| CODIGO | GLOSA | PARTICULAR | FONASA | ISAPRE |
|---|---|---|---|---|
| 1 | PABELLON1 | 232039 | 265925 | 147727 |
| 2 | PABELLON2 | 232039 | 265925 | 163915 |
| 3 | PABELLON3 | 232039 | 265925 | 176070 |
| 4 | PABELLON4 | 261096 | 330482 | 237360 |
| 5 | PABELLON5 | 367166 | 466094 | 300451 |
| 6 | PABELLON6 | 487363 | 626939 | 433245 |
| 7 | PABELLON7 | 678518 | 851483 | 600477 |
| 8 | PABELLON8 | 908775 | 1028799 | 681021 |
| 9 | PABELLON9 | 1083950 | 1386788 | 862227 |
| 10 | PABELLON10 | 1337378 | 1597420 | 988265 |
| 11 | PABELLON11 | 1385169 | 1731781 | 1045531 |
| 12 | PABELLON12 | 1578428 | 2389828 | 1325666 |
| 13 | PABELLON13 | 1927433 | 2608882 | 1427881 |
| 14 | PABELLON14 | 2086730 | 3045402 | 1563198 |
