# AA-50-GYR-050GYR005-N-166-2023 · Partidas · Página 4

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Procedimiento: SERVICIO MEDICO SUBROGADO

Página 4 de 4. Total: 187. Tamaño de página: 50.
Elementos 151–187 de 187.

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## Partida 151

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DE TEJIDOS BLANDOS (CUALQUIER PARTE DEL CUERPO)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "700",
      "subtotal": "700",
      "tax": "112",
      "other_taxes": null,
      "total": "812",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 152

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DE TOBILLO",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "700",
      "subtotal": "700",
      "tax": "112",
      "other_taxes": null,
      "total": "812",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 153

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER AORTA ABDOMINAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "700",
      "subtotal": "700",
      "tax": "112",
      "other_taxes": null,
      "total": "812",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 154

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER ARTERIAL EXTREMIDAD INFERIOR BIILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1250",
      "subtotal": "1250",
      "tax": "200",
      "other_taxes": null,
      "total": "1450",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 155

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER ARTERIAL EXTREMIDAD INFERIOR UNILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1250",
      "subtotal": "1250",
      "tax": "200",
      "other_taxes": null,
      "total": "1450",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 156

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER ARTERIAL EXTREMIDAD SUPERIOR BILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1200",
      "subtotal": "1200",
      "tax": "192",
      "other_taxes": null,
      "total": "1392",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 157

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER ARTERIAL EXTREMIDAD SUPERIOR UNILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1200",
      "subtotal": "1200",
      "tax": "192",
      "other_taxes": null,
      "total": "1392",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 158

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER CAROTIDEO",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1250",
      "subtotal": "1250",
      "tax": "200",
      "other_taxes": null,
      "total": "1450",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 159

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER DE PENE (CON MEDICAMENTO)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1900",
      "subtotal": "1900",
      "tax": "304",
      "other_taxes": null,
      "total": "2204",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 160

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER HEPÁTICO (MEDICIÓN DE DIÁMETRO Y FLUJOS DE VENA PORTA, ARTERIA HEPÁTICA, VENAS SUPRAHEPÁTICAS, VENA ESPLÉNICA, COLATERALES)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1000",
      "subtotal": "1000",
      "tax": "160",
      "other_taxes": null,
      "total": "1160",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 161

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER INJERTO RENAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "800",
      "subtotal": "800",
      "tax": "128",
      "other_taxes": null,
      "total": "928",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 162

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER OBSTÉTRICO",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "800",
      "subtotal": "800",
      "tax": "128",
      "other_taxes": null,
      "total": "928",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 163

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER RENAL NATIVO (AMBOS RIÑONES)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "850",
      "subtotal": "850",
      "tax": "136",
      "other_taxes": null,
      "total": "986",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 164

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER VENOSO EXTREMIDAD INFERIOR BILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1800",
      "subtotal": "1800",
      "tax": "288",
      "other_taxes": null,
      "total": "2088",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 165

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER VENOSO EXTREMIDAD INFERIOR UNILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1400",
      "subtotal": "1400",
      "tax": "224",
      "other_taxes": null,
      "total": "1624",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 166

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER VENOSO EXTREMIDAD SUPERIOR BILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1650",
      "subtotal": "1650",
      "tax": "264",
      "other_taxes": null,
      "total": "1914",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 167

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO DOPPLER VENOSO EXTREMIDAD SUPERIOR UNILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1400",
      "subtotal": "1400",
      "tax": "224",
      "other_taxes": null,
      "total": "1624",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 168

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO ENDOVAGINAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "600",
      "subtotal": "600",
      "tax": "96",
      "other_taxes": null,
      "total": "696",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 169

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO ESCROTAL (TESTICULAR)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "850",
      "subtotal": "850",
      "tax": "136",
      "other_taxes": null,
      "total": "986",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 170

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO HIGADO Y VIAS BILIARES (INCLUYE BAZO)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "700",
      "subtotal": "700",
      "tax": "112",
      "other_taxes": null,
      "total": "812",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 171

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO INGUINAL BILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "950",
      "subtotal": "950",
      "tax": "152",
      "other_taxes": null,
      "total": "1102",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 172

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO INGUINAL UNILATERAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "700",
      "subtotal": "700",
      "tax": "112",
      "other_taxes": null,
      "total": "812",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 173

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO MAMARIO",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "750",
      "subtotal": "750",
      "tax": "120",
      "other_taxes": null,
      "total": "870",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 174

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO OBSTÉTRICO",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "750",
      "subtotal": "750",
      "tax": "120",
      "other_taxes": null,
      "total": "870",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 175

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO OBSTÉTRICO 1ER TRIMESTRE",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "750",
      "subtotal": "750",
      "tax": "120",
      "other_taxes": null,
      "total": "870",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 176

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO OBSTÉTRICO ESTRUCTURAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "800",
      "subtotal": "800",
      "tax": "128",
      "other_taxes": null,
      "total": "928",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 177

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO PÉLVICO (GINECOLÓGICO)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "800",
      "subtotal": "800",
      "tax": "128",
      "other_taxes": null,
      "total": "928",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 178

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO PROSTÁTICO TRANSRECTAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "850",
      "subtotal": "850",
      "tax": "136",
      "other_taxes": null,
      "total": "986",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 179

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO RENAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "800",
      "subtotal": "800",
      "tax": "128",
      "other_taxes": null,
      "total": "928",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 180

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO RENAL Y VESICAL CON MEDICIÓN DE ORINA RESIDUAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "850",
      "subtotal": "850",
      "tax": "136",
      "other_taxes": null,
      "total": "986",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 181

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO TRANSFONTANELAR",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "850",
      "subtotal": "850",
      "tax": "136",
      "other_taxes": null,
      "total": "986",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 182

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO VESICOPROSTÁTICO",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "850",
      "subtotal": "850",
      "tax": "136",
      "other_taxes": null,
      "total": "986",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 183

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO VESICULAR CON PRUEBA DE BOYDEN",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "900",
      "subtotal": "900",
      "tax": "144",
      "other_taxes": null,
      "total": "1044",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 184

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ULTRASONIDO TRANSRECTAL (ONCOLÓGICOS)",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "1100",
      "subtotal": "1100",
      "tax": "176",
      "other_taxes": null,
      "total": "1276",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 185

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "ORTOPANTOMOGRAFIA",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "460",
      "subtotal": "460",
      "tax": "73.6",
      "other_taxes": null,
      "total": "533.6",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 186

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "PERIAPICALES",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "200",
      "subtotal": "200",
      "tax": "32",
      "other_taxes": null,
      "total": "232",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }

## Partida 187

    {
      "number": "0",
      "cucop_code": "33901-0010",
      "description": "DENTAL OCLUSAL",
      "unit": "SERVICIO",
      "requested_quantity": null,
      "awarded_quantity": null,
      "unit_price": "160",
      "subtotal": "160",
      "tax": "25.6",
      "other_taxes": null,
      "total": "185.6",
      "cucop_description": "SERVICIO MEDICO",
      "partida_code": "33901",
      "partida_description": "SUBCONTRATACIÓN DE SERVICIOS CON TERCEROS"
    }
