| CODIGO | GLOSA | PARTICULAR | FONASA | ISAPRE |
|---|---|---|---|---|
| 1 | PABELLON1 | 58600 | 51377 | 64560 |
| 2 | PABELLON2 | 80400 | 70450 | 77840 |
| 3 | PABELLON3 | 79800 | 79049 | 89740 |
| 4 | PABELLON4 | 178600 | 155232 | 131990 |
| 5 | PABELLON5 | 259700 | 252232 | 210830 |
| 6 | PABELLON6 | 376800 | 355005 | 246050 |
| 7 | PABELLON7 | 473400 | 439898 | 297830 |
| 8 | PABELLON8 | 708400 | 646396 | 558280 |
| 9 | PABELLON9 | 912500 | 825552 | 662200 |
| 10 | PABELLON10 | 1206900 | 1084199 | 861870 |
| 11 | PABELLON11 | 1397200 | 1252220 | 874030 |
| 12 | PABELLON12 | 1421700 | 1272947 | 974430 |
| 13 | PABELLON13 | 1656900 | 1479224 | 997120 |
| 14 | PABELLON14 | 1858000 | 1577237 | 1056650 |
