| Código Fonasa | Prestación | Valor Fonasa Nivel 1 (tramos B, C y D) | Plan de beneficios Maiposalud | Valor particular | Preparación |
|---|---|---|---|---|---|
| 401002 | RX CAVUM RINOFARINGEO | $4.860 | $972 Cobertura 80% | $9.730 | |
| 401009 | RX TORAX SIMPLE | $5.520 | $1.104 Cobertura 80% | $11.050 | |
| 401070 | RX TORAX AP-LAT | $9.960 | $1.992 Cobertura 80% | $19.930 | |
| 401013 | RX ABDOMEN SIMPLE | $5.060 | $1.012 Cobertura 80% | $10.130 | |
| 401014 | PROYECCIONES ESPECIALES RX ABDOMEN | $3.650 | $730 Cobertura 80% | $7.300 | |
| 401028 | RX RENAL SIMPLE | $4.660 | $932 Cobertura 80% | $9.320 | |
| 401029 | RX VESICAL | $4.010 | $802 Cobertura 80% | $8.030 | |
| 401031 | RX CAVIDADES PERINASALES | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX HPN | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX MAXILAR | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX CARA | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX ATM DERECHO | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX ATM IZQUIERDO | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX MALAR DERECHO | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX MALAR IZQUIERDO | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX ARCO CIGOMATICO DERECHO | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401031 | RX ARCO CIGOMATICO IZQUIERDO | $5.480 | $1.096 Cobertura 80% | $10.970 | |
| 401032 | RX CRANEO FRONTAL Y LATERAL | $5.730 | $1.146 Cobertura 80% | $11.470 | |
| 401033 | RADIOGRAFIA DE CRANEO PROYECCION ESPECIAL DE BASE DE CRANEO (TOWNE) | $4.020 | $804 Cobertura 80% | $8.040 | |
| 401040 | RX SILLA TURCA | $6.410 | $1.282 Cobertura 80% | $12.820 | |
| 401042 | RX COLUMNA CERVICAL FRONTAL O LATERAL (ATLAS) | $5.520 | $1.104 Cobertura 80% | $11.050 | |
| 401043 | RX COLUMNA CERVICAL Y OBLICUAS | $9.300 | $1.860 Cobertura 80% | $18.600 | |
| 401044 | RX CERVICAL DINAMICAS | $5.210 | $1.042 Cobertura 80% | $10.430 | |
| 401045 | RX COLUMNA DORSAL | $6.430 | $1.286 Cobertura 80% | $12.870 | |
| 401045 | RX PARRILLA COSTAL IZQUIERDA | $6.430 | $1.286 Cobertura 80% | $12.870 | |
| 401045 | RX PARRILLA COSTAL DERECHA | $6.430 | $1.286 Cobertura 80% | $12.870 | |
| 401045 | RADIOGRAFIA DE COLUMNA DORSO-LUMBAR | $6.430 | $1.286 Cobertura 80% | $12.870 | |
| 401046 | RX COLUMNA LUMBAR QUINTO ESPACIO | $9.520 | $1.904 Cobertura 80% | $19.050 | |
| 401047 | RX COLUMNA LUMBAR DINAMICAS | $7.740 | $1.548 Cobertura 80% | $15.490 | |
| 401048 | LUMBOSACRAS ESPECIALES RX LUMBAR | $5.210 | $1.042 Cobertura 80% | $10.430 | |
| 401051 | RX PELVIS | $4.230 | $846 Cobertura 80% | $8.470 | |
| 401051 | RX CADERA DERECHA | $4.230 | $846 Cobertura 80% | $8.470 | |
| 401051 | RX CADERA IZQUIERDA | $4.230 | $846 Cobertura 80% | $8.470 | |
| 401051 | RX COXOFEMORAL DERECHA | $4.230 | $846 Cobertura 80% | $8.470 | |
| 401051 | RX COXOFEMORAL IZQUIERDA | $4.230 | $846 Cobertura 80% | $8.470 | |
| 401151 | RX PELVIS BEBE | $4.040 | $808 Cobertura 80% | $8.080 | |
| 401151 | RX CADERA BEBE | $4.040 | $808 Cobertura 80% | $8.080 | |
| 401052 | RX PROYECCIONES ESPECIALES CADERAS, PELVIS, ABDUCCION, LOWESTEIN, ETC | $3.860 | $772 Cobertura 80% | $7.720 | |
| 401053 | RX SACROXIS | $5.810 | $1.162 Cobertura 80% | $11.620 | |
| 401053 | RX ARTICULACIONES SACROILIACAS | $5.810 | $1.162 Cobertura 80% | $11.620 | |
| 401054 | RX DEDOS | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX BRAZO DERECHO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX BRAZO IZQUIERDO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX ANTEBRAZO DERECHO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX ANTEBRAZO IZQUIERDO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX CODO DERECHO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX CODO IZQUIERDO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX MUNECA DERECHA AP-LAT | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX MUÑECA IZQUIERDA AP-LAT | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX DEDOS DE LA MANO DERECHA | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX DEDOS DE LA MANO IZQUIERDA | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX PIE DERECHO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX PIE IZQUIERDO | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX MANO DERECHA | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX MANO IZQUIERDA | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX PIE DERECHO AP-LAT | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX PIE IZQUIERDO AP-LAT | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX CALCANEO DERECHO (AP LATERAL) | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX CALCANEO IZQUIERDO (AP LATERAL) | $4.820 | $964 Cobertura 80% | $9.640 | |
| 401054 | RX ORTEJO PIE IZQUIERDO | $4.820 | $964 Cobertura 80% | $9.640 | Sin preparación |
| 401054 | RX ORTEJO PIE DERECHO | $4.820 | $964 Cobertura 80% | $9.640 | Sin preparación |
| 401055 | RX CLAVICULA DERECHA | $5.640 | $1.128 Cobertura 80% | $11.280 | |
| 401055 | RX CLAVICULA IZQUIERDA | $5.640 | $1.128 Cobertura 80% | $11.280 | |
| 401056 | RX EDAD OSEA MANO | $4.020 | $804 Cobertura 80% | $8.040 | |
| 401058 | RX DE ESCAFOIDES DERECHO | $6.300 | $1.260 Cobertura 80% | $12.610 | |
| 401058 | RX DE ESCAFOIDES IZQUIERDO | $6.300 | $1.260 Cobertura 80% | $12.610 | |
| 401059 | RX MUNECA DERECHA FRONTAL, LATERAL Y OBLICUA | $5.450 | $1.090 Cobertura 80% | $10.900 | |
| 401059 | RX MUNECA IZQUIERDA FRONTAL, LATERAL Y OBLICUA | $5.450 | $1.090 Cobertura 80% | $10.900 | |
| 401059 | RX TOBILLO DERECHO FRONTAL, LATERAL Y OBLICUA | $5.450 | $1.090 Cobertura 80% | $10.900 | |
| 401059 | RX TOBILLO IZQUIERDO FRONTAL, LATERAL Y OBLICUA | $5.450 | $1.090 Cobertura 80% | $10.900 | |
| 401060 | RX ESTERNON FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX HOMBRO DERECHO FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX HOMBRO IZQUIERDO FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX FEMUR DERECHO FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX FEMUR IZQUIERDO FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX RODILLA DERECHA FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX RODILLA IZQUIERDA FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX PIERNA DERECHA FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX PIERNA IZQUIERDA FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX COSTILLA DERECHA FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX COSTILLA IZQUIERDA FRONTAL Y LATERAL | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX ESCAPULA DERECHA | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401060 | RX ESCAPULA IZQUIERDA | $5.700 | $1.140 Cobertura 80% | $11.400 | |
| 401062 | RADIOGRAFIA DE PROYECCIONES ESPECIALES OBLICUAS U OTRAS EN HOMBRO, BRAZO, CODO, RODILLA, ROTULAS, SESAMOIDEOS, AXIAL DE AMBAS ROTULAS O SIMILARES | $3.960 | $792 Cobertura 80% | $7.930 | |
| 401063 | RX TUNEL INTERCONDILEO DERECHO | $3.860 | $772 Cobertura 80% | $7.720 | |
| 401063 | RX TUNEL INTERCONDILEO IZQUIERDO | $3.860 | $772 Cobertura 80% | $7.720 | |
| 401063 | RX RADIO-CARPIANO DERECHO | $3.860 | $772 Cobertura 80% | $7.720 | |
| 401063 | RX RADIO-CARPIANO IZQUIERDO | $3.860 | $772 Cobertura 80% | $7.720 |
Todos estos exámenes te podrían salir más baratos
Conocer plan de Beneficios Estimado paciente, los precios publicados son referenciales. Por favor verifique valor de arancel Fonasa 2026 en caja.