| Guarismo | Glosa | Particular | Fonasa | Isapre |
|---|---|---|---|---|
| 1 | PABELLON1 | 177895 | 209500 | 116215 |
| 2 | PABELLON2 | 177895 | 209500 | 132161 |
| 3 | PABELLON3 | 177895 | 209500 | 138725 |
| 4 | PABELLON4 | 177895 | 262400 | 184922 |
| 5 | PABELLON5 | 256961 | 344100 | 240090 |
| 6 | PABELLON6 | 353466 | 475900 | 339034 |
| 7 | PABELLON7 | 506944 | 659900 | 455357 |
| 8 | PABELLON8 | 691816 | 805200 | 504153 |
| 9 | PABELLON9 | 769717 | 1035800 | 631359 |
| 10 | PABELLON10 | 973193 | 1208400 | 715595 |
| 11 | PABELLON11 | 1011563 | 1318500 | 746261 |
| 12 | PABELLON12 | 1097604 | 1788600 | 963556 |
| 13 | PABELLON13 | 1377818 | 1968100 | 1005106 |
| 14 | PABELLON14 | 1505717 | 2325800 | 1064220 |
