 70.156
InsumosETHILON 2/0 C/A FS ETH.CUT.* 24 SB(164T) ( MV 50004857 ) 3180040 6.025 6.025 6.025
InsumosETHILON 3.0 SC-20 14503T * MV50007805 3180114 6.025 6.025 6.025
InsumosETHILON 3/0 C/A FS1 ETH.CUT.*24 SB(169T) ( MV 50009685 ) 3180041 7.189 7.189 7.189
InsumosETHILON 4.0 P1611 *24 ( MV 50008530 ) 3180110 14.615 14.615 14.615
InsumosETHILON 4/0 C/A FS2 ETH.CUT.*24SB(14502T/MONOSOF SN662 ( MV 50004862 ) 3180042 7.184 7.184 7.184
InsumosETHILON 4/0 P 1603 T ( MV 50008388 ) 3182742 10.996 10.996 10.996
InsumosETHILON 4/0 P 1662 T ( MV 50009814 ) 3182743 10.996 10.996 10.996
InsumosETHILON 5 P1668T * 3180115 12.565 12.565 12.565
InsumosETHILON 5/0 C/A FS2 ETH.CUT.*24SB(14501T 3180043 7.184 7.184 7.184
InsumosETHILON 5/0 P 1661 T ( MV 50004866 ) 3180098 17.012 17.012 17.012
InsumosETHILON 5/0 P 1666 T ( MV 50004867 ) 3182741 10.996 10.996 10.996
InsumosETHILON 5/0 PS4 P 1602 T ( MV 50001866 ) 3182740 10.996 10.996 10.996
InsumosETHILON 6 P1665T * 3180116 12.562 12.562 12.562
InsumosETHILON 6/0 C / A*24S P697T 3180044 14.615 14.615 14.615
InsumosETIQUETAS A-POSITIVO 3020049 262 262 262
InsumosETIQUETAS AUTOADHESIVAS 3958400001 3020033 37.944 37.944 37.944
InsumosETIQUETAS GRUPO SANGUINEO O-RH+ 3020032 131 131 131
InsumosEXPANSOR DE TEJIDOS LISOCRESCIENTE REF. 51690-400 3979320 480.480 480.480 480.480
InsumosEXTENSOR VENOSO 100 CM""C/LLAVE 3 PA 3020009 6.545 6.545 6.545
InsumosEXTENSOR VENOSO 25 CM C/LLAVE 3020008 6.283 6.283 6.283
InsumosEXTENSOR VENOSO 7 CM. C/PUNTO INYECCION 3020016 6.283 6.283 6.283
InsumosEZCUP 5 PARAMETROS REF. DOA-157-09A #LAB 3979553 29.322 29.322 29.322
InsumosF.O.E * 1 PINTA(ELIMINADOR DE OLOR FECAL 3370009 65.976 65.976 65.976
InsumosFACTOR REUMATOIDE REACTIVO ( RF ) ( MV 31000581 ) #LAB 3290797 831.150 831.150 831.150
InsumosFAJA 4 BANDAS *TALLA *-L* 3000210 22.824 22.824 22.824
InsumosFAJA 4 BANDAS " XXL " 3000222 35.641 35.641 35.641
InsumosFAJA COMPRES P/CIRU.DORSO.LUMBAR. 3000211 111.868 111.868 111.868
InsumosFAJA 3 BANDAS *TALLA L* 3110005 23.114 23.114 23.114
InsumosFAJA 3 BANDAS *TALLA M / 3000215 20.842 20.842 20.842
InsumosFAJA 3 BANDAS *TALLA XL* 3000217 21.892 21.892 21.892
InsumosFAJA 3 BANDAS T-S 3000223 21.271 21.271 21.271
InsumosFAJA 3 BANDAS XXL 3000216 9.240 9.240 9.240
InsumosFAJA 4 BANDAS *TALLA XL* 3000214 26.133 26.133 26.133
InsumosFAJA 4 BANDAS *TALLA-M* 3000212 24.703 24.703 24.703
InsumosFAJA ABD.P/COLOSTOMIA 4 BANDAS.XXL 3000221 52.924 52.924 52.924
Page 21
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosFAJA ABDOMINAL COLOSTOMIA 3 BANDAS TALLA (M) 3000218 30.411 30.411 30.411
InsumosFAJA COLOSTOMIA 3 BANDAS *S* 3000226 31.459 31.459 31.459
InsumosFAJA COLOSTOMIA 4 BANDAS T-L. 3370013 83.586 83.586 83.586
InsumosFAJA COLOSTOMIA 4 BANDAS T-XL 3000225 28.144 28.144 28.144
InsumosFAJA COMPRESIVA P/CIRUGIA CADERA 3000220 121.439 121.439 121.439
InsumosFAST FIX CURVO * SUTURA MENISCAL 3180122 452.618 452.618 452.618
InsumosFAST FIX RECTO * SUTURA MENISCAL 3180123 452.618 452.618 452.618
InsumosFERRITINA PAQ DE REACTIVO ( MV 31000597 ) #LAB 3290810 437.497 437.497 437.497
InsumosFERULA DIGITAL MEDIANA (FROG) 3210040 10.875 10.875 10.875
InsumosFERULA DIGITAL PEQUE¥A (FROG) 3210041 9.048 9.048 9.048
InsumosFERULA DIGITAL PREFORMADA BASEBAL 7 CM 3210044 8.933 8.933 8.933
InsumosFERULA DIGITAL PREFORMADA BASEBALL 10 CM 3210043 8.152 8.152 8.152
InsumosFERULA DIGITAL PREFORMADA BASEBALL 12 CM 3210042 8.509 8.509 8.509
InsumosFERULA HOJA SILICONA ATOS 7353 P.BRILL 3310012 35.017 35.017 35.017
InsumosFERULA INMOVILIZADORA 3210053 167.420 167.420 167.420
InsumosFERULA NASAL ALUMINIO "L" R1002 K 3310009 90.144 90.144 90.144
InsumosFERULA NASAL ALUMINIO "M" 2010210 3310010 57.735 57.735 57.735
InsumosFERULA NASAL ALUMINIO "S" R1001 K 3310008 90.144 90.144 90.144
InsumosFERULA NASAL ARTICULADA GRANDE REF. 600306 3310019 54.978 54.978 54.978
InsumosFERULA NASAL ARTICULADA PEQUEÑA REF. 600302 3310018 58.905 58.905 58.905
InsumosFERULA NASAL NASOFIX (7368) 3310003 40.720 40.720 40.720
InsumosFERULA NASAL THERMOPLASTIC M 20-10110 G. C 3310005 45.815 45.815 45.815
InsumosFERULA NASAL THERMOPLASTIC "LARGE" 3310017 43.197 43.197 43.197
InsumosFERULA NASAL THERMOPLASTIC S 20-10109 G.CLINIC 3310015 45.815 45.815 45.815
InsumosFERULA SILICONADA NASAL DOYLE 3310011 82.498 82.498 82.498
InsumosFIBRA DE PIC PARA LICOX C/BOLT REF. IN-110-4L 3900433 855.960 855.960 855.960
InsumosFIBRA INTRAPARENQUIMAL SIN T° * 110-4B 3080052 968.002 968.002 968.002
InsumosFIJACION COLUMNA ( TORNILLOS -BARRAS-BLOQUEADOR) 3700281 1.921.088 1.921.088 1.921.088
InsumosFIJACION FEMORAL TOGGELOC ZIP (REF-904755) 3270432 294.432 294.432 294.432
InsumosFIJACION FEMORAL TOGGLELOC 3270240 387.310 387.310 387.310
InsumosFIJACION FEMORAL TOGGLELOC HTH REF-904756 3270958 394.134 394.134 394.134
InsumosFIJACION TIBIAL DISTAL NUMELOC * STRYKER 3270385 1.295.910 1.295.910 1.295.910
InsumosFIJADOR CITOLOGICO P/PAP 100 CC EDILAB 3290204 32.725 32.725 32.725
InsumosFIJADOR DE TUBO ENDOTRAQUEAL REF.40-9005-333 3210070 20.420 20.420 20.420
InsumosFIJADOR EXTERNO DE MUÑECA ESTERIL (SET) REF. 04250 3270290 1.514.754 1.514.754 1.514.754
InsumosFIJADOR EXTERNO MUÑECA SIMPLE 3279144 1.317.713 1.317.713 1.317.713
InsumosFIJADOR EXTERNOPARA FALANGE REF 0920-004-000 3979434 510.510 510.510 510.510
InsumosFIJADOR SONDA FOLEY * PROTEC/FOL0100 3210082 7.964 7.964 7.964
InsumosFILTRO "AESCULAP" (JK-089) * 1 UNIDAD 3140002 66.366 66.366 66.366
InsumosFILTRO BACTERIANO REF-880528 3140010 4.094 4.094 4.094
InsumosFILTRO DE GAS DESECHABLE 031122-01 / PS3603 3220035 27.031 27.031 27.031
InsumosFILTRO DESECHABLE JF-481 3400018 46.731 46.731 46.731
InsumosFILTRO DESECHABLE REF. 01148 DE 23.5 POR 11.8X200UNID. 3400021 77.491 77.491 77.491
InsumosFILTRO DIALISIS HEMOFLOW F 6 HPS REF-5007061 3290548 39.781 39.781 39.781
InsumosFILTRO EPIDURAL 4515501 3140001 12.828 12.828 12.828
InsumosFILTRO GLOB.ROJO ADULTO *BPFBLA* 800372 3290424 73.965 73.965 73.965
InsumosFILTRO HEMODIALIS XENIUM XPM210 3400022 40.884 40.884 40.884
InsumosFILTRO HEMODIALISIS * XEMIUN LF 190/XPM190 3140006 85.118 85.118 85.118
InsumosFILTRO HEMODIALISIS * XENIUM XPM 150 3140017 38.485 38.485 38.485
InsumosFILTRO HEMODIALISIS * XENIUM XPM 170 3140018 39.663 39.663 39.663
InsumosFILTRO HUMIDIFICADOR (THERMOVENT HEPA) * 100-585-00 3140003 18.326 18.326 18.326
InsumosFILTRO HUMIFICADOR TRAQUEOSTOMIA 100/570/015 3400019 13.057 13.057 13.057
InsumosFILTRO HUMIFICADOR TRAQUEOSTOMIA P/OXIGENO 100/570/022 3400020 13.057 13.057 13.057
InsumosFILTRO INSPIRATORIO VENTILADOR MECANICO 3140007 31.154 31.154 31.154
InsumosFILTRO PLAQUETAS PEDIATRICO * 850120 3290427 50.544 50.544 50.544
InsumosFILTRO REDONDO AESCULAP JK095 * 100 87020-00 3400017 38.943 38.943 38.943
InsumosFILTRO VENA CAVA REF 04435125. 3140004 1.374.450 1.374.450 1.374.450
InsumosFILTRO VENA CAVA REMOV. OPTEASE REF-466F210A CORDIS 3140011 1.531.530 1.531.530 1.531.530
InsumosFILTRO VIRAL BACTERIANO REF. 350/5879 3979412 6.283 6.283 6.283
InsumosFILTRO VIRAL V60 - BACTERIANO REF.342777 ELIMINAR 3900436 13.614 13.614 13.614
InsumosFINNTIPS ST ART 10X1.25ML (4420837001)#LAB 3290515 80.075 80.075 80.075
InsumosFLECTOR PARCHE 180MG/CAJA 3030087 15.523 15.523 15.523
InsumosFLO TRAC SENSOR DE PRESION REF. MHD6 3080066 343.613 343.613 343.613
InsumosFORCEPS INTUBACION ADULTO 3160017 42.774 42.774 42.774
InsumosFORMALINA FC. 100 CC. 3370016 6.665 6.665 6.665
InsumosFORMALINA TAMPONADA 10%*1LT (FARMALATINA) 3010080 16.755 16.755 16.755
InsumosFOSFATASA ALCALINA ( MV 31000019 ) #LAB 3290769 135.482 135.482 135.482
InsumosFOSFORO ( MV 31000020 ) #LAB 3290770 131.350 131.350 131.350
InsumosFRASCO BIOPSIA ENDOSCOPIA C/TAPA (COD.2084 22/50X48 PENICILINA B 10CC 3020037 550 550 550
Page 22
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosFRASCO DETECC. DROGAS ORINA DOA-147(CAJAX 25 UNID) #LAB 3290438 294.525 294.525 294.525
InsumosFRASCO GOTARIO ( ALERGENOS ) 3979373 15.399 15.399 15.399
InsumosFRASCO HEMOCULTIVO PEDIATRICO 20 ML *15U 3290112 80.955 80.955 80.955
InsumosFRASCO HUMIDIFICADOR OXIGENO 200CC REF:3230 3160013 8.713 8.713 8.713
InsumosFRASCO VIDRIO FONDO PLANO REF-600015 #LAB 3290597 56.942 56.942 56.942
InsumosFRASCO Y BOQUILLA LARGA REF. 03306 - 15821 3290574 12.828 12.828 12.828
InsumosFRESA ANSPACH * PROMEDIKA 3270372 441.788 441.788 441.788
InsumosFRESA CORTANTE REF. 18-83262HS MICRODEBRIDADOR 3279151 620.008 620.008 620.008
InsumosFRESA CRANEOTOMO L=10 GE 420R *(#U.3) 3190021 126.355 126.355 126.355
InsumosFRESA CRANEOTOMO L=15 GE 520R *(#U3) 3190015 110.160 110.160 110.160
InsumosFRESA CRANEOTOMO L=20 GE 620R *(#U.3) 3190016 100.356 100.356 100.356
InsumosFRESA DIAMANTADA 50MM M-5D(ANSPACH) 3270435 387.791 387.791 387.791
InsumosFRESA LINDEMANN 20MM GE 523R *(#U.3) 3190018 150.534 150.534 150.534
InsumosFRESA PUNTA D=1.0 GE 521R * 3 (#U.3) 3190022 108.436 108.436 108.436
InsumosFRESA ROSEN 3.1MM GE506R *(#U.3) 3190020 170.707 170.707 170.707
InsumosFRESA ROSEN 6.0MM GE509R *(#U.3) 3190019 100.356 100.356 100.356
InsumosFRESA ROSEN 4.0MM GE 507R *(#U.3) 3190017 101.419 101.419 101.419
InsumosFRESA ROSEN 5.0MM GE508R *(#U.3) 3279098 156.546 156.546 156.546
InsumosFSH PAQ DE REACTIVO ( MV 31000591 ) #LAB 3290805 481.143 481.143 481.143
InsumosFTA G2 ELECSYS COBAS E200 6437281190 #LAB 3290005 533.904 533.904 533.904
InsumosFUCIDIN PARCHE 3700282 2.081 2.081 2.081
InsumosFUNDA DE CAMARA 3979367 3.740 3.740 3.740
InsumosFUNDA DE MESA 1 X 1.5 MT DOBLE EMPAQUE *UNIDAD* 3979366 4.084 4.084 4.084
InsumosFUNDA DE MICROSCOPIO 3979368 4.418 4.418 4.418
InsumosFUNDA PROTECTORA MONOSHIELD ESO (REF. MSS-2155) 3950006 33.216 33.216 33.216
InsumosGANCHO DISECCION 10 MM CMDH010*(#U.4)DESECH 3220013 152.203 152.203 152.203
InsumosGANCHO LAMINAR LILA 45MM( 6904045 ) 3270426 431.970 431.970 431.970
InsumosGANCHO SOST.P/ARANDELAS 319.440 3270711 40.317 40.317 40.317
InsumosGANCHO VERTEX VERDE 6904060 3270729 516.401 516.401 516.401
InsumosGASA 36" X 100 YARDAS * 1 ROLLO 3030005 48.165 48.165 48.165
InsumosGASA 7.5 X 7.5 CON HILO R.O. 3979414 641 641 641
InsumosGASA ESTERIL 5 X 5 CM * 8042 ( R.N.) 3030038 425 425 425
InsumosGASA ESTERIL 7.5 X 7.5 8043 3030029 699 699 699
InsumosGASA LARGA HIDROFILA 5 X 70 X 5 R.O.ESTERIL 3030028 3.210 3.210 3.210
InsumosGASA OTORRINO ESTERIL 2*25 3030055 798 798 798
InsumosGASTROVIR-STRIPS 25 TEST 3290522 229.075 229.075 229.075
InsumosGEL ELECTRO ECG / ULTRASONIDO ( DICARDIO) * 500GRM 3120008 12.377 12.377 12.377
InsumosGEL LUBRICANTE KYGEL 3260023 14.258 14.258 14.258
InsumosGELFOAM 12 (EMPAQUE X 4 UN) (MV 40001324) 3330004 27.723 27.723 27.723
InsumosGENTAMICINA (CN) 10UG 250 DISCOS CT24B ( MV 31000301 ) 3979505 41.234 41.234 41.234
InsumosGGT GAMAGLUTAMILTRANSFERASA ( MV 31000021 ) #LAB 3290771 144.243 144.243 144.243
InsumosGIA 80-48 SINGLE ( GIA 8048 L) 3360006 310.888 310.888 310.888
InsumosGLOBULOS ROJOS A1 + B REACTIVO #LAB 3290434 121.737 121.737 121.737
InsumosGLUCOSA ( MV 31000022 ) #LAB 3290772 126.057 126.057 126.057
InsumosGLUCOSA COBAS C501 4404483190 #LAB 3290153 196.638 196.638 196.638
InsumosGN VITEK2 REF. 21341 #LAB 3979589 259.653 259.653 259.653
InsumosGORRO DESECHABLE CIRUJANO * 100 3230002 17.493 17.493 17.493
InsumosGORRO DESECHABLE ENFERMERA * 100 3230001 9.666 9.666 9.666
InsumosGOT/AST ( MV 31000028 ) #LAB 3290778 131.350 131.350 131.350
InsumosGP VITEK2 REF. 21342 #LAB 3979590 259.653 259.653 259.653
InsumosGPS AGUJA L.APLIX.PLAQUETARIA (REF-800-0203) 3330038 138.607 138.607 138.607
InsumosGPS KIT APLIC.CONCENTR.PLAQUETARIO (REF-800-0250) 3270425 162.431 162.431 162.431
InsumosGPS KIT APLICADOR MARROWSTIM STANDAD 3331010 508.853 508.853 508.853
InsumosGPS KIT CONCENTRADO PLAQUETARIO 30ML( REF 800-1003A) 3330037 308.112 308.112 308.112
InsumosGPS KIT MINI C/30MLACDA ( REF-800-0505A) 3270424 348.926 348.926 348.926
InsumosGPT/ALT ( MV 31000029 ) #LAB 3290779 109.461 109.461 109.461
InsumosGRADILLA DE 20 MICROTUBOS 2 X 10 #LAB 3979389 31.612 31.612 31.612
InsumosGRADILLA PARA 90 TUBOS #LAB MV30001025 3299532 36.194 36.194 36.194
InsumosGRAFTON DBM PUTTY 1CC REF. C43102 3279509 478.237 478.237 478.237
InsumosGRAFTON REF. C43103 3279185 628.948 628.948 628.948
InsumosGRANADA BIPHASIC BROTH LYO 40T REF. 42722 MV 31000506 #LAB 3900518 212.866 212.866 212.866
InsumosGRANU FOAM SILVER LARGE SENSA T.R.A.C. (REF. M8275099/10) 3000228 323.978 323.978 323.978
InsumosGRAPA DE LIGAMENTO * RODILLA (REF-1950-57) 3270017 209.430 209.430 209.430
InsumosGRAPA SIMPLE ANTARES (REF-816-017 3279071 608.685 608.685 608.685
InsumosGRAPADORA 25MM CARGA 4.8MM * EEA25 #CN 3190023 647.955 647.955 647.955
InsumosGRAPADORA CIRCULAR 28MM REF. CS28 3979346 374.374 374.374 374.374
InsumosGRAPADORA CIRCULAR CURVA CDH 29A 3190014 578.753 578.753 578.753
InsumosGRAPADORA CIRCULAR EEA28 DESECH #CN 3190004 647.955 647.955 647.955
InsumosGRAPADORA CURVA CORTANTE CONTOUR * CS40G 3200070 687.225 687.225 687.225
Page 23
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosGRAPADORA CUTANEA DESECHABLE REF 3036 3190005 25.395 25.395 25.395
InsumosGRAPADORA GIA 60-3.8 REF. GIA6038S 3190025 199.099 199.099 199.099
InsumosGRAPADORA LINEAL 75 MM TLC75 3900417 392.700 392.700 392.700
InsumosGRAPADORA LINEAL GIA 80-38 GIA8038S #CN 3220087 204.204 204.204 204.204
InsumosGRAPADORA PREMIUM PLUS EEA31 #CN 3220064 561.561 561.561 561.561
InsumosGRAPADORA PROXIMATE PPH JOHNSON 3190010 549.780 549.780 549.780
InsumosGRAPADORA PROXIMATE AX55G JOHNSON 3190012 559.366 559.366 559.366
InsumosGRAPADORA PROXIMATE LINEAL TL 60 3190013 534.563 534.563 534.563
InsumosGRAPADORA PROXIMATE TL30 JOHNSON 3190008 516.744 516.744 516.744
InsumosGRAPADORA ROTICULATOR 55 (TYKO) DESECHAB 3190006 412.335 412.335 412.335
InsumosGRAPAS CON 7 DIENTES 11 X 23 MM 3279109 251.033 251.033 251.033
InsumosGRAPAS CON 7 DIENTES 11 X 23 MM 3279110 200.827 200.827 200.827
InsumosGRAPAS CON 7 DIENTES 11 X 23MM REF 1950-57 3979588 124.321 124.321 124.321
InsumosGRAPAS CRANIOFIX 11MM FF 490 T #CN 3270356 131.947 131.947 131.947
InsumosGRAPAS DE CRANIOFIX D.16MM FF 491T #CN 3270355 156.556 156.556 156.556
InsumosGUANTE ALTO RIESGO LATEX TALLA L L/POLVO CAJA * 50U 3130023 26.802 26.802 26.802
InsumosGUANTE ALTO RIESGO LATEX TALLA M L/POLVO CAJA * 50U 3130022 26.802 26.802 26.802
InsumosGUANTE ALTO RIESGO LATEX TALLA S L/POLVO CAJA * 50U 3130021 26.802 26.802 26.802
InsumosGUANTE NITRILO BLANCO TALLA "S" 3130032 17.174 17.174 17.174
InsumosGUANTE NITRILO COLOR COBALTO L 3130031 17.174 17.174 17.174
InsumosGUANTE NITRILO COLOR COBALTO M 3130030 17.174 17.174 17.174
InsumosGUANTE NITRILO LIBRE/ POLVO TALLA M ALTO RIESGO 3130026 34.950 34.950 34.950
InsumosGUANTE PLOMADO 8 3130018 186.611 186.611 186.611
InsumosGUANTE PLOMADO RADIOXON 7 3130029 151.932 151.932 151.932
InsumosGUANTE PLOMADO RADIOXON 7 1/2 3130019 149.619 149.619 149.619
InsumosGUANTE PLOMADO RADIOXON 8 3130020 149.619 149.619 149.619
InsumosGUANTE QUIR.EST LIBRE DE LATEX 8 O * 50 3130007 11.305 11.305 11.305
InsumosGUANTE QUIR.EST.LIBRE DE LATEX 7 5 * 50 3130006 11.378 11.378 11.378
InsumosGUANTE QUIRURG.ESTERIL 6 5 * 50 PARES 3130001 1.838 1.838 1.838
InsumosGUANTE QUIRURG.ESTERIL 7 0 * 50 PARES 3130002 1.532 1.532 1.532
InsumosGUANTE QUIRURG.ESTERIL 7 5 * 50 PARES 3130003 1.532 1.532 1.532
InsumosGUANTE QUIRURG.ESTERIL 8 0 * 50 PARES 3130004 1.911 1.911 1.911
InsumosGUANTE QUIRURG.ESTERIL 8 5 * 50 PARES 3130005 1.532 1.532 1.532
InsumosGUANTE VINILO ESTERIL M * 50 PARES 3130012 844 844 844
InsumosGUANTE VINILO ESTERIL L * 50 PARES 3130013 753 753 753
InsumosGUANTE VINILO ESTERIL S #50 3130024 13.090 13.090 13.090
InsumosGUANTE VINYL STRETCH "L" * 100 UNID. * 3130011 12.049 12.049 12.049
InsumosGUANTE VINYL STRETCH "S" * 100 UNIDADES 3130009 12.049 12.049 12.049
InsumosGUANTE VINYL STRETCH "M" * 100 UNIDADES 3130008 12.049 12.049 12.049
InsumosGUIA 2.6 MM X 80 CM REF. 14-410002 3279517 149.022 149.022 149.022
InsumosGUIA ANGLIOPLASTIA LIGHT SOPORT ( H.R.) 3979565 134.737 134.737 134.737
InsumosGUIA BROCA 2.7MM BLOQUEADA INSERTO PARA REF. 71173529 3270856 135.421 135.421 135.421
InsumosGUIA BROCA C/TOPE 3.5/2.7 P/TORN.CANUL. 312.850 3270705 1.382.324 1.382.324 1.382.324
InsumosGUIA BROCA DOBLE 3.5/2.5 MM 312.280 3270703 487.013 487.013 487.013
InsumosGUIA C/CUBIERTA HIDROFILICA ACERO INOXIDABLE 0.0038X145CM REF 145FS38 3979363 54.585 54.585 54.585
InsumosGUIA DE BROCA PEQ. 2.7/1.25 MM 312.350 3270704 777.801 777.801 777.801
InsumosGUIA GLIDE STIFF 3979404 193.601 193.601 193.601
InsumosGUIA HIDROF.0.035PULG. (0 89MM)X480CMS DES. METII-35-480 3220098 374.950 374.950 374.950
InsumosGUIA HIDROFILICA 035X150 UROLOGÍA (REF-150NFS35) 3080068 151.170 151.170 151.170
InsumosGUIA LUNDERQUIST 035 X 260 CM REF 144980 3979559 490.875 490.875 490.875
InsumosGUIA PARA RF VARICES 0.025"X150CM REF. GW-025-150-DE1.5J 3979357 37.307 37.307 37.307
InsumosGUIA PIN 2MM BAYONET PT REF-141796 3279523 11.359 11.359 11.359
InsumosGUIA SENSOR 035-150 STR 3-FLEX 3979321 202.404 202.404 202.404
InsumosGUIA TEFLON PUNTA J 502-521 JOHNSON 3080034 64.148 64.148 64.148
InsumosGUIA TEFLON RECTA UROL. 502-542 JOHNSON 3080007 43.197 43.197 43.197
InsumosGUIA TEFLON STANDAR 035 X145 PUNTA RECTA 3080035 53.128 53.128 53.128
InsumosGUIA TEFLONADA JOTA 0.35 X 2.60 ( REF. HR. 222-9565) 3080074 24.556 24.556 24.556
InsumosGUIA TERUMO GA35263M 3979325 215.491 215.491 215.491
InsumosHALO VEST 3270285 4.457.145 4.457.145 4.457.145
InsumosHALO VEST LLAVE DE TORQUE 3270318 589.639 589.639 589.639
InsumosHBSAG PAQ DE REACTIVO REF. 8435307 ( MV 31000615 ) #LAB 3290751 320.875 320.875 320.875
InsumosHELICOBACTER PYLORI 25 TEST DEPOSICIONES C-1019 #LAB 3290576 219.627 219.627 219.627
InsumosHEMOCLIP ENDOSCOPIA INSTINCT ENDOSCOPIC HEMOCLIP (INSC-7-230-S) 3950002 322.341 322.341 322.341
InsumosHEMOCULTIVO MINI CCC 20ML X 15U ( MV 31000640 ) #LAB 3979531 69.975 69.975 69.975
InsumosHEMOCULTIVO MINI CCC 20ML X 15U REF. C054 #LAB 3290633 69.975 69.975 69.975
InsumosHEMOCULTIVO TOTAL ADULTO 40ML X 15U REF. C055 #LAB 3290634 82.919 82.919 82.919
InsumosHEMOCULTIVO TOTAL ADULTO 40ML X15U ( MV 31000641 ) #LAB 3979532 82.919 82.919 82.919
InsumosHEMOGLOB GLICOSIL D % A1C REAGENT ( MV 31000256 ) #LAB 3290788 831.150 831.150 831.150
InsumosHEMOLOCK DORADO XL REF. 544250 3900459 53.483 53.483 53.483
Page 24
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosHEMOLOK MORADO REF. 544240 3900427 86.956 86.956 86.956
InsumosHEMOSPRAY ENDOSCOPIA HEMOSTAT (REF. HEMO-7) 3950001 1.025.929 1.025.929 1.025.929
InsumosHEPAFIX 17-G BIOPSIA HEPATICA REF#4801148 3010003 57.986 57.986 57.986
InsumosHEPATITIS A ( HAV IGM ) RAPID TEST REF. R0090C 3299553 304.015 304.015 304.015
InsumosHIDROXIAPATITA EN PASTA NANOGEL REF. T860010 3070134 298.138 298.138 298.138
InsumosHIDROXICARBAMIDA.HIDROXIUREA/COMP. 3110008 715 715 715
InsumosHIELO BAR/BOLSA 3320071 3.516 3.516 3.516
InsumosHIERRO ( FE ) ( MV 31000511 ) #LAB 3290790 131.350 131.350 131.350
InsumosHIERRO GEN.2 200TEST REF-3183696122#LAB 3290581 114.342 114.342 114.342
InsumosHIGH TORQUE DRIVE 2.0X7MM (91-6207) 3270824 32.976 32.976 32.976
InsumosHIGH TORQUE DRIVE SCREW2.0X5MM (91-6205) 3270823 32.976 32.976 32.976
InsumosHISOPO DE GASA ESTERIL DOBLE EMPAQUE KIT 19005/A2PE0193 3030041 1.093 1.093 1.093
InsumosHIV 1 Y 2 VIKIA ( 25 DET. ) 31112 #LAB ( MV 31000095 ) 3299535 193.866 193.866 193.866
InsumosHOJA BISTURI 10 "AESCULAP" * 100 SOBRES 3250001 1.237 1.237 1.237
InsumosHOJA BISTURI 11 "AESCULAP" * 100 SOBRES 3250002 1.237 1.237 1.237
InsumosHOJA BISTURI 15 "AESCULAP" * 100 SOBRES 3250003 1.237 1.237 1.237
InsumosHOJA BISTURI 22 "AESCULAP" * 100 SOBRES 3250004 1.237 1.237 1.237
InsumosHOJA DERMATOMO PADGETT 3539-252 (PROMEDON) 3250006 85.883 85.883 85.883
InsumosHOJA ESPIRAL PARA TFN 11.0MM REF. 456.307 3270794 653.453 653.453 653.453
InsumosHOJA RECTA 4.0MM REF.18-84004 MICRODEBRIDADOR 3279150 342.893 342.893 342.893
InsumosHOJA SIERRA ESTERIL OSCILANTE 25 X 90 21.25 MM REF S40-516 3279492 118.817 118.817 118.817
InsumosHOJA SIERRA OSCILANTE 90 X 25 X 1.37 PARA MOTOR SODEM REF. 11-2955 3279388 111.016 111.016 111.016
InsumosHOJA SIERRA OSCILANTE 95X25X1.3 ( S87-527 ) 3279129 170.793 170.793 170.793
InsumosHUMIDIFICADOR MR290 2 ADT/PED REF- FPRT385 3010076 135.482 135.482 135.482
InsumosHYDROSEPT F4 BOLSA 800 ML REF. 28604-4 3030068 43.524 43.524 43.524
InsumosHYDROSEPT CREMA PH 5.5 340ML/DISP. (27325-2) (F.E. 15) 3030061 12.514 12.514 12.514
InsumosIDRIVE REF-4110016 *USO* #CONSIGNACION 3220117 357.357 357.357 357.357
InsumosIMMUVIEW RAPID TEST DUAL DET. REF-SSI-95389 #LAB 3330076 572.949 572.949 572.949
InsumosIMPLANTE APERFIX TIBIAL 9MMX30MM * CM-3009 3270352 736.313 736.313 736.313
InsumosIMPLANTE APPERFIX CM 10000 3270212 1.282.820 1.282.820 1.282.820
InsumosIMPLANTE APERFIX FEMORAL 9MMX35 * CM3509 3270353 844.305 844.305 844.305
InsumosIMPLANTE APERFIX TIBIAL8MMX30MM(CM-3008)BIOIMP. 3270354 697.043 697.043 697.043
InsumosIMPLANTE CERVICAL C-MAXX DE PEEK REF 70-7407 3270288 816.816 816.816 816.816
InsumosIMPLANTE CERVICAL C-MAXX DE PEEK REF. 70-7408 3979421 816.816 816.816 816.816
InsumosIMPLANTE CERVICAL C-MAXX DE PEEK REF. 70-7409 3270894 816.816 816.816 816.816
InsumosIMPLANTE CESPACE 16 X 4MM 3270245 754.023 754.023 754.023
InsumosIMPLANTE FEMORAL 9MMX29MM * CM2909 3270351 736.313 736.313 736.313
InsumosIMPLANTE FJ 134 3270033 904.584 904.584 904.584
InsumosIMPLANTE FJ135 3270034 904.584 904.584 904.584
InsumosIMPLANTE INTERESPINOSO PEEK ( KIT) 3270257 2.122.062 2.122.062 2.122.062
InsumosIMPLANTE LCP RADIO DISTAL 3270313 3.155.123 3.155.123 3.155.123
InsumosIMPLANTE ORBITA COD. 6317 3280010 491.700 491.700 491.700
InsumosIMPLANTE PISO ORBITA * COD.8305 3270021 484.049 484.049 484.049
InsumosIMPLANTE RODILLA 11MM APERFIX CM 11000 3270202 1.173.900 1.173.900 1.173.900
InsumosIMPLANTE RODILLA APERFIX 9MM CM9000 3270200 1.499.847 1.499.847 1.499.847
InsumosIMPLANTE SILICONA S5.1200 3270128 57.747 57.747 57.747
InsumosIMPLANTE TENDON AQUILES C/CALCANEO REF-4004 3700290 1.963.500 1.963.500 1.963.500
InsumosIMPLANTE TENDON PERONEUS ULTRA REF FF93500 3700289 2.015.852 2.015.852 2.015.852
InsumosIMPLANTE TESTICULAR C/FIJACION 3330029 428.698 428.698 428.698
InsumosIMPLANTE TIBIAL 8MMX30MM * CM-3008 3270350 736.313 736.313 736.313
InsumosIMPLANTE TIBIAL CM3009 3279113 765.765 765.765 765.765
InsumosIMPLANTE TIBIAL CM3010 3279114 736.313 736.313 736.313
InsumosIMPLANTE TITANIO 16 X 4 AESCULAPM FJ 144 3270171 821.132 821.132 821.132
InsumosINDICADOR BIOLOGICO PLASMA F.E *50UNID* 530500SCBI 3040040 34.950 34.950 34.950
InsumosINFLUENZA A Y B QUICKVUE (25 DET) (MV 31000089)#LAB 3290840 440.012 440.012 440.012
InsumosINFRARENALSET 3170077 4.741.853 4.741.853 4.741.853
InsumosINJERTI OSEO * MASTERGRAFT 30CC * 7600130 3270383 587.087 587.087 587.087
InsumosINJERTO OSEO MASTERGRAFT 5CC (REF-7600105) 3279070 611.958 611.958 611.958
InsumosINJERTO OSEO * MASTERGRAFT 10CC * 7600110 3270277 547.947 547.947 547.947
InsumosINJERTO OSEO NANOGEL 2.5 EMULSIONADO REF. T860025 3070133 298.138 298.138 298.138
InsumosINJERTO OSEO PROGENIX 0 5 CC ( REF-000505) 3270609 641.410 641.410 641.410
InsumosINJERTO OSEO PROGENIX 1CC (REF-5001) 3270445 641.410 641.410 641.410
InsumosINJERTO OSEO PROGENIX 5CC (REF-005005) 3279066 746.130 746.130 746.130
InsumosINJERTO OSEO TECNOSS 20 CC ( BMS02E) 3279170 837.760 837.760 837.760
InsumosINJERTO SUSTITUTIVO OSEO EN PASTA ( PUTTY ) REF. 2PAS5 3279599 1.051.651 1.051.651 1.051.651
InsumosINJERTO SUSTITUTIVO OSEO MATRIX 20CC 3279186 646.646 646.646 646.646
InsumosINJERTO SUSTITUTO OSEO CERAMISYS 0 5CC 3279193 333.533 333.533 333.533
InsumosINJERTO SUSTITUTO OSEO CERAMISYS 0.5CC REF. RBG05 3279213 320.705 320.705 320.705
InsumosINJERTO SUSTITUTO OSEO CERAMISYS 10CC REF. RBG10 3279194 374.374 374.374 374.374
Page 25
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosINJERTO SUSTITUTO OSEO CERAMISYS 15CC REF. RBG15 3279225 526.241 526.241 526.241
InsumosINJERTO SUSTITUTO OSEO E/BLOCK RB114 3279278 647.172 647.172 647.172
InsumosINJERTO SUSTITUTO OSEO EN PASTA (PUTTY ) 1CC REF PAS1 3279424 359.975 359.975 359.975
InsumosINJERTO SUSTITUTO OSEO GEN-OS 10CC REF G4E10 3279157 431.970 431.970 431.970
InsumosINJERTO SUSTITUTO OSEO MASTERGRAFT 10CC (7600115 ) 3279090 692.703 692.703 692.703
InsumosINJERTO SUSTITUTO OSEO MATRIX 10CC 7600310 3279122 586.432 586.432 586.432
InsumosINJERTO SUSTITUTO OSEO PASTA CERAMISYS 1CC 3270814 402.282 402.282 402.282
InsumosINJERTO SUSTITUTO OSEO PASTA PUTTY REF. PAS5 3279208 850.850 850.850 850.850
InsumosINJERTO SUSTITUTO OSEO RBG30 3279384 604.701 604.701 604.701
InsumosINJERTO SUSTITUTO OSEO REF. PAS1 3279230 414.230 414.230 414.230
InsumosINJERTO SUSUTITUTIVO OSEO PUTTY REF. HPT61E 3279376 544.544 544.544 544.544
InsumosINMOVILIZADOR DE HOMBRO ADULTO 3210038 23.072 23.072 23.072
InsumosINMOVILIZADOR DE HOMBRO INFANTIL 3210052 29.509 29.509 29.509
InsumosINMOVILIZADOR DE RODILLA 3210050 52.747 52.747 52.747
InsumosINMOVILIZADOR DE RODILLA PEDIATRICO 3210086 38.457 38.457 38.457
InsumosINMOVILIZADOR MANO / PIE *SIMPLE* 3210026 20.906 20.906 20.906
InsumosINMOVILIZADOR TORAX PACIENTE* ADULTO 3210069 49.607 49.607 49.607
InsumosINMUNO HEMA SREEN ( GUAYACO ) X 50 DET. #LAB MV 31000185 3299533 97.782 97.782 97.782
InsumosINMUNOCOMB CHAGAS KIT X 36 DETS #LAB 3020039 186.533 186.533 186.533
InsumosINMUNOCOMB HTLV I Y II KIT X 36 DETS #LAB 3020040 191.441 191.441 191.441
InsumosINMUVIEW RAPID TEST DUAL DETECTION KIT X 22 DET. #LAB (REF SSI-95389) 3979611 572.949 572.949 572.949
InsumosINSERTO 50 CABEZA 28/ 10(REF-63100502) 3270421 406.159 406.159 406.159
InsumosINSERTO COTILO * 55.45.3608 3270207 1.368.760 1.368.760 1.368.760
InsumosINSERTO DINASTY 15º D-36 MM (DLXPLD36) 3270742 582.767 582.767 582.767
InsumosINSERTO POLIETILENO ARCOM BIOMET 3270014 469.455 469.455 469.455
InsumosINSERTO SELEXYS 10G 55443210 3270831 287.800 287.800 287.800
InsumosINSERTO SELEXYS 10GR PE32 FF/32 REF 55.44.3206 3280054 287.800 287.800 287.800
InsumosINSERTO SELEXYS C/REBORDE ANTILUX VITAMYNS 36/GG REF. 52.34.0276 3279366 588.933 588.933 588.933
InsumosINSERTO SELEXYS C/REBORDE ANTILUX VITAMYNS VITAMYS 36/FF (REF. 52.34.0275) 3270994 782.651 782.651 782.651
InsumosINSUFLAT/ ACCESS S100000 COVIDIEN 3220047 81.203 81.203 81.203
InsumosINSUMO MICROCUBETAS HEMOCUE HB301* 50 DET 3290433 129.591 129.591 129.591
InsumosINSUMO ACID WASH 4880307190 #LAB 3290366 492.004 492.004 492.004
InsumosINSUMO ANILLOS ALUMINIO MEACS*121 3290436 190 190 190
InsumosINSUMO ANTICOAGULANTE EF GLICEMIA * 350 #LAB 3290347 27.031 27.031 27.031
InsumosINSUMO ASA CALIBRADA 1ULX 20 * 2650 #LAB 3290445 5.832 5.832 5.832
InsumosINSUMO ASSAY CUP HITACH 10394246001 #LAB 3290236 528.384 528.384 528.384
InsumosINSUMO ASSAY CUPS ELECSYS * 11706802001 #LAB 3290389 475.226 475.226 475.226
InsumosINSUMO CLEAN LINER ELECSYS * 4420853001#LAB 3290397 52.437 52.437 52.437
InsumosINSUMO CLEANER INTEGRA C111 20754765322 #LAB 3290377 129.646 129.646 129.646
InsumosINSUMO CO2 GEN 10 SACHET #LAB 3290318 136.071 136.071 136.071
InsumosINSUMO COLORANTE AZUL DE METILENO #LAB 3290339 111.920 111.920 111.920
InsumosINSUMO COLORANTE FUCSINA DE ZIEHL #LAB 3290338 111.920 111.920 111.920
InsumosINSUMO CUBETAS COAGULOMETRO 12024543001 #LAB 3290080 229.167 229.167 229.167
InsumosINSUMO CUBETAS REACCION C501 4854241001 #LAB 3290265 789.416 789.416 789.416
InsumosINSUMO CUCHILLA T SANGRIA PEDIAT. * 50 U 3290144 322.832 322.832 322.832
InsumosINSUMO CUP ELECSYS 2010 * 11706802001#LAB 3290416 403.941 403.941 403.941
InsumosINSUMO DILUYENTE UNIVERSAL ELECSYS #LAB 3290094 378.212 378.212 378.212
InsumosINSUMO ESFERAS DE AGITACION 1202456001 #LAB 3290093 306.823 306.823 306.823
InsumosINSUMO ETIQUETAS GRUPO Y RH 3290435 131 131 131
InsumosINSUMO FUCSINA Z. NIELSEN #LAB 3290103 123.111 123.111 123.111
InsumosINSUMO HITERGENT C501 11555448216 #LAB 3290231 223.005 223.005 223.005
InsumosINSUMO KOMBI RACK * 12102137001 #LAB 3290341 551.492 551.492 551.492
InsumosINSUMO LAMPARA HALOGENA C501 4813707001 #LAB 3290232 535.188 535.188 535.188
InsumosINSUMO LAMPARA HALOGENA COBAS C111 47934 #LAB 3290350 342.529 342.529 342.529
InsumosINSUMO METANOL 2.5 LITROS #LAB 3290128 86.465 86.465 86.465
InsumosINSUMO NACL 9% CAS C 501 * 4489357190 #LAB 3290343 85.149 85.149 85.149
InsumosINSUMO NAOH D * 4880285190 #LAB 3290056 269.644 269.644 269.644
InsumosINSUMO NAOH-D CLEAN COBAS COD. 4489241190 #LAB 3290333 35.864 35.864 35.864
InsumosINSUMO PAPEL OMNIC 31133533180 # LAB 3290308 172.571 172.571 172.571
InsumosINSUMO PAPEL URISYS 1800 4626087001 #LAB 3290095 101.540 101.540 101.540
InsumosINSUMO PAPEL PH 1 - 10 * 3 ROLLOS #LAB 3290127 111.660 111.660 111.660
InsumosINSUMO PAPEL T.DE SANGRIA (MV 30001008 ) 3290323 181.624 181.624 181.624
InsumosINSUMO PAPEL TERMICO 10 UD * COD3736822 #LAB 3290034 182.617 182.617 182.617
InsumosINSUMO PAPEL TERMICO 58 MM * 3113353180 #LAB 3290114 224.988 224.988 224.988
InsumosINSUMO PAPEL TERMICO ELEC/COAG * 3517942001#LAB 3290423 112.756 112.756 112.756
InsumosINSUMO PAPEL TERMICO VHS * 75200 #LAB 3290346 20.420 20.420 20.420
InsumosINSUMO PC/CC CUPS 3023141001 #LAB 3290369 111.366 111.366 111.366
InsumosINSUMO PUNTAS AMARILLAS CON CORONA X1000 3290497 50.266 50.266 50.266
InsumosINSUMO PUNTAS AMARILLAS X 1000 U *SIN CORONA*( MV 31000120) 3290037 64.532 64.532 64.532
Page 26
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosINSUMO RECIP. P/ MUESTRA COD.10394246001 #LAB 3290239 87.584 87.584 87.584
InsumosINSUMO SF CHECK 3134717001 #LAB 3290370 648.332 648.332 648.332
InsumosINSUMO SIMPLATE C/CUCHILLO DOBLE * 50 UN #LAB 3290106 373.180 373.180 373.180
InsumosINSUMO SMS CLEAN CAS2 C 501 * 4489241190*#LAB 3290342 29.537 29.537 29.537
InsumosINSUMO SYSWASH * 11930346122 #LAB 3290076 145.334 145.334 145.334
InsumosINSUMO TEST HEXAGON CHLAMYDIA COD 58012 #LAB 3290086 164.476 164.476 164.476
InsumosINSUMO TIPS ELECSYS 2010 11706799001 #LAB 3290237 558.007 558.007 558.007
InsumosINSUMO TORULA CARY BLAIR *(ROJO) COD.5111 3290045 1.512 1.512 1.512
InsumosINSUMO TORULA CEPILLO * 25-3306-U 3290394 5.956 5.956 5.956
InsumosINSUMO TORULA MICRO EN TUBO #TUBO 3290331 1.944 1.944 1.944
InsumosINSUMO TORULA SOLA * COD.04000 3290046 674 674 674
InsumosINSUMO TORULA STUART *( AZUL) COD.5122 3290047 1.499 1.499 1.499
InsumosINSUMO TORULA URETRAL AMIES COPAN124C #LAB 3290376 4.536 4.536 4.536
InsumosINSUMO TUBO EPENDORF (BOLSA DE 500 UDES.) REF 200400P 3290079 74.220 74.220 74.220
InsumosINSUMO TUBO CONICO C PP * COD.88325 #LAB 3290212 50.266 50.266 50.266
InsumosINSUMOS GENERALES 3980000 11.476 11.476 11.476
InsumosINSUMOS OFTALMOLOGIA 3330036 258.266 258.266 258.266
InsumosINTERCAMB. FROVA INTUBADOR REF-C-CAE-14.0-65-FII R-G11915 3070090 196.350 196.350 196.350
InsumosINTERCAMBIADOR DE TUBO 14 FR 83 CM C-CAE-14.0-83 3070089 157.080 157.080 157.080
InsumosINTRASITE GEL 25 GRMS. 3330058 19.808 19.808 19.808
InsumosINTRODUCTOR 8 FR X 12 CM SIN CAMISA 3080018 72.257 72.257 72.257
InsumosINTRODUCTOR 8.5 X 10 CM SWAN GANZ 3900469 66.759 66.759 66.759
InsumosINTRODUCTOR ARTERIAL 5 FR 3020023 75.783 75.783 75.783
InsumosINTRODUCTOR ARTERIAL 6 FR 3020024 76.541 76.541 76.541
InsumosINTRODUCTOR BILIAR OASIS 10FR* OA-10 3080050 179.988 179.988 179.988
InsumosINTRODUCTOR FEMORAL 6 FR 12 CM EN BOLSA 3900445 34.034 34.034 34.034
InsumosINTRODUCTOR FEMORAL 7FR 12 CM BIOMETRIX 3900452 57.269 57.269 57.269
InsumosINTRODUCTOR LI-6 BIOTRONIK 3900388 98.175 98.175 98.175
InsumosINTRODUCTOR MARCAPASOS LI - 7 BIOTRONIK 3900410 98.175 98.175 98.175
InsumosINTRODUCTOR MARCAPASOSS LI8 / BIOTRONIK 3900432 98.175 98.175 98.175
InsumosINTRODUCTOR PERCUTANEO 8 FR REF. SI-09808 ARROW 3020018 64.796 64.796 64.796
InsumosINTRODUCTOR PROTESIS 5 FR PC-5 3220100 193.601 193.601 193.601
InsumosINTRODUCTOR SONDA MARCAPASO 6FRX12CM 406103 3080073 84.823 84.823 84.823
InsumosINTRODUCTOR TUBO (BOUGIE) 15 F 70 CM SM9021270 3979335 32.542 32.542 32.542
InsumosINTRODUCTORES LI 7 3900535 196.350 196.350 196.350
InsumosIPTH ( MV 31000621 ) #LAB 3290823 641.410 641.410 641.410
InsumosIRRIGACION SILICONA 18-95522 MICRODEBRIDADOR 3900450 72.288 72.288 72.288
InsumosISE COMPENSADOR 11489828216 #LAB 3290367 227.998 227.998 227.998
InsumosISE DILUYENTE GEN 2 COBAS * COD 45226301 #LAB 3290336 169.387 169.387 169.387
InsumosISE STANDAR INT COBAS * 4522320190 #LAB 3290335 200.097 200.097 200.097
InsumosISE STANDARD ALTO 11183982216 #LAB 3290368 177.245 177.245 177.245
InsumosISE STANDARD BAJO C501 11183974216 #LAB 3290354 177.245 177.245 177.245
InsumosISE SYSCLEAN SOL. LAVADO 11298500316 #LAB 3290360 248.878 248.878 248.878
InsumosISERTO SELEXYS C/REBORDE ANTILUX VITAMYS 36/II REF. 52.34.0278 3280059 588.933 588.933 588.933
InsumosJABON EMOLAN/TOCADOR. 3260018 1.036 1.036 1.036
InsumosJABON GLICERINA-SOF-CARE.BOLSA 1LT.(SAITER) 3300054 13.229 13.229 13.229
InsumosJABON NEUTRO GLICERINA 3300009 28.149 28.149 28.149
InsumosJARETERO REF. PSF55 3979341 139.867 139.867 139.867
InsumosJELONET 10 * 10 CMS * SOBRE 3030022 1.944 1.944 1.944
InsumosJELONET 10 X 7 MT APOSITO CAJA 3030026 40.939 40.939 40.939
InsumosJERINGA 1 CC INSULINA 100 UI C/A 29G 3150006 555 555 555
InsumosJERINGA 1 CC TUBERC."B-D" C/A 27 G CAJA X 150 UN 3150007 301 301 301
InsumosJERINGA 10 CC C/A LUER LOCK 3150010 503 503 503
InsumosJERINGA 20 CC S/ AGUJA LUER LOCK (FE.250 UN.) 3150001 1.047 1.047 1.047
InsumosJERINGA 20 CC S/AGUJA LUER SLIP 3150002 949 949 949
InsumosJERINGA 3 CC C/A LUER LOCK (F:E: 150) 3150008 353 353 353
InsumosJERINGA 5 CC C/A "B-D"LUER LOCK 3150009 301 301 301
InsumosJERINGA 50 CC PIVOTE ANCHO PUNTA CATET FE 60 *S5-60C UN*20* 3150003 1.741 1.741 1.741
InsumosJERINGA 50CC PTA AGUJA /P CORR.(REF.SS*50ESEZM) 3150004 1.695 1.695 1.695
InsumosJERINGA 50ML LUER LOCK * PABELLON*20* 3150016 2.062 2.062 2.062
InsumosJERINGA ATMOSFERA O INSUFLADORA ( REF. HR. 222-9602 ) 3080077 97.526 97.526 97.526
InsumosJERINGA DE CONTRASTE 12CC CON AGUJA 3979406 36.953 36.953 36.953
InsumosJERINGA ESPACIO EPIDURAL 3150014 6.681 6.681 6.681
InsumosJERINGA HEPARINIZADA * 50(PREZZA-PACK) 3150015 5.283 5.283 5.283
InsumosJERINGA PARA INYECTORA MEDRAD MARK V 3979575 101.949 101.949 101.949
InsumosJUGGERKNOT 1.0 W/2-0 SUTURE REF 912076 3979609 606.466 606.466 606.466
InsumosKIT ACCESO CRANEAL INS-5HND 3080059 600.756 600.756 600.756
InsumosKIT AGUJA P/BIOPSIA MEDULA OSEA 3010073 116.239 116.239 116.239
InsumosKIT ANESTESIA ESTERIL 02 25002 ENVOLTORIO CUADRADO (F.E. 24) 3900453 7.079 7.079 7.079
Page 27
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosKIT CAPTOR DE PIC RAUMEDIC ( REF. CODIGO ONU 42294722 ) 3900468 1.373.468 1.373.468 1.373.468
InsumosKIT CAT.RF 7FR/100CM/VAINA INTRODUCTORA REF:CF7-7-100 3979356 451.605 451.605 451.605
InsumosKIT CATETER PALINDROME 33/50 CON RANURA 14.5 FR REF 8888145017 3320085 458.150 458.150 458.150
InsumosKIT CATETER PALINDROME19/36 CON RANURA /TUNELIZADO/(REF-8888145014/ 3320080 392.700 392.700 392.700
InsumosKIT CIRUGIA PIE ( BILATERAL OSTEOTOM / HALLUX ) 3270317 2.011.606 2.011.606 2.011.606
InsumosKIT CIRUGIA PIE ( OSTEOTOM / HALLUX VALGUS) 3270316 543.890 543.890 543.890
InsumosKIT CLAMIDIA 09FK10 CLAMIDYAS CTK 20 DET #LAB 3290113 176.715 176.715 176.715
InsumosKIT DE CALPROTECTINA FECAL REF. CP820001FC #LAB 3979603 292.071 292.071 292.071
InsumosKIT DE GASES EN SANGRE REF. ILGAKIT001 #LAB 3020051 1.885.902 1.885.902 1.885.902
InsumosKIT DE INTRODUCTORES DE 7 FR 3900510 109.956 109.956 109.956
InsumosKIT DE MORFOLOGIA TINCION DE 500ML REF. KIT-M500 #LAB 3979391 560.579 560.579 560.579
InsumosKIT DISCOGEL HERNIA DISCAL 3270419 1.394.085 1.394.085 1.394.085
InsumosKIT DISCOGRAFIA 20G X 25G REF. 2NT-DK2025 3900503 196.350 196.350 196.350
InsumosKIT DRENAJE VENTRICULAR ( BOLSA + CATETE 3240014 599.453 599.453 599.453
InsumosKIT DUO TOXINA A/ B C.( 32042) #LAB 3290518 490.875 490.875 490.875
InsumosKIT ESPINAL EPIDURAL P/LAPIZ 3080024 41.583 41.583 41.583
InsumosKIT FLEXTRODE ( CANULA FLEX-C15/ELECTRODO FLEX-E151320) 3979448 1.345.194 1.345.194 1.345.194
InsumosKIT GINECOLOGICO 3979388 10.959 10.959 10.959
InsumosKIT INFLUEZA A+B H&R VEGAL 3290546 215.658 215.658 215.658
InsumosKIT MONITOREO PRESION SUBDURAL 110-4G 3080058 1.097.396 1.097.396 1.097.396
InsumosKIT MONITOREO VENTRICULAR REF-26040 3240024 612.691 612.691 612.691
InsumosKIT NUCLEOLISIS 3900405 3.239.775 3.239.775 3.239.775
InsumosKIT NUCLEOLISIS ( INSTRUMED) 3270757 3.239.775 3.239.775 3.239.775
InsumosKIT OBSTETRICO 3979387 46.048 46.048 46.048
InsumosKIT OPA REF. RTV-002 ( GOTAS ) 3900449 49.088 49.088 49.088
InsumosKIT PAÑO 60X60 PERFORADO ESTERIL 06 REF. KIT32006 3230091 1.669 1.669 1.669
InsumosKIT PARA CUERPOS EXTRAÑOS DESECHABLE REF. KIT CRP EXT 3979542 701.166 701.166 701.166
InsumosKIT PLACA VARIAC DE MUÑECA 3279214 1.063.563 1.063.563 1.063.563
InsumosKIT RECIEN NACIDO 3979386 32.254 32.254 32.254
InsumosKIT SEPARADOR PLAQUETAS BOS360 3700284 769.692 769.692 769.692
InsumosKIT SISTEMA CERRADO MEDICION PIA REF. ABV601 3979339 228.748 228.748 228.748
InsumosKIT STAPHYTECT PLUS * 250 TEST REF-73116#LAB 3290162 404.114 404.114 404.114
InsumosKIT STREP A CHECK-1 6002 #LAB# 3290524 179.988 179.988 179.988
InsumosKIT STREPTO A * 6002 3290447 196.350 196.350 196.350
InsumosKIT STREPTOCOCCUS B-HEMOLITICOSDR585A #LAB# 3290502 386.810 386.810 386.810
InsumosKIT STRYKER 3979337 818.125 818.125 818.125
InsumosKIT TEST DE SUDOR (WEMAI-00055-044)#LAB 3290449 441.788 441.788 441.788
InsumosKIT TRAUMA COMPRESION S2 TIBIA/PERONE 3900458 868.548 868.548 868.548
InsumosKIT UREA ARGININA LY02-CALDO #LAB 3290155 370.136 370.136 370.136
InsumosKIT URGENCIA DE MATERNIDAD 3979393 21.331 21.331 21.331
InsumosKIT VERSAPORT 5MM 178064 3220044 213.555 213.555 213.555
InsumosKIT VRS X 20 DET. 3290545 164.934 164.934 164.934
InsumosKOVACS REACTIVO X 20 ML REF. 92031 #LAB 3290593 102.102 102.102 102.102
InsumosLACTATO ( MV 31000035 ) # LAB 3290784 78.811 78.811 78.811
InsumosLADYSAN NOCTURNA * 10 UNIDADES 3260015 2.033 2.033 2.033
InsumosLAMINA PARA SIERRA OSCILANTE 3330025 224.693 224.693 224.693
InsumosLANCETA SAFET PRO-ONE 1 CAJA (200 UDES.) 3290203 86.001 86.001 86.001
InsumosLANCETAS PUNCION TEST CUTANEO*200UNID.* 3290165 28.039 28.039 28.039
InsumosLANCETAS (OCUCEL LINT FREE SUR SPEAR 10) 3320075 26.115 26.115 26.115
InsumosLANCETAS OFTALMOLOGIA 3330016 26.115 26.115 26.115
InsumosLAPIZ FORCE TRIVERSE C/CONTROL MANUAL FT3000 3900404 112.901 112.901 112.901
InsumosLAUNOL KILNITS-QUITOSO FRASCO 3270713 9.288 9.288 9.288
InsumosLD 50 SOLUCION DESINFECTANTE *10 LTS 3300016 239.576 239.576 239.576
InsumosLDH ( MV 31000015 ) #LAB 3290765 144.243 144.243 144.243
InsumosLEG FRESA AFIL.P/ADAPT.AS08 Y CRANEOT. AD.F2/8TA23 3190031 391.391 391.391 391.391
InsumosLEG FRESA P/ADAPT.AS08 CRANEOT. F1/8TA15 3190028 391.391 391.391 391.391
InsumosLEG FRESA REDONDA P/ADAPT.AS09 CRANEOT. 9BA50 3190030 391.391 391.391 391.391
InsumosLENTE CONTACTO 3320090 35.749 35.749 35.749
InsumosLENTE CONTACTO TERAPEUTICO 3320058 34.361 34.361 34.361
InsumosLEVOFLOXACINO CLSI - DISCO ( CT1587B)#LAB 3290457 32.005 32.005 32.005
InsumosLEVOFLOXACINO CLSI (LEV) 5UG 250 DISCOS REF. CT1587B ( MV 31000359 ) #LAB 3979530 34.950 34.950 34.950
InsumosLH PAQ DE REACTIVO ( MV 31000588 ) #LAB 3290802 499.514 499.514 499.514
InsumosLIDCO SMART CARD STANDARD 3979374 408.735 408.735 408.735
InsumosLIGACLIP TIT(PL568T) AESCULAP* 20 UNIDAD 3220002 32.071 32.071 32.071
InsumosLIGADURA LIBRE DE LATEX 2.5 X 47 CM * ( 100 ) MAD 3320038 1.499 1.499 1.499
InsumosLIGADURA VARICES MBL-6-I 3180095 550.958 550.958 550.958
InsumosLIGASURE 5MM LF1637* 1U (BLUNT TIP LAP.SEA) #CN 3220074 655.809 655.809 655.809
InsumosLIGASURE IMPACT LF4318 #CN 3220078 818.943 818.943 818.943
InsumosLINEA DE MUESTRA P/CAPNOGRAFIA REF.1233HCO2 3120010 5.414 5.414 5.414
Page 28
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosLINEA DE SUMINISTRO NEO PUFF REF. FP900RD009 3979362 23.595 23.595 23.595
InsumosLINEA DE TRANSFERENCIA REF. 5C4482 3979395 55.324 55.324 55.324
InsumosLINER ACETABULAR 28 MM SIZE 23 3270038 500.960 500.960 500.960
InsumosLINEZOLID 30UG REF. CT1650B ( MV 31000353 ) #LAB 3979529 35.343 35.343 35.343
InsumosLINO 0 S/A * 12 SB (SL1324G) ( MV 50004850 ) 3180072 11.340 11.340 11.340
InsumosLINO 1 S/A * 12 SB (SL1325G) ( MV 50007823 ) 3180073 11.340 11.340 11.340
InsumosLINO 2/0 S/A * 12 SB (SL1323G) (MV 50004849) 3180074 10.472 10.472 10.472
InsumosLINO 3/0 S/A * 12 SB (SL1322G) 3180075 7.294 7.294 7.294
InsumosLIPASA ( MV 31000023 ) #LAB 3290773 110.113 110.113 110.113
InsumosLIQUICHECK CARDIACS BRQCI-00645-000 #LAB 3300042 497.577 497.577 497.577
InsumosLIQUICHECK CARDIAK MARKERS LT PLUS, LEVEL 1 (REF. BRQCI-00146-000) #LAB 3300039 422.153 422.153 422.153
InsumosLLAVE ALLEN LX470 3270481 62.832 62.832 62.832
InsumosLLAVE HEXAGONAL KT120 3270482 26.180 26.180 26.180
InsumosLLAVE TUERCA LS-38 3270483 26.180 26.180 26.180
InsumosLLAVE 3 PASOS "DISCOFIX AZUL" C.25995 (100U) 3020003 542 542 542
InsumosLOCKING SCREW FULLY REF 17965050S 3290562 59.049 59.049 59.049
InsumosLOCKING SCREW FULLY REF. 17965055S 3290563 59.049 59.049 59.049
InsumosLOCKING SCREW FULLY REF. 17965070S 3290564 59.049 59.049 59.049
InsumosLOCKING SCREW FULLY REF. 1796-5085S 3290565 59.049 59.049 59.049
InsumosLUBRICANTE E-ZEE LUBE 4LT. 3300033 86.630 86.630 86.630
InsumosLUER ADAPTADOR VACUTAINER 367290-300 ( CAJA X 100 ) ( MV 50009823 ) 3299537 34.361 34.361 34.361
InsumosLYOSTYPT 5 X 8 COMPRESA COLAGENO * 6 3320064 20.663 20.663 20.663
InsumosLYPHOCHECK ASSAYED LEVEL I 12X5ML C310-5 #LAB 3290554 587.986 587.986 587.986
InsumosLYPHOCHECK ASSAYED LEVEL II 12X5ML C315-5 #LAB 3290555 587.986 587.986 587.986
InsumosLYPHOCHECK DIAB.6X0.5ML BRQCI-00740-000 #LAB 3300043 411.759 411.759 411.759
InsumosLYPHOCHECK INM.PLUS BILVL 12X1ML BRQCI-00430-000 #LAB 3300044 474.342 474.342 474.342
InsumosLYPHOCHECK INMUNO ASSAY N212X5ML 372-000 #LAB 3290551 518.812 518.812 518.812
InsumosLYPHOCHECK INMUNOASSAY N112X5ML 371-000 #LAB 3290552 415.049 415.049 415.049
InsumosLYPHOCHECK INMUNOASSAY N3 12X5 ML 373-000 #LAB 3290553 415.049 415.049 415.049
InsumosM HINTON 2 SHEEP BLOOD 90 PL REF. 43321 MV31000509 #LAB 3900517 44.854 44.854 44.854
InsumosMACHO CANULADO P/TORNILLO CANULADO 311.390 3270701 570.789 570.789 570.789
InsumosMACHO DE 3,5MM P/ROSCA FINA 50MM 311.320 3330009 300.468 300.468 300.468
InsumosMAGNESIO ( MV 31000024 ) #LAB 3290774 49.834 49.834 49.834
InsumosMALLA DE TITANIO 1.5/0.6 206X123MM REF. 01-7251 3279439 643.226 643.226 643.226
InsumosMALLA ELASTICA PROTEC T2 3110016 5.812 5.812 5.812
InsumosMALLA ELASTICA T.1 3110015 5.623 5.623 5.623
InsumosMALLA ELASTICA T.3 3110014 9.844 9.844 9.844
InsumosMALLA ELASTICA T.4 3110004 10.708 10.708 10.708
InsumosMALLA PROLENE 15X15 CM ( 6"X6")REF-PPL1515 3180045 147.263 147.263 147.263
InsumosMALLA PROLENE 30X30 REF:PPL3030 3180046 213.367 213.367 213.367
InsumosMALLA PROLENE 6X11 CM REF. PPL-0611X3 3180135 98.175 98.175 98.175
InsumosMALLA PROLENE UMP3 ULTRAPRO 10*12 3180119 278.163 278.163 278.163
InsumosMALLA TITANIO 1.5/0.6 206X123MM 3270282 743.977 743.977 743.977
InsumosMALLA TITANIO DINAMICA 3270011 1.756.808 1.756.808 1.756.808
InsumosMALLA VICRYL 15 * 15 CM (VKM-M) ( MV 50000123 ) 3180071 343.613 343.613 343.613
InsumosMALLORY - HEAD FMRL NO CEMENTADO 10MM REF 11-104110 3279305 1.215.444 1.215.444 1.215.444
InsumosMALLORY-HEAD NO CEMENTADO 6 MM 3270039 2.108.338 2.108.338 2.108.338
InsumosMAMADERA RECIEN NACIDO PREP. ESPECIAL 40CC 51710120 2.898 2.898 2.898
InsumosMAMADERA RECIEN NACIDO PREP. ESPECIAL 50CC 51710121 2.986 2.986 2.986
InsumosMAMADERA RECIEN NACIDO PREP. ESPECIAL 60CC 51710122 3.063 3.063 3.063
InsumosMAMADERAS RECIEN NACIDOS PREP. ESPECIAL 30CC 51710119 2.798 2.798 2.798
InsumosMANGA COMPRESIÓN EXPRESS MEDIUM 73012 3220050 70.686 70.686 70.686
InsumosMANGA COMPRESION EXPRESS LARGE 73013 3220048 70.686 70.686 70.686
InsumosMANGA COMPRESION EXPRESS SMALL 73011 3220059 70.686 70.686 70.686
InsumosMANGA TRANSDUCTOR LARGA 13X122CM REF-4892080 3120027 25.133 25.133 25.133
InsumosMANGO ANCLAJE RAPIDO P/ INST.2.4 311.430 3270702 619.698 619.698 619.698
InsumosMANIFOLD 2 VIAS ( REF. HR. 222-9603 ) 3080076 16.013 16.013 16.013
InsumosMANIPULADOR UTERINO ZUMI 4.5 3330019 72.650 72.650 72.650
InsumosMANTA DESECHABLE C.ENTERO * CZ243 3230014 41.273 41.273 41.273
InsumosMANTA DESECHABLE EXT.INFERIOR * CZ442 3230015 39.630 39.630 39.630
InsumosMANTENCION AUDIFONOS 3280051 240.391 240.391 240.391
InsumosMARCADOR DESECHABLE KENDALL REF:31145926 3320033 7.853 7.853 7.853
InsumosMARCAPASO BICAMERAL EMPULSE E2DR01 3330031 2.698.163 2.698.163 2.698.163
InsumosMARCAPASO CYLOS 990 DR E INSUMOS 3900412 2.258.029 2.258.029 2.258.029
InsumosMARCAPASO VVIR TALOS BIOTRONIK 3140016 1.466.080 1.466.080 1.466.080
InsumosMARCAPASOS BICAMERAL DDD-R CODIGO RELIA REDRO1 3900529 2.042.040 2.042.040 2.042.040
InsumosMARCAPASOS BICAMERAL EFFECTA DR BIOTRONIK (REF. 371199) 3900408 2.042.040 2.042.040 2.042.040
InsumosMARCAPASOS BICAMERAL ETRINSA 6 DR 3900532 2.258.025 2.258.025 2.258.025
InsumosMARCAPASOS BICAMERAL EVIA DR-T PROMRI / BIOTRONICK 3900429 3.055.206 3.055.206 3.055.206
Page 29
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosMARCAPASOS DDDR AXIOS DR COMPLETO 3900403 2.454.375 2.454.375 2.454.375
InsumosMARCAPASOS KIT ( REINCRONIZADOR ELECTRODOS CATETER CONECTOR INTRODUCTOR ) 3900446 6.202.697 6.202.697 6.202.697
InsumosMARCAPASOS UNICAMERAL EFFECTA SR REF. 371202 BIOTRONIK 3900531 1.875.143 1.875.143 1.875.143
InsumosMARCAPASOS UNICAMERAL EFFECTA SR/BIOTRONIK 3900383 2.042.040 2.042.040 2.042.040
InsumosMARCAPASOS UNICAMERAL VIVIR TALOS SR BIOTRONIK 3900411 1.570.800 1.570.800 1.570.800
InsumosMARIPOSA 21G 3060003 1.636 1.636 1.636
InsumosMARIPOSA 23G 3060004 1.636 1.636 1.636
InsumosMARIPOSA 25G X 3/4" 3060005 2.203 2.203 2.203
InsumosMARIPOSA 27 * 100 3060006 2.203 2.203 2.203
InsumosMARIPOSA VACUTAINER 23G X 7" 3060015 2.178 2.178 2.178
InsumosMASC.OXIG.SIMPLE ADULTO"HUDSON" REF.1041 3160005 4.212 4.212 4.212
InsumosMASCARA PERFOMAX TALLA L CODIGO 1044386 3900437 541.435 541.435 541.435
InsumosMASCARA PERFOMAX TALLA L (#U.20) CODIGO 1044386 3900454 31.907 31.907 31.907
InsumosMASCARA PERFOMAX XL #U.10# REF. 1080423 3900463 161.989 161.989 161.989
InsumosMASCARILLA LARINGEA # 4 *40 USOS* 3070061 19.635 19.635 19.635
InsumosMASCARILLA LARINGEA PROSEAL Nº2*(#U.40) 3070059 19.635 19.635 19.635
InsumosMASCARILLA AEROSOL ADULTO 1083 3160015 4.194 4.194 4.194
InsumosMASCARILLA AIR-Q 2.5 REUSABLE (#U.60#) 3979495 22.216 22.216 22.216
InsumosMASCARILLA AIR-Q 3.5 REUSABLE (#U.60#) 3979496 22.216 22.216 22.216
InsumosMASCARILLA AIR-Q 4.5 REUSABLE (#U.60#) 3979497 22.216 22.216 22.216
InsumosMASCARILLA ANESTESIA ADULTO G (6) 1282 3160001 16.022 16.022 16.022
InsumosMASCARILLA ANESTESIA ADULTO M (5) 1281 3070066 10.996 10.996 10.996
InsumosMASCARILLA ANESTESIA ADULTO P (4) 1280 3070067 13.006 13.006 13.006
InsumosMASCARILLA ANESTESIA INFANTIL (2 ) 1278 3070068 16.075 16.075 16.075
InsumosMASCARILLA ANESTESIA PEDIATRICA (3) 1279 3070069 12.566 12.566 12.566
InsumosMASCARILLA ANESTESIA REC. NACIDO REF:1277 3070070 14.844 14.844 14.844
InsumosMASCARILLA CON VISOR Y ELASTICO ( CAJA *25 ) 3230022 86.284 86.284 86.284
InsumosMASCARILLA DES. ADULTO C/TIRAS QUIRURG. 3160002 10.687 10.687 10.687
InsumosMASCARILLA LARINGEA # 2.5 * (#U.40) 3070058 19.635 19.635 19.635
InsumosMASCARILLA LARINGEA #1.5 (#U.40 ) 3070062 19.635 19.635 19.635
InsumosMASCARILLA LARINGEA PROSEAL #5 * (#U.40) 3070104 17.672 17.672 17.672
InsumosMASCARILLA LARINGEA # 5 (#U.40) 3070063 19.635 19.635 19.635
InsumosMASCARILLA LARINGEA # 2 REF. (#U.40) ( LMCR 2.0 EXXIMMED ) 3070121 11.225 11.225 11.225
InsumosMASCARILLA LARINGEA # 3 DESECHABLE 3070060 19.635 19.635 19.635
InsumosMASCARILLA LARINGEA #3 / #40USOS 3070126 19.632 19.632 19.632
InsumosMASCARILLA LARINGEA 1.0 *(#U.40) 3070088 20.714 20.714 20.714
InsumosMASCARILLA LARINGEA PROSEAL #3 * (#U.40) 3070102 19.635 19.635 19.635
InsumosMASCARILLA LARINGEA PROSEAL #4 *(#U.40) 3070103 19.635 19.635 19.635
InsumosMASCARILLA NASAL AIRFIT N°10 (REF. 6035) 3160000 330.523 330.523 330.523
InsumosMASCARILLA ORONASAL MIRAGE QUATTRO FX MASK MEDIDA L (REF. 5726) 3159999 376.338 376.338 376.338
InsumosMASCARILLA ORONASAL MIRAGE QUATTRO FX MASK MEDIDA M (REF. 5725) 3159998 376.338 376.338 376.338
InsumosMASCARILLA OXIG. AD.C/REG FLUJO ADULTO MULTIVENT REF:1088 3160006 5.236 5.236 5.236
InsumosMASCARILLA OXIG.ADULTO P/ALTA CONCTR.REF:1060 3160009 6.048 6.048 6.048
InsumosMASCARILLA OXIG.PED.C/REG FLUJO A Y B"MULTIVENT" REF:1089 3160007 5.561 5.561 5.561
InsumosMASCARILLA OXIG.PEDIATRICA P/ALTA CONC.REF: 1058 3160011 9.126 9.126 9.126
InsumosMASCARILLA OXIGENO SIMPLE PED. HUDSON RE1042 3160019 6.283 6.283 6.283
InsumosMASCARILLA PARTICULAS N - 95 1870 3230012 5.351 5.351 5.351
InsumosMASCARILLA PROCEDIM. C/ELASTICO BLANCA 52204228 3230003 7.468 7.468 7.468
InsumosMAXON 5-0 GREEN REF. 6124-21 3979380 34.535 34.535 34.535
InsumosMC FARLAND STANDARD 6 STANDARES(70900) 3290139 134.064 134.064 134.064
InsumosMCFARLAND STANDAR REF- 70900 #LAB 3290578 163.666 163.666 163.666
InsumosMD SCREW 2.7 MM X 10MM STE. REF 131827310 3280133 89.646 89.646 89.646
InsumosMD SCREW 2.7MM X 12MM STE REF 131827312 3280137 89.646 89.646 89.646
InsumosMD SCREW 2.7MM X 14MM STE REF 131827314 3280134 89.646 89.646 89.646
InsumosMD SCREW 2.7MM X 18MM STE REF. 131827318 3280135 89.646 89.646 89.646
InsumosMD SCREW 2.7MM X 24MM STE REF. 131827324 3280103 17.543 17.543 17.543
InsumosMD SCREW 2.7MM X 26MM STE REF. 131827326 3280122 17.543 17.543 17.543
InsumosMD TORNILLO 2.7MM X 22MM (REF 131227322) 3279459 194.516 194.516 194.516
InsumosMEDIA VENOSAN 20/30 S/PUNTA SOBRE RODILLA 3320061 71.500 71.500 71.500
InsumosMEDIA / PANTY SEGRETA 140 (MUSLO) 3210200 52.480 52.480 52.480
InsumosMEDIA 20/30 GAMBALETTO TALLA L -4 MICROFIBRA S/PUNTA REF. 89003 3979330 39.568 39.568 39.568
InsumosMEDIA 20/30 GAMBALETTO TALLA M-3 MICROFIBRA S/PUNTA REF. 89003 3979329 46.036 46.036 46.036
InsumosMEDIA 20/30 GAMBALETTO TALLA S-2 MICROFIBRA S/PUNTA REF. 89003 3979328 46.036 46.036 46.036
InsumosMEDIA 20/30 GAMBALETTO TALLA XL-5 MICROFIBRA S/PUNTA REF. 89003 3979331 39.568 39.568 39.568
InsumosMEDIA ANTIEMBOLICA CORTA " M" (REF-4279) (REF-4271) 3320049 26.180 26.180 26.180
InsumosMEDIA ANTIEMBOLICA CORTA "S" (REF-4278-4265) 3110021 22.908 22.908 22.908
InsumosMEDIA ANTIEMBOLICA CORTA-" L"(REF-4280) 3110020 26.180 26.180 26.180
InsumosMEDIA PREV. TVP LARGE SHORT 3634 3320054 27.031 27.031 27.031
InsumosMEDIA PREV. TVP MEDIUM SHORT 3310/3416LF 3320052 27.031 27.031 27.031
Page 30
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosMEDIA PREV. TVP SMALL SHORT 3071 3320051 27.031 27.031 27.031
InsumosMEDIA PREV. TVP XL 3180 3320084 27.031 27.031 27.031
InsumosMEDIA PREV. TVP XXLARGE SHORT 3183 3320053 27.031 27.031 27.031
InsumosMEDIA VENOSAN 20/30 ROD. 3979354 48.619 48.619 48.619
InsumosMEDIA VENOSAN S/R TL 1149TH 3020053 88.660 88.660 88.660
InsumosMEDIDOR PROF.P/TORNILLOS CAN. 319.150 3270709 478.073 478.073 478.073
InsumosMEDIO AGAR SAL 3231 #LAB 3090013 45.357 45.357 45.357
InsumosMEDIO CONSERVACION CEPAS COD 2220 LINSAN #LAB 3290309 42.765 42.765 42.765
InsumosMEDIO CROMO COLI COD.8074 LINSAN #LAB 3290310 39.820 39.820 39.820
InsumosMEDIO CROMO UTI SANGRE COD. 8230 LINSAN #LAB 3290325 58.512 58.512 58.512
InsumosMEDIO CROMOCOLI-CROMOAUREUS COD. 8299 LI #LAB 3290324 58.866 58.866 58.866
InsumosMEDIO OF+GLUCOSA BOLSAX30TUBOSS 12X120 REF: 3261 #LAB 3290627 38.877 38.877 38.877
InsumosMEDIO TCBS * 8070 * 10 #LAB 3290385 44.061 44.061 44.061
InsumosMEDIO UREA CHRISTENSEN TUBOS 12X120 BOLSA*30 #LAB 3280142 42.765 42.765 42.765
InsumosMEDISHIELD ANTI ADH. GEL REF-9380003 3700291 943.388 943.388 943.388
InsumosMEMBRANA 15*20 REF. 0103 3979415 84.624 84.624 84.624
InsumosMEMBRANA EXTEND 15X20 3070124 93.656 93.656 93.656
InsumosMEMBRANA EXTEND 20X30 3070125 129.016 129.016 129.016
InsumosMERCILENE 5X300 MM REF. RS22 3900402 98.175 98.175 98.175
InsumosMEROPENEM (MEM ) 10UG 250 DISCOS CT774B (MV 31000309 ) 3979510 52.543 52.543 52.543
InsumosMERSILENE 6/0 C/A OFTALMOLOGICO * 1722-G 3180078 53.034 53.034 53.034
InsumosMFESACLPLPHR ESPATULA LADOPLANO Y LADO CUCHARA ACER. INOX. 23 CM LARGO (UN) CAT. 15909 #LAB3900522 13.493 13.493 13.493
InsumosMIC ESBL CEFOTAXIME/CEFOTAXIME+CLAVUNALIC REF. 921601 #LAB 3979583 145.299 145.299 145.299
InsumosMIC ESBL CEFOTAXIME+CLAVULANIC REF 921601 #LAB 3290631 145.299 145.299 145.299
InsumosMIC ESBL CEFTAZIDIMA+CLAVULANIC REF 921591 #LAB 3290632 145.299 145.299 145.299
InsumosMIC ESBL CEFTAZIDIME/CEFTAZIDIME+CLAVUNALIC REF. 921591 #LAB 3979584 145.299 145.299 145.299
InsumosMIC TEST STRIP GRD VANCOMYCIN/TEICOPLANIN REF 921631 #LAB 3979586 145.299 145.299 145.299
InsumosMIC TEST STRIP KPC MRP/MBO REF. 921671 #LAB 3979585 145.299 145.299 145.299
InsumosMICRO CLAVE CLEAR 011-MC100 CENCOMEX (CONECTOR CLAVE) 3020043 5.596 5.596 5.596
InsumosMICROALBUMINURIA ( MV 31000567 ) #LAB 3290796 478.309 478.309 478.309
InsumosMICROESPONJAS/OFTALMOLOGIA/LANCETAS 3900391 25.080 25.080 25.080
InsumosMICROTAINER LILA EDTA 1 ML ( MV 50008878 ) 3979500 1.152 1.152 1.152
InsumosMICROTECA P/PORTAOBJETOS REF. M700-50 (COLOR ROSADO ) #LAB 3979383 29.780 29.780 29.780
InsumosMINI GRAPAS * 28.60.010 / 008 3270268 269.981 269.981 269.981
InsumosMINI PLACA 5 ORIFICIOS LN285S 3270344 129.591 129.591 129.591
InsumosMINI PLACA 8 ORIFICIOS LN288S 3270485 149.226 149.226 149.226
InsumosMINI PLACA L 4 ORIFICIOS DEREC LN224S 3270486 47.124 47.124 47.124
InsumosMINI PLACA L 4 ORIFICIOS IZQUI LN223S 3270487 47.124 47.124 47.124
InsumosMINI PLACA 7 ORIFICIOS LN287S 3270484 94.248 94.248 94.248
InsumosMINI PLACA RECTA 6 PERFORACIONES 2.0 243 3270174 165.829 165.829 165.829
InsumosMINI PLACA TEE 4 ORIFICIOS LN225-S 3270371 47.124 47.124 47.124
InsumosMINI REVO 2.7 HI-FI REF.C6109H 3070112 381.181 381.181 381.181
InsumosMINI TORNILLO CORTICAL 1 5 X 9 LB009S 3270489 26.180 26.180 26.180
InsumosMINI TORNILLO CORTICAL 2 X 16 LB036S 3270490 19.635 19.635 19.635
InsumosMINI TORNILLO CORTICAL 2 0 X 20 LB020S 3270491 25.526 25.526 25.526
InsumosMINI TORNILLO CORTICAL 2.0 X 20 LB040S 3270488 24.190 24.190 24.190
InsumosMINITORNILLO CORTICAL 2 X 18 LB038S 3270303 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 10 LB010S 3270335 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 11 LB011S 3270376 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 12 LB012S 3270299 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 14 LB014S 3270300 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 16 LB016S 3270308 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 18 LB018S 3270309 24.186 24.186 24.186
InsumosMINITORNILLO CORTICAL 1.5 X 6 LB006S 3270373 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 7 LB007S 3270334 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 1.5 X 8 LB-008S 3270345 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 2 X 10 LB030S 3270343 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 2 X 12 LB032S 3270301 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 2 X 14 LB034S 3270302 22.908 22.908 22.908
InsumosMINITORNILLO CORTICAL 2 X 22 LB041S 3270333 29.780 29.780 29.780
InsumosMINITORNILLO CORTICAL 2 X 6 LB026S 3270342 21.533 21.533 21.533
InsumosMINITORNILLO CORTICAL 2 X 8 LB028S 3270336 21.533 21.533 21.533
InsumosMINITUBO TAPA VERDE C/HEPARINA DE LITIO TC- 450477 + 450420-1M+TC-450421-1M 3300053 1.014 1.014 1.014
InsumosMINITUBOS TAPA AMARILLO C/ ACTIVADOR DE COAGUL TC-450472 + 450419-1M+TC-450421-1M 3300052 1.394 1.394 1.394
InsumosMITON ADULTO REF. E-7500 3979535 32.594 32.594 32.594
InsumosMOLTOPREN 10X1.5 3979370 2.869 2.869 2.869
InsumosMOLTOPREN 15X1.5 3979369 5.828 5.828 5.828
InsumosMONOCRYL 3/0 CUTICULAR Y936H * 36/ SM5679G COVIDIEN (BIOSYN) ( MV 50004811 ) 3180091 17.012 17.012 17.012
InsumosMONOCRYL 3/0 SH GASTRO Y316 H / MCP316H* BIOSYN 3/0 GM122 *36 UN (MV 50004812 ) 3180080 8.943 8.943 8.943
Page 31
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosMONOCRYL 4.0 MCP496G * 12 (MV 50000742 ) 3180121 18.899 18.899 18.899
InsumosMONOCRYL 4.0 Y315H 3180134 12.959 12.959 12.959
InsumosMONOCRYL 5/0 C/A PLASTICO Y493G * 12 SB 3180081 21.509 21.509 21.509
InsumosMORCELADOR * U 2 * DESECHABLE 3220033 404.854 404.854 404.854
InsumosMORCELADOR LAPAROSCOPICO DV0015 3220032 413.366 413.366 413.366
InsumosMPCECU CESTILLO PARA 20 PORTAOBJETOS PP PARA CUBETA DETINCION ( PACK 2 UN ) CAT 19353 #LAB3900520 44.520 44.520 44.520
InsumosMU¥EQUERA ORTOPEDICA 3210051 26.948 26.948 26.948
InsumosMULETAS /ORTHO-MED 3210058 94.001 94.001 94.001
InsumosMULTICLEAN COBAS C 4708725190 #LAB 3290356 287.543 287.543 287.543
InsumosMULTIDISCOS SEC GRAM- (VERDE) COD420115 3290085 96.451 96.451 96.451
InsumosMULTIDISCOS SEC GRAM+ (AZUL) COD420110 3290084 96.451 96.451 96.451
InsumosMULTISTIX 10-SG (10 PARAMETROS) (REF. 10313959) #LAB 3090014 113.883 113.883 113.883
InsumosMUÑEQ-ORTOPEDICA-SIN PULGAR-DERE-XL. 3211063 29.262 29.262 29.262
InsumosMUÑEQ-ORTOPEDICA-SIN PULGAR-IZQ-M. 3000213 29.262 29.262 29.262
InsumosMUÑEQ-ORTOPEDICA-SIN PULGAR-IZQ-XL. 3211060 29.262 29.262 29.262
InsumosMUÑEQUERA C/PULGAR DERECHA "L". 3211049 40.349 40.349 40.349
InsumosMUÑEQUERA C/PULGAR DERECHA "S" 3211054 34.581 34.581 34.581
InsumosMUÑEQUERA C/PULGAR DERECHA "XL". 3211052 31.420 31.420 31.420
InsumosMUÑEQUERA C/PULGAR IZQUIERDA "L" 3211046 40.345 40.345 40.345
InsumosMUÑEQUERA C/PULGAR IZQUIERDA "M" 3211045 35.804 35.804 35.804
InsumosMUÑEQUERA C/PULGAR IZQUIERDA "S" 3211053 34.581 34.581 34.581
InsumosMUÑEQUERA C/PULGAR IZQUIERDA "XL" 3211047 40.752 40.752 40.752
InsumosMUÑEQUERA-AMBI-DIESTRA- M-. 3244060 49.500 49.500 49.500
InsumosMUÑEQUERA-AMBI-DIESTRA -S- 3211058 46.295 46.295 46.295
InsumosMUÑEQUERA-AMBI-DIESTRA- XL- 3211056 46.315 46.315 46.315
InsumosMUÑEQUERA-AMBI-DIESTRA-L- 3244059 49.425 49.425 49.425
InsumosMUÑ-ORTOPEDICA-SIN PULGAR-IZQ-L 3211059 29.262 29.262 29.262
InsumosNACL 0.9% C111 4774230190 #LAB 3290489 94.287 94.287 94.287
InsumosNANOGEL 5.0 REF. T860050 3700441 420.320 420.320 420.320
InsumosNAOH -D 04880285190 #LAB 3290386 313.208 313.208 313.208
InsumosNAOH DETERGENTE C111 4X21 COD. 4774248190#LAB 3900456 170.432 170.432 170.432
InsumosNEBULIZADOR HUDSON SOLO II REF:1880 3160008 2.998 2.998 2.998
InsumosNEFROFIX PT-F11 C.443511/7(C.URETERAL PI 3010002 415.585 415.585 415.585
InsumosNEURO - PATCH 6X14 REF.1064010 3320081 294.525 294.525 294.525
InsumosNEUROPATCH 4 X 5 CM DURAMADRE REF. 1064045 3320069 225.148 225.148 225.148
InsumosNEUTRALIZADOR BOTELLA 3330071 94.433 94.433 94.433
InsumosNH TEST KIT VITEK2 REF. 21346 #LAB 3979591 248.710 248.710 248.710
InsumosNITROFURANTOINA (F)300UG DISCOS CT36B ( MV 31000304 ) 3979507 41.234 41.234 41.234
InsumosNITROGENO UREICO ( BUN-UREA ) ( MV 31000025 ) #LAB 3290775 131.350 131.350 131.350
InsumosNOVOBIOCINA (NV)5 UG 250 DISCO ( MV 31000295 ) 3299547 41.234 41.234 41.234
InsumosNSEAL GT2 RECTA 45CM REF. NSLG2S45 3230100 476.476 476.476 476.476
InsumosNT PROBNP ( NTBNP ) REACTIVO VITROS ( MV 31000601 ) #LAB 3290812 1.487.010 1.487.010 1.487.010
InsumosNTX PAQ DE REACTIVO 100DET ( MV 31000622 ) #LAB 3299550 637.941 637.941 637.941
InsumosOBIS-PYR 60 TEST KIT ID580M ( MV 31000296 ) 3979501 261.800 261.800 261.800
InsumosOPIACEOS EN ORINA 25 DET. 03-3093 #LAB 3290401 182.213 182.213 182.213
InsumosOPTICLUDE ADULTO * 20 U (MV 50004541 ) 3030012 1.775 1.775 1.775
InsumosOPTICULIDE PEDIATRICO * 20 U ( MV 50004542 ) 3030011 1.676 1.676 1.676
InsumosOPTILOCK PLACA HUM. PROXIMAL DERECHO 2 PERF. (REF. 37102) 3270999 779.239 779.239 779.239
InsumosOPTILOCK PLACA HUM.10 PERF. 36110 3270799 873.820 873.820 873.820
InsumosOPTILOCK PLACA HUMERO PROXIMAL DER. 4PERF REF. 37104 3279432 749.264 749.264 749.264
InsumosOPTIVENT C/ADAPTADOR (IN LINE SPACER) 3030072 28.103 28.103 28.103
InsumosORFIT LAMINA 60*90*3.2 MM 3320035 185.917 185.917 185.917
InsumosORTESIS ESTABILIZADORA CODO 3210076 102.102 102.102 102.102
InsumosORTESIS MANO MUÑECA 3210093 29.887 29.887 29.887
InsumosORTESIS MANO MUÑECA /ORTHOMED 3210071 220.000 220.000 220.000
InsumosORTESIS MUÑECA CON FERULA PALMAR Y DORSAL DERECHA 3210099 26.128 26.128 26.128
InsumosORTESIS MUÑECA CON FERULA PALMAR Y DORSAL IZQUIERDA 3210100 26.128 26.128 26.128
InsumosORTESIS PIE/ TOBILLO SIMPLE 3210092 28.743 28.743 28.743
InsumosORTESIS PIE/TOBILLO REPOSO S/AJ. 3210073 85.800 85.800 85.800
InsumosORTESIS TOB./PIE BILATERAL. 3210074 327.250 327.250 327.250
InsumosORTESIS TOB-PIE OTP 3210091 153.153 153.153 153.153
InsumosORTESIS/COJIN PIE EQUINO *UNID* 3210089 28.875 28.875 28.875
InsumosORTOFTALDEHIDO 1% P/LAVADO ENDOSCOPIO 5LT REF.26290-0 (BIDON OPA) 3900447 137.445 137.445 137.445
InsumosOXACILINA CLSI (OX) 1UG 250DISCOS ( MV 31000360 ) 3299549 35.343 35.343 35.343
InsumosOXN ANATOMIC BRG LT MD SIZE 6 RFE. 159550 3900422 550.856 550.856 550.856
InsumosP/DESTORNILLADOR HEXAG.PEQ. 314.030 3270706 190.695 190.695 190.695
InsumosPALBUMINA ( MV 31000566 ) #LAB 3290795 442.966 442.966 442.966
InsumosPAN DE SILICONA LAMINA 10MM ESPESOR 8X8 CM. 3979371 98.175 98.175 98.175
InsumosPANEL 2 PARAMETROS ( COC-THC ) REF. 603510 #LAB 3290747 195.957 195.957 195.957
Page 32
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosPAÑAL BABYSAN-HUGGIES * PQTE.* 3260009 17.226 17.226 17.226
InsumosPAÑAL PLENITUD AT.CAL.HO.G/PAQ. 3260025 6.563 6.563 6.563
InsumosPAÑO INSTRUMENTAL QUIR K20-5040 Q604202 DESECH (F.E 20UNID) 3230004 12.540 12.540 12.540
InsumosPAÑUELO DESECHABLE 3260028 9.581 9.581 9.581
InsumosPAPEL AMBAR SARGENT 2" * 551009 * 1005A *DOSIFIC.* 3120023 227.439 227.439 227.439
InsumosPAPEL ECG * HOSPI - UCI "G.E ART.22616702 ELIMINAR 3120005 25.133 25.133 25.133
InsumosPAPEL ELECTRO HOSPIT. CM-600 MODELO TIPO Z REF. 110140 3979576 18.326 18.326 18.326
InsumosPAPEL ELECTROCARDIOGRAFO YM812I - YS-M248 ( RESMA ) 3120026 74.613 74.613 74.613
InsumosPAPEL INDICADOR PH 6.4 - 8.0 1095570003 3290511 121.401 121.401 121.401
InsumosPAPEL MONITOR FETAL SERIE 120-170 COAC43 3120016 12.043 12.043 12.043
InsumosPAPEL PARAFILM #LAB 3290315 98.450 98.450 98.450
InsumosPAPEL RELIANCE 310 50*50 CM *500 PLIEGOS 3040021 119.774 119.774 119.774
InsumosPAPEL RELIANCE 310 90*90CM*250 PLIEGOS 3040017 192.423 192.423 192.423
InsumosPAPEL RELIANCE 360 * 120 X 120 BIODEGRADABLE 3040035 260.164 260.164 260.164
InsumosPAPEL RELIANCE 360 90X90CMS. 3040036 234.049 234.049 234.049
InsumosPAPEL TERMICO 001 ( GRUPO BIOS ) 3979550 6.021 6.021 6.021
InsumosPAPEL TERMICO 120MM COBAS B221 3113361180#LAB 3290539 136.648 136.648 136.648
InsumosPAPEL TERMICO IMP. PYXIS REF. 514212 3979413 11.587 11.587 11.587
InsumosPAPEL TERMICO MINI VIDAS 1X5 ROLLOS REF. 99091 ( MV 31000190 ) 3290846 175.547 175.547 175.547
InsumosPAPEL TERMICO SARGENT 2" * 550821 * 4002N*DOSIFIC.* 3120022 227.439 227.439 227.439
InsumosPAPEL TERMICO ST 2/4 ART 3517942001 3290266 125.554 125.554 125.554
InsumosPAPILOTOMO TRIPLE 5FR L-200CM X4MMX2.8CM HPC-3 3280099 421.253 421.253 421.253
InsumosPAPILOTOMO TRIPLE LUMEN 25MM PROT.REF-TRI-25M-P 3280138 411.026 411.026 411.026
InsumosPAPILOTOMO TRIPLE LUMEN EXTREMO DISTAL PRE-CURVADO REF. KD-V411M-0720 3280100 171.872 171.872 171.872
InsumosPAQUETE ARTROSCOPIA RODILLA KC 200 88488 3230006 99.538 99.538 99.538
InsumosPAQUETE DE PRUEBA BOWIE DICK (U.ENT. BOLSAX6UN.) SOCOFAR/VOLTAIRE 1233 LF ( MV 50005125 )3040009 91.012 91.012 91.012
InsumosPAQUETE UNIVERSAL COD. 4013B.3/77903 3230020 75.563 75.563 75.563
InsumosPAQUETE UNIVERSAL EN U REF. 45043 CG101 3979579 62.400 62.400 62.400
InsumosPARCHE CURITA REDONDO * 100 U 3030033 98 98 98
InsumosPARCHE P/DESFIBRILADOR LP 20 REF-3202674-004 MEDTRONIC 3320083 171.839 171.839 171.839
InsumosPARCHE PARA DESFIBRILADOR DEA HEARTSINEMOD. SAMARITAN ELIMINAR 3900440 179.988 179.988 179.988
InsumosPARCHE VASCULAR 1 X 7 CM. ( REF. 1107291 ) 3979333 137.445 137.445 137.445
InsumosPARCHE(TOMA MUESTRA) CURITA UNISEX 3320042 1.075 1.075 1.075
InsumosPARIETEX COMPOSITE MALLA MULTIFILAR REF. PCO2H4 3979566 833.833 833.833 833.833
InsumosPASADOR CATETER DESHECH. 60 CM COD 48409/NL850-2001 3080039 414.773 414.773 414.773
InsumosPASTA DENTAL 3260013 2.121 2.121 2.121
InsumosPASTA STOMAHESIVE (OSTOMIA) REF-183910 3320062 69.135 69.135 69.135
InsumosPATELA 3 PUNTOS 32 MM 3270023 481.366 481.366 481.366
InsumosPATO URINARIO 3320039 9.901 9.901 9.901
InsumosPDP PLS 1/0 12 SB. PDP880G ( MV 50007732 ) 3180059 47.006 47.006 47.006
InsumosPDS 6/C/A C-1 REF. PDP 127H ( MV 50008028 ) 3182739 25.198 25.198 25.198
InsumosPDS II 1 CT-1 PDP Z341H PLUS ANTIBACTERIAL ( MV 50007862 ) 3180132 18.850 18.850 18.850
InsumosPDS II 5/0 C/A PLASTICO * 12 SB (Z503G) 3180102 22.761 22.761 22.761
InsumosPDS PLUS 5/0 PLAST.INCOLORO *PDP-493. ( MV 50009646 ) 3180086 35.910 35.910 35.910
InsumosPDS/PDP II 4.0 Z304H * 36 3180113 18.609 18.609 18.609
InsumosPDS-5.0. PDP 303C/A RB1/MAXON 5.0 6207-21 (MV 50008034 ) 3180140 18.876 18.876 18.876
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X 12MM REF. FP12 3280110 52.327 52.327 52.327
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X 16MM REF. FP16 3279446 52.327 52.327 52.327
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X 18MM REF. FP18 3280111 52.327 52.327 52.327
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X 20MM REF. FP20 3280112 50.315 50.315 50.315
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X 22MM REF. FP22 3279447 50.315 50.315 50.315
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X 28MM REF. FP28 3279448 52.327 52.327 52.327
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X 3MM REF. FP30 3279449 52.327 52.327 52.327
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X24MM REF FP24 3279600 27.695 27.695 27.695
InsumosPEG ROSCA COMPLETA BLOQUEADO 2.5X26MM REF FP26 3279601 27.695 27.695 27.695
InsumosPEG TORNILLO NO BLOQUEADO 2.5 X 16MM SP16000 3279443 45.018 45.018 45.018
InsumosPEG TORNILLO NO BLOQUEADO 2.5 X 18MM SP18000 3279444 45.018 45.018 45.018
InsumosPEG TORNILLO NO BLOQUEADO 2.5 X 20MM SP20000 3279445 45.018 45.018 45.018
InsumosPELOTA TERAPIA ESPONJA. 3270885 1.429 1.429 1.429
InsumosPEMO-BLOQ D. 3.9 AUTORROSC L32 TAN REF. 458.320 3331029 55.341 55.341 55.341
InsumosPENROSE(SONDA DRENAJE) 1/2" * 12 UNIDADE 3100001 2.721 2.721 2.721
InsumosPERI LOC PLACA CLAVICULA BLOQ DISTAL REF.71823403 3279344 1.238.846 1.238.846 1.238.846
InsumosPERI LOC TORNILLO CORTICAL AUTORROSCANTE 4.5MM 22MM REF73826022 3279156 65.286 65.286 65.286
InsumosPERICAN G-16 REF 4512782 3080003 9.255 9.255 9.255
InsumosPERIFIX 302 (CATH-TROCAR G-16-JERINGA)*1 4513029 3080020 40.487 40.487 40.487
InsumosPERIFIX G 16 (SET 310) * 1(CAJA) 3080019 26.380 26.380 26.380
InsumosPERNO BLOQ D. 4.9 AUTORROSC L36 259.360 3279092 50.658 50.658 50.658
InsumosPERNO BLOQ D. 4.9 AUTORROSC L40 259.400 3279093 50.658 50.658 50.658
InsumosPERNO BLOQ D.3.4 AUTORROSC L24 TAN REF. 462424 3279590 57.517 57.517 57.517
Page 33
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosPERNO BLOQ. D.3.4 AUTORROSC. L30 TAN REF. 462.430 3279591 57.517 57.517 57.517
InsumosPERNO BLOQ. D.3.9 AUTORROSC L22 TAN REF. 458.220 3331032 55.341 55.341 55.341
InsumosPERNO DE BLOQUEO 3.9 * 34 MM 258.340 3270032 118.034 118.034 118.034
InsumosPERNO DE BLOQUEO 3.9 * 38MM 258.380 3270221 105.416 105.416 105.416
InsumosPERNO DE BLOQUEO 3.9 * 46MM * 258.360 3270222 119.911 119.911 119.911
InsumosPERNO DE BLOQUEO ROSCAD O COMPLETO 4X26MM REF. 18964026S 3331021 94.785 94.785 94.785
InsumosPERNO DE BLOQUEO ROSCAD O COMPLETO 4X45MM REF. 18964045S 3331022 94.785 94.785 94.785
InsumosPERNO-BLOQ D.3.4 AUTORROSC L26 TAN REF. 462.426 3270928 55.341 55.341 55.341
InsumosPERNO-BLOQ D.3.9 AUTORROSC L26 TAN REF. 458.260 3331027 55.341 55.341 55.341
InsumosPERNO-BLOQ D.3.9 AUTORROSC L36 TAN REF. 458.360 3331025 54.522 54.522 54.522
InsumosPERNO-BLOQ. D.3.9 AUTORROSC L28 TAN REF. 458.280 3331026 54.522 54.522 54.522
InsumosPI RECCO 3.5 RECT 3 ORIFIC L39 ACERO REF. 245.023 3279411 210.330 210.330 210.330
InsumosPICARON ASIENTO ESPUMA 3211051 11.002 11.002 11.002
InsumosPIGTAIL 5 FR X 110 CM REF. 105201 3979560 490.875 490.875 490.875
InsumosPI-LCP 3.5 P/METAFISIS P/HUMERO DIS REF. 424.832 3270789 1.776.313 1.776.313 1.776.313
InsumosPIN PREFIJACION ( REF-8796003) 3270448 78.540 78.540 78.540
InsumosPINZA BIOPSIA COLONOSCOPIA- /BDF-2.4-230-SP/FB-240U.A 3010063 77.731 77.731 77.731
InsumosPINZA COLOSTOMIA 3320025 5.307 5.307 5.307
InsumosPINZA CUTTING FORCEPS 5 MM 3123005 PK 3330022 463.889 463.889 463.889
InsumosPINZA DE BIOPSIA GASTRO COPA COCODRILO 180CM*2.4MM * 3USOS* (REF. U422-180) 3211079 28.798 28.798 28.798
InsumosPINZA DE COLONOSCOPIA DIENTE DE TIBURON 230CM*2,3MM (REF. U422-230) 3211080 34.558 34.558 34.558
InsumosPINZA DE DISECCION ULTRASONICA SONICISION REF SCD396 3979432 553.053 553.053 553.053
InsumosPINZA DIENTE RATON Y COCODRILO MOD. RAPTOR REF. 711177 ( #KIT PARA CUERPOS EXTRAÑOS )3979547 255.255 255.255 255.255
InsumosPINZA EXTRACCION BALON GASTRICO * 5U DES 3330027 151.566 151.566 151.566
InsumosPINZA EXTRACCION DE CUERPOS EXTRAÑOS 4 PUAS REF. 711175 ( #KIT PARA CUERPOS EXTRAÑOS )3979546 231.039 231.039 231.039
InsumosPINZA LIGASURE SMALL JAW (REF. LF1212) 3211078 510.510 510.510 510.510
InsumosPINZA P/TORNILLOS 319.970 3270712 120.147 120.147 120.147
InsumosPIPERACILLIN/TAZO BACT TZP #LAB( MV 3979511 ) 3979511 41.234 41.234 41.234
InsumosPIPETAS CARDIAC 150 UL 11622889190 #LAB 3290490 26.107 26.107 26.107
InsumosPIPETAS DE ASPIRACION LEE 10 3200005 7.351 7.351 7.351
InsumosPIPETAS PLASTICAS 3 ML * 500 UN.#LAB(MV 31000099) 3290111 60.869 60.869 60.869
InsumosPISETA PLASTICA GRAD.TAPA ROJA 250ML 1637-10 3290542 8.705 8.705 8.705
InsumosPLACA DCP AO O-OVAL 16 X 167 X 10 ORIF LM-430 226.100 3279028 297.896 297.896 297.896
InsumosPLACA DCP AO O-OVAL 12 X 167 X 10 ORIF LM-410 224.100 3279019 241.478 241.478 241.478
InsumosPLACA SEMI TUBO 4.5 LM-324 222.040 3279003 75.182 75.182 75.182
InsumosPLACA TEE 2450-098 3270492 165.340 165.340 165.340
InsumosPLACA TEE 3 5MM X 4 ORIF ANGULO RECTO 241.140 3270169 134.029 134.029 134.029
InsumosPLACA ANGULADA 130° X 1 PERF X 100MM KP-20 3270504 261.800 261.800 261.800
InsumosPLACA ANGULADA 130° X 1 PERF X 70MM KP-14 3270505 261.800 261.800 261.800
InsumosPLACA ANGULADA 130° X 1 PERF X 80MM KP-16 3270506 261.800 261.800 261.800
InsumosPLACA ANGULADA 130° X 1 PERF X 90MM KP-18 3270507 261.800 261.800 261.800
InsumosPLACA ANGULADA 130° X 4 PERF X 100MM KP-120 238.400 3270364 361.507 361.507 361.507
InsumosPLACA ANGULADA 130° X 4 PERF X 80MM KP-116 238.460 3270502 399.114 399.114 399.114
InsumosPLACA ANGULADA 130° X 4 PERF X 90MM KP-118 238.480 3270045 86.402 86.402 86.402
InsumosPLACA ANGULADA 130° X 6 PERF X 70MM KP-134 238.640 3270367 427.536 427.536 427.536
InsumosPLACA ANGULADA 130° X 6 PERF X 80MM KP-136 238.660 3270366 352.252 352.252 352.252
InsumosPLACA ANGULADA 130° X 6 PERF X 90MM KP-138 238.680 3270510 453.830 453.830 453.830
InsumosPLACA ANGULADA 95° X 7 PERF X 70MM KO-127 237.740 3270513 521.031 521.031 521.031
InsumosPLACA ANGULADA 95° X 9 PERF X 70MM KO-132 237.940 3270514 575.273 575.273 575.273
InsumosPLACA ANGULADA 95° X 12 PERF X 70MM KO-117 237.240 3270511 394.035 394.035 394.035
InsumosPLACA ANGULADA 95° X 12 PERF X 80MM KO-118 237.260 3270512 399.258 399.258 399.258
InsumosPLACA ANGULADA KP-138 238.680 (CAJA LP50) 3270365 363.064 363.064 363.064
InsumosPLACA AO ANCHA OR X 5 ORIFICIOS X 87MM LM-125 3270516 142.888 142.888 142.888
InsumosPLACA AO ANCHA OR X 6 ORIFICIOS X 100MM LM-126 3270517 147.506 147.506 147.506
InsumosPLACA AO ANCHA OR X 7 ORIFICIOS X 122MM LM-127 3270518 156.632 156.632 156.632
InsumosPLACA AO ANCHA OR X 8 ORIFICIOS X 132MM LM-128 3270519 172.796 172.796 172.796
InsumosPLACA AO ANCHA OR X 9 ORIFICIOS X 154MM LM-129 3270520 182.032 182.032 182.032
InsumosPLACA AO ANCHA OR X10 ORIFICIOS X166MM LM-130 3270523 191.268 191.268 191.268
InsumosPLACA AO ANCHA OR X12 ORIFICIOS X200MM LM-132 3270521 174.738 174.738 174.738
InsumosPLACA AO ANCHA OR X14 ORIFICIOS X234MM LM-134 3270522 197.783 197.783 197.783
InsumosPLACA AO ESTRECHA OR X 4 ORIFICIOS X 74MM LM-104 3270524 93.902 93.902 93.902
InsumosPLACA AO ESTRECHA OR X 5 ORIFICIOS X 90MM LM-105 3270525 98.521 98.521 98.521
InsumosPLACA AO ESTRECHA OR X 6 ORIFICIOS X 106MM LM-106 3270526 100.885 100.885 100.885
InsumosPLACA AO ESTRECHA OR X 7 ORIFICIOS X 107MM LM-107 3270527 105.943 105.943 105.943
InsumosPLACA AO ESTRECHA OR X 8 ORIFICIOS X 138MM LM-108 3270528 111.056 111.056 111.056
InsumosPLACA AO ESTRECHA OR X 10 ORIFICIOS X 170MM LM-110 3270529 131.287 131.287 131.287
InsumosPLACA AO ESTRECHA OR X 11 ORIFICIOS X 183MM LM-111 3270530 140.524 140.524 140.524
InsumosPLACA AO ESTRECHA OR X 12 ORIFICIOS X 202MM LM-112 3270531 173.443 173.443 173.443
InsumosPLACA AO O-OVAL 16 X X 9 ORIF 226.110 3279023 326.645 326.645 326.645
Page 34
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosPLACA BLOQUEADA X 6ORIF. REF-816204006 3270954 896.621 896.621 896.621
InsumosPLACA DCP AO O-OVAL 16 X 199 X 12 ORIF LM-432 226.120 3270004 192.776 192.776 192.776
InsumosPLACA DCP AO O-OVAL 12 X 119 X 7 ORIF LM-407 224.070 3279016 183.620 183.620 183.620
InsumosPLACA DCP AO O-OVAL 12 X 135 X 8 ORIF LM-408 224.080 3279017 202.912 202.912 202.912
InsumosPLACA DCP AO O-OVAL 16 X 119 X 7 ORIF LM-427 226.070 3279025 245.356 245.356 245.356
InsumosPLACA DCP AO O-OVAL 12 X 151 X 9 ORIF LM-409 224.090 3279018 222.187 222.187 222.187
InsumosPLACA DCP AO O-OVAL 12 X 71 X LM-404 224.040 3270067 71.055 71.055 71.055
InsumosPLACA DCP AO O-OVAL 12 X 39MM LM-402 224.020 3279011 101.218 101.218 101.218
InsumosPLACA EN TREBOL AC 3 PERF X 241.830 3279000 412.843 412.843 412.843
InsumosPLACA EN TREBOL AC 3 PERF X 88MM 241.88 3270216 290.368 290.368 290.368
InsumosPLACA EN TREBOL AC 4 PERF X 104MM 241.104 3270119 427.051 427.051 427.051
InsumosPLACA OBLICUA EN T 5 PERF 241.250 3270113 171.217 171.217 171.217
InsumosPLACA SEMI TUBO 4 5 X LM-323 222.030 3279002 75.182 75.182 75.182
InsumosPLACA SEMI TUBO 4 5 X LM-325 222.050 3279004 83.881 83.881 83.881
InsumosPLACA SEMI TUBO 4 5 X LM-328 222.080 3279007 97.193 97.193 97.193
InsumosPLACA SEMI TUBO 4 5 X 4 PERF LM-326 222.060 3270397 34.323 34.323 34.323
InsumosPLACA SEMI TUBO 4 5 X 4 PERF LM-327 222.070 3279006 91.421 91.421 91.421
InsumosPLACA TEE 3 5MM ANGULO OBLICUO X 3 ORIFICIO 241.230 3279009 217.222 217.222 217.222
InsumosPLACA TEE 6 ORIFICIOS LM184 3270493 179.988 179.988 179.988
InsumosPLACA TEE 8 ORIFICIOS 2451-120 3270494 179.988 179.988 179.988
InsumosPLACA TEE 8 ORIFICIOS LM172 3270495 179.988 179.988 179.988
InsumosPLACA TEE 8 ORIFICIOS LM196 3270496 179.988 179.988 179.988
InsumosPLACA TEE 9 ORIFICIOS LM173 3270497 179.988 179.988 179.988
InsumosPLACA TEE ANGULO RECTO LM190 3270498 179.988 179.988 179.988
InsumosPLACA TEE ANGULO RECTO LM191 3270499 179.988 179.988 179.988
InsumosPLACA TEE RECTA 3 PERF 241.130 3270314 132.274 132.274 132.274
InsumosPLACA TERCIO TUBO C/COLLAR 3 PERF 241.330 3270294 90.223 90.223 90.223
InsumosPLACA TERCIO TUBO C/COLLAR 4 PERF 241.340 3270114 93.679 93.679 93.679
InsumosPLACA TERCIO TUBO C/COLLAR 5 PERF 241.350 3270115 97.193 97.193 97.193
InsumosPLACA TERCIO TUBO C/COLLAR 6 PERF 241.360 3270116 100.649 100.649 100.649
InsumosPLACA TERCIO TUBO C/COLLAR 7 PERF 241.370 3270117 104.124 104.124 104.124
InsumosPLACA TERCIO TUBO C/COLLAR 8 PERF 241.380 3270118 95.033 95.033 95.033
InsumosPLACA TERCIO TUBO C/COLLAR 10 PERF 241.400 3270213 114.531 114.531 114.531
InsumosPLACA 1.2/1.5 GANCHO 1 ORIF. REF A-4340.32 3270984 343.063 343.063 343.063
InsumosPLACA 1/3 CAÑA C/COLLAR 3 5 X 5 ORIFICIOS 241.350 3279033 78.933 78.933 78.933
InsumosPLACA 2.0/2.3 EN H 6 ORIF. LARGO 21MM REF. A4600-56 3270876 400.240 400.240 400.240
InsumosPLACA 2.0/2.3 EN H BLOQUEO DE 6 ORIF LARGO 21MM (REF. A-4650.56) 3979452 548.713 548.713 548.713
InsumosPLACA 2.0/2.3 EN T BLOQUEO 3/4 ORIF LARGO 29MM REF A-4650.11 3279541 943.235 943.235 943.235
InsumosPLACA 2.0/2.3 EN Y BLOQUEO 2/5 ORIF. LARGO 35MM REF A-4650.13 3270857 943.235 943.235 943.235
InsumosPLACA 2.0/2.3 FIJACION EN Y 2/5 ORIF LARGO 32MM REF. A-4600.13 3270948 343.063 343.063 343.063
InsumosPLACA 2.0/2.3 RECTA BLOQUEO MATACARPO 4 ORIF LARGO 27 REF A-4655.01 3270987 487.605 487.605 487.605
InsumosPLACA 2.0/2.3 RECTA METACARPO 4 ORIF LARGO 29MM REF. A-4645.01 3270983 381.181 381.181 381.181
InsumosPLACA 2.0/2.3 RECTA METACARPO 6 ORIF LARGO 42MM REF A-4645.03 3270982 381.181 381.181 381.181
InsumosPLACA 2.5MM TRILOCK EN T EXTRAARTICULAR IZQ REF. A-4750.72 3279378 667.066 667.066 667.066
InsumosPLACA 3.0/2.3 RECTA METACARPO 5 ORIF LARGO 36MM REF A-4645.02 3270981 440.077 440.077 440.077
InsumosPLACA 3.5 MM CLAVICULA SUP. 8 ORIF.IZQ. REF-71823401 3270995 1.425.429 1.425.429 1.425.429
InsumosPLACA 3.5 MM COMPRESION BLOQ 7 ORIF LARGO 111MM REF 71829707 3270967 276.365 276.365 276.365
InsumosPLACA 3.5 MM COMPRESION BLOQ 8 ORIF LARGO 125MM REF 71829708 3270891 276.365 276.365 276.365
InsumosPLACA 3.5 MM RECONSTRUCCION BLOQ. 12 ORIF. LARGO 142M REF. 71822612 3279513 571.771 571.771 571.771
InsumosPLACA 3.5 MM VLP PERONE DIS POSTEROLAT 5 ORIF IZQ LARG REF. 72820805 3279584 952.952 952.952 952.952
InsumosPLACA 3.5 MM VLP TIB PROX POSTERO. 7 ORIF. DER LA REF. 7280207 3279413 1.048.247 1.048.247 1.048.247
InsumosPLACA 3.5MM CLSVICULA SUPERIOR DISTAL 4 ORIF. IZQ LARG REF. 71823415 3279398 2.014.847 2.014.847 2.014.847
InsumosPLACA 3.5MM COMPRESION 8 RIF. LARGO 119MM REF 71829408 3270893 245.862 245.862 245.862
InsumosPLACA 3.5MM COMPRESION BLOQ 6 ORIF. LARGO 96MM REF. 71829706 3270920 276.365 276.365 276.365
InsumosPLACA 3.5MM COMPRESION BLOQ. 10 ORIF. LARGO 154MM REF 71829710 3279414 276.365 276.365 276.365
InsumosPLACA 3.5MM HUMERO PROXIMAL 5 ORIF IZQU LARGO 1 REF. 71821405 3279482 1.238.846 1.238.846 1.238.846
InsumosPLACA 3.5MM MEDIAÑ BLOQ. 6ORIF. DER.LARGO 146MM 71821106 3270910 952.952 952.952 952.952
InsumosPLACA 3.5MM TUBULAR BLOQ 6 ORIF LARGO 82MM REF. 71829006 3270864 181.052 181.052 181.052
InsumosPLACA 3.5MM TUBULAR BLOQ. 7 ORIF LARGO 95MM REF 71829007 3979445 181.052 181.052 181.052
InsumosPLACA 3.5MM VLP PERONE DISTAL LATERAL 4 ORIF. IZQ. LARG. REF. 72821004 3279588 952.952 952.952 952.952
InsumosPLACA 3.5MM VLP PERONE DISTAL LATERAL 5 ORIF IZQ LARGO REF. 72821005 3279580 952.952 952.952 952.952
InsumosPLACA 3.5MM VLP PERONE DISTAL LATERAL 7 ORIF. IZQ LARG. REF.72821007 3279576 952.952 952.952 952.952
InsumosPLACA 3.5MM VLP PERONE DISTAL LATERAL 7 ORIFDER LARG REF. 72822007 3270929 1.143.534 1.143.534 1.143.534
InsumosPLACA 3.5MM VLP TIBIA PROXIMAL LAT. 4 ORIF. REF. 72820404 3330061 1.048.247 1.048.247 1.048.247
InsumosPLACA 4 ORIFICIOS * 015-247 * PROMEDIKA 3270203 181.624 181.624 181.624
InsumosPLACA 4.5 MM TIBIA PROXIMAL LATERAL 4 ORIF DER LARG REF. 71820304 3279573 1.143.534 1.143.534 1.143.534
InsumosPLACA 4.5MM FEMUR DISTAL BLOQ 10 ORIF IZQ LARG REF. 71820010 3279427 1.524.732 1.524.732 1.524.732
InsumosPLACA 4.5MM RECTA BLOQUEADA 14 ORIFICIO LARGO 265MM REF. 71829314 3279389 762.362 762.362 762.362
InsumosPLACA 40 MM. (REF-8799140) 3270449 981.750 981.750 981.750
Page 35
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosPLACA 6 ORIFICIOS * 015-237 * PROMEDIKA 3270020 290.598 290.598 290.598
InsumosPLACA 8 PARA TIBIA ( OR-04-GP400 ) 3290499 461.423 461.423 461.423
InsumosPLACA ANGULADA 130° X 1 ORIFICIO KP-120 3270500 261.800 261.800 261.800
InsumosPLACA ANGULADA 130° X 4 ORIFICIO X 100MM KP-12 238.400 3270501 451.884 451.884 451.884
InsumosPLACA ANGULADA 130° X 6 ORIFICIOS X 70MM KP-134 238.640 3270508 427.536 427.536 427.536
InsumosPLACA ANGULADA 130° X 6 ORIFICIOS X 80MM KP-136 238.660 3270509 440.315 440.315 440.315
InsumosPLACA AX50S IZQ. PROXIMAL LATERAL HUMERUS REF. 437103 3270873 697.697 697.697 697.697
InsumosPLACA BLOQ. H-D-MEDIAL 5 ORIF. 71821905 3270769 1.106.105 1.106.105 1.106.105
InsumosPLACA BLOQ. H-D-OLECRANON 71822906 3270771 1.106.105 1.106.105 1.106.105
InsumosPLACA BLOQUEADA 1.5 EN T SMALL REF-131220157 3700425 609.081 609.081 609.081
InsumosPLACA BLOQUEADA ANATOMICA FIBULA 3 ORF DER REF. 816207003 3270970 1.483.191 1.483.191 1.483.191
InsumosPLACA BLOQUEADA ANATOMICA FIBULA 3ORIF IZQ REF. 816206003 3270938 1.542.520 1.542.520 1.542.520
InsumosPLACA BLOQUEADA ANATOMICA FIBULA 4 ORIFICIOS DER. REF 816207004 3279602 1.425.563 1.425.563 1.425.563
InsumosPLACA BLOQUEADA ANATOMICA FIBULA 4 ORIFICIOS IZQ REF 816206004 3279589 1.425.563 1.425.563 1.425.563
InsumosPLACA BLOQUEADA ANATOMICA FIBULA 6 ORIFICIOS IZQ REG. 816206006 3279494 1.542.520 1.542.520 1.542.520
InsumosPLACA BLOQUEADA COMPUESTA FIBULA 7 ORIF. REF. 816204007 3979439 896.621 896.621 896.621
InsumosPLACA BLOQUEADA DE RADIO DISCAL 2.5 REF. A-5040.41/1 3279349 857.657 857.657 857.657
InsumosPLACA BLOQUEADA EN L. ANGOSTA DVR EPAK REF. 811821050 3299540 1.329.691 1.329.691 1.329.691
InsumosPLACA BLOQUEADA VARIAX DE RADIO ( STRYKER ) 3279232 1.021.020 1.021.020 1.021.020
InsumosPLACA BLOQUEO DISTAL (72820807) 3270760 1.089.088 1.089.088 1.089.088
InsumosPLACA BURR HOLE 22MM REF 01-7309 3270921 60.472 60.472 60.472
InsumosPLACA CADERA DHS 135 G 4 PERF 281.140 3270126 473.439 473.439 473.439
InsumosPLACA CADERA DHS 135 G 6 PERF 281.160 3270177 583.487 583.487 583.487
InsumosPLACA CADERA DHS 135G 5 PERFORACIONES 281.150 3270686 473.439 473.439 473.439
InsumosPLACA CADERA DHS 150G 4 PERF. 281.440 3270687 591.799 591.799 591.799
InsumosPLACA CADERA DHS 150G 5 PERF. 281.450 3270688 591.799 591.799 591.799
InsumosPLACA CALCANEO 3.5MM X 70 MM 3270266 318.251 318.251 318.251
InsumosPLACA CALCANEO BLOQUEADA GRANDE IZ REF. 816208003 3279613 1.330.115 1.330.115 1.330.115
InsumosPLACA CERVICAL ANT. 22MM REF-150.122 3270933 850.850 850.850 850.850
InsumosPLACA CERVICAL ANTERIOR PROVIDENCE 2 NVL REF 150.236 3270990 1.174.173 1.174.173 1.174.173
InsumosPLACA CERVICAL TITANIO FG 452 3270035 440.696 440.696 440.696
InsumosPLACA CLAVICULA SUP.3 5MM (71823401) 3270750 1.524.723 1.524.723 1.524.723
InsumosPLACA COMPRESIION (718294039 3270746 540.355 540.355 540.355
InsumosPLACA COMPRESION BLOQUEADA 3.5 MM 9 ORIF. REF. 816235009 3279578 596.373 596.373 596.373
InsumosPLACA COMPRESION BLOQUEADA 3.5MM 10 ORIFICIOS (REF. 816235010) 3270997 442.795 442.795 442.795
InsumosPLACA COMPRESION BLOQUEADA 3.5MM 8 ORIFICIOS REF. 816235008 3279612 339.831 339.831 339.831
InsumosPLACA COMPRESION BLOQUEADA 3.5MM REF. 816235007 3279587 305.642 305.642 305.642
InsumosPLACA CONDILEA 1.5 ANCLAJE A LA IZQ. TITANIO REF. 446.630 3279161 598.884 598.884 598.884
InsumosPLACA CONDILEA DCP 7 PERF 237.700 3270307 503.441 503.441 503.441
InsumosPLACA CONDILEA DCP 9 PERF.80MM 237.960 3270368 696.361 696.361 696.361
InsumosPLACA CONDILEA DCS 10 PERF. 281.900 3270694 721.331 721.331 721.331
InsumosPLACA CONDILEA DCS 12 PERF. 281.920 3270695 784.889 784.889 784.889
InsumosPLACA CONDILEA DCS 16 PERF 281.940 3270295 847.422 847.422 847.422
InsumosPLACA CONDILEA DCS 6 PERF.281.950 3270692 589.286 589.286 589.286
InsumosPLACA CONDILEA DCS 8 PERF. 281.980 3270693 611.474 611.474 611.474
InsumosPLACA CPS/CNA X 20 REF-411617 (MV 31000279) #LAB 3290737 102.495 102.495 102.495
InsumosPLACA CUADRADA 2X2 SIS1.5 REF. 01-7131 3290724 36.408 36.408 36.408
InsumosPLACA DCP AO O-OVAL 12 X 87 X LM-405 224.050 3279014 163.717 163.717 163.717
InsumosPLACA DCP AO O-OVAL 12 X 103 X LM-406 224.060 3270068 84.368 84.368 84.368
InsumosPLACA DCP AO O-OVAL 16 X 4.5X LM-425 226.050 3279022 261.800 261.800 261.800
InsumosPLACA DCP AO O-OVAL 16 X 151 X 9 ORIF LM-429 226.090 3279027 281.042 281.042 281.042
InsumosPLACA DCP AO O-OVAL 16 X 231 X 14 ORIF LM-434 226.140 3279029 377.417 377.417 377.417
InsumosPLACA DCP AO O-OVAL 12 X 183 X 11 ORIF LM-411 224.110 3279020 261.752 261.752 261.752
InsumosPLACA DCP AO O-OVAL 16 X 103 X 6 ORIF LM-426 226.060 3279024 228.470 228.470 228.470
InsumosPLACA DCP AO O-OVAL 16X 135 X 8 ORIF LM-428 226.080 3279026 255.255 255.255 255.255
InsumosPLACA DCP AO O-OVAL 12 X 199 X 12 ORIF LM-412 224.120 3279021 261.800 261.800 261.800
InsumosPLACA DCP AO O-OVAL 12 X 55 X LM-403 224.030 3270066 70.356 70.356 70.356
InsumosPLACA DE COMPRESION 3 5MM 10 ORIFICIO 145MM REF 71829410 3279164 540.355 540.355 540.355
InsumosPLACA DE RECONST BLOQ10 ORIF. 3.5MM 118 (71822610) 3279238 653.453 653.453 653.453
InsumosPLACA DE RECONSTRUCCION BLOQ. 8 ORIFICIOS 94MM REF 71822608 3279345 510.510 510.510 510.510
InsumosPLACA DOBLE Y EXTRALARGA SIS1.5 REF. 01-7114 3270926 45.757 45.757 45.757
InsumosPLACA DOBLE Y LARGA 1.0MM * 01-9262 3270315 143.025 143.025 143.025
InsumosPLACA DOBLE Y REG. 1.0MM 2.0 REF. 01-9260 3270887 58.198 58.198 58.198
InsumosPLACA DVR CROSSLOCK ANGOSTA IZQUIERDA (REF. 131821050) 3279624 358.737 358.737 358.737
InsumosPLACA DVR CROSSLOCK ESTANDAR DERECHA (REF. 131812050) 3279629 358.737 358.737 358.737
InsumosPLACA DVR CROSSLOCK ESTANDAR IZQUIERDA (REF 131822050) 3270284 413.927 413.927 413.927
InsumosPLACA DVR CROSSLOCK MEDIANA DERECHA (REF. 131812060) 3279617 413.927 413.927 413.927
InsumosPLACA ELECTROBISTURI ADULTO * E7508/7509CABLE BONIF 3320010 12.141 12.141 12.141
InsumosPLACA ELECTROBISTURI PED. * E7510-25 3320070 24.086 24.086 24.086
Page 36
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosPLACA EN L 4 ORIFICIOS 205405134 3270043 190.609 190.609 190.609
InsumosPLACA EN L 4 PERF. 205405135 3270130 190.609 190.609 190.609
InsumosPLACA ESTRECHA 9 ORIF. 154MM LM-109 ( REF. 224.090 CONFIRMAR ) 3700411 115.537 115.537 115.537
InsumosPLACA EXTRA ART. 2.5 3/4HOYOS IZQUIERDA PW2542-34-2 3279190 595.595 595.595 595.595
InsumosPLACA EXTRA ART. WSP 2.5 3/4 HOYOS REF. PW-2541-34 3279197 595.595 595.595 595.595
InsumosPLACA F3 BLOQUEADA PEQUEÑO FRAGMENTO RIGIDA IZQ. REF. 131217001 3279462 220.384 220.384 220.384
InsumosPLACA F3 BLOQUEADA PEQUEÑO FRAGMENTO RIGIDA IZQ. REF. 131217102 3279442 220.384 220.384 220.384
InsumosPLACA FIJACION 1.2/1.5MM-4ORIF. A-4300.01 3270934 219.179 219.179 219.179
InsumosPLACA GF TIBIA PROXIMAL LAT. 4 5 MM /8 ORIFICIOS 71820208 3270728 1.306.897 1.306.897 1.306.897
InsumosPLACA GF TIBIA PROXIMAL LATERAL 6 ORIF. REF. 71820206 3279217 1.306.897 1.306.897 1.306.897
InsumosPLACA HUMERAL DISTAL LATERAL REF. SHBEP8TDS 3270889 1.225.224 1.225.224 1.225.224
InsumosPLACA HUMERAL DISTAL MEDIA REF. SHBIP7TS 3270890 1.225.224 1.225.224 1.225.224
InsumosPLACA HUMERO DISTAL MEDIAL BLOQ.IZQ. 88MM REF-131218702 3279526 1.256.859 1.256.859 1.256.859
InsumosPLACA HUMERO DISTAL POST.LAT.BLOQ.IZQ. REF-131218302 3279525 1.256.859 1.256.859 1.256.859
InsumosPLACA HUMERO PROX.3.5X89MM 3/ORIF. (71821303) 3279265 1.106.105 1.106.105 1.106.105
InsumosPLACA HUMERO PROXIMAL 4 PERF.(36104) 3279079 727.169 727.169 727.169
InsumosPLACA L MED. IZQ. 2X2X1.5 * 01-7074 3270319 136.581 136.581 136.581
InsumosPLACA L REGULAR DER 2X2 1.0MM SIS2.0 REF 01-9230 3270883 58.198 58.198 58.198
InsumosPLACA L.MED.IZQ. 3X3X1.5 (01-7032) 3270816 39.888 39.888 39.888
InsumosPLACA LARGA DOBLE Y 6 PERF SIS 1.5 REF. 01-7112 3270922 45.757 45.757 45.757
InsumosPLACA LATERAL TIBIA (71820206) 3279279 1.021.011 1.021.011 1.021.011
InsumosPLACA LCP 3.5D.1.69MM (REF-441.622) 3270439 1.731.455 1.731.455 1.731.455
InsumosPLACA LCP 4.5 / 5.0 MM ANCHA 8 PERF. * 426.581 3270378 568.249 568.249 568.249
InsumosPLACA LCP TIBIA PROX IZQ 9 PERF. * 422.225 3270186 1.970.448 1.970.448 1.970.448
InsumosPLACA MATRIZ 2X3 SIS 1.5 REF. 01-7136 3270923 36.408 36.408 36.408
InsumosPLACA MINI ANGOSTA BLOQUEADA IZQ DVR EPAK REF. 811821040 3299529 1.368.847 1.368.847 1.368.847
InsumosPLACA ORBITAL 5 ORIF. SIN PUENTE 3270158 157.909 157.909 157.909
InsumosPLACA ORBITAL CURVA 8 PERF SIS 1.5 REF. 01-7128 3270924 43.997 43.997 43.997
InsumosPLACA ORBITAL MED.SIS 1.5 (01-7107) 3270818 128.584 128.584 128.584
InsumosPLACA ORBITAL PEQUEÑA SISTEMA SIS1.5 REF. 01-7106 3279440 128.584 128.584 128.584
InsumosPLACA PÁCIENTE COSMAN DGP-PM 3070116 121.749 121.749 121.749
InsumosPLACA PHILOS + TORNILLOS 3270287 2.726.949 2.726.949 2.726.949
InsumosPLACA PHILOS 35 L.8 PERF.L.200MM (REF-441.921) 3270402 2.463.033 2.463.033 2.463.033
InsumosPLACA PHILOS TITANIO 3270267 2.358.749 2.358.749 2.358.749
InsumosPLACA PROVIDENCE 32MM 2 NIVELES REF. 150.232 3270852 850.850 850.850 850.850
InsumosPLACA PUDU ( INCLUYE AGUJAS OSTEOTOMIA ) 3280014 1.069.126 1.069.126 1.069.126
InsumosPLACA RADIAL EXTRA ART. IZQ. 2.5MM 3/3 REF PW-2543-33-2 3279178 916.300 916.300 916.300
InsumosPLACA RADIO YUXTA ART. 2 5 4/4 HOYOS REF. PW-2522-44-2 3279201 663.663 663.663 663.663
InsumosPLACA RECTA 4 PERF.X1.5 (01-7045) 3270817 39.888 39.888 39.888
InsumosPLACA RECTA BLOQ. 45MMX229MM (71829312) 3279260 680.680 680.680 680.680
InsumosPLACA RECTA 16 PERF 1.0MM (01-9216) 3270833 58.198 58.198 58.198
InsumosPLACA RECTA 2 PERF. LARGA NEURO 1.5 REF. 01-7347 3270878 18.521 18.521 18.521
InsumosPLACA RECTA 2 PERF. NEURO 1.5 * 01-7345 3270320 45.259 45.259 45.259
InsumosPLACA RECTA 4 ORIFICIOS C/PUENTE 2054061 3270154 173.703 173.703 173.703
InsumosPLACA RECTA BLOQ. 4.5MM PL 8H 157MM REF 71829308 3279155 879.648 879.648 879.648
InsumosPLACA RECTA LARGA 4 PERF 1.0MM SIS2.0 REF. 01-9205 3279540 58.198 58.198 58.198
InsumosPLACA RECTA LARGA 4 PERF 1.5 REF. 01-7047 3270879 39.888 39.888 39.888
InsumosPLACA RECTA MED. 4 PERF. 1.0MMX2.0 REF. 01-9288 3270882 58.198 58.198 58.198
InsumosPLACA RECTA REG. 4 PERF. 1.0 MM SIS2.0 REF. 01-9204 3279530 47.648 47.648 47.648
InsumosPLACA RECTA REG. 4 PERF. 1.0MM SIS2.0 3279527 47.648 47.648 47.648
InsumosPLACA RECTA REG. 4 PERF.X1.5 (01-7040) 3270819 39.888 39.888 39.888
InsumosPLACA RECTA REG.16 PERF.(01-8014) 3270832 58.198 58.198 58.198
InsumosPLACA RECTA REGULAR 6 PERF 1.0MM SIS2.0 REF. 01-9206 3270902 58.198 58.198 58.198
InsumosPLACA REDONDA 5 ORIF X 7MM 205405175 3270041 194.512 194.512 194.512
InsumosPLACA REF 3 ORIFICIOS REF. 54-15377 3331018 680.680 680.680 680.680
InsumosPLACA SELLANTE P/CAPILARES *PLASTICINA * ( MV 50008946 ) #LAB 3290837 17.017 17.017 17.017
InsumosPLACA SEROLOGICA 12ANILLOS P/VDRL #LAB MV 31000369 3299534 56.942 56.942 56.942
InsumosPLACA SHUNT NEURO ESPECIAL REF. 01-7305 3270988 58.869 58.869 58.869
InsumosPLACA SINFISIS C/ORIF. COMBT-COAX 4 ORIF. REF 02.100.004 3279412 1.137.535 1.137.535 1.137.535
InsumosPLACA SINFISISC/AGUJ-COMBI-COAX 4 ORIF. REF.02.100.004 3279399 1.137.535 1.137.535 1.137.535
InsumosPLACA SUJECION P/ROTULA-ABIERTA-AJUSTABLE (REF. 393.971) 3279369 218.276 218.276 218.276
InsumosPLACA T LCP OBLICUA 51MM (100-0530-003) 3279148 589.050 589.050 589.050
InsumosPLACA TIBIA 3.5MM X 123MM (71820608) 3270759 1.089.088 1.089.088 1.089.088
InsumosPLACA TIBIA DIST IZQ (71821006 ) 3279239 1.089.088 1.089.088 1.089.088
InsumosPLACA TIBIA DISTAL ANTEROLATERAL BLOQ. ANGOSTA IZQ 12 H REF. 816203012 3279467 2.241.069 2.241.069 2.241.069
InsumosPLACA TIBIA DISTAL MEDIAL BLOQUEADA IZQ 6H REF. 816211006 3279546 2.031.884 2.031.884 2.031.884
InsumosPLACA TIBIA DISTAL MEDIAL DER 12H REF. 816210012 3279565 2.031.884 2.031.884 2.031.884
InsumosPLACA TIBIA PROXIMAL IZQ.7ORIF. REF-816235707 3270960 1.887.633 1.887.633 1.887.633
InsumosPLACA TIBIAL 10.5 MM X 300 MM REF. 40630 3279516 576.464 576.464 576.464
Page 37
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosPLACA TIBIAL PROXIMAL BLOQUEADA IZQ. 3 ORIF STAND. REF. 816235703 3279532 1.887.633 1.887.633 1.887.633
InsumosPLACA TUBULAR 100 7 ORIFICIO REF 143557 3279598 130.827 130.827 130.827
InsumosPLACA TUBULAR 100° 8 ORIFICIO REF. 143558 3279468 99.248 99.248 99.248
InsumosPLACA UROSTOMIA FLEXIBLE 45MM CV125134 3240023 13.314 13.314 13.314
InsumosPLACA Y EXTRALARGA SIS1.5 REF. 01-7104 3270925 45.757 45.757 45.757
InsumosPLACA Y LARGA 1.0MM 01-9251 3270046 131.217 131.217 131.217
InsumosPLACA Y L-SIS 1.5 REF-01-7102 3270947 105.593 105.593 105.593
InsumosPLACA ZEPHIR 25MM (REF-8799132) 3270438 981.750 981.750 981.750
InsumosPLACAS DCP 3 5 X 4 ORIFICIOS 248.040 3279038 136.797 136.797 136.797
InsumosPLACAS DCP 3 5 X 5 ORIFICIOS 248.050 3279039 104.694 104.694 104.694
InsumosPLACAS DCP 3 5 X 6 ORIFICIOS 248.060 3279040 137.445 137.445 137.445
InsumosPLACAS DCP 3 5 X 7 ORIFICIOS 248.070 3279041 180.230 180.230 180.230
InsumosPLACAS DCP 3 5 X 8 ORIFICIOS 248.080 3279042 181.362 181.362 181.362
InsumosPLACAS DCP 3 5 X 9 ORIFICIOS 248.090 3279043 191.851 191.851 191.851
InsumosPLACAS DCP 3 5 X 10 ORIFICIOS 248.100 3279044 202.437 202.437 202.437
InsumosPLACAS CADERA DHS COD. 281.460 3900394 473.439 473.439 473.439
InsumosPLACAS RADIOLOGICAS 18 X 24 3320043 80.523 80.523 80.523
InsumosPLACAS RADIOLOGICAS 24 X 30 3320044 136.483 136.483 136.483
InsumosPLACAS RADIOLOGICAS 30 X 40 3320045 186.392 186.392 186.392
InsumosPLACAS RADIOLOGICAS 35 X 35 3320046 193.509 193.509 193.509
InsumosPLANTILLA ORTOPEDICA 3210059 45.259 45.259 45.259
InsumosPLATILLO TIBIAL KTCCNP20 3270022 834.666 834.666 834.666
InsumosPLATILLO TIBIAL OXFORD SIZE C IZQ REF. 154722 3900421 904.836 904.836 904.836
InsumosPLATSUL A * 400 GR 3300008 110.270 110.270 110.270
InsumosPLCA LOQ. H-D-LATERAL 5 ORIF. 71822405 3270770 1.106.105 1.106.105 1.106.105
InsumosPLEURACAN A SET COMPLETO REF 03-70-719715-0 3900415 100.139 100.139 100.139
InsumosPOLIPROPILENO 100X100 STERITEK *200* 2400100100 3040046 234.966 234.966 234.966
InsumosPOLIPROPILENO 75X75 STERITEK *200* 2400007575 3040045 133.518 133.518 133.518
InsumosPOLYSORB 1 CL925 * 36 3180126 7.592 7.592 7.592
InsumosPORTA OBJETO C/ BANDA ESMERILADA ( SINGLE FROSTED)26X76MM REF-7105 3290191 6.329 6.329 6.329
InsumosPORTA OBJETO SIMPLE (CLEAR GLASS)25,4X76,2MM REF-7102 3290119 6.775 6.775 6.775
InsumosPOSICIONADOR DE PACIENTE PIGAZZI REF. 40580 3979348 181.997 181.997 181.997
InsumosPOTASIO ( K ) ( MV 31000018 ) #LAB 3290768 109.461 109.461 109.461
InsumosPOVIDONA IODADA 10 % SOLUCION * 250 ML 3300021 5.614 5.614 5.614
InsumosPOVIDONA YODADA 10%X 30 ML. * FRASCO 3300014 3.905 3.905 3.905
InsumosPREALBUMINA 100 DET REF. 10764655322 #LAB 3979382 591.357 591.357 591.357
InsumosPRECIBIL 4 X 2 ML 10158046122#LAB 3900406 169.332 169.332 169.332
InsumosPRECICONTROL HBA1C NORM 5479207190 #LAB 3290521 633.828 633.828 633.828
InsumosPRECICONTROL HBA1C NORMAL 5479207190 #LAB 3900395 633.828 633.828 633.828
InsumosPRECICONTROL HBA1C PATH 5912504190N #LAB 3900396 633.828 633.828 633.828
InsumosPRECICONTROL VARIA 2X3 ML (REF-5618860190)#LAB 3290537 220.854 220.854 220.854
InsumosPRECICONTROL VARIA ELECSYS 5618860190 #LAB 3290603 226.375 226.375 226.375
InsumosPRECIPATH PROTEINAS 11333127122 #LAB 3900397 248.501 248.501 248.501
InsumosPRECLEAN M ELECSYS COD. 3004899190 #LAB 3290334 312.032 312.032 312.032
InsumosPRESERV 21/ 10 ML 3020034 16.755 16.755 16.755
InsumosPRESERVATIVOS 3320019 2.228 2.228 2.228
InsumosPRESTOBARBA * 1 UNIDAD 3220005 3.567 3.567 3.567
InsumosPRINEO SISTEMA CIERRE PIEL CLR602 3180117 196.350 196.350 196.350
InsumosPRO BNP PLUSX10 5533643190 #LAB 3290540 445.636 445.636 445.636
InsumosPROBE WASH ELECSYS E601 3005712190 #LAB 3290355 312.032 312.032 312.032
InsumosPROCELL ELECSYS 2L*2 COD 4880340190 #LAB 3290235 262.295 262.295 262.295
InsumosPRODISC C NOVA TAMM A5 REF. 04.820.225S 3270968 2.552.550 2.552.550 2.552.550
InsumosPROGESTERONA PAQ DE REACTIVO ( MV 31000592 ) #LAB 3290806 461.750 461.750 461.750
InsumosPROLACTINA PAQ DE REACTIVO ( MV 31000590 ) #LAB 3290804 481.143 481.143 481.143
InsumosPROLENE 2/0 * 8423-T (CP-423) 3180093 11.532 11.532 11.532
InsumosPROLENE 6.0 * M8805T * 24 3180125 24.076 24.076 24.076
InsumosPROLENE 0 8424T CIRUG GENERAL 3180097 11.532 11.532 11.532
InsumosPROLENE 1 CON AGUJA 8425 H * 36 SOBRES MV 50004876 3180096 11.532 11.532 11.532
InsumosPROLENE 2/0 C/A * 24 SB(8523T) J&J 3180048 20.640 20.640 20.640
InsumosPROLENE 3/0 C/A * 24 SB(8522T) 3180049 18.698 18.698 18.698
InsumosPROLENE 4/0 C/A * 24 SB(9557T) 3180050 25.918 25.918 25.918
InsumosPROLENE 5/0 C/A * 24 SB(9556T) (MV 50009686 ) 3180051 23.525 23.525 23.525
InsumosPROLENE 6/0 C/A * 24 SB(M8706) 3180052 24.703 24.703 24.703
InsumosPROLENE 7.0 * M8702T * 24 3180124 24.076 24.076 24.076
InsumosPROTECTOR FACIAL COMPLETO 3979430 14.661 14.661 14.661
InsumosPROTECTOR TERMOMETRO TIMPANICO 1*96 3260020 11.540 11.540 11.540
InsumosPROTECTORES OCULARES REF. 1091100 3979431 58.866 58.866 58.866
InsumosPROTEINA C REACTIVA ( MV 31000033 ) #LAB 3290782 328.209 328.209 328.209
InsumosPROTEINA C REACTIVA 90 SLIDES ( MV 31000032 ) #LAB 3290835 136.071 136.071 136.071
Page 38
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosPROTEINAS LCR ( CSF ) ( MV 31000037 ) #LAB 3290786 47.140 47.140 47.140
InsumosPROTEINAS TOTALES ( MV 31000026 ) #LAB 3290776 109.461 109.461 109.461
InsumosPROTEINAS URINARIAS ( UPRO ) ( MV 31000036 #LAB 3290785 51.927 51.927 51.927
InsumosPROTESIS BILIAR 10FR X 10CM LARGO 3220101 178.549 178.549 178.549
InsumosPROTESIS BILIAR 10FR X 12CM LARGO CLSO-10-12/G21810 3220103 176.279 176.279 176.279
InsumosPROTESIS BILIAR 10FRX 15CM LARGO CLSO-10-15 3220104 164.934 164.934 164.934
InsumosPROTESIS BILIAR 7*12CM * CLSO-7-12 3170072 164.934 164.934 164.934
InsumosPROTESIS CADERA MOD. WAGNER NO CEMENTADA 3280001 1.701.547 1.701.547 1.701.547
InsumosPROTESIS CADERA SELEXYS * HELICO 3280013 4.275.701 4.275.701 4.275.701
InsumosPROTESIS DE SCHUKNECHT DE 0.6 X 4.5MM REF. 1128130 3800016 93.054 93.054 93.054
InsumosPROTESIS GORE-TEX VASCULAR 4-7 MMX40CM V47040L 3280062 788.227 788.227 788.227
InsumosPROTESIS HOMBRO (CABEZA VASTAGO LINER ) 3280015 3.611.295 3.611.295 3.611.295
InsumosPROTESIS INTERESPINOSA LUMBAR DIAM 14MM 3279134 2.847.075 2.847.075 2.847.075
InsumosPROTESIS PANCREATICA 5FR LARGO 3 CM GPSOS-SF-5-3 3220097 263.436 263.436 263.436
InsumosPROTESIS PANCREATICA 5FRX LARGO 5CM REF-GPSOS-SF-5-5 3220102 288.307 288.307 288.307
InsumosPROTESIS PORP CENTRO AUDIOPROTESISTA 3280002 299.745 299.745 299.745
InsumosPROTESIS RODILLA (FEMORAL TIBIAL PATELAR 3280012 2.222.473 2.222.473 2.222.473
InsumosPROTESIS THOMSON STANDARD VILLALBA 3280008 403.443 403.443 403.443
InsumosPROTESIS TORP CENTRO AUDIOPRETESISTA 3280003 350.822 350.822 350.822
InsumosPROTESIS TOTAL CEMENTADA (INC.ACC) 3800015 1.831.908 1.831.908 1.831.908
InsumosPROTESIS VASCULAR UNIGRAFT KDV 3140012 405.005 405.005 405.005
InsumosPROTESIS VASCULAR VASCUGRAFT PTFE 6X40 3140009 470.062 470.062 470.062
InsumosPROTEST QUICK BOLSA POR 26U 3300035 345.412 345.412 345.412
InsumosPROVIDENCE PLACA CERVICAL ANTERIOR REF. 150.118 3270896 1.276.275 1.276.275 1.276.275
InsumosPROVISC ( OFTALMOLOGIA ) 3331023 85.204 85.204 85.204
InsumosPSA LIBRE ( MV 31000606 ) #LAB 3290816 498.601 498.601 498.601
InsumosPSA TOTAL II ( MV 31000605 ) REF. 6842844 #LAB 3290755 568.437 568.437 568.437
InsumosPTF GUIDE WIRE REF. 007046 LOT GFVJ3888 3979351 34.034 34.034 34.034
InsumosPUNTA ELECTRO E-1450-4 3600010 16.035 16.035 16.035
InsumosPUNTA ELECTRO AGUJA 2.5 E1452 3360005 18.064 18.064 18.064
InsumosPUNTA ELECTRO AGUJA CORTO E1552 3600008 9.687 9.687 9.687
InsumosPUNTA ELECTRO AGUJA REF E1651 3600012 56.942 56.942 56.942
InsumosPUNTA ELECTRO AGUJA REF. E1650 3600011 43.393 43.393 43.393
InsumosPUNTA ELECTRO CUCHILLA CORTO E 1551G 3600006 15.806 15.806 15.806
InsumosPUNTA ELECTRO CUCHILLA LARGO E1450-6 3600007 18.326 18.326 18.326
InsumosPUNTA ELECTRO ESFERA E 1563 3320059 54.978 54.978 54.978
InsumosPUNTAS AMARILLAS GILSON (SIN CORONAX1000) 958 3290543 62.047 62.047 62.047
InsumosPUNTAS AZULES UNIV. X 1000 U *( S/CORONA ) 957 ( MV 31000121 )#LAB 3290036 56.942 56.942 56.942
InsumosPUROS CORTICAL PARTICULADO 0,5CC REF68271 3979416 101.459 101.459 101.459
InsumosPYR DISK W/REAGENT, 50TEST REF. R30854301 ( PVEQUIP ) #LAB 3290742 225.803 225.803 225.803
InsumosRAN. CLAVO DE FEMUR ANTEROGRADO 10X38 IZQ. 3270830 1.021.011 1.021.011 1.021.011
InsumosRANDOX HBA1C CONTROL LEVEL HA5072#LAB 3290606 311.480 311.480 311.480
InsumosRANDOX TRI-LEVEL CARDIAC CONTROL CQ3259 #LAB 3290612 283.585 283.585 283.585
InsumosRANDOX CONTROL ORINA VAL. NIV-2 AU2352 #LAB 3290608 391.970 391.970 391.970
InsumosRANDOX CONTROL ORINA VAL. NIV-3 AU2353 #LAB 3290609 391.970 391.970 391.970
InsumosRANDOX IMMUNOASSAY CONTROL PREM. PLUS TRI-LEVEL IA3112#LAB 3290607 1.027.555 1.027.555 1.027.555
InsumosRANDOX SUERO CONT.VAL.NIV-2 HN1530 #LAB 3290604 562.210 562.210 562.210
InsumosRANDOX SUERO CONT.VAL.NIV-3 HE1532#LAB 3290605 562.100 562.100 562.100
InsumosRANDOX SUERO CONTROL PROTEIN. ESPEC. NIV-2 PS2683#LAB 3290614 344.424 344.424 344.424
InsumosRANDOX SUERO CONTROL PROTEIN.ESPEC. NIV-1 PS2682#LAB 3290613 344.424 344.424 344.424
InsumosRANDOX URINALYSIS CONTROL LEVEL 1 UC5033 #LAB 3290610 588.953 588.953 588.953
InsumosRANDOX URINALYSIS CONTROL LEVEL 2 UC5034 #LAB 3290611 588.953 588.953 588.953
InsumosREACT.ADIC.PARA API20E/10S CJ.6AMP(20120 3290130 89.712 89.712 89.712
InsumosREACTIVO PCR L3 C501 04956842190 #LAB 3290248 421.516 421.516 421.516
InsumosREACTIVO PRECICONTROL UNIVERSAL *173141612 #LAB 3290023 246.985 246.985 246.985
InsumosREACTIVO U/ CSF CFAS PROT URINARIAS #LAB 3290304 310.649 310.649 310.649
InsumosREACTIVO ACIDO URICO GEN2 3183807190 #LAB 3290216 134.653 134.653 134.653
InsumosREACTIVO ADENOVIRUS #LAB 3290398 294.525 294.525 294.525
InsumosREACTIVO ALBUMINA BCG GEN2 C501 31836881 #LAB 3290229 94.429 94.429 94.429
InsumosREACTIVO ALBUMINA COD 4469658190 #LAB 3290151 212.078 212.078 212.078
InsumosREACTIVO AMILASA C111 5401496190 #LAB 3290278 485.382 485.382 485.382
InsumosREACTIVO AMILASA COBAS * 3183742122 #LAB 3290419 293.628 293.628 293.628
InsumosREACTIVO AMONIO ULTRA 3 * 20 17660 #LAB 3290120 378.154 378.154 378.154
InsumosREACTIVO ANFETAMINA * COD.03-3012X 25 DET. #LAB 3330073 68.723 68.723 68.723
InsumosREACTIVO ANFETAMINA * COD.212 #LAB 3290042 227.766 227.766 227.766
InsumosREACTIVO ANTI NDNA QUICKTEST LUPUS*40031 #LAB 3290078 140.979 140.979 140.979
InsumosREACTIVO ARGININA DEHID X 50 * 56211 #LAB 3290382 109.956 109.956 109.956
InsumosREACTIVO BACTIDENT OXIDASA X 50 * 133000 #LAB 3290038 101.356 101.356 101.356
InsumosREACTIVO BENZODIAZEPINA * COD.206 #LAB ( COD 602560 INMUNODIAGNOSTICO) 3290041 308.924 308.924 308.924
Page 39
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosREACTIVO BILI TOTAL C111 * 4774256190 #LAB 3290442 174.072 174.072 174.072
InsumosREACTIVO BILI TOTAL DPD GEN2 C501 3146022122 #LAB 3290217 140.426 140.426 140.426
InsumosREACTIVO BILIDIRECTA C501 5589061190 #LAB 3290096 128.810 128.810 128.810
InsumosREACTIVO BUFFER MEIA * COD.8374004 #LAB 3290243 171.112 171.112 171.112
InsumosREACTIVO C.F.A.S. PROTEINAS URINARIAS 31 #LAB 3290147 409.157 409.157 409.157
InsumosREACTIVO CALCIO C501*20763128322 #LAB 3290218 110.254 110.254 110.254
InsumosREACTIVO CALDO TIOGLICOLATO *1.08190 #LAB 3290403 168.635 168.635 168.635
InsumosREACTIVO CALSET BHCG * COD.3302652 #LAB 3290015 207.220 207.220 207.220
InsumosREACTIVO CALSET CA 125 11776240322 #LAB 3290124 297.960 297.960 297.960
InsumosREACTIVO CALSET CORTISOL * COD.1875124 #LAB 3290021 153.624 153.624 153.624
InsumosREACTIVO CALSET FSH * COD.3032680122 #LAB 3290016 211.270 211.270 211.270
InsumosREACTIVO CALSET IGE TOTAL *COD.1930427 #LAB 3290273 296.075 296.075 296.075
InsumosREACTIVO CALSET INSULINA * 12017504122 #LAB 3290022 195.892 195.892 195.892
InsumosREACTIVO CALSET LH * COD.3561097 #LAB 3290017 211.270 211.270 211.270
InsumosREACTIVO CALSET PROGESTERONA 12145391122 #LAB 3290018 220.993 220.993 220.993
InsumosREACTIVO CALSET PROLACTINA #LAB 3290303 211.270 211.270 211.270
InsumosREACTIVO CALSET PSA TOTAL 4485220190 #LAB 3290020 194.091 194.091 194.091
InsumosREACTIVO CALSET PSA LIBRE 32897996190 #LAB 3290300 194.091 194.091 194.091
InsumosREACTIVO CALSET T3 *11.731.548.122 #LAB 3290009 229.562 229.562 229.562
InsumosREACTIVO CALSET T4 * 12017717122 #LAB 3290008 168.633 168.633 168.633
InsumosREACTIVO CALSET T4L *11731661122 #LAB 3290010 168.633 168.633 168.633
InsumosREACTIVO CALSET TESTOSTERONA * 5202230190* #LAB 3290088 222.396 222.396 222.396
InsumosREACTIVO CALSET TSH * 4738551190 #LAB 3290250 168.633 168.633 168.633
InsumosREACTIVO CALSET VITB12 * 4572459190 #LAB 3290418 153.624 153.624 153.624
InsumosREACTIVO CFAS CALIBRADOR 10759350190 #LAB 3290267 342.490 342.490 342.490
InsumosREACTIVO CFAS CALIBRADOR CKMB 1447394216 #LAB 3290268 215.445 215.445 215.445
InsumosREACTIVO CFAS LIPIDS COD 12172623 #LAB 3290264 459.341 459.341 459.341
InsumosREACTIVO CK C111 5401593190 #LAB 3290512 161.019 161.019 161.019
InsumosREACTIVO CK C501* 4524977190 #LAB 3290025 143.665 143.665 143.665
InsumosREACTIVO CK MB C501 4525299190 #LAB 3290274 171.571 171.571 171.571
InsumosREACTIVO CK-MB C111V5401763190 #LAB 3290513 221.974 221.974 221.974
InsumosREACTIVO CLORURO DE CALCIO #LAB 3290098 161.635 161.635 161.635
InsumosREACTIVO CLOT CATCHER COBAS B 221 3112012180 #LAB 3300037 44.010 44.010 44.010
InsumosREACTIVO COCAINA * COD.214 #LAB 3290040 227.766 227.766 227.766
InsumosREACTIVO COLESTEROL HDL GEN3 C501 439980 #LAB 3290226 306.640 306.640 306.640
InsumosREACTIVO COLESTEROL TOTAL C501 303977319 #LAB 3290230 88.687 88.687 88.687
InsumosREACTIVO COLINESTERASA C501 4498577190 #LAB 3290569 108.114 108.114 108.114
InsumosREACTIVO COLOR GRAM 2- R3DECOL. (55547) #LAB 3290519 221.300 221.300 221.300
InsumosREACTIVO COLOR GRAM R 1 AZUL 2L*55545 #LAB 3290275 550.016 550.016 550.016
InsumosREACTIVO COLOR GRAM R2 LUGOL 2L * 55546 #LAB 3290055 194.118 194.118 194.118
InsumosREACTIVO COLOR GRAM R4SAFRADINA *55548 #LAB MV31000092 3290276 194.118 194.118 194.118
InsumosREACTIVO COMBUR 10 M COD 11379208191 #LAB 3290083 141.996 141.996 141.996
InsumosREACTIVO COTININA ORINA REF -03-0050 #LAB 3290100 283.959 283.959 283.959
InsumosREACTIVO CREATININA JAFFE C501 4810716190 #LAB 3290030 96.400 96.400 96.400
InsumosREACTIVO CREATININA C111 * 54014755190 #LAB 3290443 96.133 96.133 96.133
InsumosREACTIVO DE BURROWS /FIJ.PAF (MV31000183 ) (PARASIT.) #LAB 3290544 45.357 45.357 45.357
InsumosREACTIVO ELECCSYS HBS AG * 4687787190 #LAB 3290089 358.540 358.540 358.540
InsumosREACTIVO ELECCSYS TESTOSTERONA 52000671910 #LAB 3290087 549.269 549.269 549.269
InsumosREACTIVO ELECSYS AFP * 4481798190 #LAB 3290450 428.868 428.868 428.868
InsumosREACTIVO ELECSYS ATG * V36368697190*#LAB 3290007 643.443 643.443 643.443
InsumosREACTIVO ELECSYS ATPO *V36368590190 #LAB 3290255 643.443 643.443 643.443
InsumosREACTIVO ELECSYS BHCG * COD.3271749 #LAB 3290006 471.751 471.751 471.751
InsumosREACTIVO ELECSYS CA 125 11776223322 #LAB 3290125 975.920 975.920 975.920
InsumosREACTIVO ELECSYS CALSET AFP * 4487761190 #LAB 3290451 172.474 172.474 172.474
InsumosREACTIVO ELECSYS CALSET CEA 11731645322 #LAB 3290375 199.230 199.230 199.230
InsumosREACTIVO ELECSYS CALSET ESTRADIOL *30649 #LAB 3290019 222.396 222.396 222.396
InsumosREACTIVO ELECSYS CEA 11731629322 #LAB 3290374 600.590 600.590 600.590
InsumosREACTIVO ELECSYS CORTISOL * 11875116122 #LAB 3290254 528.928 528.928 528.928
InsumosREACTIVO ELECSYS ESTRADIOL II 3000079122 #LAB 3290014 468.295 468.295 468.295
InsumosREACTIVO ELECSYS FSH *11775863122 #LAB 3290249 475.206 475.206 475.206
InsumosREACTIVO ELECSYS HCV 3290352190 #LAB 3290348 908.488 908.488 908.488
InsumosREACTIVO ELECSYS HIV COMB * 05390095190 #LAB 3290395 491.091 491.091 491.091
InsumosREACTIVO ELECSYS IGE GEN II 4827031190 #LAB 3290081 690.299 690.299 690.299
InsumosREACTIVO ELECSYS INSULINA * 12017547122 #LAB 3290251 570.666 570.666 570.666
InsumosREACTIVO ELECSYS LH * 11732234122 #LAB 3290011 475.206 475.206 475.206
InsumosREACTIVO ELECSYS PRG * COD.2145383 #LAB 3290013 608.764 608.764 608.764
InsumosREACTIVO ELECSYS PROLACTINA PRL 32030931 #LAB 3290012 546.206 546.206 546.206
InsumosREACTIVO ELECSYS PSA 4641655190 #LAB 3290233 587.429 587.429 587.429
InsumosREACTIVO ELECSYS PSA LIBRE II 3289788190 #LAB 3290115 662.214 662.214 662.214
Page 40
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosREACTIVO ELECSYS T3 * 11731360122 #LAB 3290252 533.904 533.904 533.904
InsumosREACTIVO ELECSYS T4 * 1207709122 #LAB 3290253 533.904 533.904 533.904
InsumosREACTIVO ELECSYS TSH * 11731459122 #LAB 3290247 564.809 564.809 564.809
InsumosREACTIVO ELECSYS VIT B12 * 4745736190 #LAB 3290417 648.839 648.839 648.839
InsumosREACTIVO ETALOQUICK * 11877054140 #LAB 3290422 169.690 169.690 169.690
InsumosREACTIVO ETANOL ABSOLUTO #LAB 3290313 165.083 165.083 165.083
InsumosREACTIVO ETER DIETILICO 1009211000 #LAB 3290520 70.933 70.933 70.933
InsumosREACTIVO FENOL 1 KG #LAB 3290099 365.898 365.898 365.898
InsumosREACTIVO FOSFATASA ALC C501 3333701190 #LAB 3290219 126.740 126.740 126.740
InsumosREACTIVO FOSFORO C501 3183793122 #LAB 3290220 78.575 78.575 78.575
InsumosREACTIVO GGT GEN2 C501 3002721122 #LAB 3290082 146.838 146.838 146.838
InsumosREACTIVO GIEMSA 1092041022 #LAB 3290314 151.857 151.857 151.857
InsumosREACTIVO GIEMSA COD.092041002 #LAB 3290271 140.178 140.178 140.178
InsumosREACTIVO GLUCOSA COBAS C111 4657527190 #LAB 3290363 116.659 116.659 116.659
InsumosREACTIVO GLUCOSA GOD PAP SYS 1* 1448668 #LAB 3290221 320.433 320.433 320.433
InsumosREACTIVO GOT AST C501 COD 20764949322 #LAB 3290223 190.028 190.028 190.028
InsumosREACTIVO GPT/ALT C501 20764957322 #LAB 3290224 190.028 190.028 190.028
InsumosREACTIVO HEMOCULTIVO DIFASICO #LAB 3290054 214.614 214.614 214.614
InsumosREACTIVO HEMOCULTIVO PEDIATRICO #LAB 3290320 68.530 68.530 68.530
InsumosREACTIVO HEXAGON OBSCREEN GUAYACO #LAB 3290140 144.906 144.906 144.906
InsumosREACTIVO HEXAGON OBTI * COD.28009 #LAB 3290259 228.748 228.748 228.748
InsumosREACTIVO HUMATEX ASO * COD.40062 #LAB 3290004 117.025 117.025 117.025
InsumosREACTIVO IM QUICK TEST MONOTEST CD.40039 #LAB 3290261 156.295 156.295 156.295
InsumosREACTIVO IMX CONTROL HEP B #LAB 3290105 328.173 328.173 328.173
InsumosREACTIVO IMX HEP C #LAB 3290102 902.815 902.815 902.815
InsumosREACTIVO IMX HIV 1/2 * COD.8C98020 #LAB 3290240 558.233 558.233 558.233
InsumosREACTIVO IMX HIV1/2 COD.8C98-20 #LAB 3290270 0 0 0
InsumosREACTIVO IMX SOL.LIMPIEZA * COD.1A71002 #LAB 3290242 79.612 79.612 79.612
InsumosREACTIVO INFLUENZA A+B *IU-Z7P #LAB 3290392 409.063 409.063 409.063
InsumosREACTIVO IVATEC RSV #LAB 3290321 171.060 171.060 171.060
InsumosREACTIVO KOVACS * COD.1412 #LAB 3290044 96.329 96.329 96.329
InsumosREACTIVO LACTATO * COD.17285 #LAB 3290002 147.518 147.518 147.518
InsumosREACTIVO LACTATO C501 3183700190 #LAB 3290148 168.668 168.668 168.668
InsumosREACTIVO L-ARABINOSA X 25 * 52121 #LAB 3290381 113.883 113.883 113.883
InsumosREACTIVO LDH C501 * 3004732122 #LAB 3290227 98.367 98.367 98.367
InsumosREACTIVO LIPASA C111 ( COD. 05401704190 ) #LAB 3300030 238.834 238.834 238.834
InsumosREACTIVO MAC FARLAND 0 5 20410 #LAB 3290373 86.394 86.394 86.394
InsumosREACTIVO MAGNESIO 250 TEST C501 * 20737593322 #LAB 3290432 202.895 202.895 202.895
InsumosREACTIVO MAY GRUNDWALD * COD.14240001 #LAB 3290258 92.504 92.504 92.504
InsumosREACTIVO MAYGRUENWALD 1014241002 #LAB 3290316 126.567 126.567 126.567
InsumosREACTIVO METANOL 106009.2500 #LAB 3290492 119.774 119.774 119.774
InsumosREACTIVO MICOPLASMA UREAPLASMA KIT #LAB 3290402 366.520 366.520 366.520
InsumosREACTIVO MYCOPLASMA PNEUMONIAE #LAB 3290399 451.605 451.605 451.605
InsumosREACTIVO NEOPLASTINA 12X10* 11447025140 #LAB 3290437 313.352 313.352 313.352
InsumosREACTIVO NEOPLASTINA * 11245074140 #LAB 3290420 168.398 168.398 168.398
InsumosREACTIVO NIN CAJA DE 1 X 5 ML #LAB 3290135 25.358 25.358 25.358
InsumosREACTIVO PCR C111 * 5401615190 #LAB 3290444 399.736 399.736 399.736
InsumosREACTIVO PCR LX C111C4657497190 #LAB 3290361 582.488 582.488 582.488
InsumosREACTIVO PRECCONTROL HEP C * 3290379190#LAB 3290101 392.988 392.988 392.988
InsumosREACTIVO PRECICLOT NORMAL * 10654370140 #LAB 3290430 389.657 389.657 389.657
InsumosREACTIVO PRECICLOT PATOLOG * 10654361140 #LAB 3290431 389.657 389.657 389.657
InsumosREACTIVO PRECICONT HCV COD 3290379190 #LAB 3290349 334.038 334.038 334.038
InsumosREACTIVO PRECICONTROL ANEMIA* 04415299 #LAB 3290428 175.372 175.372 175.372
InsumosREACTIVO PRECICONTROL CC MULTI2 20X5 ML 05117216190 #LAB 3290145 493.886 493.886 493.886
InsumosREACTIVO PRECICONTROL HBSAG * 4687876190 #LAB 3290104 277.895 277.895 277.895
InsumosREACTIVO PRECICONTROL HEP 1876309 #LAB 3290090 244.937 244.937 244.937
InsumosREACTIVO PRECICONTROL HIV COMBI * 5162645190 #LAB 3290396 433.020 433.020 433.020
InsumosREACTIVO PRECICONTROL TUMORAL 11776452122 #LAB 3290238 394.169 394.169 394.169
InsumosREACTIVO PRECICONTROL UNIVERSAL 1173146122 #LAB 3290272 188.171 188.171 188.171
InsumosREACTIVO PRECIN.PROTEINAS * COD.10557897122 #LAB 3290075 248.501 248.501 248.501
InsumosREACTIVO PRECINORM CKMB 11447378122 #LAB 3290027 147.101 147.101 147.101
InsumosREACTIVO PRECINORM HBA1C * 5479207190 #LAB 3290024 633.828 633.828 633.828
InsumosREACTIVO PRECINORM PROT. URIN. 3121313122 #LAB 3290146 228.915 228.915 228.915
InsumosREACTIVO PRECINORM U-PLUS * COD.2149435 #LAB 3290029 205.948 205.948 205.948
InsumosREACTIVO PRECIPATH HDL/LDL 11778552122 #LAB 3290028 257.434 257.434 257.434
InsumosREACTIVO PRECISET TQ F.R * 12172828322 #LAB 3290143 282.335 282.335 282.335
InsumosREACTIVO PROCELL COBAS 41111662988122 #LAB 3290277 196.016 196.016 196.016
InsumosREACTIVO PROT TOTAL GEN2 C501 3183734190 #LAB 3290222 70.498 70.498 70.498
InsumosREACTIVO PROTEINAS TOTALES C111 46575861 #LAB 3290415 144.926 144.926 144.926
Page 41
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosREACTIVO PT TROMBOREL * COD.OVHP29 #LAB 3290256 223.715 223.715 223.715
InsumosREACTIVO PT TROMBOREL COD OUHP49 10 ML #LAB 3290263 391.031 391.031 391.031
InsumosREACTIVO PTT * 10126551140 #LAB 3290421 134.052 134.052 134.052
InsumosREACTIVO PUC LCR C501 3333825190 #LAB 3290072 139.157 139.157 139.157
InsumosREACTIVO REVELADOR NIN 70491 #LAB 3290505 86.264 86.264 86.264
InsumosREACTIVO ROTAVIRUS ONE STEP * COD.69020 #LAB 3290260 194.387 194.387 194.387
InsumosREACTIVO SLIDEX STP.PLUS * COD.73115 #LAB 3290071 169.756 169.756 169.756
InsumosREACTIVO SOL. HEMOLIZANTE HBA1C 4528182190 #LAB 3290097 164.302 164.302 164.302
InsumosREACTIVO STREPTO CHECK KIT * 50 DET #LAB 3290163 176.715 176.715 176.715
InsumosREACTIVO TEICOPLANINA #LAB 3290384 3.475 3.475 3.475
InsumosREACTIVO TELURITO X 50 * 45011 #LAB 3290383 106.029 106.029 106.029
InsumosREACTIVO THC MARIHUANA * COD.208 #LAB 3290039 227.766 227.766 227.766
InsumosREACTIVO TINAQUANT ALBUMINA MODULAR 3576 #LAB 3290351 651.150 651.150 651.150
InsumosREACTIVO TINA-QUANT C3 C501 3001938322 #LAB 3290567 349.775 349.775 349.775
InsumosREACTIVO TINA-QUANT C4 C501 3001962322 #LAB 3290568 349.775 349.775 349.775
InsumosREACTIVO TINAQUANT HBA1C C501 4528123190 #LAB 3290026 457.468 457.468 457.468
InsumosREACTIVO TINA-QUANT RF C501 20764574322 #LAB 3290077 336.763 336.763 336.763
InsumosREACTIVO TRIGLICERIDOS C501 20767107322 #LAB 3290225 191.438 191.438 191.438
InsumosREACTIVO TRULAB L COD 5902065 ALLSYS #LAB 3290317 134.712 134.712 134.712
InsumosREACTIVO TTPK ACTIN FS * COD.B4218100 #LAB 3290257 449.052 449.052 449.052
InsumosREACTIVO UREA C111 4657316190 #LAB 3300040 124.773 124.773 124.773
InsumosREACTIVO UREA C501 4460715190 #LAB 3290228 185.189 185.189 185.189
InsumosREACTIVO UREA COBAS C111 * 4657616190 #LAB 3290388 151.508 151.508 151.508
InsumosREACTIVO UREA COBAS C111 4657616190 #LAB 3290364 142.786 142.786 142.786
InsumosREACTIVO VDRL #LAB 3290003 139.801 139.801 139.801
InsumosREACTIVO VIRUS SINCICIAL #LAB 3290393 227.766 227.766 227.766
InsumosREACTIVO ZN CAJA DE 2 X 10GR.(70380) #LAB 3290132 69.865 69.865 69.865
InsumosREACTIVO ZYM B 2 X 8 ML 70493 #LAB 3290372 69.382 69.382 69.382
InsumosREAGENTS VP1+VP2(2X2AMP) 3290136 144.824 144.824 144.824
InsumosRECARGA AUTOSUTURA TA 4548L 3220067 118.792 118.792 118.792
InsumosRECARGA AZUL COD. ECR60B #CONSIGN. 3220080 221.221 221.221 221.221
InsumosRECARGA CONTOUR VERDE REF. CR40G #CONSIG 3230101 255.255 255.255 255.255
InsumosRECARGA CORT. GIA 80 - 48L DESECH 3220019 248.710 248.710 248.710
InsumosRECARGA CORT. GIA 80-38L 3220061 197.484 197.484 197.484
InsumosRECARGA EGIA 45 AMT 3220111 212.713 212.713 212.713
InsumosRECARGA ENDOGIA 30-3.5 30419 3220042 255.166 255.166 255.166
InsumosRECARGA ENDOGIA 45- 3.5 030422 DESECHABLE #CN 3220027 225.803 225.803 225.803
InsumosRECARGA ENDOGIA 45-2.5 030425 DESECHABL #CN 3220030 225.803 225.803 225.803
InsumosRECARGA ENDOGIA 60 - 4.8 ARTICULADA ( REF 030459) 3270732 405.790 405.790 405.790
InsumosRECARGA ENDOGIA 60- 3.5 030414 DESECHABL #CN 3220026 225.803 225.803 225.803
InsumosRECARGA ENDOGIA 60 3.5 030458 DESECHABLE #CN 3220031 235.620 235.620 235.620
InsumosRECARGA ENDOGIA 60-25 * 030412 #CN 3220068 225.803 225.803 225.803
InsumosRECARGA ENDOGIA 60-4.8 030415 #CN 3220043 255.255 255.255 255.255
InsumosRECARGA ENDOGIA ROT. 45-2.5 030454 DESECH #CN 3220038 225.803 225.803 225.803
InsumosRECARGA ENDOGIA ROT. 45-3.5 030455 DESECH #CN 3220039 235.620 235.620 235.620
InsumosRECARGA GIA 60-3.8 (GIA 6038L) 3220088 143.794 143.794 143.794
InsumosRECARGA GRAPADORA LINEAL 75MM TCR75 3900418 278.163 278.163 278.163
InsumosRECARGA GRAPADORA LINEAL TR30 JOHNSON 3190009 213.825 213.825 213.825
InsumosRECARGA REF. EGIA60AMT #CN 3220095 221.221 221.221 221.221
InsumosRECARGA STAPLER LINEAL 75MM REF. SR75 3230099 255.255 255.255 255.255
InsumosRECOLECTOR ORINA MEDICION HORARIA ADULTO- 7000LL 3240016 14.891 14.891 14.891
InsumosRECOLECTOR ORINA PAB.UROFIX 2.01X130 28630 CM.(F.E. 30X6206) 3240005 9.071 9.071 9.071
InsumosRECOLECTOR ORINA PEDIATRICO. 100 CC 3240006 1.964 1.964 1.964
InsumosRECOLECTOR ORINA PIERNA * 145516 3240009 5.692 5.692 5.692
InsumosRECTOSCOPIO REF A45251 3979342 23.739 23.739 23.739
InsumosREDUCT.TRISTAR 10/12 A 5 MM(MS512)DESECH 3220007 41.336 41.336 41.336
InsumosREDUCTOR 18/10 MM R1810 DESECHABLE 3220036 74.224 74.224 74.224
InsumosREDUCTOR 18/5 MM R1805 DESECHABLE 3220037 64.301 64.301 64.301
InsumosRELOADS ETS/ETS FLEX ENDOC REF. ATS45 3979350 407.755 407.755 407.755
InsumosREMOVEDOR DE ADHESIVO-TOALLITAS- 50 UND. 3320076 1.028 1.028 1.028
InsumosREMOVEDOR EXTRACTOR DE GRAPAS FEF-3031 3330041 20.682 20.682 20.682
InsumosREPROBONE GRANULOS RBG5 3279426 395.210 395.210 395.210
InsumosREPROBONE GRANULOS REF. RBG20 3279377 631.913 631.913 631.913
InsumosREPROBONE NOVO HA PUTTY REF. PAS05 3270895 621.775 621.775 621.775
InsumosREPUESTO 3M * 50 U COD 9670/9680 ( MV 50001486 ) 3320009 16.064 16.064 16.064
InsumosRESERVORIO J-VACK 100CC BULBO SUCCION ( CAJAS X 10 UN ) REF. 2160 3979600 71.275 71.275 71.275
InsumosRESERVORIO J-VACK 350ML ( CAJAS X 10 UN ) REF. 2163 3979601 71.275 71.275 71.275
InsumosRESERVORIO SALMON RICKHAM-L 6MM REF-05019518 VENTURA 3010074 326.857 326.857 326.857
InsumosRESINCRONIZADOR CARDIACO ELECTRODOS ENDOCAVITARIOS SIST. INDUCTORES 3900381 6.047.580 6.047.580 6.047.580
Page 42
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosRESINCRONIZADOR CARDIACO MOD. ELUNA 8 HF-T BIOTRONIK REF-68391304 3900536 3.495.030 3.495.030 3.495.030
InsumosRESINCRONIZADOR EVIA HF-T S/N 66201834 3900504 4.476.780 4.476.780 4.476.780
InsumosRESMA PAPEL TAMAÑO CARTA REF. PAP-101(RESMA Z 9100-026-50 X 250 HOJAS.) 3979525 82.467 82.467 82.467
InsumosRETRACTOR ABDOMINAL ALEXIS CON TAPA TALLA M (REF. C8702) 3900473 294.525 294.525 294.525
InsumosRETRACTOR ABDOMINAL ALEXIS CON TAPA TALLA S (REF. C8701) 3900472 294.525 294.525 294.525
InsumosRETRACTOR ABDOMINAL ALEXIS M REF. C8302 3900462 64.665 64.665 64.665
InsumosRETRACTOR ABDOMINAL ALEXIS S REF. C8301 3900461 64.665 64.665 64.665
InsumosRETRACTOR ABDOMINAL ALEXIS XS REF. C8312 3900460 59.560 59.560 59.560
InsumosRETRACTOR FLEXIBLE IRIS * OFTALMOLOGIA 3250008 255.750 255.750 255.750
InsumosRETRACTOR LSM ( MR) DESCH 14.1CM X 14,1CM REF. 3307G 3979568 179.660 179.660 179.660
InsumosRIFAMPICINA (RD) 5UG 250 DISCOS REF. CT207B ( MV 31000353 ) #LAB 3979528 35.343 35.343 35.343
InsumosRINGLOC BI-POLAR 28X54MM REF 11-165232 3280120 619.662 619.662 619.662
InsumosRODILLERA ARTICULADA/FLEXO.EXT.LARG. 3210062 169.126 169.126 169.126
InsumosRODILLERA POLICENTRICA LARGA/CORTA 3210067 183.040 183.040 183.040
InsumosROLLO TYVEK 10CMX70MT STERITEK 2407043100 3040049 66.366 66.366 66.366
InsumosROLLO TYVEK 15CMX70MT STERITEK 2407043150 3040043 104.458 104.458 104.458
InsumosROLLO TYVEK 20 X 70MT (REF. PAR465) 3040054 109.171 109.171 109.171
InsumosROLLO TYVEK 25CMX70MT STERITEX 2407043250 3040044 164.541 164.541 164.541
InsumosROLLO TYVEK 30CMX70MT STERITEK 2407043300 3040050 192.030 192.030 192.030
InsumosROLLO TYVEK 35 X 70MT (REF. PAR657) 3040055 173.770 173.770 173.770
InsumosROLLO TYVEK 40CMX70MT 3040048 186.313 186.313 186.313
InsumosROLLO TYVEK 7,5CMX70MT S/FUELLE 3040053 43.197 43.197 43.197
InsumosROTICULADOR 55-4.8 DSPBL REF 017614 #CN 3220085 323.323 323.323 323.323
InsumosROTULA ABIERTA AJUSTABLE 393.970 3270635 382.032 382.032 382.032
InsumosROTULA ACOPLABLE AUTOSUJET. REF-390.008 3279383 393.501 393.501 393.501
InsumosROTULA BARRA BARRA REF. 390.007 3279153 391.993 391.993 391.993
InsumosROTULA CERRADA OVAL 395.530 3330024 578.795 578.795 578.795
InsumosROTULA SENCILLA ANGULO VARIABLE REF. 393.640 3279100 643.362 643.362 643.362
InsumosROTULA TUBO/TUBO MR-SAFE REF. 390.007 3279104 727.973 727.973 727.973
InsumosRSV K-1506 ( ALATHEIA MEDICAL )#LAB 3290455 343.613 343.613 343.613
InsumosS1 RINSE SOLUTION 3260917184 #LAB 3290541 237.276 237.276 237.276
InsumosS2 FEMORAL NAIL REF. 17351140S #LAB 3290561 750.450 750.450 750.450
InsumosS2 FLUID PACK COBAS B 221 3260925184 #LAB 3290532 450.820 450.820 450.820
InsumosS2 FLUID PACK REF. 3260925184 #LAB 3290623 221.090 221.090 221.090
InsumosSABANILLA DESECHABLE PROTEGECAMA UNIDAD 3260004 1.683 1.683 1.683
InsumosSACALECHE PLAYTE-SET(BOMBA). 3320020 43.529 43.529 43.529
InsumosSACOS P/EST JERINGA 12.5*26 CM (1/2K) 3040007 183 183 183
InsumosSACOS P/ESTERILIZAR 14X5X33.5 REF 260110 3040037 314 314 314
InsumosSACOS P/ESTERILIZAR 16X7X38.4 3040038 518 518 518
InsumosSACOS P/ESTERILIZAR. 14*26*7.5 CM ELIMINAR 3040008 347 347 347
InsumosSALMONELLA SHIGELLA AGAGR 20PLT REF. 43091 (MV 31000337) #LAB 3900516 43.524 43.524 43.524
InsumosSANDALIA PARA YESO * GRANDE 3210047 19.059 19.059 19.059
InsumosSANDALIA PARA YESO * MEDIANA 3210046 21.394 21.394 21.394
InsumosSANDALIA PARA YESO * PEQUE¥A 3210033 33.953 33.953 33.953
InsumosSECURESTRAP STRAP25 3180137 621.775 621.775 621.775
InsumosSEDA 0 C/A G.I.* 36 SB(K834H) 3180053 8.639 8.639 8.639
InsumosSEDA 2/0 C/A C.V.* 24 SB(K843T) 3180054 7.147 7.147 7.147
InsumosSEDA 2/0 C/A CUT 185T ( MV 50004884 ) 3180085 6.804 6.804 6.804
InsumosSEDA 3/0 C/A CUTICULAR 184T *24 U/SS-684 COVIDIEN 3180088 6.804 6.804 6.804
InsumosSEDA 3/0 C/A G.I.* 36 SB(K832H)/GS832 COVIDIEN ( MV 50004887 ) 3180055 5.580 5.580 5.580
InsumosSEDA 4/0 C/A CUTICULAR * 24 SB(183T)/ 3180057 4.673 4.673 4.673
InsumosSEDA 4/0 C/A G.I.* 36 SB(K831H) 3180056 8.571 8.571 8.571
InsumosSEDA 5/0 K870 T * 24 U 3180076 10.802 10.802 10.802
InsumosSEDA 5/0 ETHIPOINT CUT.* 24 SB (182T) 3180077 7.775 7.775 7.775
InsumosSEDA 6/0 C/A NEGRA (DS-12) C6755 * 24 SB 3180013 6.864 6.864 6.864
InsumosSEDA 6/0 C/A NEGRA TRENZADA 3180007 5.712 5.712 5.712
InsumosSEDA 8/0 C/A AZUL TORCIDA VIRGEN * W1782 ( MV 50000108 ) 3180009 75.900 75.900 75.900
InsumosSEDA 8/0 SV6580 3180142 35.236 35.236 35.236
InsumosSELECTRA ACCESORY KIT 3900507 589.050 589.050 589.050
InsumosSENS.SULBACTAMCEFOPERAZ CT1727B#LAB 3290289 34.132 34.132 34.132
InsumosSENSIDISCO AC. NALIDIXICO #LAB 3290121 37.293 37.293 37.293
InsumosSENSIDISCO AC.PIPEMIDICO #LAB 3290299 37.293 37.293 37.293
InsumosSENSIDISCO AMIKACINA #LAB 3290123 34.132 34.132 34.132
InsumosSENSIDISCO AMOXICILINA #LAB 3290262 37.293 37.293 37.293
InsumosSENSIDISCO AMPICILINA #LAB 3290295 34.950 34.950 34.950
InsumosSENSIDISCO BACITRACINA #LAB 3290378 36.914 36.914 36.914
InsumosSENSIDISCO CEFADROXILO #LAB 3290311 34.132 34.132 34.132
InsumosSENSIDISCO CEFALOTINA 30 MCG * 400-155 #LAB 3290058 34.132 34.132 34.132
InsumosSENSIDISCO CEFAZOLINA CT11B PVEQUIP #LAB 3290281 34.132 34.132 34.132
Page 43
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosSENSIDISCO CEFEPIME 30UG CT0771B #LAB 3290570 43.066 43.066 43.066
InsumosSENSIDISCO CEFOTAXIMA 30 MCG * 400-170 #LAB 3290059 34.132 34.132 34.132
InsumosSENSIDISCO CEFOXITIN #LAB 3290410 34.132 34.132 34.132
InsumosSENSIDISCO CEFRADINA 30MCG * 400-175 #LAB 3290057 34.132 34.132 34.132
InsumosSENSIDISCO CEFTAZIDIMA #LAB 3290406 34.132 34.132 34.132
InsumosSENSIDISCO CEFTRIAXONA 30 MCG * 400-190 #LAB 3290062 34.132 34.132 34.132
InsumosSENSIDISCO CEFUROXIMO #LAB 3270408 34.132 34.132 34.132
InsumosSENSIDISCO CIPROFLOXACINO 5 MCG * 400200 #LAB 3290061 34.132 34.132 34.132
InsumosSENSIDISCO CLINDAMICINA CT64B PVEQUIP #LAB 3290282 37.339 37.339 37.339
InsumosSENSIDISCO CLOXACILINA#LAB 3290411 34.132 34.132 34.132
InsumosSENSIDISCO COLISTIN 10UG CT0017#LAB 3290571 39.149 39.149 39.149
InsumosSENSIDISCO COPROCULTIVO #LAB 3290117 96.451 96.451 96.451
InsumosSENSIDISCO ERITROMICINA CT20B PVEQUIP #LAB 3290284 34.132 34.132 34.132
InsumosSENSIDISCO ERTAPENEM 10 UG #LAB 3290572 39.149 39.149 39.149
InsumosSENSIDISCO FLUCLOXACILINA #LAB 3290116 29.780 29.780 29.780
InsumosSENSIDISCO FURAZOLIDONA CT122B PVEQUIP #LAB 3290285 31.420 31.420 31.420
InsumosSENSIDISCO GENTAMICINA #LAB 3290296 37.339 37.339 37.339
InsumosSENSIDISCO GENTAMICINA 120 UG 250 DISCOS #LAB 3290371 34.132 34.132 34.132
InsumosSENSIDISCO IMIPENEM #LAB (MV 31000308 ) 3290407 35.343 35.343 35.343
InsumosSENSIDISCO LEVOFLOXACINO 5UG#LAB 3290556 31.966 31.966 31.966
InsumosSENSIDISCO LINCOMICINA #LAB 3290405 34.132 34.132 34.132
InsumosSENSIDISCO MEROPENEM 10 UG 250 ( CT774B )#LAB 3290458 32.005 32.005 32.005
InsumosSENSIDISCO MEROPENEM 10UG CT774B #LAB 3290573 39.149 39.149 39.149
InsumosSENSIDISCO METRONIDAZOL #LAB 3290409 34.132 34.132 34.132
InsumosSENSIDISCO NEOMICINA CT33B PVEQUIP #LAB 3290286 34.132 34.132 34.132
InsumosSENSIDISCO NITROFURANTOINA #LAB 3290297 34.132 34.132 34.132
InsumosSENSIDISCO NORFLOXACINO #LAB 3290312 37.293 37.293 37.293
InsumosSENSIDISCO NOVOBIOCINA #LAB 3270409 34.132 34.132 34.132
InsumosSENSIDISCO OPTOQUINA DD1T PVEQUIP #LAB 3290280 36.914 36.914 36.914
InsumosSENSIDISCO OXACILINA CT159B PVEQUIP #LAB 3290287 34.132 34.132 34.132
InsumosSENSIDISCO PENICILINA CT43B PVEQUIP #LAB 3290288 34.132 34.132 34.132
InsumosSENSIDISCO SULBACTAM AMPICILINA 400-310 #LAB 3290158 34.132 34.132 34.132
InsumosSENSIDISCO SULFATRIMETOPRIM #LAB 3290298 34.132 34.132 34.132
InsumosSENSIDISCO TETRACICLINA CT58B PVEQUIP #LAB 3290290 34.132 34.132 34.132
InsumosSENSIDISCO TOBRAMICINA #LAB 3290408 34.132 34.132 34.132
InsumosSENSIDISCO UROCULTIVO #LAB 3290118 96.451 96.451 96.451
InsumosSENSIDISCO VANCOMICINA 30 MCG * 400-325 #LAB 3290060 34.132 34.132 34.132
InsumosSENSOR BIS ADULTO REF-186-01-06 3211077 58.905 58.905 58.905
InsumosSENSOR SPO2 ADULTO DESECH. MAX-AI 3270813 60.869 60.869 60.869
InsumosSEPARADOR ABDOMINAL ATRAUMATICO SILICONA 3330018 160.756 160.756 160.756
InsumosSERUM INDEX CASSETTE 4489365190 #LAB 3290527 41.096 41.096 41.096
InsumosSET ASPIRACION TRAQUEAL ( I.F.I ) REF. 98-00-000 3170060 9.621 9.621 9.621
InsumosSET COLANGIOGRAFIA ARROW REF: CS-01700 3170063 225.475 225.475 225.475
InsumosSET COMPLETO PARA LAVADO QUIRURGICO (REF. E-5) 3330078 294.394 294.394 294.394
InsumosSET CRICOTIROTOMÍA C-TCCS-400 3979390 278.163 278.163 278.163
InsumosSET CRICOTIROTOMIA MELKER SIN BALON REF. C-TCCS-400 3979403 278.163 278.163 278.163
InsumosSET CURACION DESECHABLE C/ TIJERA 01006 3320037 8.243 8.243 8.243
InsumosSET DE INTRODUCCION SKATER MD651506300 3080072 268.181 268.181 268.181
InsumosSET DE BLOQUEO CLIP ON 90° ALLIPSE REF. 182.500 3279488 176.715 176.715 176.715
InsumosSET DE INFUSION HOTLINE 3020019 49.001 49.001 49.001
InsumosSET DE LOOP REF. MAJ-254 3900419 73.784 73.784 73.784
InsumosSET DESECH.A/VERTEBRAL PERC.15/3PA(KPT1502) 3270611 5.735.086 5.735.086 5.735.086
InsumosSET GASTROSTOMIA PEG 24 FR PULL COOK REF:G22636 3170059 281.173 281.173 281.173
InsumosSET INTRODUCTOR F8 REF-5210097 3900457 86.386 86.386 86.386
InsumosSET INTUB. BRONQUIAL 39FR DERECHO 3070105 133.125 133.125 133.125
InsumosSET INTUB.BRONQUIAL 28 FR IZQ"SHERIDAN" 3070014 129.159 129.159 129.159
InsumosSET INTUB.BRONQUIAL 35 FR IZQ"SHERIDAN" 3070015 128.916 128.916 128.916
InsumosSET INTUB.BRONQUIAL 35 FR"DERECHO" 3070045 124.890 124.890 124.890
InsumosSET INTUB.BRONQUIAL 37 FR IZQ"SHERIDAN" 3070016 133.125 133.125 133.125
InsumosSET INTUB.BRONQUIAL 37FR DERECHO 3070106 133.125 133.125 133.125
InsumosSET INTUB.BRONQUIAL 39 FR IZQ (LEFT)125039 3070017 154.685 154.685 154.685
InsumosSET INTUBACION RETROGRADA REF-14070-385-110 CAE REF-610554 3070120 242.165 242.165 242.165
InsumosSET JERINGA-AGUJA ( WEMAI 000SS-045) 3290523 31.942 31.942 31.942
InsumosSET LINEAS HEMOFILTRACION ARTERIO VENOSO (FE.48) 3120019 27.489 27.489 27.489
InsumosSET NEFROSTOMIA SKATER 10FR. X 35 CM 3080037 467.331 467.331 467.331
InsumosSET PERICARDIOCENTESIS 8.3 FR. 40CMS REF. G02433 3979433 189.805 189.805 189.805
InsumosSET PERIFIX ONE 402 FILT REF 4514025C*20U* 3080060 31.612 31.612 31.612
InsumosSET PIGTAIL 6 FR CATETER + G. HIDROFILICA (145FS38)REF. 777626 3080055 151.131 151.131 151.131
InsumosSET RESUCITACION INFANTIL 2.0"PORTEX" 3070008 40.592 40.592 40.592
Page 44
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosSET RESUCITACION INFANTIL 3,0"PORTEX" 3070010 40.592 40.592 40.592
InsumosSET ROPA DESECHABLE PARA CIRUGIA DE CADERA REF. GHP590S 3230093 180.053 180.053 180.053
InsumosSET TORNILLO/PLACA OSTEOS. TIBIA-PERONE (HELICO) 3900434 3.168.608 3.168.608 3.168.608
InsumosSET TRAQUEOSTOMIA PERCUTANEA* PERC8 3170073 402.518 402.518 402.518
InsumosSET TUBOS ESTERILES BOMBA INFILTRACION VARICES REF. TTUB-4 3979359 36.652 36.652 36.652
InsumosSHUNT DE CAROTIDA REF NL850-5071 3979361 641.410 641.410 641.410
InsumosSHUNT DE CAROTIDA REF. NL8505072 3979334 513.128 513.128 513.128
InsumosSHUNT DE CAROTIDA SUNDT EXT 3 X 4 MM REF. NL8505070 3979417 654.500 654.500 654.500
InsumosSIERRA GIGLI * 6 HILOS * FH 415 3250009 149.226 149.226 149.226
InsumosSIFILIS ( MV 31000618 ) #LAB 3290821 615.557 615.557 615.557
InsumosSILLA TRAUMATOLOGICA 3210085 549.780 549.780 549.780
InsumosSISTEMA DE DRENAJE ACCUDRAIN C REF. IN-INS-8401 3979581 599.198 599.198 599.198
InsumosSISTEMA DE REPARACION DE FRACTURA X CEMENTACION Y RADIOFRECUENCIA 3979353 8.050.350 8.050.350 8.050.350
InsumosSISTEMA DFINE DE CIFOPLASTIA C/RADIOFRECUENCIA REF-3353 3979446 6.373.194 6.373.194 6.373.194
InsumosSISTEMA INTRODUCTOR OASIS OA-11 5 FR 3220099 228.725 228.725 228.725
InsumosSISTEMA MEZCLADOR REF. T060410 3979425 647.097 647.097 647.097
InsumosSISTEMA PCD REF. TYP-PCDA 3979423 698.531 698.531 698.531
InsumosSISTEMAS PARA CIFOPLASTIA BALEX REF. TYP-0515 3979422 839.585 839.585 839.585
InsumosSLIDEX STAPH KIT X50 (MV 31000283)#LAB 3290738 166.122 166.122 166.122
InsumosSLIDEX STAPH TESTX 50DET. REF-73112 #LAB 3290550 193.538 193.538 193.538
InsumosSMS 16*50 ML H-911 #LAB 3290149 255.824 255.824 255.824
InsumosSMS/ACID WASH 11555421216 #LAB 3300047 219.111 219.111 219.111
InsumosSOBRE TUBO ESTANDAR CORTO REF. 711146 ( #KIT PARA CUERPOS EXTRAÑOS ) 3979545 412.335 412.335 412.335
InsumosSODIO ( NA ) ( MV 31000017 ) #LAB 3290767 109.461 109.461 109.461
InsumosSOLUC.ELECTRODO REFERENCIA * COD 1136098 #LAB 3290337 219.271 219.271 219.271
InsumosSOLUCION I (BIO-TYPE DILUENT II) #LAB. 3290462 82.467 82.467 82.467
InsumosSONDA ALIMENTACION 5 * 40 "MEDICOPLAS" 3170014 2.191 2.191 2.191
InsumosSONDA ALIMENTACION 6 * 40 "MEDICOPLAS" 3170015 2.382 2.382 2.382
InsumosSONDA ALIMENTACION 8 * 40 "MEDICOPLAS" 3170016 1.948 1.948 1.948
InsumosSONDA ALIMENTACION 4F 3170064 2.503 2.503 2.503
InsumosSONDA ASPIRACION 6 FR "MEDEX" 3170046 1.518 1.518 1.518
InsumosSONDA ASPIRACION 8 FR "MEDEX" 3170047 1.793 1.793 1.793
InsumosSONDA ASPIRACION 10 * 21 "SUPERIOR" 3170038 1.950 1.950 1.950
InsumosSONDA ASPIRACION 12 FR MALLINCRODT C/C.V 3170026 1.571 1.571 1.571
InsumosSONDA ASPIRACION 14 FR STC1420 3170043 1.855 1.855 1.855
InsumosSONDA ASPIRACION 16 FR"MEDICOPLAST"C/V.C 3170044 1.856 1.856 1.856
InsumosSONDA ASPIRACION 18 FR"MEDICOPLAST"C/V.C 3170045 1.937 1.937 1.937
InsumosSONDA ASPIRACION TRACH CARE 16 FR 54 CM REF 2255-5 3170039 49.873 49.873 49.873
InsumosSONDA ASPIRACION TRACH CARE 14 FR 54 CM REF 22108-5 3170025 49.873 49.873 49.873
InsumosSONDA ASPIRACION TRACH CARE 14 TRAQUEOSTOMIA BAL220135-5 3170083 46.398 46.398 46.398
InsumosSONDA DE RECAMBIO DE GASTROSTOMIA 24 FR REF. PEG-24-BRT 3979595 166.898 166.898 166.898
InsumosSONDA DIGESTIVA 34 FR PVC 70SH 3170042 23.366 23.366 23.366
InsumosSONDA DIGESTIVA N°40 PVC 70 SH 3170071 23.366 23.366 23.366
InsumosSONDA DIGESTIVA N°46 PVC 70 SH 3170088 25.656 25.656 25.656
InsumosSONDA DOBLE LUMEN 16 FR. KENDALL 3170061 10.472 10.472 10.472
InsumosSONDA DOBLE LUMEN 18 FR. KENDALL 3170062 10.472 10.472 10.472
InsumosSONDA DORMIA 2.4FR 4HEB 90CM 63901000 * 3170022 133.624 133.624 133.624
InsumosSONDA DORMIA 2.4FR. 4 HEB. 120 CM PUNTA 3170067 331.439 331.439 331.439
InsumosSONDA DORMIA 3FR 4HEB 13 MM 115 CM ARTICULADO 43313 3170068 632.820 632.820 632.820
InsumosSONDA DORMIA 4 FR 4HEB. PLANOS 90 CM EFP224( U-4). 3170065 517.055 517.055 517.055
InsumosSONDA DORMIA 4 FR 6 HILOS HELIC. 90 CM DOR226 * 4U 3170066 0 0 0
InsumosSONDA DORMIA 4FR HELICOIDAL 3500-1200 (#U.4) 3170023 130.946 130.946 130.946
InsumosSONDA FOLEY 8 FR 2V C/B 3CC""SILICONA 3170048 31.612 31.612 31.612
InsumosSONDA FOLEY 10 FR 2V.C/B 5-15CC 3170024 8.582 8.582 8.582
InsumosSONDA FOLEY 12 FR 2V.C/B 5 CC "S.W" 3170017 2.592 2.592 2.592
InsumosSONDA FOLEY 14 FR 2 VIAS SILICONA 3170051 17.186 17.186 17.186
InsumosSONDA FOLEY 14 FR 2V.C/B 5 CC "S.W" 3170018 2.928 2.928 2.928
InsumosSONDA FOLEY 16 FR 2V.C/B 5 CC "S.W" 3170019 2.633 2.633 2.633
InsumosSONDA FOLEY 18 FR 2 VIAS SILICONA 3170050 17.016 17.016 17.016
InsumosSONDA FOLEY 18 FR 2V.C/B 5 CC "S.W" 3170020 2.577 2.577 2.577
InsumosSONDA FOLEY 20 FR 2V.C/B 5 CC "S.W" 3170021 2.592 2.592 2.592
InsumosSONDA FOLEY 3 VIAS SIMPL 22 FR BALÓN 30 ML COUVELAIRE 3170054 57.864 57.864 57.864
InsumosSONDA FOLEY 3 VIAS SIMPL. 22 FR BALON 75 ML COUVELAIRE 3170089 58.866 58.866 58.866
InsumosSONDA FOLEY 3 VIAS SIMPL.18 FR BALÓN 30 ML COUVELAIRE 3170052 51.035 51.035 51.035
InsumosSONDA FOLEY 3 VIAS SIMPLAS 20 FR BALON 30 ML COUVELAIRE 3170053 56.847 56.847 56.847
InsumosSONDA FOLEY 3VIAS 16 FR 3170087 9.896 9.896 9.896
InsumosSONDA HP METRIA CON IMPEDANCIA ADULTO (REF. 955907) 3950005 140.390 140.390 140.390
InsumosSONDA INTUBACION LAGRIMAL 180-23C 3170058 97.452 97.452 97.452
InsumosSONDA LAGRIMAL DCR * 585011 3170056 117.417 117.417 117.417
Page 45
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosSONDA MARCAPASO TRANSITORIA 5 FR CON BALON REF:AI-07155 3170040 389.428 389.428 389.428
InsumosSONDA NASOGASTRICA 8 FR "MEDICOPLAST" 3170037 4.180 4.180 4.180
InsumosSONDA NASOGASTRICA 10 FR "MEDICOPLAST" 3170034 4.180 4.180 4.180
InsumosSONDA NASOGASTRICA 12 FR "MEDICOPLAST" 3170035 3.947 3.947 3.947
InsumosSONDA NASOGASTRICA 14 FR "MEDICOPLAST" 3170036 3.089 3.089 3.089
InsumosSONDA NASOGASTRICA 16 FR "MEDICOPLAST" 3170002 3.682 3.682 3.682
InsumosSONDA NASOGASTRICA 18 FR "MEDICOPLAST"*1 3170041 3.508 3.508 3.508
InsumosSONDA NASOYEYUNAL 10 FR FLEXIFLO * 1 3170004 54.813 54.813 54.813
InsumosSONDA NASOYEYUNAL 12 FR FLEXIFLO * 1 (F:E. 10) 3170005 55.665 55.665 55.665
InsumosSONDA NASOYEYUNAL 8 FR C/E * 1 3170003 56.576 56.576 56.576
InsumosSONDA NELATON 6 FR "MEDICOPLAST" 3170049 1.257 1.257 1.257
InsumosSONDA NELATON 8 FR "MEDICOPLA"(PVC)40CM 3170006 1.374 1.374 1.374
InsumosSONDA NELATON 10 FR "MEDICOPLAST" 40 CM 3170007 1.492 1.492 1.492
InsumosSONDA NELATON 12 FR "MEDICOPLAST" 40 CM 3170008 1.446 1.446 1.446
InsumosSONDA NELATON 14 FR "MEDICOPLAST" 40 CM 3170009 1.779 1.779 1.779
InsumosSONDA NELATON 16 FR "MEDICOPLAST" 60 CM 3170010 1.335 1.335 1.335
InsumosSONDA NELATON 18 FR "MEDICOPLAST" 40 CM 3170011 1.250 1.250 1.250
InsumosSONDA NELATON 20 FR "MEDICOPLA"(PVC)40C 3170012 1.715 1.715 1.715
InsumosSONDA NELATON 22 FR TRANSPARENTE 40CM 3170001 1.962 1.962 1.962
InsumosSONDA NELATON 24 FR "MEDICOPLA"(PVC)40CM 238500 3170013 1.897 1.897 1.897
InsumosSONDA PEZZER # 32 3210088 33.445 33.445 33.445
InsumosSONDA PEZZER # 34 3210094 33.445 33.445 33.445
InsumosSONDA PEZZER 24 FR-41510024 3170086 22.462 22.462 22.462
InsumosSONDA SENGSTAKEN 3 VIAS 21FR REF. LB7121 3170078 176.715 176.715 176.715
InsumosSONDA T 10 FR-3.5. 3170027 47.124 47.124 47.124
InsumosSONDA T 12 FR-4.0. REF-178900 3170028 51.031 51.031 51.031
InsumosSONDA T 14 FR-4.5 3170029 50.658 50.658 50.658
InsumosSONDA T 16 FR-5.5. 3170030 51.165 51.165 51.165
InsumosSONDA T 18 FR-6.0. 3170031 50.658 50.658 50.658
InsumosSONDA T 20 FR-7.0. 3170032 50.658 50.658 50.658
InsumosSONY UPP-110HD HIGTH DENSITY THERMAL PRINTER PAPER 3979360 41.037 41.037 41.037
InsumosSOPORTE CODO TENISTA C/GEL 3320091 17.160 17.160 17.160
InsumosSPECIALTY IA LIQ. 1 6X5 ML. BRQCI-00364-000 3280140 763.802 763.802 763.802
InsumosSPECIALTY IA LIQ. 2 6X5 ML. BRQCI-00365-000 3280141 1.089.743 1.089.743 1.089.743
InsumosSPOT MARCADOR ENDOSCOPICO 3979524 125.664 125.664 125.664
InsumosSTA CACL 0.025 M 3138089140 #LAB 3900407 117.351 117.351 117.351
InsumosSTA CACL2 0.025M REF. 367 #LAB 3290585 181.751 181.751 181.751
InsumosSTA CEPHASCREEN 12X4ML REF-3315827140 #LAB 3290557 395.730 395.730 395.730
InsumosSTA CEPHASCREEN 4 CAJA 12X4ML REF- 31000504 #LAB 3290731 1.037.865 1.037.865 1.037.865
InsumosSTA CEPHASCREEN 4 REF. 308 #LAB 3290584 623.732 623.732 623.732
InsumosSTA CLEANER SOLUTION REF. 973-01 #LAB 3290590 130.761 130.761 130.761
InsumosSTA COAG CONTROL #LAB 3290586 594.865 594.865 594.865
InsumosSTA CUVETTES ( 6 BOBINAS ) REF. 39430 #LAB 3290587 914.649 914.649 914.649
InsumosSTA DESORB U REF. 975 #LAB 3290588 386.652 386.652 386.652
InsumosSTA NEOPLASTIN CL+5 REF. 606#LAB 3290583 204.119 204.119 204.119
InsumosSTA NEOPLASTINE CI PLUS 10 CAJA 12X10ML REF- 667 ( MV 31000503 INCL REF.667-679-29430-975-26649-973-01) #LAB3290730 1.471.180 1.471.180 1.471.180
InsumosSTA PAPEL TERMICO SATELLITE REF. 26649#LAB ( MV 31000744 ) 3290589 20.724 20.724 20.724
InsumosSTA/010 STAFILOCOCO AUREO 50 DET. 3299554 164.934 164.934 164.934
InsumosSTABILIT VERTEBRAL AUGMENTATION SYSTEM REF. 1688 Y 2003 3979338 6.618.959 6.618.959 6.618.959
InsumosSTANDARD DE FIERRO 12146401216 #LAB 3290615 236.432 236.432 236.432
InsumosSTAPLER LINEAL 75MM REF. NTLC75 #CONSIG 3230098 255.255 255.255 255.255
InsumosSTENT CON DROGA ENDEAVOR 3979408 2.553.532 2.553.532 2.553.532
InsumosSTENT CP CUBIERTO 2.8 CM REF. CVRDCP8Z28 3979563 3.141.600 3.141.600 3.141.600
InsumosSTENT VASCULAR VIABAHN 10MMX5CMX120CM REF. PAC100502 3979397 3.910.507 3.910.507 3.910.507
InsumosSTERI DRAPE 28*25 CM 2037 (10 UD) 3030032 32.918 32.918 32.918
InsumosSTERI DRAPE 50 X 45 CM COD. 2045 * 10UD 3030034 42.969 42.969 42.969
InsumosSTERI DRAPE REF 1015 ( MV 50004666 ) 3979578 36.069 36.069 36.069
InsumosSTERICLIN 10 CM * 100 MT * CFUELLE 1 ROLLO 3040001 69.233 69.233 69.233
InsumosSTERICLIN 10 CM * 200 MT * S / F 1 ROLLO(R 3040010 55.174 55.174 55.174
InsumosSTERICLIN 15 CM * 100 MT * C/ FUELLE 1 ROLLO(RB5 3040013 80.032 80.032 80.032
InsumosSTERICLIN 15 CM *200 MT * S / F 1 ROLLO(R42) 3040011 80.504 80.504 80.504
InsumosSTERICLIN 20 CM * 100 MT * 1 ROLLO( 3040014 96.526 96.526 96.526
InsumosSTERICLIN 20 CM * 200 MT *S/F 1 ROLLO 3040012 112.548 112.548 112.548
InsumosSTERICLIN 25 CM * 100 MT C/F* ROLLO 3040019 117.614 117.614 117.614
InsumosSTERICLIN 25 CM * 200 MT S/F * 1 ROLLO 3040028 140.822 140.822 140.822
InsumosSTERICLIN 30 CM * 100 MT C/FUELLE RB 55 3040003 134.578 134.578 134.578
InsumosSTERICLIN 38CM * 100 C/ FUELLE 3040034 188.339 188.339 188.339
InsumosSTERICLIN 5 CM * 200 MT S/F * 1 ROLLO 3040029 41.692 41.692 41.692
InsumosSTERICLIN 7.5 CM *100 MT C/FUELLE * 1 3040018 59.612 59.612 59.612
Page 46
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosSTERICLIN 7.5 CM *200MT* S/FUELLE 1 ROLLO 3040032 48.498 48.498 48.498
InsumosSTERI-DRAPE IOBAN 2 ANTIMICROBIAL 60CMSX60CMS 6648EZ ( MV 50008716 ) 3230025 81.148 81.148 81.148
InsumosSTERILIT SPRAY ACEITE ( GB600 ) 3370017 125.664 125.664 125.664
InsumosSTERILIT SPRAY ACEITE (JG600) 3370015 40.317 40.317 40.317
InsumosSTERI-STRIP 1541 CHICO (ANGOSTO) * 50 SB ( MV 50004896 ) 3030008 2.303 2.303 2.303
InsumosSTERI-STRIP 1548 GRANDE (ANCHO) * 25 SB ( MV 50009702 ) 3030009 11.158 11.158 11.158
InsumosSTONE CONE REF. 390-320 3979573 477.785 477.785 477.785
InsumosSTREPTO A QUICKVUE ( 25 DET ) MV 31000093 3979426 147.263 147.263 147.263
InsumosSTROMATOLYSER FDI 12216108001 #LAB 3290032 1.064.567 1.064.567 1.064.567
InsumosSTROMATOLYZER 4DL * 3315517001 #LAB 3290379 643.105 643.105 643.105
InsumosSTROMATOLYZER 4DS * 3003701001 #LAB 3290380 900.347 900.347 900.347
InsumosSTROMATOLYZER FB * 12216116001#LAB 3290345 447.124 447.124 447.124
InsumosSTROMATOLYZER FDII * 12216167001#LAB 3290344 975.891 975.891 975.891
InsumosSUERO ANTI A FCO * 10 ML#LAB 3290186 22.777 22.777 22.777
InsumosSUERO ANTI AB FCO * 10 ML#LAB 3290188 22.777 22.777 22.777
InsumosSUERO ANTI B FCO * 10 ML#LAB 3290187 22.777 22.777 22.777
InsumosSUERO ANTI COOMBS FCO * 10 ML#LAB 3290190 21.991 21.991 21.991
InsumosSUERO ANTI D FCO * 10 ML#LAB 3290189 28.863 28.863 28.863
InsumosSUERO ANTI E.COLI 0157 #LAB 3290414 207.804 207.804 207.804
InsumosSUERO ANTI E.COLI B#LAB 3290413 191.441 191.441 191.441
InsumosSUERO ANTI-COLI A #LAB 3290063 191.441 191.441 191.441
InsumosSUERO ANTICOLI C * PR33#LAB 3290439 191.441 191.441 191.441
InsumosSUERO ANTIGENO PARATIFOIDEO A #LAB 3290327 43.524 43.524 43.524
InsumosSUERO ANTIGENO PARATIFOIDEO B #LAB 3290306 43.524 43.524 43.524
InsumosSUERO ANTIGENO PARATIFOIDEO O#LAB 3290328 43.524 43.524 43.524
InsumosSUERO ANTIGENO TIFOIDEO H #LAB 3290305 43.524 43.524 43.524
InsumosSUERO ANTISALMONELLA VI #LAB 3290070 191.441 191.441 191.441
InsumosSUERO ANTISALMONELLA A #LAB 3290067 205.186 205.186 205.186
InsumosSUERO ANTISALMONELLA B #LAB 3290068 205.186 205.186 205.186
InsumosSUERO ANTISALMONELLA GRUPO D FACTOR 9 #LAB 3290069 191.441 191.441 191.441
InsumosSUERO ANTISHIGELLA BOYDII POLIVALENTE 1 #LAB 3290064 191.441 191.441 191.441
InsumosSUERO ANTISHIGELLA FLEXNERI POLIVALENT.1#LAB 3290065 191.441 191.441 191.441
InsumosSUERO ANTISHIGELLA SONNEI POLIVALENTE 1 #LAB 3290066 191.441 191.441 191.441
InsumosSUERO CONTROL NORMAL AMONIO 20752401190 #LAB 3290122 298.511 298.511 298.511
InsumosSUERO GLUCOSA 5% + ELECTROLITOS 3121046 6.283 6.283 6.283
InsumosSUERO REACTIVO VDRL CONTROL POSITIVO REF-53060 #LAB 3290596 147.655 147.655 147.655
InsumosSUERO SHIGELLA DISENTERIAE 3290412 191.441 191.441 191.441
InsumosSUJETADOR PRESERVATIVO 3320024 6.498 6.498 6.498
InsumosSULFA/TRIMETOPRIM(SXT) 25UG 250 DISCOS CT52B ( MV 31000305 ) 3979508 41.234 41.234 41.234
InsumosSULFOLYSER 3X500 12215616001 #LAB 3290033 923.027 923.027 923.027
InsumosSUPER REVO FT REF. CF6140H 3070113 513.137 513.137 513.137
InsumosSURGICEL 5.1 X 7.6 CM * 12 U (1953) (MV 50008294 ) 3180058 48.023 48.023 48.023
InsumosSURGICUTT ADULTO ( TIEMPO DE SANGRIA ) ( MV 50008881 ) 3290836 326.596 326.596 326.596
InsumosSURGIFLO MS0009 3979319 298.059 298.059 298.059
InsumosSURGILAV ( REF-207-559) 3330013 188.496 188.496 188.496
InsumosSURGILUBE SACHET * GEL ECO ESTERIL 3120021 1.257 1.257 1.257
InsumosSURGINEEDLE 150MM 172016 #CN 3220065 98.175 98.175 98.175
InsumosSURGIPRO 2/0 C/A VP523 COVIDIEN 3180145 11.608 11.608 11.608
InsumosSURGISLIP * 1 * GALON 3370010 165.346 165.346 165.346
InsumosSURGISTAIN * 1 GALON 3370007 174.897 174.897 174.897
InsumosSUSTITUTO OSEO 500 10CC ( 5RGE10 ) 3270412 458.557 458.557 458.557
InsumosSUTURA ALTA RESISTENCIA PARCUS BRAID 3279199 37.437 37.437 37.437
InsumosSUTURA BIOSYN 4.0 SM5637 *12 3180105 12.336 12.336 12.336
InsumosSUTURA DE ALTA RESISTENCIA HERCULES REF.H5000 3220081 151.726 151.726 151.726
InsumosSUTURA FIBER TAPE ARTHREX 2MM 3180109 360.898 360.898 360.898
InsumosSUTURA LIQUIDA * DERMABOND AD-12 3180101 44.238 44.238 44.238
InsumosSUTURA MAX BRAID AZUL REF 900334 3180138 122.821 122.821 122.821
InsumosSUTURA MAX BRAID INDIVIDUAL C/A BIOMET 900333 3180111 129.395 129.395 129.395
InsumosSUTURA MENISCAL MAXFIRE C/ZIPLOOP REF-900339 3180129 348.318 348.318 348.318
InsumosSUTURA MENISCAL MAXFIRE MARXMEN CURVA REF. 900321 3180146 311.251 311.251 311.251
InsumosSUTURA MENISCAL MAXFIRE MARXMEN RECTO REF.900320 3182737 473.169 473.169 473.169
InsumosSUTURA MERSILENE ESTERIL 66-RS22 3182738 110.611 110.611 110.611
InsumosSUTURA NYLON 10/0 3331002 54.452 54.452 54.452
InsumosT.E.T S/B FR 3.0 (919000030) 3290507 3.240 3.240 3.240
InsumosT3 TOTAL PAQ. DE REACTIVO ( MV 31000583 ) #LAB 3290798 364.524 364.524 364.524
InsumosT4 LIBRE PAQ DE REACTIVO 100DET REF. 1387000 ( MV 31000584 ) #LAB 3290752 364.524 364.524 364.524
InsumosT4 TOTAL PAQ DE REACTIVO ( MV 31000587 ) #LAB 3290801 364.524 364.524 364.524
InsumosTA 45-3.5 SINGLE TA4535L #CN 3220083 121.672 121.672 121.672
InsumosTA 45-3.5 SINGLE TA4535S #CN 3220084 204.204 204.204 204.204
Page 47
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTA 60-4.8 SINGLE USE LOADI REF. TA6048L #CN 3220093 123.373 123.373 123.373
InsumosTA 60-4.8 SINGLE USE RELOA REF. TA6048S #CN 3220094 210.160 210.160 210.160
InsumosTABLETAS SALINAS 3020035 107.993 107.993 107.993
InsumosTABLILLA SOPORTE NEONATAL (29965) 3320016 11.462 11.462 11.462
InsumosTABLILLA SOPORTE PEDIATRICA (29967) 3320079 11.676 11.676 11.676
InsumosTALONERA ANTIESCAR ESPUMA * PAR 3260007 17.530 17.530 17.530
InsumosTALONERA SIMPLE PICARON PAR *PROTEC 3210061 4.123 4.123 4.123
InsumosTAPA ACERO PEQ. VARIO CASE 589.537 3270697 456.334 456.334 456.334
InsumosTAPA AMARILLA * F.E. 100 UN 3020006 589 589 589
InsumosTAPA ROJA * F.E. 100 UN 3020007 428 428 428
InsumosTAPAS (REF. 14F647 ) 3700443 89.994 89.994 89.994
InsumosTAPE /KIT CINTA DEPORTIVA ELASTICA 3010079 6.735 6.735 6.735
InsumosTAPE 5X5 CMS./CAJA *ORTHOMED* 3000224 10.009 10.009 10.009
InsumosTAPERLOC FMRL 7.5MM STDR COCR REF.650-0325 3279343 781.853 781.853 781.853
InsumosTAPON NASAL MEROCEL 8 CM 400402 3310001 16.787 16.787 16.787
InsumosTAPON APICAL P/COTILO LINAGE ( 3818-0002) 3270739 219.912 219.912 219.912
InsumosTAPON BLOQUEO M-8 * 8590855 3270209 151.582 151.582 151.582
InsumosTAPON BLOQUEO REVERE 90° CLIP ON 3279160 151.582 151.582 151.582
InsumosTAPON BLOQUEO REVERE CLIP ON 90° REF. 124.000 GLOBUS 3279210 76.577 76.577 76.577
InsumosTAPON NASAL REABSORBIBLE TNRR600 3310007 51.051 51.051 51.051
InsumosTAPON NASAL HIDROCOL 4CM REMOV RR 400 3310013 33.766 33.766 33.766
InsumosTAPON NASAL HIDROCOL. 3 CM REMOV RR300 3310006 33.766 33.766 33.766
InsumosTAPON NASAL HIDROCOL. 5 CM REMOV RR500 3310014 37.797 37.797 37.797
InsumosTAPON NASAL HIDROCOLOIDE 8CM RR800 3310020 39.401 39.401 39.401
InsumosTAPON OIDO NEXCAR (PAR) 3310016 3.393 3.393 3.393
InsumosTAPON PROTECTOR STANDARD REF. 40051100S 3270904 59.049 59.049 59.049
InsumosTAPON VERTEX ( 6950305 ) 3270430 209.440 209.440 209.440
InsumosTARJETA BIO TYPE ABO/RH PI 3290459 199.295 199.295 199.295
InsumosTARJETA BIO-TYPE AHG 3290461 199.295 199.295 199.295
InsumosTARJETA IDENTIFICACION RN 3290460 199.295 199.295 199.295
InsumosTARUGO PIN BIOABS. 1.5X20 ARTHROTEK 3270164 191.441 191.441 191.441
InsumosTARUGO PIN BIOABS. 1.5X40 ARTHROTEK 3270165 191.441 191.441 191.441
InsumosTEGADERM 15 X 20 * 1628 * 10 ( MV 50009703 ) 3030056 14.519 14.519 14.519
InsumosTEGADERM 10*12 CM OFTALMOLOGIA 1626 ( MV 50001034 ) 3030036 5.126 5.126 5.126
InsumosTEGADERM 20X30 (REF-1629) 3900390 29.253 29.253 29.253
InsumosTEGADERM 5/7 C/GASA X 50 * 3582 (MV 50004322 ) 3030023 4.536 4.536 4.536
InsumosTEGADERM 6 * 7 CM * ( 1624.W ) ( MV 50001033 ) 3030010 2.593 2.593 2.593
InsumosTEGADERM FIJACION CATETER * 1635/1685 8.5 X 11 CM FE 50 UN ( MV 50008488 ) 3030049 5.843 5.843 5.843
InsumosTEGADERM PEDIATRICO 4X4 (1622) 3030024 2.663 2.663 2.663
InsumosTEICOPLANINA (TEC) 30UG 250 DISCOS ( MV 31000354 ) 3979534 35.343 35.343 35.343
InsumosTEJ. TUB. ESPEC(STOCKINETTE)3"*25YDA(7.5 CM) 3210007 63.578 63.578 63.578
InsumosTEJ.TUB.ESP(STOCKINETTE)2"*( 5 CM) 25YDAS* 3210019 57.970 57.970 57.970
InsumosTEJ.TUB.ESP(STOCKINETTE)4"*25YDA(10CM)*1 3210008 90.733 90.733 90.733
InsumosTEJ.TUBULAR CORRIENTE *25 YDA(8-CM)*1 3210003 24.646 24.646 24.646
InsumosTEJ.TUBULAR CORRIENTE 0.8" 25 YDA( 2-3CM. ) 3210072 10.472 10.472 10.472
InsumosTEJ.TUBULAR CORRIENTE 2"*25YDA(5CM)*1 3210002 21.468 21.468 21.468
InsumosTEJ.TUBULAR CORRIENTE 4"*25YDA(10CM)*1 3210004 90.321 90.321 90.321
InsumosTEJ.TUBULAR CORRIENTE 6"*25YDA(15CM)*1 3210005 37.693 37.693 37.693
InsumosTEJ.TUBULAR CORRIENTE 8"*25YDA(20CM)* 1 3210006 43.392 43.392 43.392
InsumosTELA ADHESIVA(CHINA) 2"*25YD(5 5CM)S.FLAKE * 6U 3320006 3.911 3.911 3.911
InsumosTELA DURAPORE 1" * 12 ROLLOS 1538-1 ( MV 50008714 ) 3320013 8.493 8.493 8.493
InsumosTELA DURAPORE 2" 1538-2 ( MV 50004692 ) 3320029 17.054 17.054 17.054
InsumosTELA FIXOMULL 10CM X 10M 3320068 43.863 43.863 43.863
InsumosTELA FIXOMULL 5CM * 10M 3320067 26.664 26.664 26.664
InsumosTELA LEUKOPLAST AZUL 5.00CMX5 3320088 14.424 14.424 14.424
InsumosTELA MICROFOAM 2"* * 6 ROLLOS 1528-2 3320001 21.148 21.148 21.148
InsumosTELA MICROPORE 1"* 10 YDAS 12 U 1535- 1 ( MV 50001808 ) 3320011 5.262 5.262 5.262
InsumosTELA MICROPORE 1/2 1535-0 3320041 5.017 5.017 5.017
InsumosTELA MICROPORE 2" 1535-2 / 1533-2 ( MV 50001818 ) 3320030 9.530 9.530 9.530
InsumosTELA MICROPORE PIEL 1" 1533-1 ( MV 50008545 ) 3320031 6.864 6.864 6.864
InsumosTELA MICROPORE PIEL 1/2" 1533-0 3320063 7.290 7.290 7.290
InsumosTELA SANIPORE FINA 3700421 4.219 4.219 4.219
InsumosTELA TRANSPORE 1" * 1527-1 * 12 ROLLOS ( MV 50001810 ) 3320012 6.430 6.430 6.430
InsumosTELA TRANSPORE 2" 1527-2 ( MV 50001811 ) 3320032 11.367 11.367 11.367
InsumosTELFA CLEAR 10X12,5CM ( CAJA X 25 UN. ) ESTERIL REF. 1111 3979539 13.090 13.090 13.090
InsumosTENSOGRIP 32 5 CM L7588 3320077 163.940 163.940 163.940
InsumosTERMOMETRO DIGITAL 3300048 3.386 3.386 3.386
InsumosTERMOMETRO PRISMATICO ORAL "SMIC" * 12 U 3320007 1.571 1.571 1.571
InsumosTEST UREASA 10*UDES*CAJA 3290307 183.260 183.260 183.260
Page 48
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTEST ALCOHOL AIRE EXPIRADO * ACON#LAB 3290404 188.692 188.692 188.692
InsumosTEST DROGAS COC-THC-AMP * ACON DOA 145#LAB 3290359 523.600 523.600 523.600
InsumosTEST EMBARAZO BABYCHECK PLUS 3020052 7.548 7.548 7.548
InsumosTEST INTOLERANCIA A LA LACTOSA 3979384 38.500 38.500 38.500
InsumosTEST RAPIDO INFLUENZA A + B KIT 25 DET ( MEDICA-TEC )#LAB 3290454 359.975 359.975 359.975
InsumosTEST UREASA (1801037) * UNIDAD ( MV 40002650 ) 3299539 9.621 9.621 9.621
InsumosTESTOSTERONA PAQ. DE REACTIVO ( MV 31000589 ) #LAB 3290803 461.750 461.750 461.750
InsumosTETRACICLINA (TE) 30UG 250 DISCOS ( MV 31000357 ) 3979514 40.775 40.775 40.775
InsumosTHAYER MARTIN COD 43611 (MV 31000276) #LAB 3900513 43.524 43.524 43.524
InsumosTHREADE TIP K-WIRE 1.6MM REF-829016006 3270961 13.488 13.488 13.488
InsumosTIBC KIT CAPTACION TOTAL HIERRO ( MV 31000550 ) #LAB 3290791 209.931 209.931 209.931
InsumosTICRON 2/0 2947-53 * 12 3180120 45.357 45.357 45.357
InsumosTICRON 5 3128-79* 24 SOBRES 3180004 22.127 22.127 22.127
InsumosTIGECILINA ( TGC ) 15UG 250 DISCOS CT18418 MV 31000682 3299541 35.343 35.343 35.343
InsumosTIJERA CURVA 15MMX36 REF-HAR36 (HARMONICO)DES. 3230018 612.612 612.612 612.612
InsumosTIJERA ENDOSHEARS 5MM (#U.5) * 176643 #CN 3220073 58.142 58.142 58.142
InsumosTIJERA NSEAL REF-NSLG2C45 3230026 476.476 476.476 476.476
InsumosTIJERA ULTRASONICA LOTUS REF. DS4-400CD 3979347 623.930 623.930 623.930
InsumosTINA-QUANT TRANSFERRINA 100TEST. REF-3015050122 #LAB 3290582 316.124 316.124 316.124
InsumosTINCION HEMATOLOGICA RAPIDA X 4 FCOS ( MV 31000196 ) 3299530 201.586 201.586 201.586
InsumosTINCION TIONINA REF. 17095 #LAB 3299552 72.650 72.650 72.650
InsumosTIONINA 0 1% ( SOLUCION ) 100ML REF CX170905 3290549 72.650 72.650 72.650
InsumosTIRA INDICADOR PH 0- 14 REF 921 10 3290329 31.612 31.612 31.612
InsumosTIRA INDICADORA INCHEQUE AUTOCLAVE 1250 ( MV 50005123 ) 3040024 66.264 66.264 66.264
InsumosTIRA INDICADORA INCHEQUE O.ETILENO 1251 3040016 112.697 112.697 112.697
InsumosTIRAS QUIMICA VH202(PLASMA)*250*5000GPS250 3040041 175.733 175.733 175.733
InsumosTIRAS QUIMICAS PLASMA REF CI 115 RENO CIS 3979526 175.733 175.733 175.733
InsumosTIRAS REACTIVAS COLESTEROL CAPILAR FCO.X 25 UN.#LAB 3290516 148.963 148.963 148.963
InsumosTIRAS REACTIVAS P/RAPICIDE OPA-28 REF-ML02-0136 3040052 175.930 175.930 175.930
InsumosTIRAS REACTIVAS TRIGLICERIDOS CAPILAR FCO.X 25 UN.#LAB 3290517 135.521 135.521 135.521
InsumosTOALLITA HUMEDA ASEO PIEL 3030048 5.832 5.832 5.832
InsumosTOBILLERA ELASTICADA. T-L 3210048 8.580 8.580 8.580
InsumosTOBILLERA ESTABILIZADORA PEQUEÑA 3211040 79.726 79.726 79.726
InsumosTOBILLERA INMOVILIZADORA T-XL 3211044 59.400 59.400 59.400
InsumosTOM- SCHANZ D.5 L100/50 ACERO REF. 294.520 3270919 30.682 30.682 30.682
InsumosTONILLO ESPONJOSO L 28MM / 14 207.028 3270720 34.361 34.361 34.361
InsumosTONILLO NO BLOQUEADO 3.5MMX26MM 3279073 65.000 65.000 65.000
InsumosTORNILL CORTICAL BIOMET 3270155 167.129 167.129 167.129
InsumosTORNILLLO BLOQUEO AUTORR. 3 5MMX12MM (73825012) 3270753 165.618 165.618 165.618
InsumosTORNILLO CORTICAL 3 5 X 10 MM 204.010 3270075 29.712 29.712 29.712
InsumosTORNILLO CORTICAL 3 5 X 12 MM 204.012 3270076 30.375 30.375 30.375
InsumosTORNILLO CORTICAL 3 5 X 14 MM 204.014 3270077 31.040 31.040 31.040
InsumosTORNILLO CORTICAL 3 5 X 16 MM 204.016 3270078 34.558 34.558 34.558
InsumosTORNILLO CORTICAL 3 5 X 18 MM 204.018 3270079 33.078 33.078 33.078
InsumosTORNILLO CORTICAL 3 5 X 20 MM 204.020 3270080 34.558 34.558 34.558
InsumosTORNILLO CORTICAL 3 5 X 22 MM 204.022 3270081 35.072 35.072 35.072
InsumosTORNILLO CORTICAL 3 5 X 24 MM 204.024 3270082 37.775 37.775 37.775
InsumosTORNILLO CORTICAL 3 5 X 26 MM 204026 3270083 38.439 38.439 38.439
InsumosTORNILLO CORTICAL 3 5 X 28 MM 204.028 3270084 37.775 37.775 37.775
InsumosTORNILLO CORTICAL 3 5 X 30 MM 204.030 3270085 38.439 38.439 38.439
InsumosTORNILLO CORTICAL 3 5 X 32 MM 204.032 3270086 39.837 39.837 39.837
InsumosTORNILLO CORTICAL 3 5 X 36 MM 204.036 3270087 34.293 34.293 34.293
InsumosTORNILLO CORTICAL 3 5 X 40 MM 204.040 3270088 39.918 39.918 39.918
InsumosTORNILLO CORTICAL 3 5 X 45 MM 204.045 3270089 44.257 44.257 44.257
InsumosTORNILLO CORTICAL 3 5 X 50 MM 204.050 3270090 34.558 34.558 34.558
InsumosTORNILLO 1.5X 24MM CORTICAL APTUS HAND REF. A-5200.24/1 3280116 34.306 34.306 34.306
InsumosTORNILLO AO CORTICAL 4.5 X 20 MM LA-120 214.020 3270047 38.439 38.439 38.439
InsumosTORNILLO AO CORTICAL 4.5 X 22 MM 214.022 3270048 26.389 26.389 26.389
InsumosTORNILLO AO CORTICAL 4.5 X 24 MM LA-124 214.024 3270049 27.018 27.018 27.018
InsumosTORNILLO AO CORTICAL 4.5 X 26 MM 214.026 3270050 31.383 31.383 31.383
InsumosTORNILLO AO CORTICAL 4.5 X 28 MM 214.028 3270051 29.413 29.413 29.413
InsumosTORNILLO AO CORTICAL 4.5 X 30 MM 214.030 3270052 33.078 33.078 33.078
InsumosTORNILLO AO CORTICAL 4.5 X 34 MM LA-134 214.034 3270055 35.439 35.439 35.439
InsumosTORNILLO AO CORTICAL 4.5 X 38 MM LA-138 214.038 3270056 36.744 36.744 36.744
InsumosTORNILLO AO CORTICAL 4.5 X 44 MM LA-144 214.044 3279055 28.863 28.863 28.863
InsumosTORNILLO AO CORTICAL 4.5 X 46 MM LA-146 214.046 3270058 28.863 28.863 28.863
InsumosTORNILLO AO CORTICAL 4.5 X 48 MM LA-148 214.048 3270305 42.173 42.173 42.173
InsumosTORNILLO AO CORTICAL 4.5 X 50 MM LA-150 214.050 3270274 31.337 31.337 31.337
InsumosTORNILLO AO CORTICAL 4.5 X 52 MM LA-152 214.052 3270236 39.731 39.731 39.731
Page 49
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO AO CORTICAL 4.5 X 60 MM LA-160 214.060 3270306 47.713 47.713 47.713
InsumosTORNILLO AO CORTICAL 4.5 X 65 MM LA-165 214.065 3270185 17.881 17.881 17.881
InsumosTORNILLO AO ESPONJOSO 6 0 X 25MM R16 LA-325 3270557 41.618 41.618 41.618
InsumosTORNILLO AO ESPONJOSO 6 0 X 30MM R32 3270576 40.601 40.601 40.601
InsumosTORNILLO AO ESPONJOSO 6 0 X 35MM R32 3270577 39.511 39.511 39.511
InsumosTORNILLO AO ESPONJOSO 6 0 X 40MM R32 LA-368 3270578 42.718 42.718 42.718
InsumosTORNILLO AO ESPONJOSO 6 0 X 40MM R16 LA-334 3270558 26.180 26.180 26.180
InsumosTORNILLO AO ESPONJOSO 6 0 X 50MM R16 LA-338 3270560 26.180 26.180 26.180
InsumosTORNILLO AO ESPONJOSO 6 0 X 55MM R32 3270581 40.281 40.281 40.281
InsumosTORNILLO AO ESPONJOSO 6 0 X 55MM R16 LA-340 3270561 31.429 31.429 31.429
InsumosTORNILLO AO ESPONJOSO 6 0 X 60MM R32 3270582 41.371 41.371 41.371
InsumosTORNILLO AO ESPONJOSO 6 0 X 65MM R32 3270583 43.808 43.808 43.808
InsumosTORNILLO AO ESPONJOSO 6 0 X 65MM R16 LA-344 3270563 31.429 31.429 31.429
InsumosTORNILLO AO ESPONJOSO 6 0 X 70MM R32 LA-378 3270584 45.219 45.219 45.219
InsumosTORNILLO AO ESPONJOSO 6 0 X 70MM R16 LA-346 3270564 26.180 26.180 26.180
InsumosTORNILLO AO ESPONJOSO 6 0 X 75MM R32 3270585 40.794 40.794 40.794
InsumosTORNILLO AO ESPONJOSO 6 0 X 75MM R16 LA-348 3270565 33.353 33.353 33.353
InsumosTORNILLO AO ESPONJOSO 6 0 X 80MM R16 LA-350 3270566 36.432 36.432 36.432
InsumosTORNILLO AO ESPONJOSO 6 0 X 85MM R16 LA-352 3270567 35.971 35.971 35.971
InsumosTORNILLO AO ESPONJOSO 6 0 X 90MM R32 3270587 26.180 26.180 26.180
InsumosTORNILLO AO ESPONJOSO 6 0 X 90MM R16 LA-354 3270568 36.432 36.432 36.432
InsumosTORNILLO AO ESPONJOSO 6 0 X 95MM R16 LA-356 3270569 34.957 34.957 34.957
InsumosTORNILLO AO ESPONJOSO 6 0 X100MM R32 3270559 26.180 26.180 26.180
InsumosTORNILLO AO ESPONJOSO 6 0 X100MM R16 LA-358 3270554 45.219 45.219 45.219
InsumosTORNILLO AO ESPONJOSO 6 0 X105MM R16 LA-360 3270555 45.161 45.161 45.161
InsumosTORNILLO AO ESPONJOSO 6 0 X110MM R16 LA-362 3270556 41.618 41.618 41.618
InsumosTORNILLO AO ESPONJOSO 6 5 X 30MM R32 3270589 31.429 31.429 31.429
InsumosTORNILLO AO ESPONJOSO 6 5 X 35MM R16 LA-332 216.035 3270571 17.187 17.187 17.187
InsumosTORNILLO AO ESPONJOSO 6 5 X 40MM R32 3270590 26.180 26.180 26.180
InsumosTORNILLO AO ESPONJOSO 6 5 X 40MM R16 LA- 3270572 38.741 38.741 38.741
InsumosTORNILLO AO ESPONJOSO 6 5 X 45MM R32 3270591 33.353 33.353 33.353
InsumosTORNILLO AO ESPONJOSO 6 5 X 45MM R16 LA- 3270573 37.330 37.330 37.330
InsumosTORNILLO AO ESPONJOSO 6 5 X 50MM R32 3270592 36.432 36.432 36.432
InsumosTORNILLO AO ESPONJOSO 6 5 X 55MM R32 3270593 36.423 36.423 36.423
InsumosTORNILLO AO ESPONJOSO 6 5 X 60MM R32 3270594 38.741 38.741 38.741
InsumosTORNILLO AO ESPONJOSO 6 5 X 65MM R32 3270595 38.741 38.741 38.741
InsumosTORNILLO AO ESPONJOSO 6 5 X 65MM R16 LA- 3270574 40.601 40.601 40.601
InsumosTORNILLO AO ESPONJOSO 6 5 X 70MM R16 LA- 3270575 39.511 39.511 39.511
InsumosTORNILLO AO ESPONJOSO 6 5 X 75MM R32 3270596 37.330 37.330 37.330
InsumosTORNILLO AO ESPONJOSO 6,0 X 30MM R16 LA-330 3270340 29.849 29.849 29.849
InsumosTORNILLO AO ESPONJOSO 6,0 X 45MM R16 LA-336 3270361 33.771 33.771 33.771
InsumosTORNILLO AO ESPONJOSO 6,0 X 50MM R32 LA-370 3270339 36.524 36.524 36.524
InsumosTORNILLO AO ESPONJOSO D. 6.5 L30/16 216.030 3270570 38.741 38.741 38.741
InsumosTORNILLO AO MALEOLAR 25MM 3270533 27.489 27.489 27.489
InsumosTORNILLO AO MALEOLAR 30MM 3270534 27.489 27.489 27.489
InsumosTORNILLO AO MALEOLAR 35MM 327635 27.489 27.489 27.489
InsumosTORNILLO AO MALEOLAR 40MM 3270535 29.780 29.780 29.780
InsumosTORNILLO AO MALEOLAR 45MM 3270536 29.780 29.780 29.780
InsumosTORNILLO AO MALEOLAR 50MM 3270537 34.361 34.361 34.361
InsumosTORNILLO AO MALEOLAR 55MM 3270151 34.361 34.361 34.361
InsumosTORNILLO AO MALEOLAR 60MM 3270538 34.361 34.361 34.361
InsumosTORNILLO AO MALEOLAR 65MM 3270539 34.361 34.361 34.361
InsumosTORNILLO AO MALEOLAR 70MM 3270540 45.815 45.815 45.815
InsumosTORNILLO AUTOR. 2.0X9MM (95-5309) 3270834 32.976 32.976 32.976
InsumosTORNILLO AUTORR. C/PERF. 1.65X5MM (91-6105X) 3270821 22.889 22.889 22.889
InsumosTORNILLO CANULDO 7.0X75MM, ROSCA 32 (PIMET) 3270347 47.216 47.216 47.216
InsumosTORNILLO CORTICAL 3,5 X 70MM 204.070 3270256 68.840 68.840 68.840
InsumosTORNILLO ESPONJOSO R/C 4 0 X 8MM R16 207.008 3279063 29.780 29.780 29.780
InsumosTORNILLO ESPONJOSO R/C 4 0 X 10MM R16 207.010 3279062 39.172 39.172 39.172
InsumosTORNILLO ESPONJOSO R/C 4 0 X 12 R16 206.012 3270101 39.837 39.837 39.837
InsumosTORNILLO ESPONJOSO R/C 4 0 X 22 R16 206.022 3270103 44.972 44.972 44.972
InsumosTORNILLO ESPONJOSO R/C 4 0 X 24 R16 206.024 3270104 39.294 39.294 39.294
InsumosTORNILLO ESPONJOSO R/C 4 0 X 26 R16 206.026 3270105 41.037 41.037 41.037
InsumosTORNILLO ESPONJOSO R/C 4 0 X 28 R16 206.028 3270106 41.591 41.591 41.591
InsumosTORNILLO ESPONJOSO R/C 4 0 X 30 R16 206.030 3270107 43.914 43.914 43.914
InsumosTORNILLO ESPONJOSO R/C 4 0 X 35 R32 206.035 3270108 44.513 44.513 44.513
InsumosTORNILLO ESPONJOSO R/C 4 0 X 40 R16 206.040 3270109 46.280 46.280 46.280
InsumosTORNILLO ESPONJOSO R/C 4 0 X 45 R16 206.045 3270110 48.027 48.027 48.027
InsumosTORNILLO ESPONJOSO R/C 4 0 X 50 R16 207.050 3270111 49.735 49.735 49.735
Page 50
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO ESPONJOSO R/C 4,0 X 14 R16 206.014 3270182 38.769 38.769 38.769
InsumosTORNILLO ESPONJOSO R/C 4,0 X 20 R16 206.20 3270102 39.813 39.813 39.813
InsumosTORNILLO ESPONJOSO R/L 4 0 X 14 R32 206.014 3270092 31.383 31.383 31.383
InsumosTORNILLO ESPONJOSO R/L 4 0 X 16 R32 206.016 3270093 32.048 32.048 32.048
InsumosTORNILLO ESPONJOSO R/L 4 0 X 18 R32 206.018 3270094 33.377 33.377 33.377
InsumosTORNILLO ESPONJOSO R/L 4 0 X 20 R32 206.020 3270095 34.110 34.110 34.110
InsumosTORNILLO ESPONJOSO R/L 4 0 X 26 R32 206.026 3270244 37.110 37.110 37.110
InsumosTORNILLO ESPONJOSO R/L 4 0 X 50 R32 206.050 3270100 69.115 69.115 69.115
InsumosTORNILLO ESPONJOSO R/L 4,0 X 12 R32 206.12 3270091 29.954 29.954 29.954
InsumosTORNILLO ESPONJOSO R/L 4,0 X 22 R32 206.022 3270255 29.528 29.528 29.528
InsumosTORNILLO ESPONJOSO R/L 4,0 X 24 R32 206.024 3270226 36.446 36.446 36.446
InsumosTORNILLO ESPONJOSO R/L 4,0 X 30 R32 206.30 3270096 39.172 39.172 39.172
InsumosTORNILLO ESPONJOSO R/L 4,0 X 35 R32 206.35 3270097 50.050 50.050 50.050
InsumosTORNILLO ESPONJOSO R/L 4,0 X 40 R32 206.40 3270098 53.211 53.211 53.211
InsumosTORNILLO ESPONJOSO R/L 4,0 X 45 R32 206.45 3270099 65.385 65.385 65.385
InsumosTORNILLO ESPONJOSO R/L 4,0 X 55 R32 206.055 3270283 60.986 60.986 60.986
InsumosTORNILLO ESPONJOSO R/L 6 5 X 50 217.050 3270272 55.685 55.685 55.685
InsumosTORNILLO ESPONJOSO R/L 4 0 X 16MM 206.016 3270293 41.807 41.807 41.807
InsumosTORNILLO ESPONJOSO D.4 L30/14 MM (207.030) 3279143 34.361 34.361 34.361
InsumosTORNILLO SHANZ KX 348 3270551 60.083 60.083 60.083
InsumosTORNILLO SHANZ KX 368 3270552 60.083 60.083 60.083
InsumosTORNILLO SHANZ KX 372 3270132 59.706 59.706 59.706
InsumosTORNILLO SHANZ KX 375 3270553 60.083 60.083 60.083
InsumosTORNILLO SHANZ KX 377-S 3270131 54.978 54.978 54.978
InsumosTORNILLO SHANZ 294.300 3270028 82.247 82.247 82.247
InsumosTORNILLO ( OR-04-GP432 ) 3290501 420.516 420.516 420.516
InsumosTORNILLO 1.2 X 16MM CORTICAL APTUS HAND REF. A-5100.16/1 3280127 57.177 57.177 57.177
InsumosTORNILLO 1.2 X 8MM CORTICAL APTUS HAND REF. A-5100.08/1 3270863 57.177 57.177 57.177
InsumosTORNILLO 1.2 X 9MM CORTICAL APTUS HAND REF. A-5100.09/1 3270937 57.177 57.177 57.177
InsumosTORNILLO 1.2X10MM A-5100.10/1 3270936 57.177 57.177 57.177
InsumosTORNILLO 1.5 X 10MM BLOQUEO APTUS HAND REF. A-5250.10/1 3900490 114.354 114.354 114.354
InsumosTORNILLO 1.5 X 10MM CORTICAL APTUS HAND REF. A-5200.10/1 3280117 39.837 39.837 39.837
InsumosTORNILLO 1.5 X 11MM BLOQUEO APTUS HAND REF. A-5250.11/1 3900491 114.354 114.354 114.354
InsumosTORNILLO 1.5 X 11MM CORTICAL APTUS HAND REF. A-5200.11/1 3280065 34.306 34.306 34.306
InsumosTORNILLO 1.5 X 12MM BLOQUEO APTUS HAND REF. A-5250.12/1 3900492 114.354 114.354 114.354
InsumosTORNILLO 1.5 X 12MM CORTICAL APTUS HAND REF. A-5200.12/1 3280063 39.837 39.837 39.837
InsumosTORNILLO 1.5 X 13MM CORTICAL APTUS HAND REF. A-5200.13/1 3280064 34.306 34.306 34.306
InsumosTORNILLO 1.5 X 14MM CORTICAL APTUS HAND REF A-5200.14/1 3979610 153.506 153.506 153.506
InsumosTORNILLO 1.5 X 16MM CORTICAL APTUS HAND REF. A-5200.16/1 3280066 39.837 39.837 39.837
InsumosTORNILLO 1.5 X 6MM BLOQUEO APTUS HAND REF. A-5250.06/1 3900487 114.354 114.354 114.354
InsumosTORNILLO 1.5 X 7MM BLOQUEO APTUS HAND REF. A-5250.07/1 3900488 114.354 114.354 114.354
InsumosTORNILLO 1.5 X 9MM BLOQUEO APTUS HAND REF. A-5250.09/1 3900489 114.354 114.354 114.354
InsumosTORNILLO 2.0 X 10MM BLOQUEO APTUS HAND REF. A-5450.10/1 3270877 358.830 358.830 358.830
InsumosTORNILLO 2.0 X 10MM CORTICAL APTUS HAND REF. A-5400.10/1 3270858 47.648 47.648 47.648
InsumosTORNILLO 2.0 X 11MM CORTICAL APTUS HAND REF. A-5400.11/1 3270986 47.648 47.648 47.648
InsumosTORNILLO 2.0 X 12MM BLOQUEO APTUS HAND REF. A-5450.12/1 3270861 186.591 186.591 186.591
InsumosTORNILLO 2.0 X 12MM CORTICAL APTUS AND REF. A-5400.12/1 3979523 47.648 47.648 47.648
InsumosTORNILLO 2.0 X 12MM CORTICAL APTUS HAND REF. A-5400.12/1 3270859 85.085 85.085 85.085
InsumosTORNILLO 2.0 X 13MM BLOQUEO APTUS HAND REF. A-5450.13/1 3270862 186.591 186.591 186.591
InsumosTORNILLO 2.0 X 13MM CORTICAL APTUS HAND REF. A-5400.13/1 3270985 55.084 55.084 55.084
InsumosTORNILLO 2.0 X 14MM BLOQUEO APTUS HAND (REF. A-540.14/1) 3279623 358.830 358.830 358.830
InsumosTORNILLO 2.0 X 14MM CORTICAL APTUS HAND REF. A-5400.14/1 3270874 55.084 55.084 55.084
InsumosTORNILLO 2.0 X 15MM CORTICAL APTUS HAND REF. A-5400.15/1 3270907 55.084 55.084 55.084
InsumosTORNILLO 2.0 X 16MM CORTICAL APTUS HAND REF. A-5400.16/1 3270875 55.084 55.084 55.084
InsumosTORNILLO 2.0 X 18MM CORTICAL APTUS HAND REF. A-5400.18/1 3270908 47.648 47.648 47.648
InsumosTORNILLO 2.0 X 18MM CORTICAL APTUS HAND REF. A-5400.18/1 3979522 47.648 47.648 47.648
InsumosTORNILLO 2.0 X 20MM CORTICAL APTUS HAND REF. A-5400.20/1 3979438 55.084 55.084 55.084
InsumosTORNILLO 2.0 X 22MM CORTICAL APTUS HAND REF. A-5400.22/1 3270860 47.648 47.648 47.648
InsumosTORNILLO 2.0 X 6MM BLOQUEO APTUS (REF. A-5450.06/1) 3979453 358.830 358.830 358.830
InsumosTORNILLO 2.0 X 7MM BLOQUEO APTUS HAND (REF. A-5450.07/1) 3979454 358.830 358.830 358.830
InsumosTORNILLO 2.0 X 8MM BLOQUEO APTUS REF A-5450.08/1 REF A-5450.08/1 3279542 186.591 186.591 186.591
InsumosTORNILLO 2.0 X 9MM BLOQUEO APTUS REF. A-5450.09/1 3270949 186.591 186.591 186.591
InsumosTORNILLO 2.3 X 12MM CORTICAL APTUS REF. A-5500.12/1 3900502 47.648 47.648 47.648
InsumosTORNILLO 2.3 X 14MM CORTICAL APTUS REF. A-5500.14/1 3900500 55.084 55.084 55.084
InsumosTORNILLO 2.3 X 16MM CORTICAL APTUS REF. A-5500.16/1 3900499 47.648 47.648 47.648
InsumosTORNILLO 2.3 X 18MM CORTICAL APTUS REF. A-5500.18/1 3900501 55.084 55.084 55.084
InsumosTORNILLO 2.5 X 12MM BLOQUEO APTUS MUÑECA REF. A-5750.12/1 3279381 171.531 171.531 171.531
InsumosTORNILLO 2.5 X 12MM CORTICAL APTUS MUÑECA DORADO REF. A-5700.12/1 3279379 47.648 47.648 47.648
InsumosTORNILLO 2.5 X 16MM BLOQUEO APTUS MUÑECA REF. A-5750.16/1 3279382 171.531 171.531 171.531
Page 51
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO 2.5 X 22MM CORTICAL APTUS MUÑECA DORADO REF. A-5700.22/1 3279380 47.648 47.648 47.648
InsumosTORNILLO 2.7 X 18 NO BLOQUEADO REF 7382-3018 3279556 76.534 76.534 76.534
InsumosTORNILLO 2.7 X 22MM VLP CORTICAL AUTORROSCANTE REF. 71823022 3279594 53.969 53.969 53.969
InsumosTORNILLO 3.0 X 22MM CANULADO ROSCA 5MMMEDARTIS REF. A-5880.22/1 3900495 579.395 579.395 579.395
InsumosTORNILLO 3.0 X 25MM CANULADO ROSCA 5MMMEDARTIS REF. A-5880.23/1 3900496 579.395 579.395 579.395
InsumosTORNILLO 3.5 X 14MM VLP BLOQUEO AUTORROSCANTE REF. 71821214 3270913 117.877 117.877 117.877
InsumosTORNILLO 3.5 X 14MM VLP CORTICAL AUTORROSCANTE REF. 71821314 3279585 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 16MM VLP AUTORROSCANTE REF. 71821316 3279582 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 16MM VLP BLOQUEO AUTORROSCANTE REF. 71821216 3270914 117.877 117.877 117.877
InsumosTORNILLO 3.5 X 18 MM VLP CORTICAL AUTORROSC. REF. 71821318 3979556 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 18MM VLP BLOQ AUTORROSCANTE REF. 71821218 3270930 117.877 117.877 117.877
InsumosTORNILLO 3.5 X 20MM BLOQUEADO PERILOC AUTORROSCANT. REF. 73825020 3270855 142.551 142.551 142.551
InsumosTORNILLO 3.5 X 22MM BLOQUEADO PERILOCAUTORROSCANT. REF 73825022 3270892 142.551 142.551 142.551
InsumosTORNILLO 3.5 X 22MM VLP CORTICAL AUTORROSCANTE REF. 71821322 3279545 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 26MM VLP CORTICAL AUTORR REF. 71821326 3270931 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 28MM BLOQUEADO PERILOC AUTORROSC REF. 73825028 3279483 142.551 142.551 142.551
InsumosTORNILLO 3.5 X 28MM VLP CORTICAL AUTORROSCANTE REF. 71821328 3270932 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 30 MM VLP CORTICAL AUTORROSC. REF. 71821330 3979557 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 32MM BLOQUEADO PERILOC AUTORROSCANT REF. 73825032 3279484 142.551 142.551 142.551
InsumosTORNILLO 3.5 X 36MM BLOQUEADO PERILOC AUTORROSC REF. 73825036 3279485 142.551 142.551 142.551
InsumosTORNILLO 3.5 X 36MM VLP CORTICAL AUTORROSCANTE REF. 71821336 3330067 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 38 MM BLOQUADO PERILOC AUTORROSC. REF. 73825038 3279514 142.551 142.551 142.551
InsumosTORNILLO 3.5 X 42MM VLP CORTICAL AUTORROSCANTE REF. 71821342 3330066 53.969 53.969 53.969
InsumosTORNILLO 3.5 X 46MM CORTICAL PERILOC AUTORROSC REF. 73824046 3279415 43.317 43.317 43.317
InsumosTORNILLO 3.5 X 48MM CORTICAL PERILOC AUTORROSC REF. 73824048 3279416 43.317 43.317 43.317
InsumosTORNILLO 3.5 X 50MM CORTICAL AUTORROSC. REF. 73824050 3279417 43.317 43.317 43.317
InsumosTORNILLO 3.5 X 55MM CORTICAL PERILOC AUTORROSC REF. 73824055 3279418 43.317 43.317 43.317
InsumosTORNILLO 3.5 X 60MM CORTICAL PERILOC AUTORROSC REF. 73824060 3279419 43.317 43.317 43.317
InsumosTORNILLO 3.5 X 70MM VLP BLOQUEO AUTORROSCANTE REF. 71821270 3330065 117.877 117.877 117.877
InsumosTORNILLO 3.5 X 8MM VLP BLOQUEO AUTORROSCANTE REF. 71821208 3279577 117.877 117.877 117.877
InsumosTORNILLO 3.5X 77MM VLP BLOQUEO AUTORROSCANTE REF 71821275 3330064 117.877 117.877 117.877
InsumosTORNILLO 3.5X34 MM.BLOQ.PERILOC AUTORR. 73825034 3270911 142.551 142.551 142.551
InsumosTORNILLO 3.5X55MM VLP CORTICAL AUTORROSC. REF. 71821355 3330063 53.969 53.969 53.969
InsumosTORNILLO 4 * 15 MM LB 555 3270036 92.779 92.779 92.779
InsumosTORNILLO 4*16 MM LB556 3270037 92.779 92.779 92.779
InsumosTORNILLO 4.0 X 11MM ESPONJOSO PERILOC R COMPLETA REF. 73825222 3279586 88.386 88.386 88.386
InsumosTORNILLO 4.0 X 30 MMESPONJOSO PERILOC R PARC. REF. 73825330 3979558 106.075 106.075 106.075
InsumosTORNILLO 4.0 X 45MM ESPONJOSO PERILOC R. PARCIAL REF. 73825345 3270915 106.075 106.075 106.075
InsumosTORNILLO 4.0 X 50MM ESPONJOSO PERILOC R. PARCIAL REF. 73825350 3270916 106.075 106.075 106.075
InsumosTORNILLO 4.0X30MM ESPONJOSO PERIL. R.COMPLETA 73825230 3270912 88.386 88.386 88.386
InsumosTORNILLO 4.5 X 26MM CORTICAL PERI LOC AUTORROSC. REF. 73826026 3279390 31.686 31.686 31.686
InsumosTORNILLO 4.5 X 30MM CORTICAL PERI LOC. AUTORROSCANTE REF. 73826030 3279391 31.686 31.686 31.686
InsumosTORNILLO 4.5 X 32MM CORTICAL PERI LOC AUTORR REF. 73826032 3279392 31.686 31.686 31.686
InsumosTORNILLO 4.5 X 36MM CORTICAL PERI LOC AUTORROSC REF. 73826036 3279393 31.686 31.686 31.686
InsumosTORNILLO 4.5 X 44MM CORTICAL PERI LOC AUTORROSC REF. 73826044 3279394 31.686 31.686 31.686
InsumosTORNILLO 4.5 X 46MM CORTICAL PERI LOC. AUTORROSC REF. 73826046 3279395 31.686 31.686 31.686
InsumosTORNILLO 4.5 X 48MM BLOQUEADO PERI LOC AUTORROS REF. 73827048 3279574 198.793 198.793 198.793
InsumosTORNILLO 4.5 X 68MM BLOQUEADO PERI LOC AUTORROSC REF. 73827068 3279575 198.793 198.793 198.793
InsumosTORNILLO 4.5X46MM BLOQ PERI LOC AUTORR REF. 73827046 3279431 198.793 198.793 198.793
InsumosTORNILLO 4.5X60MM CORTICAL PERI LOC AUTORR REF. 73826060 3279430 31.686 31.686 31.686
InsumosTORNILLO 4MM * 1.6 * PROMEDIKA 3270375 85.255 85.255 85.255
InsumosTORNILLO 5.0 X 12MM VLP ESPONJOSO ROSCA COMPLETA REF. 71822012 3279557 53.969 53.969 53.969
InsumosTORNILLO 5.0 X 16MM VLP ESPONJOSO ROSCA COMPLETA OST REF 71822016 3279561 53.969 53.969 53.969
InsumosTORNILLO 5.0 X 18MM VLP ESPONJOSO ROSCA COMPLETA REF. 71822018 3279558 518.937 518.937 518.937
InsumosTORNILLO 5.0 X 20MM VLP ESPONJOSO ROSCA COMPLETA OST REF. 71822020 3279559 53.969 53.969 53.969
InsumosTORNILLO 5.0 X 22MM VLP ESPONJOSO ROSCA COMPLETA OST REF. 71822022 3279581 53.969 53.969 53.969
InsumosTORNILLO 5.0 X 30MM VLP ESPONJOSO ROSCA PARCIAL OSTEO REF. 71821130 3279583 142.381 142.381 142.381
InsumosTORNILLO 5.0 X 34MM VLP ESPONJOSO ROSCA COMPLETA OST REF. 71822034 3279560 53.969 53.969 53.969
InsumosTORNILLO 5.0MM X 26MM REF.14-405026 3700451 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 28MM REF. 14-405028 3279374 73.658 73.658 73.658
InsumosTORNILLO 5.0MM X 30MM REF. 14-405030 3279375 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 34MM REF. 14-405034 3279371 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 36MM 14-405036 3279271 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 36MM 14-405036 3279275 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 38MM 14-405038 3279272 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 40MM REF. 14-405040 3279437 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 44MM REF. 14-405044 3279597 71.812 71.812 71.812
InsumosTORNILLO 5.0MM X 60 MM 14-405060 3279270 71.812 71.812 71.812
InsumosTORNILLO 5.0X60MM VLP ESPONJOSO ROSCA COMPLETA REF. 71822060 3330062 53.969 53.969 53.969
Page 52
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO 5.7X70MM CANULADO BLOQ PERI LOC REF. 71828070 3279428 188.957 188.957 188.957
InsumosTORNILLO 5.7X75MM CANULADO BLOQ PERI LOC REF. 71828075 3279429 188.957 188.957 188.957
InsumosTORNILLO 6.5X30 ( REF-62500653) 3270422 106.088 106.088 106.088
InsumosTORNILLO 6.5X35 (REF-62500653) 3270423 107.630 107.630 107.630
InsumosTORNILLO 65X35 WPO6535 ( COD. 12G084 ) 3700438 370.120 370.120 370.120
InsumosTORNILLO 65X40 WPO6540 ( COD 13G200 ) 3700437 370.120 370.120 370.120
InsumosTORNILLO 7.5 X 40 WPO7540 3700543 370.120 370.120 370.120
InsumosTORNILLO ACETAB 6.5X 25MM REF. 103532 3279303 103.387 103.387 103.387
InsumosTORNILLO ACETABULAR 3280005 168.146 168.146 168.146
InsumosTORNILLO AO CORTICAL 4.5 X 14MM LA-114 214.014 3279045 30.009 30.009 30.009
InsumosTORNILLO AO CORTICAL 4.5 X 16MM LA-116 214.016 3279046 30.009 30.009 30.009
InsumosTORNILLO AO CORTICAL 4.5 X 18MM LA-118 214.018 3279047 31.704 31.704 31.704
InsumosTORNILLO AO CORTICAL 4.5 X 22MM 214.022 3279048 32.025 32.025 32.025
InsumosTORNILLO AO CORTICAL 4.5 X 30MM LA-130 214.030 3279065 31.383 31.383 31.383
InsumosTORNILLO AO CORTICAL 4.5 X 32MM LA-132 214.032 3279049 34.110 34.110 34.110
InsumosTORNILLO AO CORTICAL 4.5 X 40MM LA-140 214.040 3279051 15.247 15.247 15.247
InsumosTORNILLO AO CORTICAL 4.5 X 42MM LA-142 214.042 3279052 13.784 13.784 13.784
InsumosTORNILLO AO CORTICAL 4.5 X 56MM LA-156 214.056 3279058 44.257 44.257 44.257
InsumosTORNILLO AO CORTICAL 4.5 X 70 MM LA-170 214.070 3279061 63.932 63.932 63.932
InsumosTORNILLO AO CORTICAL 4.5 X 36MM 214.036 3270001 36.102 36.102 36.102
InsumosTORNILLO AO ESPONJOSO 6 0 X 80MM R32 LA-382 3270580 42.718 42.718 42.718
InsumosTORNILLO AO ESPONJOSO 6 5 X 65MM R32 LA376S 3270597 40.601 40.601 40.601
InsumosTORNILLO AO ESPONJOSO 6 5 X 70MM R16 3270598 39.584 39.584 39.584
InsumosTORNILLO AO ESPONJOSO 6 5 X 75MM R32 LA380S 3270599 42.718 42.718 42.718
InsumosTORNILLO AO MALEOLAR 30MM ROSCA 32 3700417 35.736 35.736 35.736
InsumosTORNILLO AO MALEOLAR 35MM (REF. 215.035 CONFIRMAR) 3700413 26.325 26.325 26.325
InsumosTORNILLO AO MALEOLAR 35MM ROSCA 32 3700418 35.736 35.736 35.736
InsumosTORNILLO AO MALEOLAR 55MM (REF. 215.035 CONFIRMAR) 3700414 33.345 33.345 33.345
InsumosTORNILLO AO MALEOLAR 90MM ROSCA 32 (REF. 215.035 CONFIRMAR) 3700415 36.085 36.085 36.085
InsumosTORNILLO AO MALEOLAR 95MM ROSCA 32 (REF. 215.035 CONFIRMAR) 3700416 36.850 36.850 36.850
InsumosTORNILLO ARTHROTEX 3270145 179.100 179.100 179.100
InsumosTORNILLO ARTHROTEX REF.909670 3270146 179.100 179.100 179.100
InsumosTORNILLO ARTRHOTEX REF.905612 3270144 271.536 271.536 271.536
InsumosTORNILLO AUTOPERF. 1.5 X 4MM 205117904 3270042 41.359 41.359 41.359
InsumosTORNILLO AUTOROSC 2.0 * 7 MM 95-6207 3270013 46.284 46.284 46.284
InsumosTORNILLO AUTOROSC/PERF 2.0X4MM* 95-6204 3270281 46.284 46.284 46.284
InsumosTORNILLO AUTOROSCANTE 150/50MMX5MM 3270228 136.835 136.835 136.835
InsumosTORNILLO AUTOROSCANTE 18/50X 5MM 3270227 144.362 144.362 144.362
InsumosTORNILLO AUTORR. 1.8X5MM (95-1805) 3270822 26.131 26.131 26.131
InsumosTORNILLO AUTORR. 10X2.7MM 73822310 3270772 85.774 85.774 85.774
InsumosTORNILLO AUTORR. 12X2.7MM 73822312 3270773 96.069 96.069 96.069
InsumosTORNILLO AUTORR. 14X2.7MM 73822314 3270774 85.774 85.774 85.774
InsumosTORNILLO AUTORR. 18X3.5MM 73825018 3270778 137.069 137.069 137.069
InsumosTORNILLO AUTORR. 2 3X5MM 91-2305 3270205 32.976 32.976 32.976
InsumosTORNILLO AUTORR. C/PERF.1.5X4MM (91-6104) 3270820 22.889 22.889 22.889
InsumosTORNILLO AUTORR.4.5MMX36MM (73826036) 3279263 31.686 31.686 31.686
InsumosTORNILLO AUTORROS. 1 5X 13MM 95-1513 3270289 47.407 47.407 47.407
InsumosTORNILLO AUTORROSC 1.7*5 MM 205117905 3270019 67.976 67.976 67.976
InsumosTORNILLO AUTORROSC. 1.8 X 5MM 95-1805 3270262 58.198 58.198 58.198
InsumosTORNILLO AUTORROSCANTE 1 5 X 11MM * 95-1511 3270323 45.153 45.153 45.153
InsumosTORNILLO AUTORROSCANTE 1 5 X 4MM * 95-6104 3270321 54.935 54.935 54.935
InsumosTORNILLO AUTORROSCANTE 1 5 X 6MM * 95-6106 3270322 41.359 41.359 41.359
InsumosTORNILLO AUTORROSCANTE 1.5*9 MM 95-1509 3270008 47.407 47.407 47.407
InsumosTORNILLO AUTORROSCANTE 1.5X15MM 951515 3270258 43.001 43.001 43.001
InsumosTORNILLO AUTORROSCANTE 1.5X5MM 91-6105X 3270259 54.935 54.935 54.935
InsumosTORNILLO AUTORROSCANTE 1.7X4MM 205281704 3270153 66.775 66.775 66.775
InsumosTORNILLO AUTORROSCANTE 2* 5 MM 95-6205 3270012 46.284 46.284 46.284
InsumosTORNILLO AUTORROSCANTE 2.0X13MM 95-2013 3270260 44.081 44.081 44.081
InsumosTORNILLO AUTORROSCANTE 2.0X19MM 95-2019 3270261 94.374 94.374 94.374
InsumosTORNILLO BIOABS LACOSORB 9X25 905617 3279108 242.237 242.237 242.237
InsumosTORNILLO BIOABS LACTOSORB 7X25 REF-905613 3270959 120.731 120.731 120.731
InsumosTORNILLO BIOABS LACTOSORB 8X20 905614 3279231 120.731 120.731 120.731
InsumosTORNILLO BIOABS LACTOSORB 8X25 REF. 905615 3279131 193.790 193.790 193.790
InsumosTORNILLO BIOABS LACTOSORB 9X35 ( 905627 ) 3279095 242.237 242.237 242.237
InsumosTORNILLO BIOABS REUNIT 2.5 X 21 MM ( 948508 ) 3279096 198.981 198.981 198.981
InsumosTORNILLO BIOABS REUNIT 2.5 X 23 ( 948509 ) 3279097 198.981 198.981 198.981
InsumosTORNILLO BIOABS. 2,5X25 ROSCA COMPL. 3270163 134.557 134.557 134.557
InsumosTORNILLO BIOABS. 3.5MM CANULADO 20MM 3270218 151.315 151.315 151.315
InsumosTORNILLO BIOABS. 3.5MM CANULADO 24MM 3270219 151.315 151.315 151.315
Page 53
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO BIOABS. LACTOSORB 10X 25 905620 3270170 243.555 243.555 243.555
InsumosTORNILLO BIOABS. LACTOSORB 9X20 ( REF-905616) 3270433 145.342 145.342 145.342
InsumosTORNILLO BIOABS.2.0X15MM* 948495 3270297 146.550 146.550 146.550
InsumosTORNILLO BIOABS.2.0X17MM* 948496 3270298 146.550 146.550 146.550
InsumosTORNILLO BIOABS.LACTOSORB 7X20 (905612) 3270618 288.502 288.502 288.502
InsumosTORNILLO BIOABSORB. LACTOSORB 3270167 243.555 243.555 243.555
InsumosTORNILLO BLOQ D.3.5 AUTORROSC. L28 TAN REF. 412.110 3270785 263.436 263.436 263.436
InsumosTORNILLO BLOQ D.3.5 AUTORROSC. L2860AN REF. 412.124 3270788 263.436 263.436 263.436
InsumosTORNILLO BLOQ D.3.5 AUTORROSC. L45 TAN REF. 412.119 3270786 263.436 263.436 263.436
InsumosTORNILLO BLOQ D.3.5 AUTORROSC. L50 TAN REF. 412.121 3270787 263.436 263.436 263.436
InsumosTORNILLO BLOQ. LCP 3.5MMX16MM AUT.(REF-412.104) 3270440 193.761 193.761 193.761
InsumosTORNILLO BLOQ. 4.9X100REF.259960 3700320 33.694 33.694 33.694
InsumosTORNILLO BLOQ. 4.9X26REF.259260 3700300 21.952 21.952 21.952
InsumosTORNILLO BLOQ. 4.9X28REF.259280 3700301 21.952 21.952 21.952
InsumosTORNILLO BLOQ. 4.9X30REF.259300 3700302 21.952 21.952 21.952
InsumosTORNILLO BLOQ. 4.9X32REF.259320 3700303 21.952 21.952 21.952
InsumosTORNILLO BLOQ. 4.9X34REF.259340 3700304 21.952 21.952 21.952
InsumosTORNILLO BLOQ. 4.9X42REF.259340 3700305 21.952 21.952 21.952
InsumosTORNILLO BLOQ. 4.9X44REF.259440 3700306 21.952 21.952 21.952
InsumosTORNILLO BLOQ. 4.9X48REF.259480 3700307 23.143 23.143 23.143
InsumosTORNILLO BLOQ. 4.9X52REF.259520 3700308 23.143 23.143 23.143
InsumosTORNILLO BLOQ. 4.9X54REF.259540 3700309 23.143 23.143 23.143
InsumosTORNILLO BLOQ. 4.9X58REF.259580 3700310 23.143 23.143 23.143
InsumosTORNILLO BLOQ. 4.9X60REF.259600 3700311 23.143 23.143 23.143
InsumosTORNILLO BLOQ. 4.9X64REF.259640 3700312 23.143 23.143 23.143
InsumosTORNILLO BLOQ. 4.9X68REF.259680 3700313 23.143 23.143 23.143
InsumosTORNILLO BLOQ. 4.9X72REF.259720 3700314 23.313 23.313 23.313
InsumosTORNILLO BLOQ. 4.9X76REF.259760 3700315 33.694 33.694 33.694
InsumosTORNILLO BLOQ. 4.9X80REF.259800 3700316 33.694 33.694 33.694
InsumosTORNILLO BLOQ. 4.9X85REF.259850 3700317 33.694 33.694 33.694
InsumosTORNILLO BLOQ. 4.9X90REF.259900 3700318 33.694 33.694 33.694
InsumosTORNILLO BLOQ. 4.9X95REF.259950 3700319 33.694 33.694 33.694
InsumosTORNILLO BLOQ. ESPONJOSO P/CLAVO HUMERAL 5.0X30MM REF. 3270849 114.167 114.167 114.167
InsumosTORNILLO BLOQ. REF. 412.106 3279183 179.921 179.921 179.921
InsumosTORNILLO BLOQ.AUTORR. 3.5MMX42MM (73825042) 3279268 127.279 127.279 127.279
InsumosTORNILLO BLOQ.AUTORR.(73827050) 3279280 177.496 177.496 177.496
InsumosTORNILLO BLOQ.CORTICAL P/CLAVO HUMERAL 4.0X20 MM REF. 71754020 3270848 74.705 74.705 74.705
InsumosTORNILLO BLOQUE DISTAL 5.0X42.5MM REF. 17965042S 3270903 81.341 81.341 81.341
InsumosTORNILLO BLOQUEADO 2.7MM 16MM REF. 131827316 3280108 89.646 89.646 89.646
InsumosTORNILLO BLOQUEADO 1.5X1MM REF-131220410 3700426 78.322 78.322 78.322
InsumosTORNILLO BLOQUEADO 2.7MM 12MM (REF. 131227112) 3279618 95.870 95.870 95.870
InsumosTORNILLO BLOQUEADO 2.7MM 14MM (REF. 131227114) 3279455 95.870 95.870 95.870
InsumosTORNILLO BLOQUEADO 2.7MM 16MM (REF. 131227116) 3279619 95.870 95.870 95.870
InsumosTORNILLO BLOQUEADO 2.7MM 18MM (REF. 131227118) 3279620 95.870 95.870 95.870
InsumosTORNILLO BLOQUEADO 2.7MM 20MM (REF 131227120) 3279456 95.870 95.870 95.870
InsumosTORNILLO BLOQUEADO 2.7MM 22MM (REF 131227122) 3279457 95.870 95.870 95.870
InsumosTORNILLO BLOQUEADO 2.7MM 24MM (REF 131227124) 3279458 95.870 95.870 95.870
InsumosTORNILLO BLOQUEADO 2.7MMX 24MM REF-131827124 3279454 45.320 45.320 45.320
InsumosTORNILLO BLOQUEADO 22" 2.7X22 REF. 52-27622 3331012 34.034 34.034 34.034
InsumosTORNILLO BLOQUEADO 3.5 MM X 38MM REF 37738 3270991 58.237 58.237 58.237
InsumosTORNILLO BLOQUEADO 3.5MM X 14MM REF. 37714 3279537 51.286 51.286 51.286
InsumosTORNILLO BLOQUEADO 3.5MM X 32MM ( R-36732) 3279518 49.313 49.313 49.313
InsumosTORNILLO BLOQUEADO 3.5MM X 34MM ( R-37734) 3279075 70.788 70.788 70.788
InsumosTORNILLO BLOQUEADO 3.5MM X 36MM (R-37736) 3279076 70.788 70.788 70.788
InsumosTORNILLO BLOQUEADO 3.5MM X 40MM REF. 37740 3279538 58.237 58.237 58.237
InsumosTORNILLO BLOQUEADO 3.5MM X 48MM 3279078 70.788 70.788 70.788
InsumosTORNILLO BLOQUEADO 3.5MM X 52MM REF 37752 3270992 55.700 55.700 55.700
InsumosTORNILLO BLOQUEADO AUTORR 4.5MM 30 (73827030) 3279251 222.242 222.242 222.242
InsumosTORNILLO BLOQUEADO AUTORR 4.5MM 32 (73827032) 3279252 218.456 218.456 218.456
InsumosTORNILLO BLOQUEADO AUTORR 4.5MM 34 (73827034) 3279253 227.194 227.194 227.194
InsumosTORNILLO BLOQUEADO AUTORROSCANTE 80 REF. 73827080 3279223 227.194 227.194 227.194
InsumosTORNILLO BLOQUEADO AUTORROSCANTE REF. 73827076 3279222 227.194 227.194 227.194
InsumosTORNILLO BLOQUEADO SQ 2.7MM 14MM STE REF. 131827114 3290843 45.320 45.320 45.320
InsumosTORNILLO BLOQUEADO SQ 2.7MM 22MM STE REF. 131827122 3279450 45.320 45.320 45.320
InsumosTORNILLO BLOQUEADO SQ. 2.7MM 10MM STE REF. 131827110 3280104 45.320 45.320 45.320
InsumosTORNILLO BLOQUEADO SQ. 2.7MM 12MM STE REF. 131827112 3280105 45.320 45.320 45.320
InsumosTORNILLO BLOQUEO 4 5 MMX36 73827036 3700285 218.456 218.456 218.456
InsumosTORNILLO BLOQUEO 1.5X11MM REF-131220411 3700427 78.322 78.322 78.322
InsumosTORNILLO BLOQUEO 1.5X12MM REF-131220412 3700428 78.322 78.322 78.322
Page 54
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO BLOQUEO 2 5 L18 AUTORROSCANT REF. SK-2522-18-2 3279202 88.488 88.488 88.488
InsumosTORNILLO BLOQUEO 2 5 L22 3279203 88.488 88.488 88.488
InsumosTORNILLO BLOQUEO 2 5 L24 AUTORROSCANTE REF.SK-2522-24-2 3279204 88.488 88.488 88.488
InsumosTORNILLO BLOQUEO 2.5 L14 AUTORROSC REF. SK-2522-14-2 3279176 170.170 170.170 170.170
InsumosTORNILLO BLOQUEO 2.5 L16 AUTORROSCADO SK 2522-24-2 3279191 88.488 88.488 88.488
InsumosTORNILLO BLOQUEO 2.5 L22 AUTORROSC REF. SK-2522-22-2 3279177 170.170 170.170 170.170
InsumosTORNILLO BLOQUEO 2.5 L26 AUTORROSCADO SK 2522-26-2 3279188 110.611 110.611 110.611
InsumosTORNILLO BLOQUEO 2.5L 18 AUTORROSCANTE REF. SK 2522-18-2 3279196 88.488 88.488 88.488
InsumosTORNILLO BLOQUEO 26 REF. 371526 3270869 51.051 51.051 51.051
InsumosTORNILLO BLOQUEO 26 REF. 371530 3270868 51.051 51.051 51.051
InsumosTORNILLO BLOQUEO 3 5 MM X 20 MM (100-0040-020ST) 3279147 131.947 131.947 131.947
InsumosTORNILLO BLOQUEO 3 5 MM X18 MM (100-0040-018ST) 3279146 117.810 117.810 117.810
InsumosTORNILLO BLOQUEO 3.5MM X 44MM 37744 3270804 55.700 55.700 55.700
InsumosTORNILLO BLOQUEO 3.5MMX 48MM 37748 3270806 55.700 55.700 55.700
InsumosTORNILLO BLOQUEO 3.5MMX26MM 37726 3270801 55.700 55.700 55.700
InsumosTORNILLO BLOQUEO 3.5MMX28MM 37728 3270802 58.237 58.237 58.237
InsumosTORNILLO BLOQUEO 3.5MMX42MM 37742 3270803 58.237 58.237 58.237
InsumosTORNILLO BLOQUEO 36 REF. 371536 3270870 51.051 51.051 51.051
InsumosTORNILLO BLOQUEO 38 REF. 371538 3270871 51.051 51.051 51.051
InsumosTORNILLO BLOQUEO 4.5 MM X 38 73827038 3270790 227.194 227.194 227.194
InsumosTORNILLO BLOQUEO 4.5 MM X 64 73827064 3270791 218.456 218.456 218.456
InsumosTORNILLO BLOQUEO 4.5 MM X 70 73827070 3270792 382.293 382.293 382.293
InsumosTORNILLO BLOQUEO 40 REF. 3270872 3270872 51.051 51.051 51.051
InsumosTORNILLO BLOQUEO AUTOR.4 5MMX60 73827060 3700286 349.529 349.529 349.529
InsumosTORNILLO BLOQUEO AUTORR. (73827066) 3279281 177.496 177.496 177.496
InsumosTORNILLO BLOQUEO AUTORR. 3 5MMX10MM (73825010) 3270752 250.647 250.647 250.647
InsumosTORNILLO BLOQUEO AUTORR. 3.5 MM X 46MM (73825046) 3270766 150.388 150.388 150.388
InsumosTORNILLO BLOQUEO AUTORR. 4.9 X 46MM * 459.460 3270326 151.936 151.936 151.936
InsumosTORNILLO BLOQUEO AUTORR. 4.9 X 50MM * 459.500 3270329 158.376 158.376 158.376
InsumosTORNILLO BLOQUEO AUTORR. 4.9 X 56MM * 459.560 3270327 168.429 168.429 168.429
InsumosTORNILLO BLOQUEO AUTORR.(73825044) 3270765 150.388 150.388 150.388
InsumosTORNILLO BLOQUEO AUTORR.3 5MMX14MM (73825014) 3270754 165.618 165.618 165.618
InsumosTORNILLO BLOQUEO AUTORR.3 5MMX16MM (73825016) 3270755 250.647 250.647 250.647
InsumosTORNILLO BLOQUEO AUTORR.3 5MMX30MM (73825030) 3279236 162.921 162.921 162.921
InsumosTORNILLO BLOQUEO AUTORR.3 5MMX40MM (73825040) 3279237 156.655 156.655 156.655
InsumosTORNILLO BLOQUEO AUTORR.3.5MM X 50MM (73825050) 3270767 150.388 150.388 150.388
InsumosTORNILLO BLOQUEO AUTORR.D.3.4MM L36MM 462.436 3270797 76.683 76.683 76.683
InsumosTORNILLO BLOQUEO D 3.4 MM J.30MM ( 462.430 ) 3331007 79.750 79.750 79.750
InsumosTORNILLO BLOQUEO D.3.5 AUTORROSCANT L.50 ACER REF. 212.121 3279402 131.116 131.116 131.116
InsumosTORNILLO BLOQUEO D.3.5 AUTORROSCANT L.60 ACER REF. 212.124 3279403 131.116 131.116 131.116
InsumosTORNILLO BLOQUEO D.4.9 L.40MM REF 459.400 3270796 70.280 70.280 70.280
InsumosTORNILLO BLOQUEO LCP 3.5MM/30MM AUTOR. (REF-412.108) 3270403 193.761 193.761 193.761
InsumosTORNILLO BLOQUEO LCP 3.5MM26MM AUT.(REF-412.109) 3270404 193.761 193.761 193.761
InsumosTORNILLO BLOQUEO LCP 3.5MM30MM AUTOR.(412.111) 3270405 193.761 193.761 193.761
InsumosTORNILLO BLOQUEO LCP 3.5MM35MM AUTOR.(REF-412.114) 3270406 193.761 193.761 193.761
InsumosTORNILLO BLOQUEO LCP 3.5MM40MM AUTOR.(REF-412.117) 3270407 193.761 193.761 193.761
InsumosTORNILLO BLOQUEO LCP 5X30MM AUTORR * 412.209 3270187 400.004 400.004 400.004
InsumosTORNILLO BLOQUEO LCP 5X32MM AUTORR * 412.210 3270188 400.004 400.004 400.004
InsumosTORNILLO BLOQUEO LEGACY 5.5 REF.7540020 3279506 76.211 76.211 76.211
InsumosTORNILLO BLOQUEO STARDRIVE P / CLAVOS T * HELICO 3270324 263.894 263.894 263.894
InsumosTORNILLO BLOQUEO. D. 3.5 AUTORROSC L10 ACER REF. 212.101 3279408 131.116 131.116 131.116
InsumosTORNILLO BLOQUEO. D. 3.5 AUTORROSC L18 ACER REF. 212.105 3279409 131.116 131.116 131.116
InsumosTORNILLO BLOQUEO. D. 3.5 AUTORROSC L20 ACER REF. 212.106 3279410 131.116 131.116 131.116
InsumosTORNILLO BONE MUCH 10.5X35MM REF. 907335 3279397 210.635 210.635 210.635
InsumosTORNILLO BONE MULCH 10 5X20MM(907320) 3270617 300.042 300.042 300.042
InsumosTORNILLO BONE MULCH 10.5 X 25MM BIOMET 3270201 258.208 258.208 258.208
InsumosTORNILLO BONE MULCH 10.5X25MM 907325 3270631 324.053 324.053 324.053
InsumosTORNILLO BONE MULCH 10.5X30MM 907330 3279094 324.053 324.053 324.053
InsumosTORNILLO BONE MULCH CANULADO 25MM REF-908325 3270607 231.467 231.467 231.467
InsumosTORNILLO CANUL.A3.5 L 36/12 1/2ROSCA (205.036) 3270733 86.001 86.001 86.001
InsumosTORNILLO -CANULADO D. 7 L110/32 REF-209.110 3270989 192.587 192.587 192.587
InsumosTORNILLO CANULADO 3 5 X 14MM R-32 (205.214) 3270838 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3 5X16MM R32 (205.216) 3270837 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3 5X30MM R32 (205.230) 3270836 63.814 63.814 63.814
InsumosTORNILLO CANULADO 3 5X34MM R32 (205.234) 3270839 61.385 61.385 61.385
InsumosTORNILLO CANULADO 3.0 S/CABEZA L22/8 MM * 04.226.122 3270180 628.957 628.957 628.957
InsumosTORNILLO CANULADO 3.5X10CANULADOS ROSCA COMPLETAREF.205210 3700335 63.814 63.814 63.814
InsumosTORNILLO CANULADO 3.5X10REF.205010 3700321 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X12CANULADOS ROSCA COMPLETAREF.205212 3700336 58.709 58.709 58.709
Page 55
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO CANULADO 3.5X12REF.205012 3700322 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X14REF.205014 3700323 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X16REF.205016 3700324 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X18CANULADOS ROSCA COMPLETAREF.205218 3700337 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X18REF.205018 3700325 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X20CANULADOS ROSCA COMPLETAREF.205220 3700338 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X20REF.205020 3700326 40.500 40.500 40.500
InsumosTORNILLO CANULADO 3.5X22CANULADOS ROSCA COMPLETAREF.205222 3700339 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X22REF.205022 3700327 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X24CANULADOS ROSCA COMPLETAREF.205.224 3700340 61.385 61.385 61.385
InsumosTORNILLO CANULADO 3.5X24REF.205024 3700328 38.966 38.966 38.966
InsumosTORNILLO CANULADO 3.5X26CANULADOS ROSCA COMPLETAREF.205226 3700341 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X28CANULADOS ROSCA COMPLETAREF.205228 3700342 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X28REF.205028 3700329 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X30REF.205030 3700330 43.734 43.734 43.734
InsumosTORNILLO CANULADO 3.5X32CANULADOS ROSCA COMPLETAREF.205232 3700343 63.814 63.814 63.814
InsumosTORNILLO CANULADO 3.5X32REF.205032 3700331 37.267 37.267 37.267
InsumosTORNILLO CANULADO 3.5X36CANULADOS ROSCA COMPLETAREF.205236 3700344 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X38CANULADOS ROSCA COMPLETAREF.205238 3700345 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X42CANULADOS ROSCA COMPLETAREF.205242 3700346 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X42REF.205042 3700332 43.734 43.734 43.734
InsumosTORNILLO CANULADO 3.5X44CANULADOS ROSCA COMPLETAREF.205244 3700347 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X44REF.205.044 3700333 43.734 43.734 43.734
InsumosTORNILLO CANULADO 3.5X46CANULADOS ROSCA COMPLETAREF.205246 3700348 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X46REF.205046 3700334 38.390 38.390 38.390
InsumosTORNILLO CANULADO 3.5X48CANULADOS ROSCA COMPLETAREF.205248 3700349 58.709 58.709 58.709
InsumosTORNILLO CANULADO 3.5X50CANULADOS ROSCA COMPLETAREF.205250 3700350 58.709 58.709 58.709
InsumosTORNILLO CANULADO 4.0 X 50 MM * 729.50 3270377 409.390 409.390 409.390
InsumosTORNILLO CANULADO 4.5 ROSCA 14MM 214.442 3270311 148.931 148.931 148.931
InsumosTORNILLO CANULADO 4.5 ROSCA 17MM 214.452 3270310 161.125 161.125 161.125
InsumosTORNILLO CANULADO 4.5MM ROSCA 13MM 214.4 3270269 122.189 122.189 122.189
InsumosTORNILLO CANULADO 4.5MM ROSCA 15MM 214.4 3270270 126.999 126.999 126.999
InsumosTORNILLO CANULADO 7 * 75 MM ROSCA 16 ( 209.075) 3270263 177.042 177.042 177.042
InsumosTORNILLO CANULADO 7 * 90 MM ROSCA 16 3270264 70.823 70.823 70.823
InsumosTORNILLO CANULADO 7 X 70 REF. 209.070 3279256 108.228 108.228 108.228
InsumosTORNILLO CANULADO 7.0 X 40 REF. 208.040 3279358 96.258 96.258 96.258
InsumosTORNILLO CANULADO 7.0 X 65 R/32 209.065 3279259 108.228 108.228 108.228
InsumosTORNILLO CANULADO 7.0 X 70 ROSCA 16 208.070 3279258 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0 X 85 REF. 208.085 3279216 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0 X 90 REF. 208.090 3279215 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0*80 REF. 209.080 3279180 177.042 177.042 177.042
InsumosTORNILLO CANULADO 7.0MM R/16 MM L. 60MM (208.060) 3270625 192.397 192.397 192.397
InsumosTORNILLO CANULADO 7.0MM R/16MM L.65MM(208.065) 3270624 192.397 192.397 192.397
InsumosTORNILLO CANULADO 7.0X100IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2081003700359 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X100IMPLANTES CANULADOS 7.0MM ROSCA 43REF.209100 3700373 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X105IMPLANTES CANULADOS 7.0MM ROSCA 16 REF.208105 3700360 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X105IMPLANTES CANULADOS 7.0MM ROSCA 44REF.209105 3700374 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X110IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2081103700361 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X110IMPLANTES CANULADOS 7.0MM ROSCA 45REF.209110 3700375 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X115IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2081153700362 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X115IMPLANTES CANULADOS 7.0MM ROSCA 46REF.209115 3700376 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X120IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2081203700363 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X120IMPLANTES CANULADOS 7.0MM ROSCA 47REF.209120 3700377 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X125IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2081253700364 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X125IMPLANTES CANULADOS 7.0MM ROSCA 48REF.209125 3700378 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X130IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2081303700365 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X130IMPLANTES CANULADOS 7.0MM ROSCA 49REF.209130 3700379 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X30IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080303700351 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X35IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080353700352 96.258 96.258 96.258
InsumosTORNILLO CANULADO 7.0X45IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080453700353 96.258 96.258 96.258
InsumosTORNILLO CANULADO 7.0X45IMPLANTES CANULADOS 7.0MM ROSCA 32REF.209045 3700366 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X50IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080503700354 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X50IMPLANTES CANULADOS 7.0MM ROSCA 33REF.209050 3700367 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X55IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080553700355 100.145 100.145 100.145
InsumosTORNILLO CANULADO 7.0X55IMPLANTES CANULADOS 7.0MM ROSCA 34REF.209055 3700368 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X60IMPLANTES CANULADOS 7.0MM ROSCA 35REF.209060 3700369 100.145 100.145 100.145
InsumosTORNILLO CANULADO 7.0X75IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080753700356 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X80IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080803700357 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X85IMPLANTES CANULADOS 7.0MM ROSCA 40REF.209085 3700370 92.062 92.062 92.062
Page 56
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO CANULADO 7.0X90IMPLANTES CANULADOS 7.0MM ROSCA 41REF.209090 3700371 100.145 100.145 100.145
InsumosTORNILLO CANULADO 7.0X95IMPLANTES CANULADOS 7.0MM ROSCA 16 (CONSIGNACIÓN)REF.2080953700358 92.062 92.062 92.062
InsumosTORNILLO CANULADO 7.0X95IMPLANTES CANULADOS 7.0MM ROSCA 42REF.209095 3700372 92.062 92.062 92.062
InsumosTORNILLO CANULADO D. 3.5 L48/15 (205.048) 3270744 86.001 86.001 86.001
InsumosTORNILLO CANULADO D.3.5 L24/8 ACERO REF. 205024 3270811 37.267 37.267 37.267
InsumosTORNILLO CANULADO D.3.5 L26/8 ACERO REF. 205.026 3270812 37.267 37.267 37.267
InsumosTORNILLO CANULADO D.3.5 L50/16 (205.050) 3270745 86.001 86.001 86.001
InsumosTORNILLO CANULADO D.7 L30/16 ACERO REF. 208.030 3279423 94.836 94.836 94.836
InsumosTORNILLO CANULADO D.7 L35/16 ACERO REF. 208035 3279422 94.836 94.836 94.836
InsumosTORNILLO CANULADO L 65/ 32 MM 3279137 141.634 141.634 141.634
InsumosTORNILLO CANULADO L32 ROSCA32 DIAM. 3.5 REF. 205.232 3279452 61.385 61.385 61.385
InsumosTORNILLO CANULADO L38 ROSCA38 DIAM. 3.5 REF. 205.238 3279453 61.385 61.385 61.385
InsumosTORNILLO CANULADO L40 ROSCA32 DIAM. 3.5 REF. 205.240 3279198 61.385 61.385 61.385
InsumosTORNILLO CANULADO L60/ 32MM 3279136 141.634 141.634 141.634
InsumosTORNILLO CANULADO PEQ. 3.5X38MM ( 205.038) 3270620 86.001 86.001 86.001
InsumosTORNILLO CANULADO PEQ.3.5X40MM ( 205.040) 3270619 86.001 86.001 86.001
InsumosTORNILLO CANULADO R16 3.5 L34/11 205.034 3270865 59.723 59.723 59.723
InsumosTORNILLO CANULADO ROSCA PARCIAL 6.0MM X 50MM REF. 14-406050 3279372 186.222 186.222 186.222
InsumosTORNILLO CANULADO ROSCA PARCIAL 6.0MM X 55MM REF. 14-406055 3279373 186.222 186.222 186.222
InsumosTORNILLO CANULADO S/C 4.5M AUTOPERF. LONGIT 3270010 451.562 451.562 451.562
InsumosTORNILLO CANULADO TITANIO ALTA COMP. 1.5 3270278 462.077 462.077 462.077
InsumosTORNILLO CANULADO TITANIO COMP.ALTA 1.5 3270279 462.077 462.077 462.077
InsumosTORNILLO CANULADO TITANIO COMP.ALTA 1.5 3270280 462.077 462.077 462.077
InsumosTORNILLO CIERRE 12MM * 459.012 3270328 192.593 192.593 192.593
InsumosTORNILLO CIERRE P/UHN PROLONG. 0 TAN REF. 462.950 3279592 42.543 42.543 42.543
InsumosTORNILLO COMPRESION PLACA DHS 3270248 39.273 39.273 39.273
InsumosTORNILLO CORT. D 3.5-PELVIS AUTORROSC. REF.204645 3279400 38.390 38.390 38.390
InsumosTORNILLO CORT. D. 3.5 AUTORROSC L10 REF. 204.810 3279404 19.280 19.280 19.280
InsumosTORNILLO CORT. D. 3.5 AUTORROSC L14 REF. 204.814 3279405 19.280 19.280 19.280
InsumosTORNILLO CORT. D. 3.5 AUTORROSC L16 REF. 204.816 3279406 19.280 19.280 19.280
InsumosTORNILLO CORT. D. 3.5 AUTORROSC L20REF. 204.820 3279407 19.280 19.280 19.280
InsumosTORNILLO CORT.1.2X12MM A-5100.12/1 3270935 57.177 57.177 57.177
InsumosTORNILLO CORT.3.2MM26MM AUTOR.(404.826) 3270415 83.004 83.004 83.004
InsumosTORNILLO CORT.3.2MM32MM AUTOR.(RE-404.832) 3270418 83.004 83.004 83.004
InsumosTORNILLO CORT.3.5MM28MM AUTOR.(REF-404.828) 3270416 83.004 83.004 83.004
InsumosTORNILLO CORT.3.5MM30MM AUTOR.(REF-404.830) 3270417 83.004 83.004 83.004
InsumosTORNILLO CORT.3.5MMX40MM.AUT.(REF-404.840) 3270441 83.004 83.004 83.004
InsumosTORNILLO CORTIC.3.5MM20MM AUTOR.( REF-404.820) 3270413 83.004 83.004 83.004
InsumosTORNILLO CORTICAL 1,5MM * 12MM 210.012 3270005 44.002 44.002 44.002
InsumosTORNILLO CORTICAL 1.5 MM LONG X 10 MM. 2 3270024 37.102 37.102 37.102
InsumosTORNILLO CORTICAL 1.5MM .12MM AUTORROSCANTE REF.400812 3279163 121.187 121.187 121.187
InsumosTORNILLO CORTICAL 1.5MM L.10 MM AUTORROSCANTE REF 400.810 3279162 121.187 121.187 121.187
InsumosTORNILLO CORTICAL 2 0 X 20 MM LB 040 S 3270604 20.944 20.944 20.944
InsumosTORNILLO CORTICAL 2.0 MM LONG 10MM 211.010 3270176 41.823 41.823 41.823
InsumosTORNILLO CORTICAL 2.00 MM LONG 12MM 211.012 3270173 44.583 44.583 44.583
InsumosTORNILLO CORTICAL 2.0MM LONG 14 MM 211.014 3270172 40.487 40.487 40.487
InsumosTORNILLO CORTICAL 2.5 AUTORROSC REF. SK-2510-20-2 3279174 82.467 82.467 82.467
InsumosTORNILLO CORTICAL 2.5 L14 AUTORROSCA REF. SK-2510-14-2 3279172 82.467 82.467 82.467
InsumosTORNILLO CORTICAL 2.5 L14 AUTORROSCANTEW REF. SK-2510-14-2 3279206 35.736 35.736 35.736
InsumosTORNILLO CORTICAL 2.5 L16 AUTORROSC REF.SK-2510-16-2 3279173 82.467 82.467 82.467
InsumosTORNILLO CORTICAL 2.5 L22 AUTORROSC REF. SK-2510-22-2 3279175 82.467 82.467 82.467
InsumosTORNILLO CORTICAL 26 REF. 338626 3270866 8.509 8.509 8.509
InsumosTORNILLO CORTICAL 28 REF. 338628 3270867 8.509 8.509 8.509
InsumosTORNILLO CORTICAL 3 5MM X 10 MM (001-0004-012/020/ST) 3279145 70.686 70.686 70.686
InsumosTORNILLO CORTICAL 3.5 X 12MM REF. 815037012 3279495 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 14MM REF. 815037014 3270977 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 16MM REF. 815037016 3279469 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 18MM REF 815037018 3279496 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 20 MM REF. 815037020 3279497 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 26 MM REF. 815037026 3279498 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 28MM REF. 815037028 3279470 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 30MM REF. 815037030 3279471 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 32MM REF. 815037032 3279472 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 33MM REF. 815037022 3279579 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 34MM REF. 815037034 3279473 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 34MM REF. 815037040 3279476 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 36MM REF. 815037036 3279474 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 38MM REF. 815037038 3279475 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 42MM REF. 815037042 3279477 59.350 59.350 59.350
Page 57
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO CORTICAL 3.5 X 44MM REF. 815037044 3279478 59.350 59.350 59.350
InsumosTORNILLO CORTICAL 3.5 X 46MM REF. 815037046 3279479 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5 X 48MM REF. 815037048 3279480 61.724 61.724 61.724
InsumosTORNILLO CORTICAL 3.5*38 204.038 3270194 41.444 41.444 41.444
InsumosTORNILLO CORTICAL 3.5MM 26 MM 204.026 3279085 34.558 34.558 34.558
InsumosTORNILLO CORTICAL 3.5MM X 12MM REF. CS12000 3280113 40.087 40.087 40.087
InsumosTORNILLO CORTICAL 3.5MM X 22MM (REF. 815037022) 3270998 132.843 132.843 132.843
InsumosTORNILLO CORTICAL 3.5MM24MM AUTOR.(REF-404.824) 3270414 83.004 83.004 83.004
InsumosTORNILLO CORTICAL 3.5MMX45MM AUT.(REF-404.845) 3270442 83.004 83.004 83.004
InsumosTORNILLO CORTICAL 3.5MMX50MM AUT.(REF-404.850) 3270443 83.004 83.004 83.004
InsumosTORNILLO CORTICAL 3.5MMX70MM REF-121218070 3270963 56.832 56.832 56.832
InsumosTORNILLO CORTICAL 3.5X 14MM REF CS14000 3280114 41.270 41.270 41.270
InsumosTORNILLO CORTICAL 35 MM (71642235) 3270738 376.992 376.992 376.992
InsumosTORNILLO CORTICAL 35*34 204.034 3270195 39.465 39.465 39.465
InsumosTORNILLO CORTICAL 4.5MM *44 3270249 34.599 34.599 34.599
InsumosTORNILLO CORTICAL 4.5X16MM AUTORR * 414.816 3270382 90.318 90.318 90.318
InsumosTORNILLO CORTICAL 4.5X26MM AUTORR * 414.826 3270380 90.318 90.318 90.318
InsumosTORNILLO CORTICAL 4.5X28MM AUTORR * 414.828 3270379 90.318 90.318 90.318
InsumosTORNILLO CORTICAL 4.5X32MM AUTORR * 414.832 3270381 90.318 90.318 90.318
InsumosTORNILLO CORTICAL 4.5X45MM BLOQUEO CLAVOS 8.5MM REF. 71642145 3270784 188.496 188.496 188.496
InsumosTORNILLO CORTICAL 5.0 X 60MM BLOQUEO CLAVO REF. 71642260 3270829 153.153 153.153 153.153
InsumosTORNILLO CORTICAL 6 5X16MM (LB186S) 3270626 13.625 13.625 13.625
InsumosTORNILLO CORTICAL 60 MM ( 71642235 ) 3270735 376.992 376.992 376.992
InsumosTORNILLO CORTICAL APTUS 2.5 DE L 16 MM REF. A-5700.16/1 3279351 47.648 47.648 47.648
InsumosTORNILLO CORTICAL APTUS 2.5 DE L 18 MM REF. A-5700.18/1 3279353 47.648 47.648 47.648
InsumosTORNILLO CORTICAL APTUS 2.5 DE L 22 MM REF. A-5700.22/1 3279354 171.531 171.531 171.531
InsumosTORNILLO CORTICAL APTUS 2.5 DE L 24 MM REF. A-5700.24/1 3279355 47.648 47.648 47.648
InsumosTORNILLO CORTICAL APTUS 2.5 DE L 26 MM REF. A-5700.26/1 3279352 47.648 47.648 47.648
InsumosTORNILLO CORTICAL APTUS2.5 DE L. 14 MM REF. A-5700.14/1 3279350 47.648 47.648 47.648
InsumosTORNILLO CORTICAL AUTOR.4 5MMX20MM 3270291 83.567 83.567 83.567
InsumosTORNILLO CORTICAL AUTORR 4.5MM 40M (73826040) 3279248 34.819 34.819 34.819
InsumosTORNILLO CORTICAL AUTORR 4.5MM 34M (73826034) 3279247 34.819 34.819 34.819
InsumosTORNILLO CORTICAL AUTORR 4.5MM 42M (73826042) 3279249 36.212 36.212 36.212
InsumosTORNILLO CORTICAL AUTORR 4.5MM 54M (73826054) 3279250 36.212 36.212 36.212
InsumosTORNILLO CORTICAL AUTORR. (73826026) 3279282 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORR. 16X2.7MM 73823016 3270775 68.332 68.332 68.332
InsumosTORNILLO CORTICAL AUTORR. 2.7MM 14 (73823014) 3279246 84.103 84.103 84.103
InsumosTORNILLO CORTICAL AUTORR. 3.5 MM X 30 MM (73824030) 3270763 45.702 45.702 45.702
InsumosTORNILLO CORTICAL AUTORR. 3.5 MM X36MM (73824036) 3270764 45.702 45.702 45.702
InsumosTORNILLO CORTICAL AUTORR. 3.5MM X 28MM (73824028) 3270762 45.702 45.702 45.702
InsumosTORNILLO CORTICAL AUTORR. 3.5MMX26MM (73824026) 3279266 43.317 43.317 43.317
InsumosTORNILLO CORTICAL AUTORR. 3.5MMX34MM (73824034) 3279267 38.680 38.680 38.680
InsumosTORNILLO CORTICAL AUTORR. 32X3.5MM 73824032 3270779 45.702 45.702 45.702
InsumosTORNILLO CORTICAL AUTORR. 4 5MMX68MM 73826068 3700287 172.788 172.788 172.788
InsumosTORNILLO CORTICAL AUTORR. 4.5MMX24MM (73826024) 3279262 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORR. 4.5MMX46MM (73826046) 3279264 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORR. 52MMX4.5MM (73826052) 3279283 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORR.3 5MMX16MM (73824016) 3270756 43.317 43.317 43.317
InsumosTORNILLO CORTICAL AUTORR.3.5 MM X 12 MM (73824012) 3270748 51.264 51.264 51.264
InsumosTORNILLO CORTICAL AUTORR.3.5 MM X 14 MM (73824014) 3270749 45.702 45.702 45.702
InsumosTORNILLO CORTICAL AUTORR.3.5 MM X 20MM (73824020) 3270761 43.317 43.317 43.317
InsumosTORNILLO CORTICAL AUTORR.4 5MMX18MM ( 73826018) 3270292 83.567 83.567 83.567
InsumosTORNILLO CORTICAL AUTORR.4 5MMX66MM 73826066 3700288 172.788 172.788 172.788
InsumosTORNILLO CORTICAL AUTORR.45.MMX20MM (73826020) 3279261 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORROSC 3.5MM 38M (73824038) 3279245 47.607 47.607 47.607
InsumosTORNILLO CORTICAL AUTORROSC. 3.5MM 10M (73824010) 3279244 51.264 51.264 51.264
InsumosTORNILLO CORTICAL AUTORROSCANTE 28 M REF. 73826028 3279218 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORROSCANTE 3 5MM 22M REF. 73824022 3279166 89.261 89.261 89.261
InsumosTORNILLO CORTICAL AUTORROSCANTE 3 5MM 24M REF. 73824024 3279167 96.251 96.251 96.251
InsumosTORNILLO CORTICAL AUTORROSCANTE 3.5MM 18M REF 73824018 3279165 51.264 51.264 51.264
InsumosTORNILLO CORTICAL AUTORROSCANTE 30M REF. 73826030 3279219 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORROSCANTE 32M REF. 73826032 3279220 28.291 28.291 28.291
InsumosTORNILLO CORTICAL AUTORROSCANTE 44M REF.73826044 3279221 36.212 36.212 36.212
InsumosTORNILLO CORTICAL BAJO 3.5MMX 16MM RE-121218016 3270957 56.832 56.832 56.832
InsumosTORNILLO CORTICAL BAJO 3.5MMX12MM REF-131218012 3270956 54.646 54.646 54.646
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM REF. 131218014 3270944 54.646 54.646 54.646
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 16MM REF 131218016 3979440 54.646 54.646 54.646
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 18MM REF. 131218018 3270945 56.832 56.832 56.832
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 20MM REF. 131218020 3279519 56.832 56.832 56.832
Page 58
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 22MM REF. 131218022 3270946 56.832 56.832 56.832
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 24MM REF. 131218024 3279553 54.646 54.646 54.646
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 26MM REF. 131218026 3279520 56.832 56.832 56.832
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 28MM REF. 131218028 3279521 56.832 56.832 56.832
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 30MM REF.131218030 3279554 56.832 56.832 56.832
InsumosTORNILLO CORTICAL BAJO PERFIL 3.5MM X 34MM REF. 131218034 3279522 54.646 54.646 54.646
InsumosTORNILLO CORTICAL BLOQ.3.5MMX 10MM 3270955 52.159 52.159 52.159
InsumosTORNILLO CORTICAL BLOQ.3.5MMX75MM REF-816135075 3270962 106.734 106.734 106.734
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 10MM REF. 816135010 3279543 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 12MM REF. 816135012 3270940 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 14MM REF. 816135014 3279544 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 16MM REF. 816135016 3270941 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 18MM REF. 816135018 3270942 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 20MM REF. 816135020 3270943 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 24MM REF. 815037024 3279524 59.350 59.350 59.350
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 24MM REF. 816135024 3279605 40.657 40.657 40.657
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 28MM REF. 816135028 3279566 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 32MM REF. 816135032 3279614 40.657 40.657 40.657
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 34MM REF. 816135034 3279615 40.657 40.657 40.657
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 36MM REF. 3279533 3279533 52.159 52.159 52.159
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 36MM REF. 816135036 3279606 40.657 40.657 40.657
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 38MM REF. 816135038 3279568 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 40MM REF. 816135040 3279569 50.153 50.153 50.153
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 42MM REF. 816135042 3279607 40.657 40.657 40.657
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 44MM REF. 816135044 3279608 40.657 40.657 40.657
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 46MM REF. 816135046 3279616 40.657 40.657 40.657
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 50MM REF 816135050 3279570 52.159 52.159 52.159
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 54MM REF. 816135054 3279571 52.159 52.159 52.159
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 56MM REF. 816135056 3279572 52.159 52.159 52.159
InsumosTORNILLO CORTICAL BLOQUEADO 3.5MM X 60MM REF. 816135060 3279534 52.159 52.159 52.159
InsumosTORNILLO CORTICAL BLOQUEADO REF. 816135030 3279567 50.153 50.153 50.153
InsumosTORNILLO CORTICAL D4.5 L 30-34 AUTORR.TIT 3270189 138.950 138.950 138.950
InsumosTORNILLO CORTICAL D45 L 64 AUTORR.TIT 4 3270191 189.148 189.148 189.148
InsumosTORNILLO CORTICAL D45 L38 AUTORR.TIT 414 3270190 189.148 189.148 189.148
InsumosTORNILLO CORTICAL REF. 404.834 3279184 53.952 53.952 53.952
InsumosTORNILLO CORTICAL ROSCA COMPLETA 2.7 MM X 40MM REF 814027040 3270971 75.947 75.947 75.947
InsumosTORNILLO DCP RECTA ANGOSTA 4 PERF.224.04 3270143 0 0 0
InsumosTORNILLO DE BLOQUEO P/CLAVO 5.0 X 40MM"S" REF. 71642240 3270827 153.153 153.153 153.153
InsumosTORNILLO DE CIERRE PARA TFN PROLONGACION REF 456.311 3270795 196.044 196.044 196.044
InsumosTORNILLO DE CIERRE PARA UHN. TITANIO ( 462.950 ) 3331005 48.614 48.614 48.614
InsumosTORNILLO DE CRUZ N§25 (3 6MM)"SHERMAN" 3270003 16.410 16.410 16.410
InsumosTORNILLO DE FIJACION PROVIDENCE REF. 150.812 3270897 110.611 110.611 110.611
InsumosTORNILLO DE REVISION PROVIDENCE REF. 150.916 3270898 110.611 110.611 110.611
InsumosTORNILLO DE SCHANZ 5.0MM X 175 MM REF. 294.550 3279106 80.680 80.680 80.680
InsumosTORNILLO DE SCHANZ( 90X40- 70X20 - 80X35 - 70X20 ) 3270148 69.272 69.272 69.272
InsumosTORNILLO DE SHANZ 5.0 MM X150 MM L.294.540 3270637 80.896 80.896 80.896
InsumosTORNILLO DE SHANZ 5.0MM X 125MM L.294.530 3270636 70.804 70.804 70.804
InsumosTORNILLO DE TRACCION DHS /DCS L36* (280.990) 3270125 52.740 52.740 52.740
InsumosTORNILLO DESLIZANTE 10.5X105MM REF. 40600110S 3270905 114.354 114.354 114.354
InsumosTORNILLO DESLIZANTE DHS/DCS 3270247 103.575 103.575 103.575
InsumosTORNILLO EPONJOSO L 45MM /15 207.045 3270722 34.361 34.361 34.361
InsumosTORNILLO ESPOMJOSO 4.00 MM 45MM ( 206.045 ) 3279088 65.385 65.385 65.385
InsumosTORNILLO ESPONJOSA 4.0MM R/CORTA 26MM 3700283 41.037 41.037 41.037
InsumosTORNILLO ESPONJOSA 4.0MM R/L 10 MM 206.010 3270243 35.003 35.003 35.003
InsumosTORNILLO ESPONJOSA 4.0MM R/L 28MM (206.028) 3270168 38.439 38.439 38.439
InsumosTORNILLO ESPONJOSA 6 X 30MM * LA-430 3270363 40.189 40.189 40.189
InsumosTORNILLO ESPONJOSA 6.5 X 30 MM PROTASUL 3270210 125.880 125.880 125.880
InsumosTORNILLO ESPONJOSA 6.5MM * 35MM R/CORTA 3270239 44.764 44.764 44.764
InsumosTORNILLO ESPONJOSA 6.5MM * 45MM R/LARGA 3270238 56.718 56.718 56.718
InsumosTORNILLO ESPONJOSA 6.5MM R/L 60MM 217.06 3270273 59.298 59.298 59.298
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0 MM X 12 MM REF 816140012 3279499 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0 MM X 16 MM REF. 816140016 3279501 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0 MM X 36 MM REF. 816140036 3279503 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0 X 14 MM REF. 816140014 3279500 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0MM X 24 MM REF. 816140024 3279502 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0MM X 30MM REF. 816140030 3270974 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0MM X 32MM REF. 816140032 3279536 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0MM X 42MM REF. 816140042 3270975 57.305 57.305 57.305
InsumosTORNILLO ESPONJOSA BLOQUEADOS 4.0MM X 50MM REF. 816140050 3270976 57.305 57.305 57.305
Page 59
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO ESPONJOSA D.5.7MM X L.25MM P/COTILO MACROF REF. 101.0557250 3279364 67.098 67.098 67.098
InsumosTORNILLO ESPONJOSA D.5.7MM X L.25MM REF. 101.0557250 3280061 67.098 67.098 67.098
InsumosTORNILLO ESPONJOSA D.5.7MM.X L.15MM P/COTILO REF. 101.0557150 3280056 67.098 67.098 67.098
InsumosTORNILLO ESPONJOSA D.57MM X L.30MM P/COTILOMACROFI REF.101.0557300 3270332 154.842 154.842 154.842
InsumosTORNILLO ESPONJOSA D65 L40 R/COMPL.TITAN 3270192 149.791 149.791 149.791
InsumosTORNILLO ESPONJOSA D65 L50 R/COMP. TITAN 3270193 149.721 149.721 149.721
InsumosTORNILLO ESPONJOSA R/L 6 X 60MM * LA-442 3270362 39.875 39.875 39.875
InsumosTORNILLO ESPONJOSA R/L 6.0 X 35MM * 3270360 36.524 36.524 36.524
InsumosTORNILLO ESPONJOSA R/L 6X45MM * LA-369 3270338 36.524 36.524 36.524
InsumosTORNILLO ESPONJOSA ROSCA COMPLETA 4MM X 16MM REF. 815341016 3279481 50.656 50.656 50.656
InsumosTORNILLO ESPONJOSA ROSCA COMPLETA 4MM X 20MM REF. 815341020 3270972 50.656 50.656 50.656
InsumosTORNILLO ESPONJOSA ROSCA COMPLETA 4MM X 26MM REF. 815341026 3270973 50.656 50.656 50.656
InsumosTORNILLO ESPONJOSO 4.0X35 MM R.CPL.(LB375S) 3270628 23.032 23.032 23.032
InsumosTORNILLO ESPONJOSO 0.4MM L 24MM REF206.024 3279154 23.824 23.824 23.824
InsumosTORNILLO ESPONJOSO 4.00MM 35MM (207.035 ) 3279089 17.334 17.334 17.334
InsumosTORNILLO ESPONJOSO 4.0X16 MMR.CPL.(LB356S) 3270630 16.453 16.453 16.453
InsumosTORNILLO ESPONJOSO 4.0X18MM (LB358S) 3270629 17.318 17.318 17.318
InsumosTORNILLO ESPONJOSO 4.0X28 MMR.CPL.(LB368S) 3270627 19.801 19.801 19.801
InsumosTORNILLO ESPONJOSO 40MM/32MM (206.032) 3270225 30.009 30.009 30.009
InsumosTORNILLO ESPONJOSO 5.5 X25 MM P/ COTILO (PPV20003) 3270740 174.834 174.834 174.834
InsumosTORNILLO ESPONJOSO 6.5 *40 MM X16MM LA334S 3270142 23.572 23.572 23.572
InsumosTORNILLO ESPONJOSO 6.5 MM*30 MM 218.030 3270059 47.532 47.532 47.532
InsumosTORNILLO ESPONJOSO 6.5*35 MM 216.035 3270060 50.914 50.914 50.914
InsumosTORNILLO ESPONJOSO 6.5MM*35 MM R/LARGA 3270061 49.571 49.571 49.571
InsumosTORNILLO ESPONJOSO C/ROSCA 35MM 3270400 34.448 34.448 34.448
InsumosTORNILLO ESPONJOSO D.4MM/L3MM (206.030) 3279142 31.612 31.612 31.612
InsumosTORNILLO ESPONJOSO D.6.5 C/R REF-218.035 3270886 19.808 19.808 19.808
InsumosTORNILLO ESPONJOSO D-6.5 X 35 ( 216.035) 3279361 16.677 16.677 16.677
InsumosTORNILLO ESPONJOSO L 22MM/9 207.022 3270718 28.863 28.863 28.863
InsumosTORNILLO ESPONJOSO L 26MM/12 207.026 3270719 28.863 28.863 28.863
InsumosTORNILLO ESPONJOSO L 40MM/14 207.040 3270721 34.361 34.361 34.361
InsumosTORNILLO ESPONJOSO R/C 14MM X 4.0 MM (73825214) 3270747 194.256 194.256 194.256
InsumosTORNILLO ESPONJOSO RC 4.0 MMX 50MM (73825250) 3270768 101.013 101.013 101.013
InsumosTORNILLO ESPONJOSO ROSCA COMPL 4.0MM 10 (73825210) 3279240 97.128 97.128 97.128
InsumosTORNILLO ESPONJOSO ROSCA COMPL 4.0MM 34 (73825234) 3279242 101.013 101.013 101.013
InsumosTORNILLO ESPONJOSO ROSCA COMPL 4.0MM 16 (73825216) 3279241 97.128 97.128 97.128
InsumosTORNILLO ESPONJOSO ROSCA COMPL. 4.00MM 40 (73825240) 3279243 97.128 97.128 97.128
InsumosTORNILLO ESPONJOSO ROSCA PARCIAL 4MM X 50MM REF 815540050 3279609 50.777 50.777 50.777
InsumosTORNILLO ESPONJOSO ROSCA PARCIAL 4MM X 60MM REF. 815540060 3279610 50.777 50.777 50.777
InsumosTORNILLO FIJACION 0 MM (71656000) 3170736 426.882 426.882 426.882
InsumosTORNILLO FIJACION 3 5 X 13MM (REF-8792113) 3270608 137.445 137.445 137.445
InsumosTORNILLO FIJACION 3.5X15MM (REF-8792115) 3270436 137.445 137.445 137.445
InsumosTORNILLO FIJACIÓN PLACA REF. 150.912/150.914 3270853 229.075 229.075 229.075
InsumosTORNILLO FIJACION PROV. P/TIBIA 355.670 3270674 267.461 267.461 267.461
InsumosTORNILLO FIJACION PROV.P/FEMUR 355.660 3270673 269.441 269.441 269.441
InsumosTORNILLO INTERF COMPOSITICP 60 9X25MM REF. 905256 3900498 362.360 362.360 362.360
InsumosTORNILLO INTERFERENCIAL 7X20 (REF-909658 )BIOMET 3270157 169.864 169.864 169.864
InsumosTORNILLO INTERFERENCIAL 8X20 (REF-909666) 3270160 79.886 79.886 79.886
InsumosTORNILLO INTERFERENCIAL 8X25 909668 3270156 169.864 169.864 169.864
InsumosTORNILLO INTERFERENCIAL 9X25 REF-909677 3270161 169.864 169.864 169.864
InsumosTORNILLO INTERFERENCIAL10 X 25 REF. 909689 3279171 184.353 184.353 184.353
InsumosTORNILLO INTERFERENCIAL10X30 3900425 79.886 79.886 79.886
InsumosTORNILLO MONOAXIAL M-E 6.5X40MM(859-640) 3279067 608.685 608.685 608.685
InsumosTORNILLO MULTIAXIAL LEGACY 6.5X35 TI REF. 75446535 3279505 453.588 453.588 453.588
InsumosTORNILLO MULTIAXIAL LEGACY 6.5X40 TI REF. 75446540 3279504 453.588 453.588 453.588
InsumosTORNILLO MULTIAXIAL LEGACY 6.5X45 TI REF 75446545 3279511 453.588 453.588 453.588
InsumosTORNILLO MULTIAXIAL M-8 6.5X40 MM (86946540) 3279140 608.685 608.685 608.685
InsumosTORNILLO MULTIAXIAL M-8 6.5X50MM (86946550) 3279141 608.685 608.685 608.685
InsumosTORNILLO MULTIAXIAL M-8 6.5X55MM (86946555) 3279139 608.685 608.685 608.685
InsumosTORNILLO MULTIAXIAL REVERE 6.5 X 40 MM REF. 124.465 3279211 319.560 319.560 319.560
InsumosTORNILLO MULTIAXIAL REVERE 7.5 X 35 MM REF.124.473 3279212 316.516 316.516 316.516
InsumosTORNILLO MULTIAXIAL SEXTANTE 6.5X40MM 86746540 3279117 569.415 569.415 569.415
InsumosTORNILLO MULTIAXIALM-8 6.5X45MM (86946545 3270623 608.685 608.685 608.685
InsumosTORNILLO MULTIAXIALM-86.5X50MM (811-321) 3270622 608.685 608.685 608.685
InsumosTORNILLO MULTIAXIALSEXTANTE 6.5X45MM 86746545 3279118 569.415 569.415 569.415
InsumosTORNILLO MULTIDIREC. 3.5MMX 65MM REF-816335065 3270964 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECC. 3.5MM X 75MM REF-816335075 3270966 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECC. 3.5MMX70MM REF-816335070 3270965 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 14MM REF. 816335014 3279562 105.647 105.647 105.647
Page 60
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 16MM REF. 816335016 3279548 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 18MM REF. 816335018 3279547 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 20MM REF. 816335020 3279549 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 32MM REF. 816335032 3279550 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 38MM REF. 816335038 3279551 105.647 105.647 105.647
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 40MM REF. 816335040 3279552 106.222 106.222 106.222
InsumosTORNILLO MULTIDIRECCIONAL 3.5MM X 55MM REF. 816335055 3279535 105.647 105.647 105.647
InsumosTORNILLO NAVIKULAR 10 MM 3270541 20.944 20.944 20.944
InsumosTORNILLO NAVIKULAR 12 MM 3270542 20.944 20.944 20.944
InsumosTORNILLO NAVIKULAR 14 MM 3270543 20.944 20.944 20.944
InsumosTORNILLO NAVIKULAR 16 MM 3270544 20.944 20.944 20.944
InsumosTORNILLO NAVIKULAR 18 MM 3270545 22.515 22.515 22.515
InsumosTORNILLO NAVIKULAR 20 MM 3270546 22.515 22.515 22.515
InsumosTORNILLO NAVIKULAR 22 MM 3270547 22.515 22.515 22.515
InsumosTORNILLO NAVIKULAR 24 MM 3270548 22.515 22.515 22.515
InsumosTORNILLO NAVIKULAR 26 MM 3270063 14.781 14.781 14.781
InsumosTORNILLO NAVIKULAR 28 MM 3270064 14.781 14.781 14.781
InsumosTORNILLO NAVIKULAR 30 MM 3270065 14.781 14.781 14.781
InsumosTORNILLO NAVIKULAR 35 MM 3270549 27.489 27.489 27.489
InsumosTORNILLO NAVIKULAR 40 MM 3270550 27.489 27.489 27.489
InsumosTORNILLO NO BLOQUEADO 1.3X16MM REF-131220316 3700429 143.589 143.589 143.589
InsumosTORNILLO NO BLOQUEADO 14" 2.7X14 REF. 52-27014 3331014 34.034 34.034 34.034
InsumosTORNILLO NO BLOQUEADO 16" 2.7X16 REF. 52-27016 3331017 34.034 34.034 34.034
InsumosTORNILLO NO BLOQUEADO 18" 2.7X18 REF. 52-27018 3331013 34.034 34.034 34.034
InsumosTORNILLO NO BLOQUEADO 2.7MM 10MM (REF. 131227210) 3279621 85.353 85.353 85.353
InsumosTORNILLO NO BLOQUEADO 2.7MM 14MM (REF. 131227214) 3279622 99.047 99.047 99.047
InsumosTORNILLO NO BLOQUEADO 2.7MM X 16MM (REF. 131227216) 3279625 99.047 99.047 99.047
InsumosTORNILLO NO BLOQUEADO 2.7MM X 20MM (REF. 131227220) 3279626 99.047 99.047 99.047
InsumosTORNILLO NO BLOQUEADO 22" 2.7X22 REF. 52-27022 3331016 78.540 78.540 78.540
InsumosTORNILLO NO BLOQUEADO 22" 2.7X22 REF. 52-27622 3331015 34.034 34.034 34.034
InsumosTORNILLO NO BLOQUEADO 3.5MM X 22MM REF. 36722 3279539 47.091 47.091 47.091
InsumosTORNILLO NO BLOQUEADO 3.5MMX24 (R-36724) 3279072 65.000 65.000 65.000
InsumosTORNILLO NO BLOQUEADO 3.5MMX28MM 3279074 65.000 65.000 65.000
InsumosTORNILLO NO BLOQUEO 3.5 MMX 34 MM 36734 3270810 47.091 47.091 47.091
InsumosTORNILLO NO BLOQUEO 3.5MM X 28 MM 36728 3270808 47.091 47.091 47.091
InsumosTORNILLO NO BLOQUEO 3.5MM X 30MM 36730 3270809 47.091 47.091 47.091
InsumosTORNILLO NO BLOQUEO 3.5MMX26MM 36726 3270807 48.509 48.509 48.509
InsumosTORNILLO OSTEOS. ( INCL. INST) * HR 3270016 852.637 852.637 852.637
InsumosTORNILLO PED. MONOAXIAL 4.5X35 (124.243)MED. 3279286 316.516 316.516 316.516
InsumosTORNILLO PED. MONOAXIAL 4.5X40 (124.244)MED. 3279287 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 4.5X25 (124.241) MED. 3279284 608.685 608.685 608.685
InsumosTORNILLO PED.MONOAXIAL 4.5X30 (124.242)MED. 3279285 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 5.5X30 (124.252)MED. 3279288 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 5.5X35 (124.253)MED. 3279289 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 5.5X40 (124.254)MED. 3279290 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 5.5X45 (124.255)MED. 3279291 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 5.5X50 (124.256)MED. 3279292 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 6.5X265 (124.265)MED. 3279296 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 6.5X30 ( 124.262)MED. 3279293 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 6.5X35 (124.263)MED. 3279294 316.516 316.516 316.516
InsumosTORNILLO PED.MONOAXIAL 6.5X40 (124.264)MED. 3279295 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 35X6.5 3280129 350.499 350.499 350.499
InsumosTORNILLO POLIAXIAL 40X6.5 3280128 350.499 350.499 350.499
InsumosTORNILLO POLIAXIAL 5.5X30 (124.452) GLOBUS 3279299 374.374 374.374 374.374
InsumosTORNILLO POLIAXIAL 5.5X30 (124.462)GLOBUS 3279311 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 5.5X35 (124.453)GLOBUS 3279306 374.374 374.374 374.374
InsumosTORNILLO POLIAXIAL 5.5X40 (124.454) GLOBUS 3279307 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 5.5X45 (124.455) GLOBUS 3279308 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 5.5X50 (124.456) GLOBUS 3279309 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 5.5X55 (124.457)GLOBUS 3279310 304.343 304.343 304.343
InsumosTORNILLO POLIAXIAL 6.5 X 40 REF. 146.227 3900525 350.499 350.499 350.499
InsumosTORNILLO POLIAXIAL 6.5 X 45 REF. 126391 3900526 350.499 350.499 350.499
InsumosTORNILLO POLIAXIAL 6.5X55 ( 124.467) 3279312 332.342 332.342 332.342
InsumosTORNILLO POLIAXIAL 65X25 REF-WRP6545 3270951 350.499 350.499 350.499
InsumosTORNILLO PÒLIAXIAL 7.5X30 (124.472) 3279313 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 7.5X40 (124.474) 3279314 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 7.5X45 ( 124.475) 3279315 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL 7.5X50 (124.476) 3279316 316.516 316.516 316.516
InsumosTORNILLO POLIAXIAL ELLIPSE REF. 182.320 3279486 602.140 602.140 602.140
Page 61
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTORNILLO POLIAXIAL REVERE (REF.124.464)GLOBUS 3279158 431.970 431.970 431.970
InsumosTORNILLO POLIAXIAL REVERE 6 5X50MM (124.466) 3279169 608.685 608.685 608.685
InsumosTORNILLO POLIAXIALES 6.5 X 40 REF. 136200 3979442 350.499 350.499 350.499
InsumosTORNILLO POLIAXIALES 6.5 X 45 REF. WPO6545 3700446 370.120 370.120 370.120
InsumosTORNILLO REVERE MULTIAXIAL 6.5 X 35MM REF. 124.463 GLOBUS 3279226 319.560 319.560 319.560
InsumosTORNILLO REVISION 4.0X13 MM ( REF-8792713) 3270447 137.445 137.445 137.445
InsumosTORNILLO REVISION 4.0X15MM (REF-8792715) 3270437 137.445 137.445 137.445
InsumosTORNILLO SCHANZ 3.0-2.5/70/20 3270276 145.472 145.472 145.472
InsumosTORNILLO SCHANZ 5 X 200MM REF.294.560 3270715 68.723 68.723 68.723
InsumosTORNILLO SHANZ 90/40 3279229 76.577 76.577 76.577
InsumosTORNILLO SIS AUTORR. 2.0X9MM (91-5309) 3270825 34.424 34.424 34.424
InsumosTORNILLO SIS1.5 HT AUTOROSC/PERF 1.5X3.5MM REF 91-6103 3270880 22.889 22.889 22.889
InsumosTORNILLO SIS1.5 HT AUTORROSC EMG 1.8X3.5MM REF. 91-1803 3270881 23.805 23.805 23.805
InsumosTORNILLO SIS2.0 HT AUTORROSC 2.0X11MM REF. 91-2011 3270900 22.473 22.473 22.473
InsumosTORNILLO SIS2.0 HT AUTORROSC 2.0X9MM 3270888 32.976 32.976 32.976
InsumosTORNILLO SIS2.0 HT AUTORROSC EMG 2.3X7MM REF. 91-2307 3270901 26.792 26.792 26.792
InsumosTORNILLO SIS2.0 HT AUTORROSC/PERF. 2.0X4MM REF. 91-6204 3270884 32.976 32.976 32.976
InsumosTORNILLO SIS2.0 IMF AUTOROSC 2.0X 5MM REF. 91-5305 3270978 34.424 34.424 34.424
InsumosTORNILLO SIS2.0 IMF AUTORROSC 2.0X7MM REF. 91-5307 3270899 34.424 34.424 34.424
InsumosTORNILLO SISI 2.0HT AUTORROSC 2.0X7MM REF. 91-2007 3270969 32.976 32.976 32.976
InsumosTORNILLO SISI 2.0HT AUTORROSC 2.0X9MM REF. 91-2009 3279441 22.473 22.473 22.473
InsumosTORNILLO SOFT TOUCH SDS 1.6 X 4 MM 3270152 60.228 60.228 60.228
InsumosTORNILLO SOLIDO DESLIZANTE 90MM (REF. 29277) 3279628 237.287 237.287 237.287
InsumosTORNILLO TRACCION DHS * 280.990 3270296 52.740 52.740 52.740
InsumosTORNILLOBLOQUEADO SQ 2.7MM 16MM STE REF. 131827116 3280123 47.134 47.134 47.134
InsumosTORNILLO-CORT D. 3.5-PELVIS AUTORROSCANTE REF.204.650 3279401 38.390 38.390 38.390
InsumosTORNILLOS HEXAGONALES LX-460 3270600 8.901 8.901 8.901
InsumosTORNILLOS HEXAGONALES LX-462 3270601 8.901 8.901 8.901
InsumosTORNILLOS HEXAGONALES LX-464 3270602 10.210 10.210 10.210
InsumosTORNILLOS HEXAGONALES LX-466 3270603 13.090 13.090 13.090
InsumosTORNILLOS ESPONJOSA ROSCA PARCIAL 4MM X 45MM REF. 81550045 3279603 50.777 50.777 50.777
InsumosTORNILLOS POLIAXIALES 6.5X 35 REF 126084 3979493 350.499 350.499 350.499
InsumosTORNILLOS POLIAXIALES 6.5X45 REF. 120291 3979441 370.120 370.120 370.120
InsumosTORNILLOS POLIAXIALES 6.5X50 (COD. WPO6550) 3900470 427.061 427.061 427.061
InsumosTORNILLOS POLIAXIALES 7.5 X 40 REF. 12B252 3700432 370.120 370.120 370.120
InsumosTORNILLOS POLIAXIALES 7.5 X 45 REF. 11K2212 3700431 350.499 350.499 350.499
InsumosTORNILLOS POLIAXIALES 7.5 X 50 (REF. WPO 7550) 3700545 427.061 427.061 427.061
InsumosTORNILLOS POLIAXIALES 7.5X45 (COD. WPO7545) 3900471 427.061 427.061 427.061
InsumosTORNILLOS POLIAXIALES REF. 12G054 3700433 350.499 350.499 350.499
InsumosTORULA ALGODON BOLSA X 200 3030006 5.873 5.873 5.873
InsumosTORULA ALGODON CHICA * BOLSA X 50 3030040 3.142 3.142 3.142
InsumosTORULA BIOLUMINISCENCIA (CLEAN TRACE) X100 3M 704363 (MV 50009441) 3979570 578.306 578.306 578.306
InsumosTORULA OTORRINO CHICA * 5 UNIDADES 3030044 20.012 20.012 20.012
InsumosTORULA OTORRINO GRANDE 3030046 16.572 16.572 16.572
InsumosTORULA OTORRINO MEDIANA * 4 UNID. 3030043 19.043 19.043 19.043
InsumosTORULON ALGODON P/ASEO 2 GR BOLSA X 100 3030042 7.770 7.770 7.770
InsumosTORULON ALGODON P/ASEO 2GR BOLSA X 50 UN 3030075 3.932 3.932 3.932
InsumosTOSOH IGE ( MV 31000624 ) #LAB 3290825 193.994 193.994 193.994
InsumosTOSOH INSULINA ( MV 31000623 ) #LAB 3290824 429.025 429.025 429.025
InsumosTOSOH PEPTIDO C 20DET. (MV 31000630) #LAB 3290834 164.934 164.934 164.934
InsumosTOSOH TGAB ( MV 31000626 ) #LAB 3290832 228.421 228.421 228.421
InsumosTOSOH TPOAB ( MV 31000625 ) #LAB 3290831 228.421 228.421 228.421
InsumosTOT * MALLA DE POLIPROPILENO ( 35 CMS) 3330017 164.934 164.934 164.934
InsumosTOT-TVT CINTA POLIPROPILENO 1.2X40 UROLOGIA 3330040 77.342 77.342 77.342
InsumosTOX A/B QUIK CHEK - KIT DE 25 DET.- ( COD. 30394 ) 3290453 633.229 633.229 633.229
InsumosTRAMPA DE AGUA * NO DIGITAR* 3120009 14.902 14.902 14.902
InsumosTRANSDUCTOR PRES. MARQUETTE SIMPLE REF. 746164 DPT-600/5202620 3020021 56.156 56.156 56.156
InsumosTRANSDUCTOR PRES. MARQUETTE DOBLE/UCI 5200830 REDONDO 3020031 86.394 86.394 86.394
InsumosTRANSDUCTOR PRESION DOBLE PAB/UPC 746168 3020044 106.029 106.029 106.029
InsumosTRANSFERRINA 300 DET. (MV 31000564 ) #LAB 3290833 554.296 554.296 554.296
InsumosTRANSPORTE 3320056 76.404 76.404 76.404
InsumosTRIFLO III EJERCITADORES PULMONARES 3320028 15.221 15.221 15.221
InsumosTRIGEN CLAVO META TIBIAL 10 MM 34CM REF 71655134 3270783 2.680.832 2.680.832 2.680.832
InsumosTRIGEN. VARILLA GUIA P/CLAVO HUMERO 2.0MM X 600MM REF. 71751146 3270850 181.325 181.325 181.325
InsumosTRIGEN.TAPON CLAVO REF.71634000 3270828 133.115 133.115 133.115
InsumosTRIGLICERIDOS ( MV 31000030 ) #LAB 3290780 141.172 141.172 141.172
InsumosTROCAR 12MM CB12LT#CONSIGN. 3190027 54.454 54.454 54.454
InsumosTROCAR 12 X 100 MM SURMEDICAL 3220058 172.624 172.624 172.624
InsumosTROCAR 15 X 100 MM PARA BANDA GASTRICA 3220045 172.624 172.624 172.624
Page 62
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTROCAR 5MM STABILITY L100 CB5LT 3220105 54.454 54.454 54.454
InsumosTROCAR APPLE 10 MM LARGO 900-861(#U.2) DESE 3220016 92.406 92.406 92.406
InsumosTROCAR APPLE 10MM CORTO 900-860 *(#U.2) DESECHABLE 3220004 96.557 96.557 96.557
InsumosTROCAR APPLE 5MM (900-840)*(#U.2) DESECHABLE 3220003 71.954 71.954 71.954
InsumosTROCAR CLEAR 12MM REF. TRO-12V1 3979343 71.778 71.778 71.778
InsumosTROCAR DILATING TIP REF. TR-06DL2 3979344 63.455 63.455 63.455
InsumosTROCAR EXCELL REF. B5LT 3190026 153.153 153.153 153.153
InsumosTROCAR KIT 10/12 MM(TKD12M) DESECHABLE 3220009 327.986 327.986 327.986
InsumosTROCAR KIT 18 MM (TEC18)*(#U.10) DESECHABLE 3190002 38.943 38.943 38.943
InsumosTROCAR METALICO 5/10 MM REUT. 3220017 25.300 25.300 25.300
InsumosTROCAR OPTICO DE 12MM REF ONB12STF 3220113 51.051 51.051 51.051
InsumosTROCAR OPTICO DE 5MM REF. ONB5STF 3220115 47.648 47.648 47.648
InsumosTROCAR PACK NEEDLE 8670015 3279119 589.050 589.050 589.050
InsumosTROCAR RAQUIDEO 21G * 3-1/2- (90 MM) ESPINAL SPINOCAN 3080001 6.597 6.597 6.597
InsumosTROCAR RAQUIDEO 22G * 3 1/2* DESECHABLE F.E. 25 UN 3080002 6.440 6.440 6.440
InsumosTROCAR RAQUIDEO 25 * 103MM P.LAPIZ DESEC 3080027 21.075 21.075 21.075
InsumosTROCAR RAQUIDEO 25G * 88 MM PENCAN 3080010 17.868 17.868 17.868
InsumosTROCAR RAQUIDEO 27*120 MM P.LAPIZ DESECH 3080026 24.086 24.086 24.086
InsumosTROCAR RAQUIDEO 27G * 88 MM PENCAN 3080013 15.179 15.179 15.179
InsumosTROCAR TRISTAR 5 MM JOHNSON 3190007 287.640 287.640 287.640
InsumosTROCAR VISIPORT PLUS 5MM - 12MM TRC REF. 176674P 3230092 97.848 97.848 97.848
InsumosTROP T * SET 5 UD. 3290205 71.393 71.393 71.393
InsumosTROPONIN 1 REAGENT PACK VITROS ( MV 31000599 ) REF. 6802301 # LAB 3290754 647.890 647.890 647.890
InsumosTRUTOL 75 SOL.GLUC. NARANJA O LIMON *24U* MV 50008880 3290244 5.959 5.959 5.959
InsumosTSH PAQ DE REACTIVO 100DET (MV 31000586) REF. 1912997 #LAB 3290753 364.524 364.524 364.524
InsumosTUBO C/B NASAL 6.0 REF-86212 (U) 3070057 23.562 23.562 23.562
InsumosTUBO S/B NASAL 6.0 REF-86289 (U) 3070056 18.326 18.326 18.326
InsumosTUBO CONICO PLAS.10ML X100UN KA-88324(100)(MV 31000110) #LAB 3290748 29.780 29.780 29.780
InsumosTUBO CORRUGADO C/C.SILICONA*20CM 65-50-200 3160010 42.804 42.804 42.804
InsumosTUBO CORRUGADO SUAVE 15 CM HUDSON REF-HS1410 3160020 2.628 2.628 2.628
InsumosTUBO DE 100 MM REF. 393.500 3279103 164.149 164.149 164.149
InsumosTUBO DE 125 MM 393.510 3270641 211.559 211.559 211.559
InsumosTUBO DE 150MM 393.520 3270642 181.412 181.412 181.412
InsumosTUBO DE 200 MM 393.530 3270643 195.973 195.973 195.973
InsumosTUBO DE 250 MM 393.540 3270644 190.869 190.869 190.869
InsumosTUBO DE 300 MM REF. 393.550 3279101 217.638 217.638 217.638
InsumosTUBO DE 350 MM REF. 393.560 3279102 233.052 233.052 233.052
InsumosTUBO DE 400 MM 393.570 3270645 238.104 238.104 238.104
InsumosTUBO E/T S/B FR 2.0 (0919000020) 3290506 3.240 3.240 3.240
InsumosTUBO ENDOTRAQ. Nº6.5 C/B NASAL PREFORMADO 86213 3070054 20.944 20.944 20.944
InsumosTUBO ENDOTRAQ. Nº7 5 C/CUFF NASAL REF: 86215 3070053 20.944 20.944 20.944
InsumosTUBO ENDOTRAQ. NØ7 C/CUFF NASAL PREFORMADO REF:86214 3070065 20.944 20.944 20.944
InsumosTUBO ENDOTRAQ.N°8 C/CUFF NASAL 3070051 23.875 23.875 23.875
InsumosTUBO ENDOTRAQUEAL 2.5 S/B "SHERIDAN" 9325 3070033 5.301 5.301 5.301
InsumosTUBO ENDOTRAQUEAL 3.0 S/B "SHERIDAN" 3070038 5.590 5.590 5.590
InsumosTUBO ENDOTRAQUEAL 3.5 S/B / 86224 "SHERIDAN" 9335 3070034 5.237 5.237 5.237
InsumosTUBO ENDOTRAQUEAL 4.0 C/B 86444 3070013 6.555 6.555 6.555
InsumosTUBO ENDOTRAQUEAL 4.0 S/B "SHERIDAN" 9342E 3070040 5.667 5.667 5.667
InsumosTUBO ENDOTRAQUEAL 4.5 C/B 3070023 6.807 6.807 6.807
InsumosTUBO ENDOTRAQUEAL 4.5 S/B "SHERIDAN" 9345 3070039 5.826 5.826 5.826
InsumosTUBO ENDOTRAQUEAL 5.0 C/B "SHERIDAN" REF-86446 3070032 6.749 6.749 6.749
InsumosTUBO ENDOTRAQUEAL 5.0 S/B "SHERIDAN" 9350 3070041 5.301 5.301 5.301
InsumosTUBO ENDOTRAQUEAL 5.5 C/B "SHERIDAN" REF-86447 3070024 6.681 6.681 6.681
InsumosTUBO ENDOTRAQUEAL 5.5 S/B "SHERIDAN" 3070042 5.107 5.107 5.107
InsumosTUBO ENDOTRAQUEAL 6.0 C/B 9460E-86448 3070025 6.561 6.561 6.561
InsumosTUBO ENDOTRAQUEAL 6.0 C/ESPIRAL "SHERID 86548 3070037 45.357 45.357 45.357
InsumosTUBO ENDOTRAQUEAL 6.0 S/B REF-86229 "SHERIDAN" 9366 3070036 5.714 5.714 5.714
InsumosTUBO ENDOTRAQUEAL 6.5 C/B ( REF. 86449) 3070026 6.435 6.435 6.435
InsumosTUBO ENDOTRAQUEAL 6.5 S/B REF-86230 "SHERIDAN" 3070043 5.378 5.378 5.378
InsumosTUBO ENDOTRAQUEAL 7.0 C/B 86450 3070027 6.807 6.807 6.807
InsumosTUBO ENDOTRAQUEAL 7.0 C/ESPIRAL SHERIDA REF -86550 3070018 45.357 45.357 45.357
InsumosTUBO ENDOTRAQUEAL 7.5 C/B 86451 3070028 6.807 6.807 6.807
InsumosTUBO ENDOTRAQUEAL 7.5 C/ESPIRAL SHERIDA 3070019 45.815 45.815 45.815
InsumosTUBO ENDOTRAQUEAL 8.0 C/B MALLINCKRODTREF- 86113/86452 3070029 6.807 6.807 6.807
InsumosTUBO ENDOTRAQUEAL 8.0 C/ESPIRAL 86552 3070020 45.357 45.357 45.357
InsumosTUBO ENDOTRAQUEAL 8.5 C/B SHERIDAN 86453 3070030 6.807 6.807 6.807
InsumosTUBO ENDOTRAQUEAL 8.5 C/ESPIRAL SHERIDA 86553 3070021 30.078 30.078 30.078
InsumosTUBO ENDOTRAQUEAL 9.0 C/B ( REF. 86454 ) 3070031 6.435 6.435 6.435
InsumosTUBO ENDOTRAQUEAL 5.5 C/ESPIRAL S/BALON 3070087 70.686 70.686 70.686
Page 63
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosTUBO ENDOTRAQUEAL 5.5 LASER 3070002 149.171 149.171 149.171
InsumosTUBO ENDOTRAQUEAL 6.0 LASER 3070003 212.215 212.215 212.215
InsumosTUBO ENDOTRAQUEAL 6.5 C/ESPIRAL 3070004 45.815 45.815 45.815
InsumosTUBO ENDOTRAQUEAL C/ESPIRAL 5.5 S/B 86547 3170084 70.686 70.686 70.686
InsumosTUBO ENDOTRAQUEAL FASTTRACH 3070072 24.621 24.621 24.621
InsumosTUBO ENDOTRAQUEAL S/B 2.0 100605 3070079 3.475 3.475 3.475
InsumosTUBO EPENDORF 1.5 ML ( 100 UD ) REF. KA-279-00(100) ( MV 31000119 ) 3299538 9.859 9.859 9.859
InsumosTUBO GUIA DEL MAZO CANULADO 355.220 3270675 568.983 568.983 568.983
InsumosTUBO LARINGEO MLT 4.0/ C/B*DESECHABLE 86385 3070086 26.573 26.573 26.573
InsumosTUBO LARINGEO MLT 5.0 C/B DESECHABLE 86387 3070085 26.573 26.573 26.573
InsumosTUBO LARINGEO MLT 6.0 C/B/DESECHABLE 86389 3070022 26.573 26.573 26.573
InsumosTUBO MEDIO DE TRANSPORTE UNIVERSAL MTU 12 X 80MM, 1ML REF. COPAN350C 3979540 8.901 8.901 8.901
InsumosTUBO METEAIREAU PVC REDONDO S1-2300 3330015 278.536 278.536 278.536
InsumosTUBO NASOFARINGEO 6.0/8.0MM/24FR REF 123324 3070071 12.226 12.226 12.226
InsumosTUBO NASOFARINGEO 7.0 /9.3MM/28FR REF 123328 3070049 25.721 25.721 25.721
InsumosTUBO NASOFARINGEO 8.0/10.7MM /32FR REF 123332 3070081 13.132 13.132 13.132
InsumosTUBO NO CONDUCTIVO 7MM * 3.1 MT(301713) 3200004 6.807 6.807 6.807
InsumosTUBO S/B NASAL 5.5 REF-86288 (U) 3070055 18.326 18.326 18.326
InsumosTUBO SILICONA *2X4* (TS2X4000) 3200008 9.990 9.990 9.990
InsumosTUBO SILICONA *3X5* (REF-TS2X4000) 3200009 8.105 8.105 8.105
InsumosTUBO SILICONA 2.5 MT. ASPIRACION DESECHA 3200007 7.555 7.555 7.555
InsumosTUBO SILICONA 5 * 8 * 25 MT * 1 ROLLO 3200001 10.399 10.399 10.399
InsumosTUBO SILICONA 7 X 10 ( TS7X1000) 3200010 39.290 39.290 39.290
InsumosTUBO SILICONA 8 * 12 * 25 MT * 1 ROLLO 3200002 7.110 7.110 7.110
InsumosTUBO TRAQUEAL PREMOLDEADO C/BALON #6 (REF. 86202) 3070109 23.038 23.038 23.038
InsumosTUBO TRAQUEAL PREMOLDEADOC/BALON #5 (REF.86200) 3070108 23.562 23.562 23.562
InsumosTUBO VIRAL PACK 1ML*10 *350CHL-1#LAB 3290391 392.700 392.700 392.700
InsumosTUBOS ESTERILES F0406 #LAB 3979594 514.038 514.038 514.038
InsumosTUBOS KHAN 12X75MM * 250 UNIDADES (MV 31000109) 3290446 36.423 36.423 36.423
InsumosTUBOS QUANTIFERON KIT 3 UNIDADES #LAB 3979554 74.116 74.116 74.116
InsumosTUERCA ESTRIADA P/ CLAVO FEMUR 9-12 MM 355.570 3270677 413.709 413.709 413.709
InsumosTUERCA ESTRIADA P/CLAVO FEMUR 13-16 MM 355.580 3270676 413.709 413.709 413.709
InsumosTUERCA ESTRIADA P/TIBIA DIAM. 10-14 MM 355.470 3270678 424.116 424.116 424.116
InsumosTUERCA FIJACION REF-SA100 3270953 25.526 25.526 25.526
InsumosTUERCA PARA TORNILLO REF. 14F647 3900527 25.526 25.526 25.526
InsumosTUERCAS REF. 14H207 3700434 28.333 28.333 28.333
InsumosTULL CON PETROLATO REF. 6112(F.E *50UNI.X CJ) 3979602 2.238 2.238 2.238
InsumosTUTOR EXTERNO EXT.INFERIOR * COMPLETO 3270242 8.690.120 8.690.120 8.690.120
InsumosTUTOR EXTERNO TRAUMATOLOGIA * USO 3270234 534.563 534.563 534.563
InsumosU.I.B.C C501/C311 4536355190 #LAB 3290616 186.326 186.326 186.326
InsumosUFO INTERVERTEBRAL SPACER SYSTEM 4100-05 3279563 4.254.250 4.254.250 4.254.250
InsumosUHN D. 7.5 L220 TAN AZUL OSCURO REF. 462.722 3331030 658.246 658.246 658.246
InsumosUHN D. 7.5 L240 TAN AZUL OSCURO REF. 462.724 3331024 648.518 648.518 648.518
InsumosUHN D.6.7 L 220 TAN VIOLETA REF. 462622 3279593 684.594 684.594 684.594
InsumosUHN D.6.7 L240 TAN VIOLETA REF. 462.624 3331031 658.246 658.246 658.246
InsumosUHN D.6.7 L270 TAN VIOLETA REF. 462.627 3270927 658.246 658.246 658.246
InsumosUHN D.7.5 L250 TAN AZUL OSCURO REF. 462.725 3331028 658.246 658.246 658.246
InsumosULTRA SHEARS 5 MM TYCO 3330034 424.252 424.252 424.252
InsumosULTRABLATOR 30GR. REF. ESA-5336 3279463 432.297 432.297 432.297
InsumosV.A.C. WHITE FOAM LARGE (REF. M627503/10) 3000229 98.175 98.175 98.175
InsumosVACUTAINER S/ADITIVO 4 ML ROJO ( MV 50008857 ) 3290209 8.109 8.109 8.109
InsumosVACUTAINER C/GEL S/ADITIVO(AMARILLO-3.5ML) MV50008858 3290074 635 635 635
InsumosVACUTAINER CELESTE C.SOD 2 CC /2.7 CC ( MV 50008859 ) 3290092 620 620 620
InsumosVACUTAINER GRIS FLUORURO DE SODIO 2 ML ( MV 50008871 ) 3979420 609 609 609
InsumosVACUTAINER HEMOGARD LILA 4 ML EDTA K3 * MV 50008861 3290091 942 942 942
InsumosVACUTAINER S/ADITIVO 10 ML ROJO VIDRIO ( MV 50008856 ) 3290208 864 864 864
InsumosVACUTAINER S/ADITIVO 10ML ROJO PLASTICO 3290531 43.823 43.823 43.823
InsumosVACUTAINER VERDE HEP-LITIO 4 ML ( MV 50008862 ) 3290496 2.953 2.953 2.953
InsumosVACUTAINER VERDE HEP-SODIO 4 ML ( MV 31000179 ) 3290848 537 537 537
InsumosVACUTAINER VHS TUBO NEGRO-1.28ML. MV 30001031 3290210 3.644 3.644 3.644
InsumosVAINA 14 FR X 80 CM REF. CHDI-1480-45 3979561 621.775 621.775 621.775
InsumosVAINA 5FR 051102A 3979323 560.273 560.273 560.273
InsumosVAINA DE SENO CORONARIO SELECTRA BIO2-55 3900508 589.050 589.050 589.050
InsumosVAINA INTRODUCTORA DRY SEAL 12FR REF. SDV1228 3979398 516.204 516.204 516.204
InsumosVAINA INTRODUCTORA RADIOFRECUENCIA VARICES 7FR-11CM REF. IS-7F11 3979358 78.540 78.540 78.540
InsumosVAINA SUJECION 314.080 3270707 495.794 495.794 495.794
InsumosVALVULA DERIVATIVA PRESION BAJA REF 9003D/12508 3080038 549.470 549.470 549.470
InsumosVALVULA DERIVATIVA PRESION MEDIA NL-NL850-9850 3100009 448.987 448.987 448.987
InsumosVALVULA FONACION COD.100/550/000 PORTEX P/CANULA Nº10 3330068 47.713 47.713 47.713
Page 64
PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosVALVULA HEIMLICH C-CASP-A-FORD 3330020 176.279 176.279 176.279
InsumosVANCOMICINA (VA ) 30UG 250 DISCOS ( MV 31000352 ) 3979512 41.234 41.234 41.234
InsumosVANTRIS PARA RVU 3979322 808.693 808.693 808.693
InsumosVAPORIZADOR ABLATOR 90 3.2MM IA 2379(#U.1) 3270254 431.970 431.970 431.970
InsumosVARILLA DE CONEXION 395.760 3330023 43.539 43.539 43.539
InsumosVARIMED 20-30 T3 / CALCETA 3110024 19.878 19.878 19.878
InsumosVARIO CASE P/INT.TORNILLO CANULADO 3.5 583.020 3270696 2.198.039 2.198.039 2.198.039
InsumosVASELINA ESTERIL 10 ML * 1 AMPOLLA 3370004 1.139 1.139 1.139
InsumosVASELINA LIQ.MEDICINAL *200ML* 125CC 3370014 4.347 4.347 4.347
InsumosVASELINA SOLIDA * CAJA 3260002 12.540 12.540 12.540
InsumosVASTAGO NO CEMENTADO TITANIO 3280006 1.844.028 1.844.028 1.844.028
InsumosVASTAGO STELLARIS 56.20.3230 3280042 2.039.334 2.039.334 2.039.334
InsumosVASTAGO STELLARIS STANDARD 17 REF 56.20.3170 3280049 2.039.334 2.039.334 2.039.334
InsumosVASTAGO STELLARIS STANDARD 18 REF 56.20.3180 3280052 3.137.437 3.137.437 3.137.437
InsumosVASTAGO STELLARIS STANDARD 19 REF. 56.20.3190 3280057 2.345.981 2.345.981 2.345.981
InsumosVASTAGO STELLARIS STANDARD21 REF 56.20.3210 3270979 2.039.334 2.039.334 2.039.334
InsumosVASTAGO STELLARS STANDARD REF. 56.20.3200 3280130 2.345.981 2.345.981 2.345.981
InsumosVASTAGO TAPERLOC COMPLETE 133 REF-51-103160 3280119 1.066.510 1.066.510 1.066.510
InsumosVASTAGO WAGNER 0100102.214 HELICO 3280007 4.022.975 4.022.975 4.022.975
InsumosVENDA SUJ. DANAMUL 12CM *1 UD (FE. 20 X UN.) 3210016 2.398 2.398 2.398
InsumosVENDA SUJ. DANAMUL 8CM *1 UD (FE. 20 X UN.) 3210014 1.895 1.895 1.895
InsumosVENDA SUJ.DANAMUL 10CM *1 UD (FE.20 XUN) 3210015 2.021 2.021 2.021
InsumosVENDA COBAN ELAST. 10CM (1584) (F.E 18) 3110025 19.991 19.991 19.991
InsumosVENDA COBAN ELAST. 7.5 CM (1583) (F.E 24) 3110012 13.137 13.137 13.137
InsumosVENDA ELAS. CL. 3.75 CM X10 3110023 11.425 11.425 11.425
InsumosVENDA ELAST.ADH."TENSOPLAST " 7,5CM *1 U 3110002 24.351 24.351 24.351
InsumosVENDA ELAST.ADH."TENSOPLAST" 10CM * 1 UN 3110003 28.364 28.364 28.364
InsumosVENDA ELASTICA 10 CM *5 MT L. B. * 12 3110007 7.200 7.200 7.200
InsumosVENDA ELASTICA 10 CM"CINTELA"(N§4)*1 U 3110006 29.780 29.780 29.780
InsumosVENDA ELASTICA 12CM *2.0MT TIPO CINTELA 3110022 19.897 19.897 19.897
InsumosVENDA ELASTICADA 4 CM NOBAFIX (FE.20 X UN.) 3110013 1.270 1.270 1.270
InsumosVENDA GASA ANCHA 20 X 200 ESTERIL INTRAM 3030017 5.337 5.337 5.337
InsumosVENDA GASA ANGOSTA 4 PLIEGUES 10X300 ESTERIL 3030016 2.880 2.880 2.880
InsumosVENDA SOFBAN 10 CM * 2 7 MT (F.E.12) 3210001 2.922 2.922 2.922
InsumosVENDA SOFBAN 15 CM * 2 7 MT * (F.E.12) 3210013 4.440 4.440 4.440
InsumosVENDA SOFBAN 20 CM X 2.7 MT (F.E. 6) 3210024 5.319 5.319 5.319
InsumosVENDA YESO 10 CM * 3 MT "GYPSONA S F.EMP. 12 3210009 5.603 5.603 5.603
InsumosVENDA YESO 12 5CM* 3 MT "GYPSONA S" F.EMP.12 3210010 5.870 5.870 5.870
InsumosVENDA YESO 15 CM * 3 MT "GYPSONA S" F.EMP.12 3210011 7.535 7.535 7.535
InsumosVENDA YESO 20 CM * 4 MT "GYPSONA S" F.EMP.12 3210012 11.655 11.655 11.655
InsumosVENDA YESO PLASTICO 10CM*3 6MT 82004 ( MV 50002649 ) 3210018 26.091 26.091 26.091
InsumosVENDA YESO PLASTICO 5 CM (82002) 3210055 22.368 22.368 22.368
InsumosVENDA YESO PLASTICO 7 5*3 7MT(82003)( MV 50002648 ) 3210017 24.677 24.677 24.677
InsumosVENOSTRIP SET FLEBO REF. 5523184 3330030 70.686 70.686 70.686
InsumosVENTROFIL 2XDS 75CM 07-41-509502-0 * 4 3180012 60.613 60.613 60.613
InsumosVERSA STEP 14G LONG VS150000 #CN 3220041 42.543 42.543 42.543
InsumosVERSA STEP 12 MM TYCO VS101012P #CN 3220040 111.265 111.265 111.265
InsumosVERSA STEP 15MM * VS101015P #CN 3220072 131.031 131.031 131.031
InsumosVERSA STEP 5MM VS101005 #CN 3220052 107.011 107.011 107.011
InsumosVERSAPORT 5/12 MM REF 179096P 3220049 155.381 155.381 155.381
InsumosVERSAPORT PLUS 10MM -15 179078P 3220054 116.535 116.535 116.535
InsumosVERSAPORT PLUS 5/12 MM 179071P 3220051 148.310 148.310 148.310
InsumosVICHY DES.CR. 3260024 10.797 10.797 10.797
InsumosVICRYL 3-0 J904T (C.J X24U.) 3180130 37.797 37.797 37.797
InsumosVICRYL 0 C/A * 36 SB (J346H) ( MV 50004815 ) 3180062 13.017 13.017 13.017
InsumosVICRYL 0 UR-6 REF J603H ( MV 50000128 ) 3180147 13.090 13.090 13.090
InsumosVICRYL 1 C/A CT * 36 SB (J353H) 3180061 10.231 10.231 10.231
InsumosVICRYL 1 C/A CT1 * 36 SB(J347H) / CL 925 COVIDIEN (POLYSORB) (MV 50004824 ) 3180060 13.988 13.988 13.988
InsumosVICRYL 2/0 C/A * 36 SB (J345H) / CL923 COVIDIEN 3180063 14.272 14.272 14.272
InsumosVICRYL 2/0 C/A G.I.* 36 SB (J323H)/POLISORB GL127 ( MV 50004828 ) 3180064 12.467 12.467 12.467
InsumosVICRYL 2/0 C/A SH G.I. * 36 SB (J317H) / GL123 COVIDIEN ( MV 50004831 ) 3180067 11.340 11.340 11.340
InsumosVICRYL 2-0 J905T (C.JX24U.) 3180131 37.797 37.797 37.797
InsumosVICRYL 3/0 C/A CUTICULAR * 36 SB (J123H) 3180066 8.671 8.671 8.671
InsumosVICRYL 3/0 G.I C/A 2 5 * 36 SB(J316H)(GL-122) (MV 50004833 ) 3180065 13.231 13.231 13.231
InsumosVICRYL 3/0 G.I. C/A 3 5 * 36 SB(J322H) / GL126 COVIDIEN MV 50004832 3180047 12.566 12.566 12.566
InsumosVICRYL 4.0 J122 * 36 3180128 15.122 15.122 15.122
InsumosVICRYL 4/0 C/A G.I.* 36 SB (J315H) 3180068 11.074 11.074 11.074
InsumosVICRYL 4-0 70CM RB-1 VC P304H 3220089 14.175 14.175 14.175
InsumosVICRYL 5/0 C/A * 36 SB (J303)* UROLOGIA 3180079 10.332 10.332 10.332
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PRESTACIONES CODIGOVALOR
PARTICULAR
VALOR
FONASA
VALOR
ISAPRE
InsumosTipo de Prestación: Insumos
InsumosInsumos
ARANCEL 2016
INSUMOS
InsumosVICRYL 5/0 C/A *12SB JP 500 G 3180069 15.792 15.792 15.792
InsumosVICRYL 6/0 C/A * 36 SB (JP505G) 3180070 21.300 21.300 21.300
InsumosVICRYL 7/0 OFT RECUB * 12 SB (J546G) 3180082 64.796 64.796 64.796
InsumosVICRYL PLASTICO 4/0 * 12 SB (JP494G) 3180084 17.755 17.755 17.755
InsumosVICRYL RAPIDE 4/0 REF. VR2140G ( FE.12) 3180139 14.629 14.629 14.629
InsumosVICRYL RAPIDE 5/0 C/ARB1 VR2130 ( MV 50008468 ) 3180141 13.860 13.860 13.860
InsumosVICRYL RAPIDE 5-0 VR9915G (CJX12U) 3180133 17.012 17.012 17.012
InsumosVICRYL RECUBIERTO 1 CTX J371H * 36/ POLYSORB CL905 3180090 12.898 12.898 12.898
InsumosVICRYL RECUBIERTO 5/0 OFTALM. J571G 3180092 50.635 50.635 50.635
InsumosVICRYL RECUBIERTO OFTALMICO 6.0 J 570 G *12 ( MV 50009756 ) 3180108 52.045 52.045 52.045
InsumosVIDAS BRAHMS PROCALCITONINA 60T 30450 ( MV 31000189 ) #LAB 3299531 1.422.556 1.422.556 1.422.556
InsumosVIDAS CDA A Y B REF. 30118 #LAB 3979571 860.955 860.955 860.955
InsumosVIDAS GDH 6TEST REF. 30125 #LAB 3979572 874.621 874.621 874.621
InsumosVIDAS TROPONIN 60T REF. 30448 #LAB 3979551 704.897 704.897 704.897
InsumosVIDEO 120 MIN. * UNIDAD 3320014 4.559 4.559 4.559
InsumosVIOLETA GENCIANA 20 ML. 3370012 1.690 1.690 1.690
InsumosVISCOCEL ( OFTALMOLOGÍA ) 3260029 57.334 57.334 57.334
InsumosVITAMINA D ( MV 31000596 ) #LAB 3290809 1.224.511 1.224.511 1.224.511
InsumosVITAMINA D TOTAL CS ELECSYS 5894921190 #LAB 3290602 526.959 526.959 526.959
InsumosVITAMINA D TOTAL ELECSYS COBAS 5894913190 #LAB 3290601 2.300.196 2.300.196 2.300.196
InsumosVITROS B12 ( MV 31000595 ) #LAB 3290808 641.410 641.410 641.410
InsumosVITROS TOTAL B HCG II REAGENT ( MV 31000257 ) #LAB 3290789 451.818 451.818 451.818
InsumosV-LOC 180 ABS 3-0 HEBRA 45 CM REF. VLOCL0624 3979372 39.309 39.309 39.309
InsumosV-LOC ABS 180 3-0 HEBRA DE 30CM VLOCL0614 3979378 39.309 39.309 39.309
InsumosVRS QUICKVUE ( 20 DET. ) MV 31000094 #LAB 3979427 377.156 377.156 377.156
InsumosVTI REF 9076-07-20-05 3700442 2.117.425 2.117.425 2.117.425
InsumosVTI REF. 9076-08-20-05 3700449 2.117.425 2.117.425 2.117.425
InsumosZIPTIGHT AC JOINT 1 ZIPLOOP REF. 904834 3279464 277.852 277.852 277.852
InsumosZYM A 2X8 70494 3290528 78.293 78.293 78.293
InsumosZYM A X 2(70494) 3290138 72.414 72.414 72.414
InsumosZYM B X 2(70493 3290137 72.414 72.414 72.414