| PRESTACIONES | CÓDIGO FONASA | PRECIO FONASA | CO-PAGO | PARTICULAR |
|---|---|---|---|---|
| RESONANCIA MAGNÉTICA CRANEO-ENCEFÁLICA U OIDOS | 04.05.001 | $203.070 | $101.530 | $263.991 |
| RESONANCIA MAGNÉTICA DE HIPOTÁLAMO - HIPOFISIS | 04.05.002 | $211.450 | $105.720 | $274.885 |
| RESONANCIA MAGNÉTICA DE ORBITAS | 04.05.003 | $189.540 | $94.770 | $246.402 |
| RESONANCIA MAGNÉTICA DE ART. TEMPOROMANDIBULARES | 04.05.004 | $203.810 | $101.900 | $264.953 |
| RESONANCIA MAGNÉTICA DE COLUMNA CERVICAL | 04.05.005 | $203.070 | $101.530 | $263.991 |
| RESONANCIA MAGNÉTICA DE COLUMNA DORSAL | 04.05.006 | $211.190 | $105.590 | $274.547 |
| RESONANCIA MAGNÉTICA DE COLUMNA LUMBAR | 04.05.007 | $203.070 | $101.530 | $263.991 |
| RESONANCIA MAGNÉTICA DE ABDOMEN | 04.05.010 | $203.070 | $101.530 | $263.991 |
| RESONANCIA MAGNÉTICA DE PELVIS Y SACROILIACAS | 04.05.011 | $203.070 | $101.530 | $263.991 |
| RESONANCIA MAGNÉTICA DE ABDOMEN Y PELVIS | 04.05.012 | $304.580 | $152.290 | $395.954 |
| RESONANCIA MAGNÉTICA DE RODILLA | 04.05.013 | $166.500 | $83.250 | $216.450 |
| RESONANCIA MAGNÉTICA DE COLUMNA TOTAL | 04.05.016 | $359.330 | $179.660 | $467.129 |
| RESONANCIA MAGNÉTICA ANGIOGRAFIA DE ENCEFALO | 04.05.017 | $217.610 | $108.800 | $282.893 |
| RESONANCIA MAGNÉTICA ANGIOGRAFIA DE CUELLO | 04.05.018 | $223.770 | $111.880 | $290.901 |
| RESONANCIA MAGNÉTICA ANGIOGRAFIA DE TORAX | 04.05.019 | $220.200 | $110.100 | $286.260 |
| RESONANCIA MAGNÉTICA ANGIOGRAFIA DE ABDOMEN | 04.05.020 | $205.640 | $102.820 | $267.332 |
| RESONANCIA MAGNÉTICA ANGIOGRAFIA DE PELVIS | 04.05.021 | $211.450 | $105.720 | $274.885 |
| RESONANCIA MAGNÉTICA DE MANO O MUÑECA | 04.05.024 | $178.430 | $89.210 | $231.959 |
| RESONANCIA MAGNÉTICA DE ANTEBRAZO O BRAZO | 04.05.025 | $170.610 | $85.300 | $221.793 |
| RESONANCIA MAGNÉTICA DE CODO | 04.05.026 | $173.370 | $86.680 | $225.381 |
| RESONANCIA MAGNÉTICA DE HOMBRO | 04.05.027 | $166.500 | $83.250 | $216.450 |
| RESONANCIA MAGNÉTICA DE PIE, ANTEPIE O TOBILLO | 04.05.028 | $166.500 | $83.250 | $216.450 |
| RESONANCIA MAGNÉTICA DE PIERNA | 04.05.029 | $171.350 | $85.670 | $222.755 |
| RESONANCIA MAGNÉTICA DE MUSLO Ó CADERA UNILATERAL | 04.05.030 | $173.370 | $86.680 | $225.381 |
| COLANGIORESONANCIA | 04.05.098 | $136.030 | $68.010 | $176.839 |
| RESONANCIA MAGNÉTICA DE MAMA (BILATERAL) | 04.05.031 | $166.500 | $83.250 | $216.450 |
| RESONANCIA MAGNETICA DE TORAX ( CORAZON, ESTERNON, CLAVICULAS, ARTICULACION ACROMIOCLAVICULAR, ESCAPULA, COSTILLAS O ARTICULACION ESTERNOCLAVICULAR). TODA LA PARED TORACICA O CADA SEGMENTO O ARTICULACION. BILATERAL | 04.05.009 | $217.610 | $108.800 | $282.893 |
| MEDIO DE CONTRASTE | . | . | $20.000 |
