pruebas cardiovasculares invasivas - triple-s...

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PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros 08/01/2015 1 CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO MQ-01 N/C MQ-51 40% MR-02 35% MQ-02 25% MQ-52 20% MR-03 30% MQ-03 * MQ-53 35% MR-04 40% MQ-04 25% MQ-54 10% MR-05 25% MQ-05 25% MQ-55 NADA MR-06 30% MQ-06 25% MQ-56 * MR-07 20% MQ-07 30% MQ-57 30% MR-08 * MQ-08 20% MQ-58 25% MR-09 30% MQ-09 25% MQ-59 NADA MR-10 25% MQ-10 20% MQ-60 * MR-11 25% MQ-11 25% MQ-61 NADA MR-12 * MQ-12 35% MQ-62 20% MR-13 b 30% MQ-13 25% MQ-63 * MR-14 25% MQ-14 20% MQ-64 30% MR-15 * MQ-15 40% MQ-65 25% MR-16 25% MQ-16 30% MQ-66 35% MR-17 25% MQ-17 * MQ-67 25% MR-18 d 25% MQ-18 25% MQ-68 25% MR-19 25% MQ-19 10% MQ-69 NADA MR-20 25% MQ-20 NADA MQ-70 25% MR-21 30% MQ-21 40% MQ-71 i NADA MR-22 25% MQ-22 25% MQ-72 15% MR-23 * MQ-23 * MQ-73 * MR-24 25% MQ-24 30% MQ-74 30% MR-25 20% MQ-25 25% MQ-75 30% MR-26 * MQ-26 30% MQ-76 20% MR-27 20% MQ-27 30% MQ-77 20% MR-28 * MQ-28 25% MQ-78 25% MR-29 NADA MQ-29 25% MQ-79 25% MR-30 40% MQ-30 20% MQ-80 25% MR-31 35% MQ-31 * MQ-81 * MR-32 30% MQ-32 20% MQ-82 30% MR-33 30% MQ-33 30% MQ-83 25% MR-34 40% MQ-34 35% MQ-84 30% MR-35 25% MQ-35 20% MQ-85 25% MR-36 25% MQ-36 40% MQ-86 i NADA MR-37 15% MQ-37 40% MQ-87 25% MR-38 * MQ-38 * MQ-88 30% MR-39 20% MQ-39 30% MQ-89 25% MR-40 15% MQ-40 20% MQ-90 25% MR-41 30% MQ-41 40% MQ-91 30% MR-42 25% MQ-42 25% MQ-92 25% MR-43 20% MQ-43 25% MQ-93 35% MR-44 40% MQ-44 25% MQ-94 30% MR-45 30% MQ-45 25% MQ-95 20% MR-46 * MQ-46 30% MQ-96 * MR-47 40% MQ-47 30% MQ-97 25% MR-48 25% MQ-48 30% MQ-98 NADA MR-49 25% MQ-49 30% MQ-99 NADA MR-50 20% MQ-50 NADA MR-01 20% MR-51 25%

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PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

1

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MQ-01 N/C MQ-51 40% MR-02 35% MQ-02 25% MQ-52 20% MR-03 30%

MQ-03 * MQ-53 35% MR-04 40%

MQ-04 25% MQ-54 10% MR-05 25%

MQ-05 25% MQ-55 NADA MR-06 30%

MQ-06 25% MQ-56 * MR-07 20%

MQ-07 30% MQ-57 30% MR-08 *

MQ-08 20% MQ-58 25% MR-09 30%

MQ-09 25% MQ-59 NADA MR-10 25%

MQ-10 20% MQ-60 * MR-11 25%

MQ-11 25% MQ-61 NADA MR-12 *

MQ-12 35% MQ-62 20% MR-13 b 30%

MQ-13 25% MQ-63 * MR-14 25%

MQ-14 20% MQ-64 30% MR-15 *

MQ-15 40% MQ-65 25% MR-16 25%

MQ-16 30% MQ-66 35% MR-17 25%

MQ-17 * MQ-67 25% MR-18 d 25%

MQ-18 25% MQ-68 25% MR-19 25%

MQ-19 10% MQ-69 NADA MR-20 25%

MQ-20 NADA MQ-70 25% MR-21 30%

MQ-21 40% MQ-71 i NADA MR-22 25%

MQ-22 25% MQ-72 15% MR-23 *

MQ-23 * MQ-73 * MR-24 25%

MQ-24 30% MQ-74 30% MR-25 20%

MQ-25 25% MQ-75 30% MR-26 *

MQ-26 30% MQ-76 20% MR-27 20%

MQ-27 30% MQ-77 20% MR-28 *

MQ-28 25% MQ-78 25% MR-29 NADA

MQ-29 25% MQ-79 25% MR-30 40%

MQ-30 20% MQ-80 25% MR-31 35%

MQ-31 * MQ-81 * MR-32 30%

MQ-32 20% MQ-82 30% MR-33 30%

MQ-33 30% MQ-83 25% MR-34 40%

MQ-34 35% MQ-84 30% MR-35 25%

MQ-35 20% MQ-85 25% MR-36 25%

MQ-36 40% MQ-86 i NADA MR-37 15%

MQ-37 40% MQ-87 25% MR-38 *

MQ-38 * MQ-88 30% MR-39 20%

MQ-39 30% MQ-89 25% MR-40 15%

MQ-40 20% MQ-90 25% MR-41 30%

MQ-41 40% MQ-91 30% MR-42 25%

MQ-42 25% MQ-92 25% MR-43 20%

MQ-43 25% MQ-93 35% MR-44 40%

MQ-44 25% MQ-94 30% MR-45 30%

MQ-45 25% MQ-95 20% MR-46 *

MQ-46 30% MQ-96 * MR-47 40%

MQ-47 30% MQ-97 25% MR-48 25%

MQ-48 30% MQ-98 NADA MR-49 25%

MQ-49 30% MQ-99 NADA MR-50 20%

MQ-50 NADA MR-01 20% MR-51 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

2

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MR-52 25% MU-06 25% MU-59 a 40% MR-53 30% MU-07 * MU-60 40%

MR-54 d 20% MU-08 30% MU-61 a 40%

MR-55 25% MU-09 20%

MU-62 40%

MR-56 30% MU-10 20% MU-63 20%

MR-57 30% MU-11 * MU-64 30%

MR-58 30% MU-12 * MU-65 30%

MR-59 * MU-13 $50.00

MU-66 25%

MR-60 10% MU-14 40% MU-67 30%

MR-61 30% MU-15 20% MU-68 *

MR-62 20% MU-16 25% MU-69 25%

MR-63 25% MU-17 20% MU-70 25%

MR-64 25% MU-18 20% MU-71 *

MR-65 40% MU-19 20% MU-72 25%

MR-66 25% MU-20 20% MU-73 NADA

MR-67 25% MU-21 30% MU-74 30%

MR-68 25% MU-22 15% MU-75 20%

MR-69 80% MU-23 20% MU-76 30%

MR-70 25% MU-24 NADA MU-77 *

MR-71 40% MU-25 * MU-78 NADA

MR-72 20% MU-26 N/C MU-79 40%

MR-73 20% MU-27 20% MU-80 40%

MR-74 25% MU-28 * MU-81 *

MR-75 * MU-29 NADA MU-82 20%

MR-76 35% MU-30 NADA MU-83 25%

MR-77 25% MU-31 30% MU-84 *

MR-78 30% MU-32 * MU-85 NADA

MR-79 25% MU-33 25% MU-86 NADA

MR-80 40% MU-34 NADA MU-87 20%

MR-81 * MU-35 30%

MU-88 30%

MR-82 * MU-36 20% MU-89 10%

MR-83 30% MU-37 20% MU-90 20%

MR-84 25% MU-38 * MU-91 30%

MR-85 30% MU-39 * MU-92 30%

MR-86 * MU-40 30% MU-93 25%

MR-87 20% MU-41 40% MU-94 *

MR-88 20% MU-42 40% MU-95 25%

MR-89 e 40% MU-43 25% MU-96 25%

MR-90 * MU-44 c 25% MU-97 30%

MR-91 15% MU-45 20% MU-98 *

MR-92 30% MU-46 25% MU-99 20%

MR-93 30% MU-47 NADA * *

MR-94 25% MU-48 25% * *

MR-95 25% MU-49 j NADA * *

MR-96 * MU-50 20% * *

MR-97 40% MU-51 40% * *

MR-98 30% MU-52 * * *

MR-99 25% MU-53 25% * *

MU-01 10% MU-54 30% * *

MU-02 NADA MU-55 * * *

MU-03 30% MU-56 25% * *

MU-04 25% MU-57 30% * *

MU-05 15% MU-58 25% * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

3

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MT-01 * MT-50 20% MT-99 25%

MT-02 * MT-51 20% * *

MT-03 * MT-52 20% * *

MT-04 25% MT-53 35% * *

MT-05 * MT-54 a 40% * *

MT-06 25% MT-55 a 40% * *

MT-07 40% MT-56 30% * *

MT-08 25% MT-57 * * *

MT-09 NADA MT-58 35% * *

MT-10 20% MT-59 30% * *

MT-11 * MT-60 25% * *

MT-12 NADA MT-61 * * *

MT-13 * MT-62 40% * *

MT-14 30% MT-63 30% * *

MT-15 25% MT-64 30% * *

MT-16 30% MT-65 30% * *

MT-17 40% MT-66 30% * *

MT-18 30% MT-67 30% * *

MT-19 40% MT-68 * * *

MT-20 30% MT-69 * * *

MT-21 25% MT-70 20% * *

MT-22 20% MT-71 25% * *

MT-23 * MT-72 * * *

MT-24 * MT-73 25% * *

MT-25 NADA MT-74 25% * * MT-26 * MT-75 * * *

MT-27 10% MT-76 * * *

MT-28 10% MT-77 30% * *

MT-29 * MT-78 35% * *

MT-30 10% MT-79 * * *

MT-31 25% MT-80 b 35% * *

MT-32 25% MT-81 25% * *

MT-33 30% MT-82 25% * *

MT-34 30% MT-83 25% * *

MT-35 30% MT-84 30% * *

MT-36 40% MT-85 40% * *

MT-37 20% MT-86 * * *

MT-38 20% MT-87 * * *

MT-39 30% MT-88 * * *

MT-40 35% MT-89 * * *

MT-41 25% MT-90 35% * *

MT-42 NADA MT-91 35% * *

MT-43 NADA MT-92 30% * *

MT-44 25% MT-93 30% * *

MT-45 30% MT-94 30% * *

MT-46 * MT-95 35% * *

MT-47 25% MT-96 25% * *

MT-48 35% MT-97 25% * *

MT-49 25% MT-98 * * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

4

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MD-01 30% MD-49 35% MD-97 10%

MD-02 30% MD-50 NADA MD-98 20%

MD-03 e 30% MD-51 25% MD-99 30%

MD-04 25% MD-52 35% * *

MD-05 25% MD-53 30% * *

MD-06 30% MD-54 30% * *

MD-07 20% MD-55 35% * *

MD-08 30% MD-56 20% * *

MD-09 25% MD-57 20% * *

MD-10 20% MD-58 NADA * *

MD-11 25% MD-59 20% * *

MD-12 25% MD-60 f 30% * *

MD-13 30% MD-61 30% * *

MD-14 40% MD-62 30% * *

MD-15 40% MD-63 d 20% * *

MD-16 30% MD-64 d 25% * *

MD-17 30% MD-65 d 20% * *

MD-18 35% MD-66 d 25% * *

MD-19 25% MD-67 d 20% * *

MD-20 35% MD-68 30% * *

MD-21 35% MD-69 30% * *

MD-22 40% MD-70 NADA * *

MD-23 25% MD-71 30% * *

MD-24 30% MD-72 30% * *

MD-25 e 30% MD-73 NADA * *

MD-26 * MD-74 25% * *

MD-27 40% MD-75 30% * *

MD-28 40% MD-76 40% * *

MD-29 30% MD-77 25% * *

MD-30 30% MD-78 25% * *

MD-31 25% MD-79 40% * *

MD-32 25% MD-80 30% * *

MD-33 d 30% MD-81 30% * *

MD-34 e 25% MD-82 10% * *

MD-35 NADA MD-83 30% * *

MD-36 NADA MD-84 25% * *

MD-37 10% MD-85 40% * *

MD-38 25% MD-86 10% * *

MD-39 30% MD-87 30% * *

MD-40 25% MD-88 40% * *

MD-41 30% MD-89 40% * *

MD-42 NADA MD-90 25% * *

MD-43 25% MD-91 30% * *

MD-44 30% MD-92 25% * *

MD-45 * MD-93 * * *

MD-46 * MD-94 N/C * *

MD-47 20% MD-95 25% * *

MD-48 35% MD-96 25% * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

5

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

ME-01 * ME-49 30% ME-97 25%

ME-02 30% ME-50 30% ME-98 30%

ME-03 40% ME-51 25% ME-99 b 35%

ME-04 25% ME-52 35% * *

ME-05 40% ME-53 30% * *

ME-06 25% ME-54 10% * *

ME-07 NADA ME-55 30% * *

ME-08 30% ME-56 25% * *

ME-09 35% ME-57 NADA * *

ME-10 25% ME-58 25% * *

ME-11 20% ME-59 25% * *

ME-12 NADA ME-60 20% * *

ME-13 d 25% ME-61 25% * *

ME-14 25% ME-62 20% * *

ME-15 30% ME-63 40% * *

ME-16 30% ME-64 35% * *

ME-17 d 25% ME-65 35% * *

ME-18 d 25% ME-66 25% * *

ME-19 20% ME-67 * * *

ME-20 25% ME-68 35% * *

ME-21 30% ME-69 30% * *

ME-22 25% ME-70 10% * *

ME-23 35% ME-71 30% * *

ME-24 30% ME-72 10% * *

ME-25 20% ME-73 10% * *

ME-26 * ME-74 25% * *

ME-27 25% ME-75 30% * *

ME-28 35% ME-76 NADA * *

ME-29 30% ME-77 NADA * *

ME-30 30% ME-78 10% * *

ME-31 NADA ME-79 * * *

ME-32 30% ME-80 40% * *

ME-33 30% ME-81 45% * *

ME-34 40% ME-82 30% * *

ME-35 25% ME-83 30% * *

ME-36 30% ME-84 20% * *

ME-37 25% ME-85 30% * *

ME-38 25% ME-86 40% * *

ME-39 * ME-87 25% * *

ME-40 25% ME-88 35% * *

ME-41 35% ME-89 25% * *

ME-42 20% ME-90 35% * *

ME-43 25% ME-91 30% * *

ME-44 30% ME-92 25% * *

ME-45 20% ME-93 25% * *

ME-46 30% ME-94 * * *

ME-47 25% ME-95 30% * *

ME-48 20% ME-96 35% * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

6

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MG-01 20% MG-49 * MG-97 30%

MG-02 25% MG-50 30% MG-98 30%

MG-03 25% MG-51 25% MG-99 35%

MG-04 NADA MG-52 NADA * *

MG-05 25% MG-53 10% * *

MG-06 25% MG-54 30% * *

MG-07 30% MG-55 NADA * *

MG-08 30% MG-56 35% * *

MG-09 35% MG-57 25% * *

MG-10 30% MG-58 * * *

MG-11 35% MG-59 30% * *

MG-12 30% MG-60 30% * *

MG-13 30% MG-61 30% * *

MG-14 25% MG-62 30% * *

MG-15 20% MG-63 30% * *

MG-16 25% MG-64 35% * *

MG-17 25% MG-65 35% * *

MG-18 25% MG-66 25% * *

MG-19 NADA MG-67 25% * *

MG-20 25% MG-68 35% * *

MG-21 30% MG-69 30% * *

MG-22 25% MG-70 25% * *

MG-23 30% MG-71 25% * *

MG-24 30% MG-72 25% * *

MG-25 30% MG-73 35% * *

MG-26 35% MG-74 30% * *

MG-27 25% MG-75 * * *

MG-28 30% MG-76 * * *

MG-29 j NADA MG-77 10% * *

MG-30 25% MG-78 35% * *

MG-31 25% MG-79 10% * *

MG-32 30% MG-80 10% * *

MG-33 25% MG-81 40% * *

MG-34 25% MG-82 30% * *

MG-35 30% MG-83 10% * *

MG-36 25% MG-84 * * *

MG-37 25% MG-85 30% * *

MG-38 30% MG-86 * * *

MG-39 10% MG-87 40% * *

MG-40 30% MG-88 40% * *

MG-41 30% MG-89 10% * *

MG-42 * MG-90 30% * *

MG-43 10% MG-91 40% * *

MG-44 10% MG-92 40% * *

MG-45 * MG-93 40% * *

MG-46 25% MG-94 40% * *

MG-47 25% MG-95 40% * *

MG-48 35% MG-96 25% * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

7

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MH-01 * MH-49 30% MH-97 30%

MH-02 25% MH-50 30% MH-98 30%

MH-03 25% MH-51 40% MH-99 20%

MH-04 j NADA MH-52 20% * *

MH-05 35% MH-53 25% * *

MH-06 40% MH-54 40% * *

MH-07 30% MH-55 25% * *

MH-08 30% MH-56 20% * *

MH-09 30% MH-57 20% * *

MH-10 30% MH-58 25% * *

MH-11 30% MH-59 25% * *

MH-12 25% MH-60 * * *

MH-13 30% MH-61 * * *

MH-14 40% MH-62 * * *

MH-15 25% MN-63 * * *

MH-16 25% MH-64 25% * *

MH-17 25% MH-65 30% * *

MH-18 25% MH-66 25% * *

MH-19 NADA MH-67 25% * *

MH-20 25% MH-68 30% * *

MH-21 g 40% MH-69 25% * *

MH-22 25% MH-70 * * *

MH-23 25% MH-71 25% * *

MH-24 25% MH-72 25% * *

MH-25 25% MH-73 30% * *

MH-26 25% MH-74 30% * *

MH-27 25% MH-75 j NADA * *

MH-28 b 10% MH-76 30% * *

MH-29 10% MH-77 25% * *

MH-30 * MH-78 25% * *

MH-31 25% MH-79 40% * *

MH-32 25% MH-80 25% * *

MH-33 25% MH-81 * * *

MH-34 25% MH-82 40% * *

MH-35 25% MH-83 30% * *

MH-36 25% MH-84

25% * *

MH-37 25% MH-85 30% * *

MH-38 20% MH-86 40% * *

MH-39 35% MH-87 30% * *

MH-40 25% MH-88 25% * *

MH-41 20% MH-89 30% * *

MH-42 30% MH-90 25% * *

MH-43 25% MH-91 25% * *

MH-44 30% MH-92 30% * *

MH-45 30% MH-93 25% * *

MH-46 30% MH-94 35% * *

MH-47 25% MH-95 NADA * *

MH-48 25% MH-96 35% * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

8

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MF-01 25% MF-49 25% MF-97 20%

MF-02 NADA MF-50 30% MF-98 40%

MF-03 k 10% MF-51 25% MF-99 40%

MF-04 NADA MF-52 25% * *

MF-05 NADA MF-53 30% * *

MF-06 NADA MF-54 30% * *

MF-07 20% MF-55 25% * *

MF-08 25% MF-56 25% * *

MF-09 NADA MF-57 20% * *

MF-10 25% MF-58 30% * *

MF-11 25% MF-59 25% * *

MF-12 30% MF-60 25% * *

MF-13 * MF-61 30% * *

MF-14 20% MF-62 25% * *

MF-15 25% MF-63 25% * *

MF-16 25% MF-64 35% * *

MF-17 25% MF-65 30% * *

MF-18 25% MF-66 25% * *

MF-19 30% MF-67 35% * *

MF-20 30% MF-68 25% * *

MF-21 * MF-69 30% * *

MF-22 30% MF-70 35% * *

MF-23 25% MF-71 25% * *

MF-24 25% MF-72 20% * *

MF-25 30% MF-73 25% * *

MF-26 25% MF-74 35% * *

MF-27 NADA MF-75 35% * *

MF-28 25% MF-76 NADA * *

MF-29 30% MF-77 NADA * *

MF-30 30% MF-78 35% * *

MF-31 25% MF-79 35% * *

MF-32 35% MF-80 35% * *

MF-33 25% MF-81 NADA * *

MF-34 40% MF-82 25% * *

MF-35 30% MF-83 30% * *

MF-36 30% MF-84 30% * *

MF-37 30% MF-85 NADA * *

MF-38 30% MF-86 20% * *

MF-39 50% MF-87 30% * *

MF-40 20% MF-88 10% * *

MF-41 40% MF-89 25% * *

MF-42 25% MF-90 NADA * *

MF-43 30% MF-91 30% * *

MF-44 30% MF-92 30% * *

MF-45 30% MF-93 30% * *

MF-46 25% MF-94 20% * *

MF-47 20% MF-95 40% * *

MF-48 30% MF-96 25% * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

9

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

MS-51 25% MS-99 30% * *

MS-52 25% * * * *

MS-53 30% * * * *

MS-54 35% * * * *

MS-55 40% * * * *

MS-56 25% * * * *

MS-57 25% * * * *

MS-58 40% * * * *

MS-59 25% * * * *

MS-60 * * * * *

MS-61 30% * * * *

MS-62 35% * * * *

MS-63 30% * * * *

MS-64 35% * * * *

MS-65 30% * * * *

MS-66 35% * * * *

MS-67 25% * * * *

MS-68 35% * * * *

MS-69 35% * * * *

MS-70 30% * * * *

MS-71 25% * * * *

MS-72 30% * * * *

MS-73 40% * * * *

MS-74 25% * * * *

MS-75 * * * * *

MS-76 30% * * * *

MS-77 40% * * * *

MS-78 25% * * * *

MS-79 40% * * * *

MS-80 10% * * * *

MS-81 * * * * *

MS-82 40% * * * *

MS-83 30% * * * *

MS-84 25% * * * *

MS-85 25% * * * *

MS-86 35% * * * *

MS-87 30% * * * *

MS-88 * * * * *

MS-89 40% * * * *

MS-90 35% * * * *

MS-91 * * * * *

MS-92 25% * * * *

MS-93 * * * * *

MS-94 * * * * *

MS-95 30% * * * *

MS-96 35% * * * *

MS-97 25% * * * *

MS-98 25% * * * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

10

NOTAS:

N/C No cubre. * Código sin asignar. a) Aplica periodo de espera. b) Hasta un máximo de $50.00 por prueba.

c) Para el grupo Hewlett Packard (1-13070,) le aplica el 20% de coaseguro para pruebas

cardiovasculares invasivas y ningún coaseguro para litotricia y su anestesia. d) Cubre Asistencia Quirúrgica. e) Cubre Pet Scan f) Aplica un 20% de Coaseguros para Asistencia Quirúrgica.

g) Requiere precertificación.

h) Nada de Coaseguro.

i) Aplica un 10% de Coaseguro si los servicios son prestados fuera de la Red.

j) Aplica un 20% de Coaseguro si los servicios son prestados fuera de la Red.

k) Aplica un 10% de Coaseguros hasta un máximo de $10.00 dólares.

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

11

Grupo Triple-S

CÓDIGO COASEGURO

B1 25%

B2 25%

B3 25%

B4 25%

B5 25%

B6 25%

B7 25%

B8 25%

B9 25%

B10 25%

B11 25%

B12 25%

B13 25%

B14 25%

B15 25%

B16 25%

B17 25%

B18 25%

B19 25%

B20 25%

B21 25%

B22 25%

B23 25%

B24 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

12

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B25 25% B75 25% B125 25%

B26 25% B76 25% B126 25%

B27 25% B77 25% B127 25%

B28 25% B78 25% B128 25%

B29 25% B79 25% B129 25%

B30 25% B80 25% B130 25%

B31 25% B81 25% B131 25%

B32 25% B82 25% B132 25%

B33 25% B83 25% B133 25%

B34 25% B84 25% B134 25%

B35 25% B85 25% B135 25%

B36 25% B86 25% B136 25%

B37 25% B87 25% B137 25%

B38 25% B88 25% B138 25%

B39 25% B89 25% B139 25%

B40 25% B90 25% B140 25%

B41 25% B91 25% B141 25%

B42 25% B92 25% B142 25%

B43 25% B93 25% B143 25%

B44 25% B94 25% B144 25%

B45 25% B95 25% B145 25%

B46 25% B96 25% B146 25%

B47 25% B97 25% B147 25%

B48 25% B98 25% B148 25%

B49 25% B99 25% B149 25%

B50 25% B100 25% B150 25%

B51 25% B101 25% B151 25%

B52 25% B102 25% B152 25%

B53 25% B103 25% B153 25%

B54 25% B104 25% B154 25%

B55 25% B105 25% B155 25%

B56 25% B106 25% B156 25%

B57 25% B107 25% B157 25%

B58 25% B108 25% B158 25%

B59 25% B109 25% B159 25%

B60 25% B110 25% B160 25%

B61 25% B111 25% B161 25%

B62 25% B112 25% B162 25%

B63 25% B113 25% B163 25%

B64 25% B114 25% B164 25%

B65 25% B115 25% B165 25%

B66 25% B116 25% B166 25%

B67 25% B117 25% B167 25%

B68 25% B118 25% B168 25%

B69 25% B119 25% B169 25%

B70 25% B120 25% B170 25%

B71 25% B121 25% B171 25%

B72 25% B122 25% B172 25%

B73 25% B123 25% B173 25%

B74 25% B124 25% B174 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

13

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B175 25% B225 25% B275 25%

B176 25% B226 25% B276 25%

B177 25% B227 25% B277 25%

B178 25% B228 25% B278 25%

B179 25% B229 25% B279 25%

B180 25% B230 25% B280 25%

B181 25% B231 25% B281 25%

B182 25% B232 25% B282 25%

B183 25% B233 25% B283 25%

B184 25% B234 25% B284 25%

B185 25% B235 25% B285 25%

B186 25% B236 25% B286 25%

B187 25% B237 25% B287 25%

B188 25% B238 25% B288 25%

B189 25% B239 25% B289 25%

B190 25% B240 25% B290 25%

B191 25% B241 25% B291 25%

B192 25% B242 25% B292 25%

B193 25% B243 25% B293 25%

B194 25% B244 25% B294 25%

B195 25% B245 25% B295 25%

B196 25% B246 25% B296 25%

B197 25% B247 25% B297 25%

B198 25% B248 25% B298 25%

B199 25% B249 25% B299 25%

B200 25% B250 25% B300 25%

B201 25% B251 25% B301 25%

B202 25% B252 25% B302 25%

B203 25% B253 25% B303 25%

B204 25% B254 25% B304 25%

B205 25% B255 25% B305 25%

B206 25% B256 25% B306 25%

B207 25% B257 25% B307 25%

B208 25% B258 25% B308 25%

B209 25% B259 25% B309 25%

B210 25% B260 25% B310 25%

B211 25% B261 25% B311 25%

B212 25% B262 25% B312 25%

B213 25% B263 25% B313 25%

B214 25% B264 25% B314 25%

B215 25% B265 25% B315 25%

B216 25% B266 25% B316 25%

B217 25% B267 25% B317 25%

B218 25% B268 25% B318 25%

B219 25% B269 40% B319 25%

B220 25% B270 25% B320 25%

B221 25% B271 25% B321 25%

B222 25% B272 25% B322 25%

B223 25% B273 25% B323 25%

B224 25% B274 25% B324 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

14

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B325 25% B375 25% B425 25%

B326 25% B376 25% B426 25%

B327 25% B377 25% B427 25%

B328 25% B378 25% B428 25%

B329 25% B379 25% B429 25%

B330 25% B380 25% B430 25%

B331 25% B381 25% B431 25%

B332 25% B382 25% B432 25%

B333 25% B383 25% B433 25%

B334 25% B384 25% B434 25%

B335 25% B385 25% B435 25%

B336 25% B386 25% B436 25%

B337 25% B387 25% B437 25%

B338 25% B388 25% B438 25%

B339 25% B389 25% B439 25%

B340 25% B390 25% B440 25%

B341 25% B391 25% B441 25%

B342 25% B392 25% B442 25%

B343 25% B393 25% B443 25%

B344 25% B394 25% B444 25%

B345 25% B395 25% B445 25%

B346 25% B396 25% B446 25%

B347 25% B397 25% B447 25%

B348 25% B398 25% B448 25%

B349 25% B399 25% B449 25%

B350 25% B400 25% B450 25%

B351 25% B401 25% B451 25%

B352 25% B402 25% B452 25%

B353 25% B403 25% B453 25%

B354 25% B404 25% B454 25%

B355 25% B405 25% B455 25%

B356 25% B406 25% B456 25%

B357 25% B407 25% B457 25%

B358 25% B408 25% B458 25%

B359 25% B409 25% B459 25%

B360 25% B410 25% B460 25%

B361 25% B411 25% B461 25%

B362 25% B412 25% B462 25%

B363 25% B413 25% B463 25%

B364 25% B414 25% B464 25%

B365 25% B415 25% B465 25%

B366 25% B416 25% B466 25%

B367 25% B417 25% B467 25%

B368 25% B418 25% B468 25%

B369 25% B419 25% B469 25%

B370 25% B420 25% B470 25%

B371 25% B421 25% B471 25%

B372 25% B422 25% B472 25%

B373 25% B423 25% B473 25%

B374 25% B424 25% B474 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

15

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B475 25% B525 25% B575 25%

B476 25% B526 25% B576 25%

B477 25% B527 25% B577 25%

B478 25% B528 25% B578 25%

B479 25% B529 25% B579 25%

B480 25% B530 25% B580 25%

B481 25% B531 25% B581 25%

B482 25% B532 25% B582 25%

B483 25% B533 25% B583 25%

B484 25% B534 25% B584 25%

B485 25% B535 25% B585 25%

B486 25% B536 25% B586 25%

B487 25% B537 25% B587 25%

B488 25% B538 25% B588 25%

B489 25% B539 25% B589 25%

B490 25% B540 25% B590 25%

B491 25% B541 25% B591 25%

B492 25% B542 25% B592 25%

B493 25% B543 25% B593 25%

B494 25% B544 25% B594 25%

B495 25% B545 25% B595 25%

B496 25% B546 25% B596 25%

B497 25% B547 25% B597 25%

B498 25% B548 25% B598 25%

B499 25% B549 25% B599 25%

B500 25% B550 25% B600 25%

B501 25% B551 25% B601 25%

B502 25% B552 25% B602 25%

B503 25% B553 25% B603 25%

B504 25% B554 25% B604 25%

B505 25% B555 25% B605 25%

B506 25% B556 25% B606 25%

B507 25% B557 25% B607 25%

B508 25% B558 25% B608 25%

B509 25% B559 25% B609 25%

B510 25% B560 25% B610 25%

B511 25% B561 25% B611 25%

B512 25% B562 25% B612 25%

B513 25% B563 25% B613 25%

B514 25% B564 25% B614 25%

B515 25% B565 25% B615 25%

B516 25% B566 25% B616 25%

B517 25% B567 25% B617 25%

B518 25% B568 25% B618 25%

B519 25% B569 25% B619 25%

B520 25% B570 25% B620 25%

B521 25% B571 25% B621 25%

B522 25% B572 25% B622 25%

B523 25% B573 25% B623 25%

B524 25% B574 25% B624 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

16

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B625 25% B675 25% B725 25%

B626 25% B676 25% B726 25%

B627 25% B677 25% B727 25%

B628 25% B678 25% B728 25%

B629 25% B679 25% B729 25%

B630 25% B680 25% B730 25%

B631 25% B681 25% B731 25%

B632 25% B682 25% B732 25%

B633 25% B683 25% B733 25%

B634 25% B684 25% B734 25%

B635 25% B685 25% B735 25%

B636 25% B686 25% B736 25%

B637 25% B687 25% B737 25%

B638 25% B688 25% B738 25%

B639 25% B689 25% B739 25%

B640 25% B690 25% B740 25%

B641 25% B691 25% B741 25%

B642 25% B692 25% B742 25%

B643 25% B693 25% B743 25%

B644 25% B694 25% B744 25%

B645 25% B695 25% B745 25%

B646 25% B696 25% B746 25%

B647 25% B697 25% B747 25%

B648 25% B698 25% B748 25%

B649 25% B699 25% B749 25%

B650 25% B700 25% B750 25%

B651 25% B701 25% B751 25%

B652 25% B702 25% B752 25%

B653 25% B703 25% B753 25%

B654 25% B704 25% B754 25%

B655 25% B705 25% B755 25%

B656 25% B706 25% B756 25%

B657 25% B707 25% B757 25%

B658 25% B708 25% B758 25%

B659 25% B709 25% B759 25%

B660 25% B710 25% B760 25%

B661 25% B711 25% B761 25%

B662 25% B712 25% B762 25%

B663 25% B713 25% B763 25%

B664 25% B714 25% B764 25%

B665 25% B715 25% B765 25%

B666 25% B716 25% B766 25%

B667 25% B717 25% B767 25%

B668 25% B718 25% B768 25%

B669 25% B719 25% B769 25%

B670 25% B720 25% B770 25%

B671 25% B721 25% B771 25%

B672 25% B722 25% B772 25%

B673 25% B723 25% B773 25%

B674 25% B724 25% B774 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

17

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B775 25% B825 25% B875 25%

B776 25% B826 25% B876 25%

B777 25% B827 25% B877 25%

B778 25% B828 25% B878 25%

B779 25% B829 25% B879 25%

B780 25% B830 25% B880 25%

B781 25% B831 25% B881 40%

B782 25% B832 25% B882 40%

B783 25% B833 25% B883 25%

B784 25% B834 25% B884 25%

B785 25% B835 25% B885 40%

B786 25% B836 25% B886 25%

B787 25% B837 25% B887 25%

B788 25% B838 25% B888 25%

B789 25% B839 25% B889 25%

B790 25% B840 25% B890 25%

B791 25% B841 25% B891 25%

B792 25% B842 25% B892 25%

B793 25% B843 25% B893 25%

B794 25% B844 25% B894 25%

B795 25% B845 25% B895 25%

B796 25% B846 25% B896 25%

B797 25% B847 25% B897 25%

B798 25% B848 40% B898 25%

B799 25% B849 25% B899 40%

B800 25% B850 25% B900 25%

B801 25% B851 25% B901 25%

B802 25% B852 25% B902 25%

B803 25% B853 25% B903 25%

B804 25% B854 25% B904 25%

B805 25% B855 25% B905 25%

B806 25% B856 25% B906 25%

B807 25% B857 25% B907 25%

B808 25% B858 25% B908 25%

B809 25% B859 25% B909 25%

B810 25% B860 25% B910 25%

B811 25% B861 25% B911 25%

B812 25% B862 25% B912 25%

B813 25% B863 25% B913 25%

B814 25% B864 25% B914 25%

B815 25% B865 40% B915 25%

B816 25% B866 25% B916 40%

B817 25% B867 25% B917 25%

B818 25% B868 25% B918 25%

B819 25% B869 25% B919 25%

B820 25% B870 25% B920 25%

B821 25% B871 25% B921 25%

B822 25% B872 40% B922 25%

B823 25% B873 25% B923 25%

B824 25% B874 25% B924 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

18

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B925 25% B975 25% B1025 25%

B926 40% B976 25% B1026 25%

B927 25% B977 25% B1027 25%

B928 25% B978 25% B1028 25%

B929 25% B979 25% B1029 25%

B930 40% B980 25% B1030 25%

B931 25% B981 25% B1031 25%

B932 25% B982 25% B1032 25%

B933 25% B983 40% B1033 25%

B934 25% B984 25% B1034 25%

B935 25% B985 25% B1035 25%

B936 40% B986 25% B1036 25%

B937 25% B987 25% B1037 25%

B938 25% B988 25% B1038 25%

B939 40% B989 25% B1039 25%

B940 25% B990 25% B1040 25%

B941 25% B991 25% B1041 25%

B942 25% B992 25% B1042 25%

B943 25% B993 25% B1043 25%

B944 25% B994 25% B1044 25%

B945 40% B995 25% B1045 25%

B946 25% B996 25% B1046 25%

B947 25% B997 25% B1047 25%

B948 40% B998 25% B1048 25%

B949 25% B999 25% B1049 25%

B950 25% B1000 25% B1050 25%

B951 25% B1001 25% B1051 25%

B952 25% B1002 25% B1052 25%

B953 25% B1003 25% B1053 25%

B954 25% B1004 25% B1054 25%

B955 25% B1005 25% B1055 25%

B956 25% B1006 25% B1056 25%

B957 25% B1007 25% B1057 25%

B958 25% B1008 25% B1058 25%

B959 25% B1009 25% B1059 25%

B960 25% B1010 25% B1060 25%

B961 25% B1011 25% B1061 25%

B962 25% B1012 25% B1062 25%

B963 25% B1013 25% B1063 25%

B964 25% B1014 25% B1064 25%

B965 25% B1015 25% B1065 25%

B966 25% B1016 25% B1066 25%

B967 25% B1017 25% B1067 25%

B968 25% B1018 25% B1068 25%

B969 25% B1019 25% B1069 25%

B970 25% B1020 25% B1070 25%

B971 25% B1021 25% B1071 25%

B972 25% B1022 25% B1072 25%

B973 25% B1023 25% B1073 25%

B974 25% B1024 25% B1074 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

19

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B1075 25% B1125 25% B1175 25%

B1076 25% B1126 25% B1176 25%

B1077 25% B1127 25% B1177 25%

B1078 25% B1128 25% B1178 25%

B1079 25% B1129 25% B1179 25%

B1080 25% B1130 25% B1180 25%

B1081 25% B1131 25% B1181 25%

B1082 25% B1132 25% B1182 40%

B1083 25% B1133 25% B1183 25%

B1084 25% B1134 25% B1184 25%

B1085 25% B1135 25% B1185 25%

B1086 25% B1136 25% B1186 25%

B1087 25% B1137 25% B1187 25%

B1088 25% B1138 25% B1188 25%

B1089 25% B1139 25% B1189 25%

B1090 25% B1140 25% B1190 25%

B1091 25% B1141 40% B1191 25%

B1092 25% B1142 25% B1192 25%

B1093 25% B1143 25% B1193 25%

B1094 25% B1144 25% B1194 25%

B1095 25% B1145 25% B1195 25%

B1096 25% B1146 25% B1196 25%

B1097 25% B1147 25% B1197 25%

B1098 25% B1148 25% B1198 25%

B1099 25% B1149 25% B1199 25%

B1100 25% B1150 25% B1200 25%

B1101 25% B1151 40% B1201 25%

B1102 25% B1152 25% B1202 25%

B1103 25% B1153 25% B1203 25%

B1104 25% B1154 25% B1204 25%

B1105 25% B1155 25% B1205 25%

B1106 25% B1156 25% B1206 25%

B1107 25% B1157 25% B1207 25%

B1108 25% B1158 25% B1208 25%

B1109 40% B1159 25% B1209 25%

B1110 25% B1160 25% B1210 25%

B1111 25% B1161 25% B1211 25%

B1112 25% B1162 25% B1212 25%

B1113 25% B1163 25% B1213 25%

B1114 25% B1164 25% B1214 25%

B1115 25% B1165 25% B1215 25%

B1116 25% B1166 25% B1216 25%

B1117 25% B1167 25% B1217 25%

B1118 25% B1168 25% B1218 25%

B1119 25% B1169 25% B1219 25%

B1120 25% B1170 25% B1220 25%

B1121 25% B1171 25% B1221 25%

B1122 25% B1172 25% B1222 25%

B1123 25% B1173 25% B1223 25%

B1124 25% B1174 25% B1224 40%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

20

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B1225 25% B1275 25% B1325 25%

B1226 25% B1276 25% B1326 25%

B1227 25% B1277 25% B1327 25%

B1228 25% B1278 25% B1328 25%

B1229 25% B1279 25% B1329 25%

B1230 25% B1280 25% B1330 25%

B1231 25% B1281 25% B1331 25%

B1232 25% B1282 25% B1332 25%

B1233 25% B1283 25% B1333 25%

B1234 25% B1284 25% B1334 25%

B1235 25% B1285 25% B1335 25%

B1236 25% B1286 25% B1336 25%

B1237 25% B1287 25% B1337 25%

B1238 25% B1288 25% B1338 25%

B1239 25% B1289 40% B1339 25%

B1240 25% B1290 40% B1340 25%

B1241 25% B1291 40% B1341 25%

B1242 25% B1292 25% B1342 25%

B1243 25% B1293 25% B1343 25%

B1244 25% B1294 25% B1344 25%

B1245 25% B1295 25% B1345 25%

B1246 25% B1296 25% B1346 25%

B1247 25% B1297 25% B1347 25%

B1248 25% B1298 25% B1348 25%

B1249 25% B1299 25% B1349 25%

B1250 25% B1300 25% B1350 25%

B1251 25% B1301 25% B1351 25%

B1252 25% B1302 25% B1352 25%

B1253 25% B1303 25% B1353 25%

B1254 25% B1304 25% B1354 25%

B1255 25% B1305 25% B1355 25%

B1256 25% B1306 25% B1356 25%

B1257 25% B1307 25% B1357 25%

B1258 25% B1308 25% B1358 25%

B1259 25% B1309 25% B1359 25%

B1260 25% B1310 25% B1360 25%

B1261 25% B1311 25% B1361 25%

B1262 25% B1312 25% B1362 25%

B1263 25% B1313 25% B1363 25%

B1264 25% B1314 25% B1364 25%

B1265 25% B1315 25% B1365 25%

B1266 25% B1316 25% B1366 25%

B1267 25% B1317 25% B1367 25%

B1268 25% B1318 25% B1368 25%

B1269 25% B1319 40% B1369 25%

B1270 25% B1320 25% B1370 25%

B1271 25% B1321 25% B1371 25%

B1272 25% B1322 25% B1372 25%

B1273 25% B1323 25% B1373 25%

B1274 25% B1324 25% B1374 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

21

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B1375 25% B1425 25% B1475 25%

B1376 25% B1426 25% B1476 25%

B1377 25% B1427 25% B1477 25%

B1378 25% B1428 25% B1478 25%

B1379 25% B1429 25% B1479 25%

B1380 25% B1430 25% B1480 25%

B1381 25% B1431 25% B1481 25%

B1382 25% B1432 25% B1482 25%

B1383 25% B1433 25% B1483 25%

B1384 25% B1434 25% B1484 25%

B1385 25% B1435 25% B1485 25%

B1386 25% B1436 25% B1486 25%

B1387 25% B1437 25% B1487 25%

B1388 25% B1438 25% B1488 25%

B1389 25% B1439 25% B1489 25%

B1390 25% B1440 25% B1490 25%

B1391 25% B1441 25% B1491 25%

B1392 25% B1442 25% B1492 25%

B1393 25% B1443 25% B1493 25%

B1394 25% B1444 25% B1494 25%

B1395 25% B1445 25% B1495 25%

B1396 25% B1446 25% B1496 25%

B1397 25% B1447 25% B1497 25%

B1398 25% B1448 25% B1498 25%

B1399 25% B1449 25% B1499 25%

B1400 25% B1450 25% B1500 25%

B1401 25% B1451 25% B1501 25%

B1402 25% B1452 25% B1502 25%

B1403 25% B1453 25% B1503 25%

B1404 25% B1454 25% B1504 25%

B1405 25% B1455 25% B1505 25%

B1406 25% B1456 25% B1506 25%

B1407 25% B1457 25% B1507 25%

B1408 25% B1458 25% B1508 25%

B1409 25% B1459 25% B1509 25%

B1410 25% B1460 25% B1510 25%

B1411 25% B1461 25% B1511 25%

B1412 25% B1462 25% B1512 25%

B1413 25% B1463 25% B1513 25%

B1414 25% B1464 25% B1514 25%

B1415 25% B1465 25% B1515 25%

B1416 25% B1466 25% B1516 25%

B1417 25% B1467 25% B1517 25%

B1418 25% B1468 25% B1518 25%

B1419 25% B1469 25% B1519 25%

B1420 25% B1470 25% B1520 25%

B1421 25% B1471 25% B1521 25%

B1422 25% B1472 25% B1522 25%

B1423 25% B1473 25% B1523 25%

B1424 25% B1474 25% B1524 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

22

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B1525 25% B1575 40% B1625 NADA

B1526 25% B1576 40% B1626 NADA

B1527 25% B1577 25% B1627 40%

B1528 25% B1578 25% B1628 NADA

B1529 25% B1579 25% B1629 NADA

B1530 25% B1580 25% B1630 40%

B1531 25% B1581 25% B1631 NADA

B1532 25% B1582 25% B1632 NADA

B1533 25% B1583 25% B1633 40%

B1534 25% B1584 25% B1634 NADA

B1535 25% B1585 25% B1635 NADA

B1536 25% B1586 40% B1636 40%

B1537 25% B1587 25% B1637 NADA

B1538 25% B1588 25% B1638 NADA

B1539 25% B1589 25% B1639 40%

B1540 25% B1590 25% B1640 NADA

B1541 25% B1591 25% B1641 NADA

B1542 25% B1592 25% B1642 40%

B1543 25% B1593 25% B1643 NADA

B1544 25% B1594 25% B1644 NADA

B1545 25% B1595 25% B1645 40%

B1546 25% B1596 25% B1646 NADA

B1547 25% B1597 25% B1647 NADA

B1548 25% B1598 25% B1648 40%

B1549 25% B1599 25% B1649 NADA

B1550 25% B1600 25% B1650 NADA

B1551 25% B1601 25% B1651 40%

B1552 25% B1602 25% B1652 NADA

B1553 25% B1603 25% B1653 NADA

B1554 25% B1604 25% B1654 40%

B1555 25% B1605 25% B1655 NADA

B1556 40% B1606 25% B1656 NADA

B1557 25% B1607 25% B1657 40%

B1558 25% B1608 25% B1658 NADA

B1559 25% B1609 25% B1659 NADA

B1560 25% B1610 NADA B1660 40%

B1561 25% B1611 NADA B1661 NADA

B1562 25% B1612 40% B1662 NADA

B1563 25% B1613 NADA B1663 40%

B1564 25% B1614 NADA B1664 NADA

B1565 25% B1615 40% B1665 NADA

B1566 25% B1616 NADA B1666 40%

B1567 25% B1617 NADA B1667 NADA

B1568 25% B1618 40% B1668 NADA

B1569 25% B1619 NADA B1669 40%

B1570 25% B1620 NADA B1670 NADA

B1571 25% B1621 40% B1671 NADA

B1572 25% B1622 NADA B1672 40%

B1573 25% B1623 NADA B1673 NADA

B1574 40% B1624 40% B1674 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

23

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B1675 40% B1725 25% B1775 40%

B1676 NADA B1726 25% B1776 NADA

B1677 NADA B1727 25% B1777 40%

B1678 40% B1728 25% B1778 NADA

B1679 NADA B1729 25% B1779 40%

B1680 NADA B1730 25% B1780 NADA

B1681 40% B1731 25% B1781 40%

B1682 NADA B1732 25% B1782 NADA

B1683 NADA B1733 25% B1783 40%

B1684 40% B1734 25% B1784 NADA

B1685 NADA B1735 25% B1785 40%

B1686 NADA B1736 25% B1786 NADA

B1687 40% B1737 25% B1787 40%

B1688 NADA B1738 25% B1788 NADA

B1689 NADA B1739 25% B1789 40%

B1690 40% B1740 25% B1790 NADA

B1691 NADA B1741 25% B1791 40%

B1692 NADA B1742 25% B1792 NADA

B1693 NADA B1743 25% B1793 NADA

B1694 NADA B1744 25% B1794 40%

B1695 NADA B1745 25% B1795 NADA

B1696 NADA B1746 25% B1796 40%

B1697 NADA B1747 25% B1797 NADA

B1698 NADA B1748 25% B1798 40%

B1699 NADA B1749 25% B1799 NADA

B1700 NADA B1750 25% B1800 NADA

B1701 NADA B1751 25% B1801 40%

B1702 NADA B1752 25% B1802 NADA

B1703 NADA B1753 25% B1803 NADA

B1704 NADA B1754 25% B1804 NADA

B1705 30% B1755 25% B1805 NADA

B1706 25% B1756 25% B1806 NADA

B1707 25% B1757 25% B1807 NADA

B1708 25% B1758 25% B1808 NADA

B1709 30% B1759 25% B1809 NADA

B1710 25% B1760 NADA B1810 NADA

B1711 30% B1761 25% B1811 NADA

B1712 30% B1762 NADA B1812 NADA

B1713 25% B1763 40% B1813 NADA

B1714 25% B1764 NADA B1814 20%

B1715 25% B1765 40% B1815 25%

B1716 25% B1766 NADA B1816 NADA

B1717 25% B1767 40% B1817 25%

B1718 35% B1768 NADA B1818 25%

B1719 20% B1769 40% B1819 25%

B1720 30% B1770 NADA B1820 25%

B1721 25% B1771 40% B1821 25%

B1722 25% B1772 NADA B1822 25%

B1723 25% B1773 40% B1823 25%

B1724 25% B1774 NADA B1824 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

24

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B1825 25% B1875 25% B1925 25%

B1826 25% B1876 25% B1926 25%

B1827 40% B1877 25% B1927 25%

B1828 25% B1878 25% B1928 NADA

B1829 25% B1879 25% B1929 25%

B1830 25% B1880 25% B1930 25%

B1831 25% B1881 25% B1931 25%

B1832 25% B1882 NADA B1932 25%

B1833 25% B1883 25% B1933 25%

B1834 25% B1884 25% B1934 25%

B1835 25% B1885 25% B1935 25%

B1836 25% B1886 25% B1936 25%

B1837 25% B1887 25% B1937 25%

B1838 40% B1888 25% B1938 25%

B1839 25% B1889 25% B1939 40%

B1840 25% B1890 25% B1940 25%

B1841 25% B1891 25% B1941 25%

B1842 25% B1892 25% B1942 25%

B1843 25% B1893 25% B1943 25%

B1844 25% B1894 25% B1944 25%

B1845 25% B1895 25% B1945 25%

B1846 25% B1896 25% B1946 25%

B1847 25% B1897 25% B1947 25%

B1848 25% B1898 25% B1948 25%

B1849 25% B1899 25% B1949 25%

B1850 25% B1900 25% B1950 25%

B1851 25% B1901 25% B1951 25%

B1852 25% B1902 25% B1952 25%

B1853 25% B1903 25% B1953 25%

B1854 25% B1904 25% B1954 25%

B1855 B1905 25% B1955 40%

B1856 25% B1906 25% B1956 25%

B1857 25% B1907 25% B1957 25%

B1858 25% B1908 25% B1958 25%

B1859 25% B1909 25% B1959 25%

B1860 25% B1910 25% B1960 25%

B1861 25% B1911 25% B1961 25%

B1862 25% B1912 25% B1962 25%

B1863 25% B1913 25% B1963 25%

B1864 25% B1914 25% B1964 25%

B1865 25% B1915 25% B1965 25%

B1866 25% B1916 NADA B1966 25%

B1867 25% B1917 25% B1967 25%

B1868 25% B1918 25% B1968 25%

B1869 25% B1919 25% B1969 25%

B1870 25% B1920 25% B1970 25%

B1871 25% B1921 25% B1971 25%

B1872 25% B1922 25% B1972 25%

B1873 25% B1923 25% B1973 25%

B1874 25% B1924 25% B1974 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

25

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B1975 25% B2025 25% B2075 25%

B1976 25% B2026 25% B2076 25%

B1977 25% B2027 25% B2077 35%

B1978 25% B2028 25% B2078 40%

B1979 25% B2029 25% B2079 25%

B1980 25% B2030 25% B2080 25%

B1981 25% B2031 25% B2081 25%

B1982 25% B2032 25% B2082 30%

B1983 25% B2033 NADA B2083 NADA

B1984 25% B2034 25% B2084 25%

B1985 25% B2035 25% B2085 25%

B1986 25% B2036 25% B2086 30%

B1987 25% B2037 25% B2087 20%

B1988 25% B2038 25% B2088 25%

B1989 25% B2039 25% B2089 25%

B1990 25% B2040 25% B2090 30%

B1991 25% B2041 25% B2091 25%

B1992 25% B2042 25% B2092 25%

B1993 25% B2043 25% B2093 30%

B1994 25% B2044 25% B2094 25%

B1995 25% B2045 25% B2095 25%

B1996 25% B2046 25% B2096 25%

B1997 25% B2047 25% B2097 25%

B1998 25% B2048 25% B2098 40%

B1999 25% B2049 25% B2099 40%

B2000 25% B2050 25% B2100 NADA

B2001 25% B2051 25% B2101 25%

B2002 25% B2052 25% B2102 NADA

B2003 25% B2053 25% B2103 30%

B2004 25% B2054 25% B2104 25%

B2005 25% B2055 25% B2105 35%

B2006 25% B2056 25% B2106 35%

B2007 25% B2057 25% B2107 NADA

B2008 25% B2058 NADA B2108 30%

B2009 25% B2059 25% B2109 30%

B2010 25% B2060 NADA B2110 25%

B2011 25% B2061 40% B2111 20%

B2012 25% B2062 25% B2112 25%

B2013 50% B2063 35% B2113 25%

B2014 25% B2064 35% B2115 25%

B2015 25% B2065 30% B2116 NADA

B2016 25% B2066 30% B2117 25%

B2017 30% B2067 35% B2118 25%

B2018 25% B2068 25% B2119 25%

B2019 25% B2069 35% B2120 25%

B2020 25% B2070 25% B2121 25%

B2021 25% B2071 NADA B2122 25%

B2022 25% B2072 25% B2123 25%

B2023 25% B2073 30% B2124 25%

B2024 25% B2074 25% B2125 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

26

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B2126 25% B2177 25% B2227 25%

B2127 25% B2178 25% B2228 25%

B2128 30% B2179 25% B2229 25%

B2129 25% B2180 25% B2230 25%

B2130 25% B2181 25% B2231 25%

B2132 20% B2182 25% B2232 25%

B2133 25% B2183 25% B2233 25%

B2134 NADA B2184 25% B2234 25%

B2135 NADA B2185 25% B2235 25%

B2136 NADA B2186 25% B2236 25%

B2137 NADA B2187 25% B2237 25%

B2138 25% B2188 25% B2238 25%

B2139 30% B2189 25% B2239 40%

B2140 25% B2190 25% B2240 40%

B2141 NADA B2191 25% B2241 25%

B2142 NADA B2192 25% B2242 25%

B2143 NADA B2193 25% B2243 25%

B2144 NADA B2194 25% B2244 25%

B2145 NADA B2195 25% B2245 25%

B2146 NADA B2196 40% B2246 25%

B2147 25% B2197 25% B2247 25%

B2148 25% B2198 25% B2248 25%

B2149 NADA B2199 25% B2249 30%

B2150 25% B2200 25% B2250 30%

B2151 25% B2201 25% B2251 25%

B2152 25% B2202 25% B2252 25%

B2153 NADA B2203 25% B2253 20%

B2154 NADA B2204 25% B2254 30%

B2155 25% B2205 10% B2255 25%

B2156 25% B2206 40% B2256 25%

B2157 25% B2207 25% B2257 30%

B2158 30% B2208 25% B2258 25%

B2159 30% B2209 25% B2259 20%

B2160 25% B2210 25% B2260 25%

B2161 NADA B2211 25% B2261 30%

B2162 25% B2212 25% B2262 30%

B2163 25% B2213 25% B2263 40%

B2164 30% B2214 25% B2264 NADA

B2165 25% B2215 25% B2265 35%

B2166 25% B2216 25% B2266 35%

B2167 25% B2217 25% B2267 25%

B2168 25% B2218 25% B2268 25%

B2169 25% B2219 25% B2269 25%

B2170 25% B2220 25% B2270 30%

B2171 25% B2221 25% B2271 20%

B2172 25% B2222 25% B2272 25%

B2173 25% B2223 25% B2273 20%

B2174 NADA B2224 25% B2274 30%

B2175 25% B2225 25% B2275 30%

B2176 25% B2226 25% B2276 30%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

27

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B2277 25% B2327 20% B2377 40%

B2278 25% B2328 25% B2378 30%

B2279 25% B2329 25% B2379 25%

B2280 25% B2330 25% B2380 25%

B2281 25% B2331 25% B2381 30%

B2282 25% B2332 25% B2382 25%

B2283 35% B2333 25% B2383 25%

B2284 30% B2334 25% B2384 30%

B2285 30% B2335 25% B2385 25%

B2286 20% B2336 25% B2386 30%

B2287 30% B2337 NADA B2387 25%

B2288 25% B2338 NADA B2388 25%

B2289 25% B2339 20% B2389 40%

B2290 35% B2340 30% B2390 25%

B2291 25% B2341 20% B2391 30%

B2292 25% B2342 30% B2392 NADA

B2293 25% B2343 25% B2393 30%

B2294 40% B2344 25% B2394 30%

B2295 25% B2345 20% B2395 30%

B2296 25% B2346 25% B2396 25%

B2297 25% B2347 25% B2397 30%

B2298 25% B2348 30% B2398 30%

B2299 25% B2349 25% B2399 30%

B2300 NADA B2350 35% B2400 25%

B2301 35% B2351 20% B2401 NADA

B2302 25% B2352 35% B2402 30%

B2303 25% B2353 25% B2403 30%

B2304 25% B2354 30% B2404 25%

B2305 40% B2355 40% B2405 NADA

B2306 25% B2356 40% B2406 25%

B2307 NADA B2357 25% B2407 NADA

B2308 25% B2358 25% B2408 NADA

B2309 25% B2359 NADA B2409 NADA

B2310 25% B2360 NADA B2410 40%

B2311 20% B2361 25% B2411 20%

B2312 20% B2362 25% B2412 20%

B2313 30% B2363 40% B2413 25%

B2314 30% B2364 35% B2414 25%

B2315 30% B2365 25% B2415 25%

B2316 30% B2366 25% B2416 25%

B2317 30% B2367 25% B2417 25%

B2318 25% B2368 30% B2418 25%

B2319 30% B2369 25% B2419 20%

B2320 25% B2370 25% B2420 20%

B2321 25% B2371 25% B2421 25%

B2322 25% B2372 25% B2422 NADA

B2323 25% B2373 30% B2423 NADA

B2324 30% B2374 30% B2424 30%

B2325 30% B2375 20% B2425 20%

B2326 25% B2376 25% B2426 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

28

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B2427 30% B2477 NADA B2527 25%

B2428 35% B2478 25% B2528 30%

B2429 35% B2479 40% B2529 25%

B2430 35% B2480 40% B2530 30%

B2431 35% B2481 40% B2531 25%

B2432 35% B2482 20% B2532 25%

B2433 35% B2483 20% B2533 40%

B2434 35% B2484 25% B2534 40%

B2435 35% B2485 30% B2535 40%

B2436 35% B2486 40% B2536 25%

B2437 35% B2487 40% B2537 25%

B2438 35% B2488 30% B2538 25%

B2439 35% B2489 30% B2539 25%

B2440 35% B2490 30% B2540 25%

B2441 35% B2491 25% B2541 30%

B2442 35% B2492 30% B2542 25%

B2443 35% B2493 40% B2543 25%

B2444 NADA B2494 40% B2544 25%

B2445 25% B2495 30% B2545 25%

B2446 30% B2496 30% B2546 25%

B2447 25% B2497 25% B2547 25%

B2448 20% B2498 25% B2548 30%

B2449 25% B2499 20% B2549 30%

B2450 25% B2500 20% B2550 30%

B2451 25% B2501 25% B2551 30%

B2452 30% B2502 25% B2552 30%

B2453 25% B2503 30% B2553 20%

B2454 25% B2504 30% B2554 35%

B2455 NADA B2505 25% B2555 25%

B2456 35% B2506 30% B2556 25%

B2457 35% B2507 25% B2557 25%

B2458 35% B2508 25% B2558 30%

B2459 35% B2509 25% B2559 25%

B2460 25% B2510 30% B2560 25%

B2461 35% B2511 25% B2561 25%

B2462 25% B2512 25% B2562 40%

B2463 25% B2513 35% B2563 25%

B2464 30% B2514 30% B2564 25%

B2465 25% B2515 30% B2565 30%

B2466 25% B2516 30% B2566 35%

B2467 30% B2517 35% B2567 25%

B2468 25% B2518 35% B2568 40%

B2469 30% B2519 35% B2569 25%

B2470 20% B2520 20% B2570 25%

B2471 40% B2521 40% B2571 25%

B2472 40% B2522 25% B2572 25%

B2473 25% B2523 NADA B2573 25%

B2474 25% B2524 30% B2574 25%

B2475 25% B2525 30% B2575 30%

B2476 30% B2526 25% B2576 30%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

29

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B2577 35% B2627 25% B2678 25%

B2578 35% B2628 25% B2679 25%

B2579 25% B2629 35% B2680 30%

B2580 25% B2630 25% B2681 25%

B2581 25% B2631 25% B2682 25%

B2582 25% B2632 25% B2683 30%

B2583 25% B2633 25% B2684 25%

B2584 30% B2634 25% B2685 40%

B2585 25% B2635 25% B2686 40%

B2586 25% B2636 35% B2687 25%

B2587 25% B2637 25% B2688 30%

B2588 25% B2638 35% B2689 20%

B2589 25% B2639 30% B2690 35%

B2590 25% B2640 20% B2691 35%

B2591 40% B2641 25% B2692 30%

B2592 25% B2642 20% B2693 25%

B2593 40% B2643 25% B2694 40%

B2594 25% B2644 25% B2695 40%

B2595 25% B2645 25% B2696 40%

B2596 25% B2646 25% B2697 30%

B2597 25% B2647 25% B2698 35%

B2598 25% B2649 25% B2699 35%

B2599 25% B2650 20% B2700 25%

B2600 25% B2651 25% B2701 30%

B2601 25% B2652 25% B2702 30%

B2602 25% B2653 25% B2703 25%

B2603 25% B2654 30% B2704 40%

B2604 25% B2655 25% B2705 35%

B2605 25% B2656 25% B2706 25%

B2606 25% B2657 25% B2707 30%

B2607 25% B2658 25% B2708 35%

B2608 25% B2659 30% B2709 35%

B2609 25% B2660 30% B2710 30%

B2610 25% B2661 25% B2711 35%

B2611 25% B2662 25% B2712 35%

B2612 25% B2663 25% B2713 NADA

B2613 25% B2664 25% B2714 30%

B2614 25% B2665 25% B2715 30%

B2615 NADA B2666 40% B2716 35%

B2616 25% B2667 25% B2717 30%

B2617 25% B2668 25% B2718 35%

B2618 25% B2669 25% B2719 40%

B2619 30% B2670 25% B2720 30%

B2620 25% B2671 25% B2721 35%

B2621 25% B2672 25% B2722 30%

B2622 30% B2673 30% B2723 35%

B2623 25% B2674 30% B2724 35%

B2624 25% B2675 25% B2725 25%

B2625 25% B2676 25% B2726 25%

B2626 25% B2677 20% B2727 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

30

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B2728 30% B2778 25% B2828 30%

B2729 25% B2779 25% B2829 35%

B2730 25% B2780 25% B2830 25%

B2731 NADA B2781 25% B2831 25%

B2732 40% B2782 40% B2832 25%

B2733 NADA B2783 40% B2833 25%

B2734 40% B2784 40% B2834 25%

B2735 25% B2785 40% B2835 30%

B2736 40% B2786 25% B2836 25%

B2737 25% B2787 40% B2837 25%

B2738 25% B2788 40% B2838 40%

B2739 20% B2789 25% B2839 25%

B2740 20% B2790 25% B2840 25%

B2741 20% B2791 25% B2841 25%

B2742 40% B2792 25% B2842 25%

B2743 30% B2793 25% B2843 25%

B2744 20% B2794 25% B2844 25%

B2745 30% B2795 40% B2845 30%

B2746 30% B2796 25% B2846 30%

B2747 35% B2797 25% B2847 25%

B2748 35% B2798 25% B2848 25%

B2749 25% B2799 40% B2849 25%

B2750 25% B2800 40% B2850 25%

B2751 25% B2801 40% B2851 40%

B2752 25% B2802 40% B2852 25%

B2753 25% B2803 35% B2853 NADA

B2754 35% B2804 30% B2854 NADA

B2755 25% B2805 30% B2855 NADA

B2756 15% B2806 NADA B2856 NADA

B2757 10% B2807 25% B2857 25%

B2758 25% B2808 40% B2858 30%

B2759 25% B2809 25% B2859 30%

B2760 30% B2810 25% B2860 30%

B2761 25% B2811 35% B2861 25%

B2762 25% B2812 25% B2862 25%

B2763 30% B2813 25% B2863 30%

B2764 25% B2814 25% B2864 35%

B2765 40% B2815 20% B2865 35%

B2766 40% B2816 20% B2866 25%

B2767 40% B2817 30% B2867 25%

B2768 25% B2818 25% B2868 35%

B2769 40% B2819 25% B2869 35%

B2770 40% B2820 30% B2870 25%

B2771 40% B2821 30% B2871 25%

B2772 40% B2822 25% B2872 25%

B2773 35% B2823 25% B2873 25%

B2774 25% B2824 25% B2874 25%

B2775 25% B2825 40% B2875 35%

B2776 25% B2826 25% B2876 10%

B2777 25% B2827 25% B2877 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

31

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B2878 25% B2928 25% B2978 25%

B2879 25% B2929 25% B2979 25%

B2880 40% B2930 25% B2980 20%

B2881 25% B2931 25% B2981 25%

B2882 25% B2932 25% B2982 30%

B2883 25% B2933 25% B2983 35%

B2884 30% B2934 25% B2984 25%

B2885 25% B2935 25% B2985 25%

B2886 25% B2936 25% B2986 25%

B2887 25% B2937 25% B2987 25%

B2888 25% B2938 25% B2988 25%

B2889 25% B2939 25% B2989 25%

B2890 25% B2940 25% B2990 25%

B2891 25% B2941 25% B2991 25%

B2892 25% B2942 25% B2992 25%

B2893 25% B2943 25% B2993 25%

B2894 25% B2944 25% B2994 25%

B2895 25% B2945 25% B2995 30%

B2896 25% B2946 30% B2996 30%

B2897 25% B2947 25% B2997 40%

B2898 25% B2948 10% B2998 40%

B2899 40% B2949 25% B2999 40%

B2900 25% B2950 25% B3000 25%

B2901 40% B2951 25% B3001 25%

B2902 40% B2952 25% B3002 25%

B2903 25% B2953 25% B3003 25%

B2904 25% B2954 25% B3004 30%

B2905 25% B2955 25% B3005 35%

B2906 25% B2956 25% B3006 35%

B2907 25% B2957 25% B3007 30%

B2908 25% B2958 25% B3008 30%

B2909 25% B2959 25% B3009 25%

B2910 25% B2960 25% B3010 20%

B2911 25% B2961 25% B3011 20%

B2912 25% B2962 25% B3012 25%

B2913 25% B2963 25% B3013 25%

B2914 30% B2964 25% B3014 30%

B2915 25% B2965 25% B3015 NADA

B2916 25% B2966 25% B3016 40%

B2917 25% B2967 25% B3017 40%

B2918 25% B2968 25% B3018 35%

B2919 25% B2969 25% B3019 25%

B2920 10% B2970 25% B3020 30%

B2921 25% B2971 25% B3021 30%

B2922 25% B2972 25% B3022 25%

B2923 25% B2973 25% B3023 30%

B2924 25% B2974 30% B3024 30%

B2925 25% B2975 30% B3025 40%

B2926 40% B2976 40% B3026 35%

B2927 25% B2977 25% B3027 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

32

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B3028 25% B3078 NADA B3129 25%

B3029 40% B3079 25% B3130 30%

B3030 25% B3080 40% B3131 25%

B3031 25% B3081 30% B3132 30%

B3032 25% B3082 20% B3133 25%

B3033 40% B3083 20% B3134 20%

B3034 25% B3084 30% B3135 20%

B3035 25% B3085 40% B3136 25%

B3036 35% B3086 NADA B3137 25%

B3037 35% B3087 25% B3138 10%

B3038 25% B3088 25% B3140 NADA

B3039 25% B3089 25% B3141 NADA

B3040 25% B3090 30% B3142 NADA

B3041 25% B3091 40% B3143 NADA

B3042 25% B3092 30% B3144 30%

B3043 25% B3093 25% B3145 30%

B3044 25% B3094 40% B3146 NADA

B3045 25% B3095 25% B3147 30%

B3046 25% B3096 25% B3148 25%

B3047 25% B3097 20% B3149 25%

B3048 25% B3098 25% B3150 30%

B3049 25% B3099 25% B3151 30%

B3050 25% B3100 30% B3152 20%

B3051 25% B3102 20% B3153 25%

B3052 25% B3103 20% B3154 25%

B3053 20% B3104 25% B3155 35%

B3054 25% B3105 25% B3156 40%

B3055 NADA B3106 25% B3157 25%

B3056 25% B3107 25% B3158 20%

B3057 NADA B3108 10% B3159 20%

B3058 25% B3109 20% B3160 20%

B3059 25% B3110 30% B3161 10%

B3060 30% B3111 50% B3162 25%

B3061 30% B3112 40% B3163 25%

B3062 40% B3113 25% B3164 25%

B3063 20% B3114 10% B3165 25%

B3064 20% B3115 20% B3166 25%

B3065 25% B3116 20% B3167 25%

B3066 25% B3117 25% B3168 25%

B3067 25% B3118 10% B3169 25%

B3068 NADA B3119 25% B3170 25%

B3069 20% B3120 30% B3171 25%

B3070 20% B3121 40% B3172 25%

B3071 20% B3122 30% B3173 25%

B3072 30% B3123 20% B3174 25%

B3073 30% B3124 25% B3175 25%

B3074 25% B3125 35% B3176 25%

B3075 40% B3126 25% B3177 25%

B3076 30% B3127 40% B3178 25%

B3077 30% B3128 50% B3179 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

33

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B3180 25% B3230 20% B3281 25%

B3181 25% B3231 20% B3282 25%

B3182 25% B3232 20% B3283 25%

B3183 25% B3233 40% B3284 25%

B3184 25% B3234 20% B3285 25%

B3185 25% B3235 30% B3286 35%

B3186 25% B3236 30% B3287 25%

B3187 25% B3237 30% B3288 25%

B3188 25% B3238 25% B3289 25%

B3189 25% B3239 NADA B3290 25%

B3190 25% B3240 25% B3291 40%

B3191 25% B3241 25% B3292 30%

B3192 25% B3242 40% B3293 25%

B3193 25% B3243 40% B3294 25%

B3194 25% B3244 25% B3295 25%

B3195 25% B3245 40% B3296 30%

B3196 25% B3246 30% B3297 25%

B3197 25% B3247 30% B3298 NADA

B3198 25% B3248 25% B3299 25%

B3199 30% B3250 30% B3300 25%

B3200 25% B3251 30% B3301 25%

B3201 25% B3252 30% B3302 25%

B3202 20% B3253 30% B3303 25%

B3203 25% B3254 25% B3304 25%

B3204 25% B3255 25% B3305 25%

B3205 30% B3256 30% B3306 25%

B3206 30% B3257 25% B3307 25%

B3207 25% B3258 25% B3308 25%

B3208 25% B3259 25% B3309 25%

B3209 25% B3260 25% B3310 25%

B3210 30% B3261 25% B3311 NADA

B3211 25% B3262 35% B3312 25%

B3212 25% B3263 30% B3313 25%

B3213 25% B3264 25% B3314 25%

B3214 25% B3265 25% B3315 25%

B3215 40% B3266 25% B3316 25%

B3216 40% B3267 30% B3317 NADA

B3217 25% B3268 NADA B3318 25%

B3218 40% B3269 25% B3319 25%

B3219 30% B3270 40% B3320 25%

B3220 25% B3271 NADA B3321 30%

B3221 40% B3272 25% B3322 35%

B3222 30% B3273 25% B3323 40%

B3223 25% B3274 30% B3324 25%

B3224 25% B3275 25% B3325 25%

B3225 25% B3276 25% B3326 20%

B3226 25% B3277 25% B3327 NADA

B3227 25% B3278 NADA B3328 25%

B3228 25% B3279 NADA B3329 25%

B3229 25% B3280 25% B3330 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

34

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B3331 20% B3382 25% B3432 25%

B3332 20% B3383 25% B3433 25%

B3333 25% B3384 25% B3434 30%

B3334 25% B3385 25% B3435 25%

B3335 25% B3386 30% B3436 30%

B3336 25% B3387 NADA B3437 NADA

B3337 25% B3388 NADA B3438 NADA

B3338 25% B3389 NADA B3439 25%

B3339 25% B3390 25% B3440 NADA

B3340 25% B3391 NADA B3441 NADA

B3341 25% B3392 NADA B3442 NADA

B3342 25% B3393 25% B3443 40%

B3343 25% B3394 NADA B3444 40%

B3344 25% B3395 25% B3445 25%

B3345 25% B3396 25% B3446 25%

B3346 25% B3397 25% B3447 25%

B3347 NADA B3398 25% B3448 25%

B3348 25% B3399 NADA B3449 25%

B3349 25% B3400 25% B3450 40%

B3350 25% B3401 NADA B3451 NADA

B3351 30% B3402 NADA B3452 25%

B3352 NADA B3403 NADA B3453 40%

B3353 25% B3404 25% B3454 40%

B3354 25% B3405 25% B3455 40%

B3355 25% B3406 NADA B3456 25%

B3356 25% B3407 NADA B3457 40%

B3357 40% B3408 25% B3458 NADA

B3358 40% B3409 NADA B3459 40%

B3359 25% B3410 25% B3460 NADA

B3360 NADA B3411 40% B3461 NADA

B3361 25% B3412 NADA B3462 25%

B3362 25% B3413 NADA B3463 NADA

B3363 NADA B3414 25% B3464 25%

B3364 40% B3415 25% B3465 35%

B3365 NADA B3416 30% B3466 NADA

B3366 NADA B3417 NADA B3467 NADA

B3367 25% B3418 NADA B3468 25%

B3368 25% B3419 NADA B3469 NADA

B3369 25% B3420 25% B3470 25%

B3370 20% B3421 NADA B3471 40%

B3371 25% B3422 25% B3472 40%

B3372 25% B3423 25% B3473 NADA

B3373 NADA B3424 25% B3474 NADA

B3374 25% B3425 NADA B3475 25%

B3375 30% B3426 25% B3476 NADA

B3376 25% B3427 35% B3477 25%

B3377 25% B3428 35% B3478 NADA

B3378 25% B3429 35% B3479 NADA

B3379 25% B3430 25% B3480 25%

B3381 NADA B3431 NADA B3481 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

35

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B3482 NADA B3532 NADA B3582 20%

B3483 30% B3533 NADA B3583 20%

B3484 NADA B3534 25% B3584 20%

B3485 NADA B3535 25% B3585 20%

B3486 30% B3536 25% B3586 20%

B3487 NADA B3537 NADA B3587 25%

B3488 NADA B3538 25% B3588 20%

B3489 NADA B3539 40% B3589 NADA

B3490 NADA B3540 40% B3590 NADA

B3491 25% B3541 40% B3591 25%

B3492 25% B3542 20% B3592 25%

B3493 NADA B3543 NADA B3593 NADA

B3494 25% B3544 NADA B3594 20%

B3495 25% B3545 20% B3595 25%

B3496 40% B3546 20% B3596 20%

B3497 25% B3547 20% B3597 25%

B3498 NADA B3548 NADA B3598 25%

B3499 30% B3549 NADA B3599 25%

B3500 40% B3550 NADA B3600 25%

B3501 25% B3551 NADA B3601 25%

B3502 30% B3552 NADA B3602 25%

B3503 25% B3553 NADA B3603 25%

B3504 25% B3554 NADA B3604 20%

B3505 40% B3555 NADA B3605 40%

B3506 NADA B3556 40% B3606 25%

B3507 25% B3557 25% B3607 25%

B3508 25% B3558 25% B3609 25%

B3509 40% B3559 40% B3610 30%

B3510 NADA B3560 NADA B3611 25%

B3511 25% B3561 NADA B3612 25%

B3512 NADA B3562 25% B3613 25%

B3513 NADA B3563 25% B3614 NADA

B3514 40% B3564 25% B3615 25%

B3515 30% B3565 25% B3616 25%

B3516 25% B3566 25% B3617 25%

B3517 40% B3567 25% B3618 25%

B3518 NADA B3568 25% B3619 25%

B3519 25% B3569 25% B3620 25%

B3520 25% B3570 20% B3621 25%

B3521 25% B3571 20% B3622 25%

B3522 25% B3572 20% B3623 25%

B3523 25% B3573 40% B3624 25%

B3524 30% B3574 25% B3625 25%

B3525 25% B3575 NADA B3626 25%

B3526 30% B3576 NADA B3627 25%

B3527 25% B3577 NADA B3628 25%

B3528 25% B3578 30% B3629 25%

B3529 40% B3579 20% B3630 25%

B3530 25% B3580 20% B3631 25%

B3531 30% B3581 15% B3632 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

36

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B3633 25% B3683 25% B3733 20%

B3634 25% B3684 40% B3734 25%

B3635 25% B3685 25% B3735 25%

B3636 25% B3686 25% B3736 25%

B3637 25% B3687 30% B3737 30%

B3638 25% B3688 30% B3738 25%

B3639 25% B3689 25% B3739 25%

B3640 25% B3690 25% B3740 25%

B3641 25% B3691 25% B3741 25%

B3642 25% B3692 25% B3742 25%

B3643 25% B3693 25% B3743 25%

B3644 25% B3694 25% B3744 40%

B3645 25% B3695 25% B3745 25%

B3646 25% B3696 25% B3746 25%

B3647 25% B3697 30% B3747 25%

B3648 25% B3698 25% B3748 25%

B3649 30% B3699 25% B3749 25%

B3650 35% B3700 25% B3750 25%

B3651 25% B3701 25% B3751 25%

B3652 25% B3702 25% B3752 25%

B3653 25% B3703 35% B3753 25%

B3654 25% B3704 25% B3754 25%

B3655 25% B3705 30% B3755 25%

B3656 25% B3706 25% B3756 25%

B3657 25% B3707 25% B3757 25%

B3658 25% B3708 25% B3758 40%

B3659 25% B3709 25% B3759 25%

B3660 25% B3710 25% B3760 25%

B3661 25% B3711 25% B3761 25%

B3662 25% B3712 25% B3762 25%

B3663 25% B3713 25% B3763 25%

B3664 25% B3714 30% B3764 25%

B3665 25% B3715 25% B3765 25%

B3666 25% B3716 20% B3766 25%

B3667 30% B3717 25% B3767 25%

B3668 25% B3718 25% B3768 25%

B3669 25% B3719 25% B3769 25%

B3670 30% B3720 25% B3770 25%

B3671 25% B3721 25% B3771 25%

B3672 30% B3722 35% B3772 40%

B3673 25% B3723 20% B3773 25%

B3674 NADA B3724 40% B3774 25%

B3675 20% B3725 25% B3775 25%

B3676 25% B3726 25% B3776 25%

B3677 25% B3727 25% B3777 25%

B3678 25% B3728 25% B3778 25%

B3679 25% B3729 25% B3779 25%

B3680 25% B3730 25% B3780 25%

B3681 25% B3731 25% B3781 25%

B3682 25% B3732 25% B3782 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

37

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B3783 25% B3833 25% B3883 25%

B3784 25% B3834 25% B3884 25%

B3785 25% B3835 25% B3885 25%

B3786 25% B3836 25% B3886 25%

B3787 25% B3837 25% B3887 25%

B3788 25% B3838 25% B3888 25%

B3789 25% B3839 25% B3889 25%

B3790 25% B3840 25% B3890 25%

B3791 25% B3841 25% B3891 25%

B3792 25% B3842 25% B3892 25%

B3793 25% B3843 25% B3893 40%

B3794 25% B3844 25% B3894 25%

B3795 25% B3845 25% B3895 25%

B3796 25% B3846 25% B3896 25%

B3797 25% B3847 25% B3897 25%

B3798 25% B3848 25% B3898 25%

B3799 25% B3849 25% B3899 20%

B3800 25% B3850 25% B3900 NADA

B3801 25% B3851 25% B3901 25%

B3802 25% B3852 25% B3902 25%

B3803 25% B3853 25% B3903 25%

B3804 25% B3854 25% B3904 25%

B3805 25% B3855 25% B3905 25%

B3806 25% B3856 25% B3906 25%

B3807 25% B3857 25% B3907 25%

B3808 25% B3858 25% B3908 25%

B3809 25% B3859 25% B3909 25%

B3810 25% B3860 25% B3910 25%

B3811 25% B3861 25% B3911 25%

B3812 25% B3862 25% B3912 25%

B3813 25% B3863 25% B3913 25%

B3814 25% B3864 25% B3914 25%

B3815 25% B3865 25% B3915 25%

B3816 25% B3866 25% B3916 25%

B3817 25% B3867 25% B3917 NADA

B3818 25% B3868 25% B3918 25%

B3819 25% B3869 25% B3919 NADA

B3820 25% B3870 25% B3920 25%

B3821 25% B3871 25% B3921 25%

B3822 25% B3872 25% B3922 25%

B3823 25% B3873 25% B3923 25%

B3824 25% B3874 25% B3924 25%

B3825 25% B3875 25% B3925 25%

B3826 25% B3876 25% B3926 25%

B3827 25% B3877 25% B3927 25%

B3828 25% B3878 25% B3928 25%

B3829 30% B3879 25% B3929 25%

B3830 25% B3880 25% B3930 25%

B3831 25% B3881 25% B3931 25%

B3832 25% B3882 25% B3932 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

38

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B3933 25% B3983 25% B4035 25%

B3934 25% B3984 25% B4036 25%

B3935 25% B3985 25% B4037 25%

B3936 25% B3986 25% B4038 25%

B3937 25% B3987 25% B4039 25%

B3938 25% B3988 25% B4040 NADA

B3939 25% B3989 25% B4041 25%

B3940 25% B3990 25% B4042 30%

B3941 25% B3991 25% B4043 25%

B3942 25% B3992 25% B4044 25%

B3943 25% B3993 25% B4045 25%

B3944 25% B3994 25% B4046 20%

B3945 25% B3995 25% B4047 25%

B3946 25% B3996 25% B4048 25%

B3947 40% B3997 25% B4049 20%

B3948 25% B3998 25% B4050 25%

B3949 25% B3999 25% B4051 30%

B3950 25% B4000 25% B4052 NADA

B3951 25% B4001 25% B4053 25%

B3952 25% B4003 25% B4054 40%

B3953 25% B4004 25% B4055 25%

B3954 25% B4005 25% B4056 25%

B3955 25% B4006 25% B4057 25%

B3956 25% B4007 25% B4058 25%

B3957 25% B4008 25% B4059 25%

B3958 25% B4009 25% B4060 25%

B3959 25% B4010 25% B4061 25%

B3960 25% B4011 25% B4062 25%

B3961 25% B4012 25% B4063 25%

B3962 25% B4013 25% B4064 25%

B3963 25% B4014 NADA B4065 25%

B3964 40% B4015 30% B4066 30%

B3965 25% B4016 25% B4067 25%

B3966 25% B4017 25% B4068 25%

B3967 10% B4018 30% B4069 25%

B3968 25% B4019 30% B4070 25%

B3969 25% B4020 30% B4071 25%

B3970 25% B4021 25% B4072 25%

B3971 25% B4022 NADA B4073 25%

B3972 25% B4023 NADA B4074 25%

B3973 25% B4024 40% B4075 25%

B3974 25% B4026 35% B4076 25%

B3975 25% B4027 25% B4077 25%

B3976 25% B4028 25% B4078 25%

B3977 25% B4029 25% B4079 25%

B3978 25% B4030 25% B4080 25%

B3979 25% B4031 NADA B4081 25%

B3980 25% B4032 30% B4082 25%

B3981 25% B4033 30% B4083 25%

B3982 25% B4034 25% B4084 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

39

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B4085 25% B4135 25% B4185 25%

B4086 25% B4136 25% B4186 NADA

B4087 25% B4137 25% B4187 NADA

B4088 25% B4138 25% B4188 20%

B4089 25% B4139 25% B4189 25%

B4090 25% B4140 25% B4191 25%

B4091 40% B4141 40% B4192 NADA

B4092 35% B4142 25% B4193 25%

B4093 35% B4143 25% B4194 NADA

B4094 30% B4144 25% B4195 25%

B4095 35% B4145 25% B4196 30%

B4096 25% B4146 25% B4197 NADA

B4097 25% B4147 25% B4198 25%

B4098 25% B4148 40% B4199 NADA

B4099 25% B4149 25% B4200 25%

B4100 25% B4150 NADA B4201 30%

B4101 25% B4151 NADA B4202 25%

B4102 25% B4152 NADA B4203 NADA

B4103 25% B4153 25% B4204 40%

B4104 25% B4154 25% B4205 25%

B4105 40% B4155 25% B4206 25%

B4106 25% B4156 25% B4207 25%

B4107 NADA B4157 25% B4208 NADA

B4108 25% B4158 40% B4209 25%

B4109 25% B4159 25% B4210 30%

B4110 35% B4160 25% B4211 NADA

B4111 25% B4161 25% B4212 25%

B4112 25% B4162 40% B4213 25%

B4113 25% B4163 NADA B4214 25%

B4114 25% B4164 25% B4215 25%

B4115 25% B4165 25% B4216 25%

B4116 25% B4166 NADA B4217 25%

B4117 25% B4167 25% B4218 25%

B4118 25% B4168 25% B4219 35%

B4119 20% B4169 25% B4220 NADA

B4120 25% B4170 25% B4221 25%

B4121 25% B4171 25% B4222 25%

B4122 25% B4172 25% B4223 40%

B4123 25% B4173 25% B4224 25%

B4124 25% B4174 25% B4225 25%

B4125 25% B4175 25% B4226 30%

B4126 25% B4176 25% B4227 25%

B4127 20% B4177 40% B4228 30%

B4128 20% B4178 25% B4229 25%

B4129 20% B4179 25% B4230 35%

B4130 20% B4180 25% B4231 NADA

B4131 25% B4181 NADA B4232 40%

B4132 25% B4182 NADA B4233 25%

B4133 25% B4183 NADA B4234 25%

B4134 25% B4184 25% B4235 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

40

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B4236 25% B4286 25% B4336 25%

B4237 25% B4287 25% B4337 25%

B4238 25% B4288 25% B4338 25%

B4239 25% B4289 10% B4339 25%

B4240 25% B4290 25% B4340 25%

B4241 25% B4291 25% B4341 25%

B4242 25% B4292 25% B4342 25%

B4243 25% B4293 25% B4343 25%

B4244 25% B4294 25% B4344 25%

B4245 25% B4295 25% B4345 25%

B4246 25% B4296 25% B4346 25%

B4247 25% B4297 25% B4347 NADA

B4248 25% B4298 30% B4348 25%

B4249 25% B4299 25% B4349 25%

B4250 25% B4300 25% B4350 25%

B4251 25% B4301 25% B4351 25%

B4252 NADA B4302 25% B4352 25%

B4253 B4285 B4303 25% B4353 20%

B4254 B4286 B4304 25% B4354 20%

B4255 B4287 B4305 25% B4355 20%

B4256 B4288 B4306 NADA B4356 20%

B4257 B4289 B4307 NADA B4357 NADA

B4258 B4290 B4308 NADA B4358 25%

B4259 B4291 B4309 25% B4359 25%

B4260 B4292 B4310 25% B4360 25%

B4261 B4293 B4311 25% B4361 25%

B4262 B4294 B4312 40% B4362 25%

B4263 B4295 B4313 25% B4363 25%

B4264 B4296 B4314 25% B4364 25%

B4265 B4297 B4315 25% B4365 25%

B4266 B4298 B4316 NADA B4366 25%

B4267 B4299 B4317 25% B4367 30%

B4268 25% B4318 25% B4368 30%

B4269 25% B4319 25% B4369 30%

B4270 25% B4320 25% B4370 30%

B4271 25% B4321 NADA B4371 25%

B4272 25% B4322 35% B4372 25%

B4273 25% B4323 25% B4373 25%

B4274 25% B4324 25% B4374 10%

B4275 25% B4325 40% B4375 10%

B4276 25% B4326 25% B4376 25%

B4277 25% B4327 25% B4377 25%

B4278 25% B4328 NADA B4378 25%

B4279 25% B4329 30% B4379 25%

B4280 25% B4330 25% B4380 20%

B4281 25% B4331 25% B4381 20%

B4282 25% B4332 30% B4382 20%

B4283 25% B4333 25% B4383 20%

B4284 25% B4334 25% B4384 10%

B4285 25% B4335 25% B4385 10%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

41

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B4386 20% B4436 30% B4486 40%

B4387 25% B4437 30% B4487 25%

B4388 25% B4438 25% B4488 25%

B4389 25% B4439 30% B4489 25%

B4390 25% B4440 25% B4490 25%

B4391 25% B4441 35% B4491 25%

B4392 25% B4442 30% B4492 25%

B4393 25% B4443 30% B4493 25%

B4394 25% B4444 25% B4494 25%

B4395 25% B4445 30% B4495 NADA

B4396 NADA B4446 35% B4496 25%

B4397 25% B4447 30% B4497 25%

B4398 20% B4448 30% B4498 25%

B4399 25% B4449 30% B4499 25%

B4400 NADA B4450 30% B4500 30%

B4401 25% B4451 35% B4501 40%

B4402 25% B4452 30% B4502 20%

B4403 25% B4453 25% B4503 25%

B4404 NADA B4454 25% B4504 25%

B4405 25% B4455 30% B4505 35%

B4406 25% B4456 40% B4506 35%

B4407 25% B4457 30% B4507 30%

B4408 25% B4458 30% B4508 25%

B4409 25% B4459 25% B4509 25%

B4410 25% B4460 25% B4510 25%

B4411 25% B4461 25% B4511 20%

B4412 NADA B4462 25% B4512 25%

B4413 25% B4463 35% B4513 25%

B4414 25% B4464 25% B4514 25%

B4415 25% B4465 25% B4515 25%

B4416 25% B4466 25% B4516 25%

B4417 25% B4467 25% B4517 25%

B4418 25% B4468 25% B4518 25%

B4419 25% B4469 25% B4519 25%

B4420 25% B4470 30% B4520 25%

B4421 25% B4471 25% B4521 25%

B4422 25% B4472 25% B4522 25%

B4423 25% B4473 25% B4523 25%

B4424 NADA B4474 25% B4524 25%

B4425 NADA B4475 25% B4525 25%

B4426 30% B4476 25% B4526 25%

B4427 30% B4477 25% B4527 25%

B4428 30% B4478 25% B4528 25%

B4429 30% B4479 25% B4529 25%

B4430 NADA B4480 25% B4530 25%

B4431 30% B4481 25% B4531 25%

B4432 NADA B4482 25% B4532 25%

B4433 NADA B4483 25% B4533 25%

B4434 30% B4484 25% B4534 10%

B4435 30% B4485 40% B4535 30%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

42

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B4536 NADA B4586 25% B4636 25%

B4537 25% B4587 25% B4637 25%

B4538 25% B4588 25% B4638 25%

B4539 25% B4589 25% B4639 NADA

B4540 25% B4590 25% B4640 25%

B4541 25% B4591 25% B4641 NADA

B4542 25% B4592 25% B4642 NADA

B4543 25% B4593 25% B4643 40%

B4544 25% B4594 25% B4644 25%

B4545 25% B4595 25% B4645 25%

B4546 25% B4596 25% B4646 30%

B4547 NADA B4597 25% B4647 25%

B4548 25% B4598 30% B4648 25%

B4549 25% B4599 30% B4649 25%

B4550 25% B4600 25% B4650 NADA

B4551 25% B4601 30% B4651 25%

B4552 25% B4602 30% B4652 35%

B4553 25% B4603 25% B4653 25%

B4554 25% B4604 25% B4654 25%

B4555 25% B4605 25% B4655 25%

B4556 25% B4606 25% B4656 25%

B4557 NADA B4607 25% B4657 25%

B4558 25% B4608 25% B4658 25%

B4559 25% B4609 25% B4659 25%

B4560 25% B4610 25% B4660 25%

B4561 25% B4611 25% B4661 25%

B4562 25% B4612 25% B4662 40%

B4563 25% B4613 25% B4663 25%

B4564 25% B4614 NADA B4664 25%

B4565 25% B4615 25% B4665 25%

B4566 25% B4616 25% B4666 25%

B4567 25% B4617 25% B4667 25%

B4568 25% B4618 25% B4668 25%

B4569 25% B4619 25% B4669 25%

B4570 25% B4620 25% B4670 25%

B4571 25% B4621 25% B4671 NADA

B4572 25% B4622 25% B4672 25%

B4573 40% B4623 25% B4673 25%

B4574 40% B4624 25% B4674 25%

B4575 25% B4625 25% B4675 25%

B4576 30% B4626 25% B4676 25%

B4577 30% B4627 25% B4677 30%

B4578 25% B4628 25% B4678 25%

B4579 30% B4629 25% B4679 25%

B4580 25% B4630 25% B4680 25%

B4581 30% B4631 25% B4681 25%

B4582 25% B4632 25% B4682 25%

B4583 25% B4633 25% B4683 25%

B4584 25% B4634 25% B4684 25%

B4585 NADA B4635 25% B4685 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

43

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B4686 25% B4736 25% B4786 25%

B4687 NADA B4737 25% B4787 30%

B4688 25% B4738 40% B4788 25%

B4689 25% B4739 25% B4789 25%

B4690 25% B4740 25% B4790 25%

B4691 NADA B4741 25% B4791 25%

B4692 30% B4742 25% B4792 25%

B4693 NADA B4743 25% B4793 NADA

B4694 NADA B4744 25% B4794 25%

B4695 NADA B4745 25% B4795 NADA

B4696 25% B4746 25% B4796 NADA

B4697 NADA B4747 25% B4797 NADA

B4698 NADA B4748 25% B4798 40%

B4699 NADA B4749 25% B4799 25%

B4700 NADA B4750 NADA B4800 NADA

B4701 NADA B4751 NADA B4801 NADA

B4702 25% B4752 NADA B4802 25%

B4703 25% B4753 25% B4803 NADA

B4704 30% B4754 25% B4804 NADA

B4705 NADA B4755 25% B4805 25%

B4706 25% B4756 25% B4806 NADA

B4707 NADA B4757 25% B4807 25%

B4708 25% B4758 25% B4808 NADA

B4709 25% B4759 25% B4809 25%

B4710 25% B4760 25% B4810 NADA

B4711 NADA B4761 25% B4811 NADA

B4712 25% B4762 30% B4812 25%

B4713 25% B4763 30% B4813 25%

B4714 25% B4764 30% B4814 25%

B4715 25% B4765 30% B4815 25%

B4716 25% B4766 25% B4816 NADA

B4717 25% B4767 25% B4817 25%

B4718 25% B4768 25% B4818 35%

B4719 25% B4769 25% B4819 35%

B4720 NADA B4770 25% B4820 35%

B4721 25% B4771 25% B4821 35%

B4722 25% B4772 25% B4822 25%

B4723 25% B4773 25% B4823 25%

B4724 25% B4774 25% B4824 25%

B4725 NADA B4775 25% B4825 NADA

B4726 25% B4776 25% B4826 25%

B4727 25% B4777 NADA B4827 25%

B4728 NADA B4778 NADA B4828 NADA

B4729 25% B4779 25% B4829 25%

B4730 25% B4780 25% B4830 25%

B4731 25% B4781 25% B4831 25%

B4732 25% B4782 25% B4832 25%

B4733 40% B4783 25% B4833 25%

B4734 25% B4784 25% B4834 NADA

B4735 25% B4785 25% B4835 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

44

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B4836 NADA B4886 25% B4936 35%

B4837 NADA B4887 25% B4937 35%

B4838 NADA B4888 25% B4938 30%

B4839 NADA B4889 25% B4939 30%

B4840 25% B4890 25% B4940 35%

B4841 25% B4891 25% B4941 25%

B4842 25% B4892 25% B4942 35%

B4843 25% B4893 25% B4943 25%

B4844 25% B4894 25% B4944 25%

B4845 35% B4895 25% B4945 25%

B4846 25% B4896 25% B4946 25%

B4847 NADA B4897 25% B4947 25%

B4848 NADA B4898 35% B4948 30%

B4849 NADA B4899 35% B4949 25%

B4850 30% B4900 NADA B4950 25%

B4851 25% B4901 25% B4951 25%

B4852 25% B4902 25% B4952 25%

B4853 25% B4903 25% B4953 25%

B4854 25% B4904 40% B4954 25%

B4855 25% B4905 30% B4955 25%

B4856 25% B4906 25% B4956 25%

B4857 10% B4907 30% B4957 25%

B4858 10% B4908 25% B4958 25%

B4859 NADA B4909 25% B4959 25%

B4860 30% B4910 25% B4960 25%

B4861 25% B4911 35% B4961 25%

B4862 25% B4912 25% B4962 25%

B4863 25% B4913 30% B4963 25%

B4864 NADA B4914 30% B4964 35%

B4865 25% B4915 25% B4965 20%

B4866 25% B4916 25% B4966 20%

B4867 25% B4917 25% B4967 25%

B4868 NADA B4918 30% B4968 40%

B4869 25% B4919 35% B4969 NADA

B4870 40% B4920 35% B4970 30%

B4871 35% B4921 NADA B4971 30%

B4872 25% B4922 25% B4972 30%

B4873 35% B4923 25% B4973 25%

B4874 35% B4924 30% B4974 25%

B4875 25% B4925 25% B4975 25%

B4876 35% B4926 30% B4976 25%

B4877 NADA B4927 25% B4977 25%

B4878 25% B4928 25% B4978 25%

B4879 25% B4929 25% B4979 25%

B4880 25% B4930 25% B4980 25%

B4881 25% B4931 25% B4981 30%

B4882 25% B4932 25% B4982 25%

B4883 25% B4933 25% B4983 25%

B4884 25% B4934 20% B4984 35%

B4885 25% B4935 35% B4985 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

45

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B4986 NADA B5036 25% B5086 20%

B4987 25% B5037 25% B5087 25%

B4988 25% B5038 25% B5088 NADA

B4989 25% B5039 25% B5089 NADA

B4990 25% B5040 25% B5090 25%

B4991 20% B5041 25% B5091 25%

B4992 NADA B5042 25% B5092 25%

B4993 25% B5043 25% B5093 20%

B4994 25% B5044 25% B5094 25%

B4995 25% B5045 25% B5095 25%

B4996 20% B5046 25% B5096 25%

B4997 25% B5047 NADA B5097 NADA

B4998 25% B5048 NADA B5098 25%

B4999 25% B5049 NADA B5099 25%

B5000 25% B5050 25% B5100 25%

B5001 NADA B5051 25% B5101 25%

B5002 NADA B5052 25% B5102 25%

B5003 25% B5053 25% B5103 25%

B5004 25% B5054 25% B5104 NADA

B5005 25% B5055 25% B5105 25%

B5006 NADA B5056 25% B5106 25%

B5007 NADA B5057 40% B5107 NADA

B5008 NADA B5058 NADA B5108 25%

B5009 20% B5059 25% B5109 25%

B5010 25% B5060 NADA B5110 25%

B5011 25% B5061 25% B5111 30%

B5012 NADA B5062 NADA B5112 25%

B5013 25% B5063 50% B5113 25%

B5014 25% B5064 25% B5114 25%

B5015 20% B5065 25% B5115 25%

B5016 NADA B5066 25% B5116 25%

B5017 25% B5067 25% B5117 25%

B5018 25% B5068 25% B5118 25%

B5019 40% B5069 NADA B5119 25%

B5020 25% B5070 NADA B5120 NADA

B5021 NADA B5071 NADA B5121 25%

B5022 25% B5072 25% B5122 25%

B5023 25% B5073 25% B5123 NADA

B5024 NADA B5074 NADA B5124 NADA

B5025 20% B5075 40% B5126 25%

B5026 25% B5076 20% B5127 25%

B5027 40% B5077 30% B5128 25%

B5028 30% B5078 30% B5129 25%

B5029 30% B5079 25% B5130 25%

B5030 25% B5080 25% B5131 25%

B5031 NADA B5081 25% B5132 35%

B5032 NADA B5082 25% B5133 30%

B5033 25% B5083 25% B5134 30%

B5034 40% B5084 25% B5135 25%

B5035 25% B5085 25% B5136 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

46

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B5137 25% B5187 25% B5237 40%

B5138 25% B5188 40% B5238 35%

B5139 25% B5189 25% B5239 25%

B5140 35% B5190 25% B5240 NADA

B5141 25% B5191 25% B5241 NADA

B5142 25% B5192 35% B5242 25%

B5143 25% B5193 25% B5243 25%

B5144 10% B5194 30% B5244 40%

B5145 25% B5195 30% B5245 25%

B5146 25% B5196 35% B5246 25%

B5147 10% B5197 30% B5247 25%

B5148 25% B5198 30% B5248 25%

B5149 25% B5199 25% B5249 25%

B5150 30% B5200 25% B5250 25%

B5151 25% B5201 25% B5251 25%

B5152 25% B5202 25% B5252 NADA

B5153 25% B5203 30% B5253 25%

B5154 30% B5204 30% B5254 25%

B5155 25% B5205 30% B5255 NADA

B5156 25% B5206 30% B5256 25%

B5157 25% B5207 30% B5257 25%

B5158 25% B5208 25% B5258 25%

B5159 25% B5209 25% B5260 NADA

B5160 25% B5210 30% B5261 40%

B5161 25% B5211 30% B5262 25%

B5162 25% B5212 30% B5263 25%

B5163 40% B5213 25% B5264 30%

B5164 40% B5214 25% B5265 35%

B5165 30% B5215 35% B5266 35%

B5166 25% B5216 25% B5267 35%

B5167 30% B5217 30% B5268 35%

B5168 25% B5218 30% B5269 35%

B5169 25% B5219 25% B5270 35%

B5170 25% B5220 30% B5271 NADA

B5171 30% B5221 25% B5272 NADA

B5172 25% B5222 25% B5273 NADA

B5173 25% B5223 30% B5274 NADA

B5174 25% B5224 25% B5275 NADA

B5175 25% B5225 25% B5276 NADA

B5176 25% B5226 25% B5277 NADA

B5177 25% B5227 25% B5278 30%

B5178 40% B5228 30% B5279 40%

B5179 10% B5229 25% B5280 25%

B5180 10% B5230 35% B5281 NADA

B5181 25% B5231 35% B5282 NADA

B5182 40% B5232 25% B5283 NADA

B5183 10% B5233 30% B5284 NADA

B5184 25% B5234 30% B5285 25%

B5185 25% B5235 25% B5286 25%

B5186 25% B5236 NADA B5287 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

47

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B5288 25% B5338 25% B5388 35%

B5289 40% B5339 35% B5389 25%

B5290 40% B5340 NADA B5390 NADA

B5291 NADA B5341 NADA B5391 NADA

B5292 NADA B5342 30% B5392 40%

B5293 NADA B5343 25% B5393 NADA

B5294 25% B5344 30% B5394 NADA

B5295 25% B5345 30% B5395 25%

B5296 NADA B5346 30% B5396 25%

B5297 NADA B5347 25% B5397 25%

B5298 NADA B5348 30% B5398 NADA

B5299 NADA B5349 30% B5399 NADA

B5300 NADA B5350 30% B5400 30%

B5301 NADA B5351 30% B5401 25%

B5302 45% B5352 25% B5402 25%

B5303 35% B5353 30% B5403 20%

B5304 45% B5354 30% B5404 20%

B5305 45% B5355 30% B5405 30%

B5306 35% B5356 30% B5406 30%

B5307 45% B5357 25% B5407 20%

B5308 NADA B5358 30% B5408 30%

B5309 25% B5359 30% B5409 30%

B5310 25% B5360 NADA B5410 30%

B5311 25% B5361 25% B5411 30%

B5312 25% B5362 25% B5412 30%

B5313 NADA B5363 10% B5413 25%

B5314 30% B5364 10% B5414 20%

B5315 NADA B5365 10% B5415 25%

B5316 NADA B5366 30% B5416 30%

B5317 25% B5367 25% B5417 30%

B5318 NADA B5368 30% B5418 NADA

B5319 25% B5369 NADA B5419 NADA

B5320 25% B5370 NADA B5420 30%

B5321 NADA B5371 NADA B5421 30%

B5322 30% B5372 25% B5422 25%

B5323 25% B5373 NADA B5423 30%

B5324 35% B5374 35% B5424 30%

B5325 NADA B5375 30% B5425 25%

B5326 25% B5376 35% B5426 NADA

B5327 25% B5377 25% B5427 NADA

B5328 25% B5378 30% B5428 NADA

B5329 30% B5379 35% B5429 25%

B5330 30% B5380 NADA B5430 30%

B5331 NADA B5381 30% B5431 25%

B5332 25% B5382 NADA B5431 25%

B5333 25% B5383 25% B5432 NADA

B5334 25% B5384 10% B5433 25%

B5335 NADA B5385 25% B5434 25%

B5336 25% B5386 25% B5436 25%

B5337 NADA B5387 25% B5437 40%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

48

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B5438 30% B5488 30% B5538 NADA

B5439 25% B5489 25% B5539 35%

B5440 25% B5490 25% B5540 35%

B5441 35% B5491 25% B5541 NADA

B5442 30% B5492 25% B5542 NADA

B5443 40% B5493 25% B5543 NADA

B5444 25% B5494 25% B5544 NADA

B5445 30% B5495 25% B5545 NADA

B5446 30% B5496 25% B5546 NADA

B5447 30% B5497 25% B5547 NADA

B5448 30% B5498 25% B5548 25%

B5449 25% B5499 25% B5549 30%

B5450 25% B5500 25% B5550 NADA

B5451 25% B5501 25% B5551 NADA

B5452 25% B5502 30% B5552 NADA

B5453 40% B5503 25% B5553 NADA

B5454 40% B5504 NADA B5554 30%

B5455 25% B5505 NADA B5555 30%

B5456 30% B5506 25% B5556 25%

B5457 30% B5507 NADA B5557 25%

B5458 25% B5508 NADA B5558 25%

B5459 25% B5509 25% B5559 NADA

B5460 25% B5510 NADA B5560 NADA

B5461 25% B5511 NADA B5561 25%

B5462 25% B5512 30% B5562 25%

B5463 30% B5513 25% B5563 NADA

B5464 25% B5514 NADA B5564 NADA

B5465 25% B5515 NADA B5565 NADA

B5466 25% B5516 NADA B5566 30%

B5467 NADA B5517 30% B5567 25%

B5468 25% B5518 30% B5568 NADA

B5469 30% B5519 NADA B5569 NADA

B5470 25% B5520 NADA B5570 NADA

B5471 25% B5521 NADA B5571 NADA

B5472 40% B5522 NADA B5572 NADA

B5473 30% B5523 NADA B5573 NADA

B5474 25% B5524 NADA B5574 NADA

B5475 25% B5525 25% B5575 25%

B5476 25% B5526 30% B5576 40%

B5477 30% B5527 25% B5577 NADA

B5478 25% B5528 25% B5578 NADA

B5479 25% B5529 NADA B5579 NADA

B5480 30% B5530 NADA B5580 NADA

B5481 30% B5531 NADA B5581 40%

B5482 25% B5532 NADA B5582 NADA

B5483 25% B5533 NADA B5583 NADA

B5484 30% B5534 25% B5584 40%

B5485 25% B5535 25% B5585 25%

B5486 30% B5536 NADA B5586 40%

B5487 25% B5537 25% B5587 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

49

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B5588 NADA B5638 NADA B5688 30%

B5589 NADA B5639 25% B5689 NADA

B5590 NADA B5640 25% B5690 NADA

B5591 NADA B5641 25% B5691 NADA

B5592 NADA B5642 25% B5692 25%

B5593 NADA B5643 30% B5693 25%

B5594 NADA B5644 25% B5694 20%

B5595 25% B5645 25% B5695 20%

B5596 NADA B5646 40% B5696 20%

B5597 25% B5647 NADA B5697 40%

B5598 NADA B5648 NADA B5698 25%

B5599 NADA B5649 25% B5699 NADA

B5600 NADA B5650 30% B5700 NADA

B5601 25% B5651 35% B5701 25%

B5602 35% B5652 25% B5702 NADA

B5603 35% B5653 30% B5703 NADA

B5604 10% B5654 25% B5704 25%

B5605 25% B5655 30% B5705 30%

B5606 NADA B5656 NADA B5706 NADA

B5607 25% B5657 20% B5707 NADA

B5608 10% B5658 25% B5708 NADA

B5609 NADA B5659 30% B5709 NADA

B5610 NADA B5660 25% B5710 NADA

B5611 NADA B5661 30% B5711 NADA

B5612 NADA B5662 25% B5712 NADA

B5613 NADA B5663 25% B5713 NADA

B5614 NADA B5664 25% B5714 NADA

B5615 NADA B5665 NADA B5715 NADA

B5616 NADA B5666 25% B5716 NADA

B5617 NADA B5667 NADA B5717 NADA

B5618 NADA B5668 NADA B5718 NADA

B5619 NADA B5669 NADA B5719 NADA

B5620 NADA B5670 25% B5720 NADA

B5621 NADA B5671 25% B5721 NADA

B5622 NADA B5672 25% B5722 NADA

B5623 25% B5673 20% B5725 30%

B5624 NADA B5674 NADA B5726 25%

B5625 NADA B5675 NADA B5729 25%

B5626 30% B5676 40% B5730 NADA

B5627 30% B5677 NADA B5731 25%

B5628 NADA B5678 NADA B5732 NADA

B5629 25% B5679 40% B5733 NADA

B5630 NADA B5680 40% B5734 NADA

B5631 40% B5681 NADA B5735 NADA

B5632 40% B5682 NADA B5736 25%

B5633 30% B5683 NADA B5737 25%

B5634 40% B5684 NADA B5738 NADA

B5635 30% B5685 25% B5740 NADA

B5636 25% B5686 25% B5741 NADA

B5637 25% B5687 25% B5742 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

50

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B5745 NADA B5824 20% B5874 NADA

B5746 NADA B5825 20% B5875 25%

B5749 25% B5826 20% B5876 NADA

B5754 25% B5827 NADA B5877 NADA

B5755 NADA B5828 NADA B5878 NADA

B5757 25% B5829 NADA B5879 30%

B5760 NADA B5830 NADA B5880 25%

B5761 20% B5831 NADA B5881 25%

B5762 25% B5832 NADA B5883 25%

B5764 25% B5833 NADA B5884 25%

B5765 NADA B5834 NADA B5885 25%

B5766 20% B5835 NADA B5886 25%

B5769 NADA B5836 25% B5887 25%

B5770 20% B5837 NADA B5888 25%

B5771 25% B5838 NADA B5889 NADA

B5772 25% B5839 NADA B5890 NADA

B5773 20% B5840 NADA B5891 NADA

B5774 20% B5841 10% B5892 NADA

B5777 NADA B5842 NADA B5893 NADA

B5778 25% B5843 NADA B5894 NADA

B5781 40% B5844 25% B5895 NADA

B5782 40% B5845 NADA B5896 NADA

B5783 30% B5846 30% B5897 NADA

B5784 30% B5847 25% B5898 NADA

B5785 10% B5848 10% B5899 NADA

B5786 10% B5849 20% B5900 NADA

B5787 20% B5850 25% B5901 NADA

B5788 10% B5851 NADA B5902 NADA

B5789 NADA B5852 10% B5903 NADA

B5790 10% B5853 NADA B5904 25%

B5798 25% B5854 40% B5905 NADA

B5799 30% B5855 40% B5906 25%

B5800 25% B5856 NADA B5907 25%

B5801 20% B5857 25% B5908 25%

B5803 NADA B5858 10% B5909 30%

B5807 30% B5859 25% B5910 30%

B5808 NADA B5860 20% B5911 NADA

B5810 NADA B5861 25% B5912 NADA

B5811 20% B5862 25% B5913 NADA

B5812 20% B5863 25% B5914 25%

B5813 30% B5864 25% B5915 25%

B5814 20% B5865 40% B5916 10%

B5815 NADA B5866 30% B5917 NADA

B5817 NADA B5867 25% B5918 35%

B5818 25% B5868 30% B5919 35%

B5819 20% B5869 NADA B5920 NADA

B5820 25% B5870 25% B5921 40%

B5821 NADA B5871 35% B5922 30%

B5822 NADA B5872 25% B5923 NADA

B5823 25% B5873 50% B5924 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

51

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B5925 NADA B5978 30% B6028 NADA

B5926 NADA B5979 40% B6029 NADA

B5927 30% B5980 NADA B6030 NADA

B5928 NADA B5981 NADA B6031 NADA

B5931 NADA B5982 NADA B6032 NADA

B5932 25% B5983 30% B6033 NADA

B5933 25% B5984 40% B6034 NADA

B5934 NADA B5985 30% B6036 NADA

B5935 30% B5986 30% B6037 NADA

B5936 25% B5987 35% B6038 NADA

B5937 NADA B5988 NADA B6039 NADA

B5938 NADA B5989 NADA B6040 NADA

B5939 NADA B5990 NADA B6041 NADA

B5940 NADA B5991 25% B6042 NADA

B5941 NADA B5992 25% B6043 NADA

B5942 NADA B5993 NADA B6044 NADA

B5943 NADA B5994 NADA B6045 40%

B5944 25% B5995 NADA B6046 40%

B5945 NADA B5996 NADA B6047 40%

B5946 35% B5997 NADA B6048 40%

B5947 NADA B5998 10% B6049 NADA

B5948 30% B5999 NADA B6050 NADA

B5949 30% B6000 NADA B6051 30%

B5950 NADA B6001 NADA B6052 NADA

B5951 NADA B6002 35% B6053 NADA

B5952 35% B6003 NADA B6054 25%

B5953 30% B6004 25% B6055 25%

B5954 25% B6005 30% B6056 25%

B5955 30% B6006 35% B6057 NADA

B5956 35% B6007 NADA B6058 NADA

B5957 30% B6008 NADA B6059 NADA

B5958 25% B6009 40% B6060 NADA

B5959 NADA B6010 NADA B6061 NADA

B5961 30% B6011 NADA B6062 NADA

B5962 25% B6012 25% B6063 25%

B5963 35% B6013 25% B6064 NADA

B5964 25% B6014 NADA B6065 25%

B5965 25% B6015 30% B6066 NADA

B5966 30% B6016 25% B6067 NADA

B5967 35% B6017 NADA B6068 NADA

B5968 25% B6018 NADA B6069 NADA

B5969 25% B6019 NADA B6070 NADA

B5970 30% B6020 25% B6071 35%

B5971 30% B6021 25% B6072 30%

B5972 40% B6022 25% B6073 NADA

B5973 35% B6023 NADA B6074 NADA

B5974 NADA B6024 NADA B6075 NADA

B5975 NADA B6025 NADA B6076 NADA

B5976 40% B6026 NADA B6077 NADA

B5977 30% B6027 NADA B6078 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

52

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B6079 NADA B6132 NADA B6197 35%

B6080 25% B6133 25% B6198 NADA

B6081 NADA B6134 NADA B6199 25%

B6082 40% B6135 NADA B6200 NADA

B6083 40% B6136 NADA B6201 35%

B6084 NADA B6137 25% B6202 35%

B6085 NADA B6138 NADA B6203 30%

B6086 NADA B6139 NADA B6204 25%

B6087 NADA B6140 NADA B6205 NADA

B6088 NADA B6141 NADA B6206 NADA

B6089 30% B6142 NADA B6207 35%

B6090 30% B6143 NADA B6208 35%

B6091 NADA B6144 NADA B6209 30%

B6092 30% B6145 NADA B6210 25%

B6093 NADA B6146 NADA B6211 25%

B6094 NADA B6147 NADA B6212 30%

B6095 30% B6148 NADA B6213 25%

B6096 25% B6149 NADA B6214 25%

B6097 25% B6150 35% B6215 25%

B6098 NADA B6151 25% B6216 25%

B6099 NADA B6152 NADA B6217 NADA

B6100 NADA B6153 30% B6218 30%

B6101 NADA B6154 25% B6219 25%

B6102 40% B6156 NADA B6220 NADA

B6103 25% B6159 NADA B6221 NADA

B6104 NADA B6160 NADA B6222 25%

B6105 25% B6163 NADA B6223 20%

B6106 NADA B6164 NADA B6224 20%

B6109 40% B6165 35% B6225 25%

B6110 NADA B6166 NADA B6226 NADA

B6111 NADA B6167 40% B6227 25%

B6112 NADA B6168 NADA B6228 30%

B6113 NADA B6172 NADA B6229 NADA

B6115 25% B6173 30% B6230 30%

B6116 NADA B6180 NADA B6231 NADA

B6117 NADA B6181 NADA B6232 25%

B6118 NADA B6182 NADA B6233 25%

B6119 NADA B6183 25% B6234 25%

B6120 25% B6184 NADA B6235 25%

B6121 NADA B6185 NADA B6236 30%

B6122 NADA B6187 30% B6237 30%

B6123 25% B6188 30% B6238 NADA

B6124 25% B6189 NADA B6239 25%

B6125 30% B6190 30% B6240 25%

B6126 25% B6191 30% B6241 25%

B6127 NADA B6192 NADA B6242 30%

B6128 25% B6193 NADA B6243 25%

B6129 NADA B6194 NADA B6244 NADA

B6130 NADA B6195 30% B6245 NADA

B6131 NADA B6196 NADA B6246 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

53

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B6248 30% B6302 NADA B6357 NADA

B6249 30% B6303 NADA B6358 NADA

B6250 40% B6304 NADA B6359 NADA

B6251 30% B6305 NADA B6360 NADA

B6252 NADA B6307 NADA B6361 NADA

B6253 25% B6308 35% B6362 NADA

B6254 25% B6309 NADA B6363 NADA

B6255 25% B6312 NADA B6364 NADA

B6256 25% B6313 NADA B6365 NADA

B6257 NADA B6314 NADA B6366 25%

B6258 25% B6315 30% B6367 NADA

B6259 NADA B6316 25% B6368 25%

B6260 25% B6317 25% B6369 25%

B6261 NADA B6319 NADA B6370 30%

B6262 40% B6321 NADA B6371 NADA

B6263 NADA B6322 25% B6372 NADA

B6264 25% B6323 NADA B6373 30%

B6265 NADA B6324 NADA B6374 30%

B6266 30% B6325 30% B6375 30%

B6267 NADA B6326 NADA B6376 40%

B6268 NADA B6327 NADA B6377 30%

B6269 NADA B6328 NADA B6378 NADA

B6270 NADA B6329 30% B6379 NADA

B6271 25% B6330 25% B6380 20%

B6273 25% B6331 25% B6381 NADA

B6274 NADA B6332 35% B6382 NADA

B6275 NADA B6333 NADA B6383 NADA

B6277 NADA B6334 NADA B6384 NADA

B6278 NADA B6335 NADA B6385 35%

B6279 20% B6336 25% B6386 35%

B6280 20% B6337 NADA B6387 20%

B6281 NADA B6338 40% B6388 20%

B6282 10% B6339 NADA B6389 NADA

B6283 30% B6340 NADA B6390 25%

B6284 NADA B6341 NADA B6391 NADA

B6285 30% B6342 NADA B6392 NADA

B6286 NADA B6343 30% B6393 NADA

B6287 NADA B6344 25% B6394 NADA

B6288 40% B6345 NADA B6395 20%

B6289 35% B6346 NADA B6396 20%

B6290 30% B6347 NADA B6397 NADA

B6291 NADA B6348 25% B6398 NADA

B6292 40% B6349 NADA B6399 35%

B6293 NADA B6350 40% B6400 35%

B6295 35% B6351 NADA B6401 35%

B6296 25% B6352 NADA B6402 35%

B6297 NADA B6353 25% B6403 NADA

B6299 NADA B6354 NADA B6404 NADA

B6300 NADA B6355 NADA B6405 30%

B6301 NADA B6356 10% B6406 30%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

54

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B6407 30% B6457 NADA B6514 NADA

B6408 NADA B6458 30% B6515 25%

B6409 30% B6459 NADA B6518 25%

B6410 NADA B6460 30% B6519 25%

B6411 NADA B6461 NADA B6520 20%

B6412 NADA B6462 NADA B6522 20%

B6413 NADA B6463 NADA B6523 NADA

B6414 NADA B6464 NADA B6524 NADA

B6415 40% B6465 NADA B6525 25%

B6416 NADA B6466 NADA B6526 20%

B6417 NADA B6467 NADA B6527 NADA

B6418 NADA B6468 NADA B6528 NADA

B6419 40% B6469 NADA B6529 30%

B6420 25% B6470 NADA B6530 NADA

B6421 25% B6471 NADA B6531 NADA

B6422 25% B6472 NADA B6532 20%

B6423 NADA B6473 NADA B6533 NADA

B6424 NADA B6474 NADA B6534 NADA

B6425 25% B6475 30% B6535 25%

B6426 30% B6476 NADA B6536 25%

B6427 30% B6477 NADA B6537 20%

B6428 NADA B6478 25% B6538 25%

B6429 NADA B6479 25% B6539 30%

B6430 NADA B6480 25% B6540 25%

B6431 NADA B6481 25% B6541 30%

B6432 40% B6483 NADA B6542 25%

B6433 NADA B6484 NADA B6543 20%

B6434 30% B6485 NADA B6544 NADA

B6435 NADA B6486 NADA B6545 30%

B6436 25% B6487 NADA B6546 NADA

B6437 25% B6488 NADA B6547 35%

B6438 NADA B6489 NADA B6548 NADA

B6439 NADA B6490 NADA B6549 NADA

B6440 NADA B6493 25% B6550 NADA

B6441 25% B6494 25% B6551 NADA

B6442 NADA B6495 25% B6552 NADA

B6443 NADA B6496 NADA B6553 NADA

B6444 NADA B6498 20% B6554 25%

B6445 NADA B6499 NADA B6555 NADA

B6446 25% B6500 NADA B6556 20%

B6447 NADA B6501 NADA B6557 20%

B6448 35% B6502 NADA B6558 NADA

B6449 35% B6503 20% B6559 20%

B6450 NADA B6504 25% B6560 NADA

B6451 NADA B6506 NADA B6561 25%

B6452 NADA B6507 25% B6562 35%

B6453 35% B6508 25% B6563 35%

B6454 NADA B6509 NADA B6564 NADA

B6455 NADA B6510 25% B6565 NADA

B6456 NADA B6513 25% B6566 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

55

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B6567 25% B6617 NADA B6668 NADA

B6568 NADA B6618 NADA B6669 25%

B6569 NADA B6619 25% B6670 NADA

B6570 NADA B6620 25% B6671 NADA

B6571 25% B6621 NADA B6672 NADA

B6572 20% B6622 25% B6673 NADA

B6573 25% B6623 NADA B6674 NADA

B6574 NADA B6624 30% B6675 25%

B6575 25% B6625 25% B6676 NADA

B6576 NADA B6626 NADA B6677 NADA

B6577 NADA B6627 NADA B6678 NADA

B6578 35% B6628 NADA B6679 NADA

B6579 25% B6629 25% B6680 25%

B6580 25% B6630 30% B6681 NADA

B6581 20% B6631 NADA B6682 NADA

B6582 25% B6632 NADA B6683 25%

B6583 30% B6633 NADA B6684 20%

B6584 NADA B6634 NADA B6685 25%

B6585 NADA B6635 25% B6686 30%

B6586 25% B6636 25% B6687 25%

B6587 25% B6637 25% B6688 35%

B6588 20% B6638 25% B6689 35%

B6589 30% B6639 25% B6690 NADA

B6590 30% B6640 20% B6691 NADA

B6591 25% B6641 20% B6692 NADA

B6592 25% B6642 NADA B6693 NADA

B6593 NADA B6643 25% B6694 25%

B6594 25% B6644 NADA B6695 NADA

B6595 NADA B6645 NADA B6696 NADA

B6596 NADA B6646 NADA B6697 NADA

B6597 10% B6647 NADA B6698 NADA

B6598 25% B6648 NADA B6699 25%

B6599 NADA B6649 NADA B6700 25%

B6600 NADA B6650 NADA B6701 25%

B6601 NADA B6651 25% B6702 NADA

B6602 30% B6652 25% B6703 40%

B6603 25% B6653 25% B6704 NADA

B6604 NADA B6654 25% B6705 25%

B6605 NADA B6655 NADA B6706 NADA

B6606 NADA B6656 25% B6707 25%

B6607 25% B6657 25% B6708 25%

B6608 NADA B6658 30% B6709 25%

B6609 NADA B6659 25% B6710 NADA

B6610 40% B6660 NADA B6711 NADA

B6611 40% B6661 NADA B6712 NADA

B6612 40% B6662 25% B6713 NADA

B6613 40% B6663 25% B6714 NADA

B6614 30% B6664 25% B6715 25%

B6615 30% B6665 30% B6716 20%

B6616 25% B6667 25% B6717 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

56

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B6718 25% B6768 25% B6820 25%

B6719 NADA B6769 40% B6821 NADA

B6720 NADA B6770 40% B6822 25%

B6721 25% B6771 25% B6823 NADA

B6722 25% B6772 40% B6824 25%

B6723 40% B6773 NADA B6825 25%

B6724 NADA B6774 NADA B6826 NADA

B6725 25% B6775 NADA B6827 NADA

B6726 20% B6776 25% B6828 NADA

B6727 25% B6777 40% B6829 25%

B6728 NADA B6778 25% B6830 NADA

B6729 NADA B6779 25% B6831 NADA

B6730 NADA B6780 NADA B6832 NADA

B6731 NADA B6781 25% B6833 NADA

B6732 NADA B6782 NADA B6834 NADA

B6733 NADA B6783 NADA B6835 NADA

B6734 NADA B6784 NADA B6836 25%

B6735 NADA B6785 NADA B6837 NADA

B6736 NADA B6788 NADA B6838 NADA

B6737 NADA B6789 NADA B6839 NADA

B6738 35% B6790 40% B6840 NADA

B6739 NADA B6791 10% B6841 NADA

B6740 25% B6792 NADA B6842 NADA

B6741 30% B6793 NADA B6843 NADA

B6742 NADA B6794 NADA B6844 NADA

B6743 25% B6795 NADA B6845 NADA

B6744 25% B6796 25% B6846 25%

B6745 25% B6797 30% B6847 25%

B6746 25% B6798 35% B6848 NADA

B6747 25% B6799 30% B6849 NADA

B6748 25% B6800 25% B6850 NADA

B6749 30% B6801 NADA B6851 NADA

B6750 30% B6802 NADA B6852 NADA

B6751 25% B6803 25% B6853 NADA

B6752 25% B6804 35% B6854 25%

B6753 20% B6805 25% B6855 NADA

B6754 25% B6806 25% B6856 25%

B6755 NADA B6807 NADA B6857 NADA

B6756 NADA B6808 NADA B6858 NADA

B6757 NADA B6809 NADA B6859 25%

B6758 NADA B6810 NADA B6860 NADA

B6759 NADA B6811 25% B6861 NADA

B6760 NADA B6812 NADA B6862 NADA

B6761 NADA B6813 NADA B6863 NADA

B6762 25% B6814 25% B6864 NADA

B6763 25% B6815 NADA B6865 25%

B6764 30% B6816 25% B6866 25%

B6765 NADA B6817 30% B6867 NADA

B6766 NADA B6818 NADA B6868 25%

B6767 25% B6819 NADA B6869 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

57

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B6870 NADA B6920 25% B6970 NADA

B6871 NADA B6921 NADA B6971 NADA

B6872 NADA B6922 NADA B6972 NADA

B6873 25% B6923 NADA B6973 NADA

B6874 NADA B6924 30% B6974 NADA

B6875 25% B6925 NADA B6975 NADA

B6876 NADA B6926 NADA B6976 NADA

B6877 25% B6927 30% B6977 NADA

B6878 25% B6928 30% B6978 NADA

B6879 NADA B6929 NADA B6979 NADA

B6880 25% B6930 25% B6980 NADA

B6881 NADA B6931 25% B6981 NADA

B6882 NADA B6932 NADA B6982 35%

B6883 NADA B6933 NADA B6983 NADA

B6884 NADA B6934 NADA B6984 NADA

B6885 25% B6935 NADA B6985 NADA

B6886 NADA B6936 NADA B6986 NADA

B6887 NADA B6937 NADA B6987 NADA

B6888 NADA B6938 NADA B6988 NADA

B6889 30% B6939 30% B6989 NADA

B6890 NADA B6940 30% B6990 NADA

B6891 NADA B6941 25% B6991 NADA

B6892 25% B6942 NADA B6992 NADA

B6893 25% B6943 30% B6993 NADA

B6894 NADA B6944 30% B6994 NADA

B6895 25% B6945 NADA B6995 25%

B6896 30% B6946 25% B6996 25%

B6897 30% B6947 25% B6997 NADA

B6898 NADA B6948 NADA B6998 NADA

B6899 10% B6949 25% B6999 30%

B6900 10% B6950 30% B7000 NADA

B6901 NADA B6951 40% B7001 30%

B6902 NADA B6952 NADA B7002 30%

B6903 NADA B6953 NADA B7003 NADA

B6904 NADA B6954 30% B7004 NADA

B6905 NADA B6955 30% B7005 NADA

B6906 30% B6956 25% B7006 NADA

B6907 25% B6957 30% B7007 NADA

B6908 NADA B6958 30% B7008 NADA

B6909 25% B6959 35% B7009 40%

B6910 25% B6960 25% B7010 40%

B6911 25% B6961 25% B7011 NADA

B6912 NADA B6962 40% B7012 NADA

B6913 NADA B6963 30% B7013 NADA

B6914 NADA B6964 NADA B7014 NADA

B6915 NADA B6965 40% B7015 NADA

B6916 NADA B6966 30% B7016 25%

B6917 NADA B6967 NADA B7017 35%

B6918 NADA B6968 25% B7018 NADA

B6919 NADA B6969 NADA B7020 NADA

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

58

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

B7022 NADA * * * *

B7023 NADA * * * *

B7024 NADA * * * *

B7025 NADA * * * *

B7026 NADA * * * *

B7027 NADA * * * *

B7028 NADA * * * *

B7029 NADA * * * *

B7030 30% * * * *

B7031 25% * * * *

B7032 NADA * * * *

B7033 NADA * * * *

B7034 NADA * * * *

B7035 25% * * * *

B7036 NADA * * * *

B7037 NADA * * * *

B7038 NADA * * * *

B7039 35% * * * *

B7040 NADA * * * *

B7041 NADA * * * *

B7042 NADA * * * *

B7043 25% * * * *

B7044 25% * * * *

B7045 NADA * * * *

B7046 NADA * * * *

B7047 NADA * * * *

B7048 NADA * * * *

B7049 NADA * * * *

B7050 NADA * * * *

B7051 NADA * * * *

B7052 NADA * * * *

B7053 25% * * * *

B7054 NADA * * * *

B7055 NADA * * * *

B7056 25% * * * *

B7057 NADA * * * *

B7058 NADA * * * *

B7059 NADA * * * *

B7060 NADA * * * *

B7061 NADA * * * *

B7062 NADA * * * *

* * * * * *

* * * * * *

* * * * * *

* * * * * *

* * * * * *

* * * * * *

* * * * * *

* * * * * *

* * * * * *

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

59

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

BA1 25% BA51 25% BA101 25%

BA2 25% BA52 25% BA102 25%

BA3 25% BA53 25% BA103 25%

BA4 25% BA54 25% BA104 25%

BA5 25% BA55 25% BA105 25%

BA6 25% BA56 25% BA106 25%

BA7 25% BA57 25% BA107 25%

BA8 25% BA58 25% BA108 25%

BA9 25% BA59 25% BA109 25%

BA10 25% BA60 25% BA110 25%

BA11 25% BA61 25% BA111 25%

BA12 25% BA62 25% BA112 25%

BA13 25% BA63 25% BA113 25%

BA14 25% BA64 25% BA114 25%

BA15 25% BA65 25% BA115 25%

BA16 25% BA66 25% BA116 25%

BA17 25% BA67 25% BA117 25%

BA18 25% BA68 25% BA118 25%

BA19 25% BA69 25% BA119 25%

BA20 25% BA70 25% BA120 25%

BA21 25% BA71 25% BA121 25%

BA22 25% BA72 25% BA122 25%

BA23 25% BA73 25% BA123 25%

BA24 25% BA74 25% BA124 25%

BA25 25% BA75 25% BA125 25%

BA26 25% BA76 25% BA126 25%

BA27 25% BA77 25% BA127 25%

BA28 25% BA78 25% BA128 25%

BA29 25% BA79 25% BA129 25%

BA30 25% BA80 25% BA130 25%

BA31 25% BA81 25% BA131 25%

BA32 25% BA82 25% BA132 25%

BA33 25% BA83 25% BA133 25%

BA34 25% BA84 25% BA134 25%

BA35 25% BA85 25% BA135 25%

BA36 25% BA86 25% BA136 25%

BA37 25% BA87 25% BA137 25%

BA38 25% BA88 25% BA138 25%

BA39 25% BA89 25% BA139 25%

BA40 25% BA90 25% BA140 25%

BA41 25% BA91 25% BA141 25%

BA42 25% BA92 25% BA142 25%

BA43 25% BA93 25% BA143 25%

BA44 25% BA94 25% BA144 25%

BA45 25% BA95 25% BA145 25%

BA46 25% BA96 25% BA146 25%

BA47 25% BA97 25% BA147 25%

BA48 25% BA98 25% BA148 25%

BA49 25% BA99 25% BA149 25%

BA50 25% BA100 25% BA150 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

60

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

BA151 25% BA201 25% BA251 25%

BA152 25% BA202 25% BA252 25%

BA153 25% BA203 25% BA253 25%

BA154 25% BA204 25% BA254 25%

BA155 25% BA205 25% BA255 25%

BA156 25% BA206 25% BA256 25%

BA157 25% BA207 25% BA257 25%

BA158 25% BA208 25% BA258 25%

BA159 25% BA209 25% BA259 25%

BA160 25% BA210 25% BA260 25%

BA161 25% BA211 25% BA261 25%

BA162 25% BA212 25% BA262 25%

BA163 25% BA213 25% BA263 25%

BA164 25% BA214 25% BA264 25%

BA165 25% BA215 25% BA265 25%

BA166 25% BA216 25% BA266 25%

BA167 25% BA217 25% BA267 25%

BA168 25% BA218 25% BA268 25%

BA169 25% BA219 25% BA269 25%

BA170 25% BA220 40% BA270 25%

BA171 25% BA221 40% BA271 25%

BA172 25% BA222 25% BA272 25%

BA173 25% BA223 25% BA273 25%

BA174 25% BA224 25% BA274 25%

BA175 25% BA225 25% BA275 25%

BA176 25% BA226 25% BA276 25%

BA177 25% BA227 25% BA277 25%

BA178 25% BA228 25% BA278 25%

BA179 25% BA229 25% BA279 25%

BA180 25% BA230 25% BA280 25%

BA181 25% BA231 25% BA281 25%

BA182 25% BA232 25% BA282 25%

BA183 25% BA233 25% BA283 25%

BA184 25% BA234 25% BA284 25%

BA185 25% BA235 25% BA285 25%

BA186 25% BA236 25% BA286 25%

BA187 25% BA237 25% BA287 25%

BA188 25% BA238 25% BA288 25%

BA189 25% BA239 25% BA289 25%

BA190 25% BA240 25% BA290 25%

BA191 25% BA241 25% BA291 25%

BA192 25% BA242 25% BA292 25%

BA193 25% BA243 25% BA293 25%

BA194 25% BA244 25% BA294 25%

BA195 25% BA245 25% BA295 25%

BA196 25% BA246 25% BA296 25%

BA197 25% BA247 25% BA297 25%

BA198 25% BA248 25% BA298 25%

BA199 25% BA249 25% BA299 25%

BA200 25% BA250 25% BA300 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

61

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

BA301 25% BA351 25% BA402 25%

BA302 25% BA352 25% BA403 25%

BA303 25% BA353 25% BA404 25%

BA304 25% BA354 25% BA405 25%

BA305 25% BA355 25% BA406 25%

BA306 25% BA356 25% BA407 25%

BA307 25% BA357 25% BA408 25%

BA308 25% BA358 25% BA409 25%

BA309 25% BA359 25% BA410 25%

BA310 25% BA360 25% BA411 25%

BA311 25% BA361 25% BA412 25%

BA312 25% BA362 25% BA413 N/C

BA313 25% BA363 25% BA414 40%

BA314 25% BA364 25% BA415 25%

BA315 25% BA365 25% BA416 25%

BA316 25% BA366 25% BA417 25%

BA317 40% BA367 25% BA418 25%

BA318 25% BA368 25% BA419 25%

BA319 25% BA369 25% BA420 25%

BA320 25% BA370 25% BA421 25%

BA321 25% BA371 25% BA422 25%

BA322 25% BA372 25% BA423 25%

BA323 25% BA373 25% BA424 25%

BA324 25% BA374 25% BA425 N/C

BA325 25% BA375 25% BA426 25%

BA326 25% BA376 25% BA427 40%

BA327 25% BA377 25% BA428 40%

BA328 25% BA378 25% BA429 25%

BA329 25% BA379 25% BA430 25%

BA330 25% BA380 25% BA431 25%

BA331 25% BA382 25% BA432 25%

BA332 25% BA383 25% BA433 25%

BA333 25% BA384 25% BA434 25%

BA334 25% BA385 25% BA435 25%

BA335 25% BA386 25% BA436 25%

BA336 25% BA387 25% BA437 25%

BA337 25% BA388 25% BA438 25%

BA338 25% BA389 25% BA439 25%

BA339 25% BA390 25% BA440 25%

BA340 25% BA391 25% BA441 25%

BA341 25% BA392 25% BA442 25%

BA342 25% BA393 25% BA443 25%

BA343 25% BA394 25% BA444 25%

BA344 25% BA395 25% BA445 25%

BA345 25% BA396 25% BA446 25%

BA346 25% BA397 25% BA447 25%

BA347 25% BA398 25% BA448 25%

BA348 25% BA399 25% BA449 25%

BA349 25% BA400 25% BA450 25%

BA350 25% BA401 25% BA451 25%

PRUEBAS CARDIOVASCULARES INVASIVAS Códigos de Cubiertas/Coaseguros

08/01/2015

62

CÓDIGO COASEGURO CÓDIGO COASEGURO CÓDIGO COASEGURO

BA452 25% BA502 N/C * *

BA453 25% BA503 40% * *

BA454 25% BA504 N/C * *

BA455 25% BA505 40% * *

BA456 25% BA506 N/C * *

BA457 25% BA507 40% * *

BA458 25% BA508 N/C * *

BA459 25% BA509 40% * *

BA460 25% BA510 N/C * *

BA461 25% BA511 40% * *

BA462 25% BA512 N/C * *

BA463 25% BA513 40% * *

BA464 25% BA514 40% * *

BA465 25% BA515 N/C * *

BA466 25% BA516 N/C * *

BA467 25% BA517 25% * *

BA468 25% BA518 25% * *

BA469 25% BA519 25% * *

BA470 25% BA520 25% * *

BA471 25% BA521 40% * *

BA472 25% BA522 25% * *

BA473 25% * * * *

BA474 25% * * * *

BA475 25% * * * *

BA476 25% * * * *

BA477 25% * * * *

BA478 25% * * * *

BA479 25% * * * *

BA480 25% * * * *

BA481 25% * * * *

BA482 25% * * * *

BA483 25% * * * *

BA484 25% * * * *

BA485 25% * * * *

BA486 25% * * * *

BA487 25% * * * *

BA488 25% * * * *

BA489 25% * * * *

BA490 25% * * * *

BA491 25% * * * *

BA492 25% * * * *

BA493 25% * * * *

BA494 25% * * * *

BA495 25% * * * *

BA496 25% * * * *

BA497 25% * * * *

BA498 25% * * * *

BA499 25% * * * *

BA500 25% * * * *

BA501 * * * *